CURRENT DIAGNOSIS AND TREATMENT
PEDIATRICS CERTIFICATION EVALUATION
EXAMS COMPLETE ANSWERS AND
PRACTICE SOLUTION
●● What are the evaluation criteria for a 5-year-old girl's physical and
neuropsychological development?
Answer: Physical development: overweight with short stature;
Neuropsychological development: advanced for age; Criteria: BMI and
height-for-age percentiles, Cognitive skills, Social adaptation, Motor and
intellectual abilities.
●● What are the evaluation criteria for an 11-year-old boy's physical and
neuropsychological development?
Answer: Physical development: below average, disharmonious;
Neuropsychological development: delayed; Criteria: Growth parameters,
School performance, Cognitive and behavioral assessment, Medical and
perinatal history.
●● What is the diagnosis for a 10-month-old infant with deformities and
hypotonia?
Answer: Diagnosis: Severe active rickets; Investigations: Serum
calcium, phosphorus, ALP; X-ray of long bones; Treatment: Vitamin D
therapy, Calcium supplementation, Balanced diet, sunlight exposure.
,●● What is the diagnosis and treatment for a 10-month-old infant with
severe hypotonia and skeletal deformities?
Answer: Diagnosis: Severe rickets with complications; Treatment: High-
dose vitamin D, Calcium and phosphorus, Nutritional correction,
Physical therapy.
●● What is the diagnosis for a 7-month-old infant after pneumonia with
poor head control?
Answer: Diagnosis: Active rickets, severe degree; Treatment: Vitamin D,
Calcium, Age-appropriate complementary feeding, Rehabilitation.
●● What is the diagnosis for a 9-month-old infant with excessive food
intake and normal development?
Answer: Diagnosis: Exogenous (alimentary) obesity; Cause:
Overfeeding; Recommendations: Reduce caloric intake, Normalize
feeding volume, Encourage activity.
●● What is the diagnosis and treatment for a 4-month-old infant with
severe weight deficit and anemia?
Answer: Diagnosis: Severe protein-energy malnutrition (grade III
hypotrophy); Treatment: Gradual nutritional rehabilitation, Correction of
anemia, Vitamin and mineral support, Care for skin lesions.
, ●● What is the diagnosis for a 7-year-old boy with headaches and joint
pain?
Answer: Diagnosis: Neuro-arthritic diathesis; Investigations: Urinalysis,
Biochemical blood tests; Treatment: Diet with purine restriction,
Sedatives, Metabolic correction.
●● What is the diagnosis for a 6-month-old infant with a weeping rash
and itching?
Answer: Diagnosis: Atopic dermatitis (exudative-catarrhal diathesis);
Investigations: Allergy history, IgE levels; Treatment: Elimination diet,
Antihistamines, Emollients and topical anti-inflammatories.
●● What is the diagnosis for a 6-year-old girl with abdominal pain and
poor sleep?
Answer: Diagnosis: Functional abdominal pain (functional dyspepsia);
Differential diagnosis: Gastritis, Peptic ulcer disease, Parasitic infection;
Treatment: Normalization of diet and daily routine, Sedatives,
psychotherapy, Antispasmodics if needed.
●● What is the diagnosis for a 7-year-old boy with abdominal pain and
hyperacidity?
Answer: Diagnosis: Chronic hyperacid gastritis (antral), exacerbation;
Differential diagnosis: Peptic ulcer disease, Functional dyspepsia;
Treatment: Diet (fractional, gentle), Antacids, proton-pump inhibitors,
Sedatives.
PEDIATRICS CERTIFICATION EVALUATION
EXAMS COMPLETE ANSWERS AND
PRACTICE SOLUTION
●● What are the evaluation criteria for a 5-year-old girl's physical and
neuropsychological development?
Answer: Physical development: overweight with short stature;
Neuropsychological development: advanced for age; Criteria: BMI and
height-for-age percentiles, Cognitive skills, Social adaptation, Motor and
intellectual abilities.
●● What are the evaluation criteria for an 11-year-old boy's physical and
neuropsychological development?
Answer: Physical development: below average, disharmonious;
Neuropsychological development: delayed; Criteria: Growth parameters,
School performance, Cognitive and behavioral assessment, Medical and
perinatal history.
●● What is the diagnosis for a 10-month-old infant with deformities and
hypotonia?
Answer: Diagnosis: Severe active rickets; Investigations: Serum
calcium, phosphorus, ALP; X-ray of long bones; Treatment: Vitamin D
therapy, Calcium supplementation, Balanced diet, sunlight exposure.
,●● What is the diagnosis and treatment for a 10-month-old infant with
severe hypotonia and skeletal deformities?
Answer: Diagnosis: Severe rickets with complications; Treatment: High-
dose vitamin D, Calcium and phosphorus, Nutritional correction,
Physical therapy.
●● What is the diagnosis for a 7-month-old infant after pneumonia with
poor head control?
Answer: Diagnosis: Active rickets, severe degree; Treatment: Vitamin D,
Calcium, Age-appropriate complementary feeding, Rehabilitation.
●● What is the diagnosis for a 9-month-old infant with excessive food
intake and normal development?
Answer: Diagnosis: Exogenous (alimentary) obesity; Cause:
Overfeeding; Recommendations: Reduce caloric intake, Normalize
feeding volume, Encourage activity.
●● What is the diagnosis and treatment for a 4-month-old infant with
severe weight deficit and anemia?
Answer: Diagnosis: Severe protein-energy malnutrition (grade III
hypotrophy); Treatment: Gradual nutritional rehabilitation, Correction of
anemia, Vitamin and mineral support, Care for skin lesions.
, ●● What is the diagnosis for a 7-year-old boy with headaches and joint
pain?
Answer: Diagnosis: Neuro-arthritic diathesis; Investigations: Urinalysis,
Biochemical blood tests; Treatment: Diet with purine restriction,
Sedatives, Metabolic correction.
●● What is the diagnosis for a 6-month-old infant with a weeping rash
and itching?
Answer: Diagnosis: Atopic dermatitis (exudative-catarrhal diathesis);
Investigations: Allergy history, IgE levels; Treatment: Elimination diet,
Antihistamines, Emollients and topical anti-inflammatories.
●● What is the diagnosis for a 6-year-old girl with abdominal pain and
poor sleep?
Answer: Diagnosis: Functional abdominal pain (functional dyspepsia);
Differential diagnosis: Gastritis, Peptic ulcer disease, Parasitic infection;
Treatment: Normalization of diet and daily routine, Sedatives,
psychotherapy, Antispasmodics if needed.
●● What is the diagnosis for a 7-year-old boy with abdominal pain and
hyperacidity?
Answer: Diagnosis: Chronic hyperacid gastritis (antral), exacerbation;
Differential diagnosis: Peptic ulcer disease, Functional dyspepsia;
Treatment: Diet (fractional, gentle), Antacids, proton-pump inhibitors,
Sedatives.
