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PAEDIATRICS
(For the Students of the Dentistry Faculty, 4th Year of Study)
TESTS REVIEW
MODULE “PAEDIATRICS”
1. The main developmental achievement of toddlers is:
A. Sexual maturation
B. Stabilization of body temperature
C. Ill-proportion body appearance
D. Ability to walk and to speak
E. Complete dependence on others
2. Emotional problems are observed more often among:
A. Toddlers
B. Infants
C. Neonates
D. Preschoolers
E. School-age children
3. Leading cause of preschoolers’ death is:
A. Accident
B. Sepsis
C. Toxoplasmosis
D. Congenital malformation
E. Anorexia nervosa
4. All of the following are characteristics of the premature’s skin, except for:
A. Thin and delicate
B. Redness
C. Absence of lanugo
D. Vernix covers whole body
E. All of the above
5. The respiratory rate for a normal full-term infant is ____ per minute:
A. 10
B. 16
C. 20
D. 35
E. 50
6. A newborn is evaluated 60 sec after delivery and exhibits: heart rate of 80, slow and irregular respiration, some
flexion of the extremities, grimacing when a catheter is placed in nostril, pink body and blue extremities. The Apgar
score is:
A. 3
B. 5
C. 7
D. 9
E. 10
7. A newborn, under normal conditions, stops losing weight by the _ day:
A. 3rd
B. 5th
C. 7th
D. 12th
E. 15th
8. A low birth weight baby weighs no more than _______ grams at birth:
A. 1500
B. 1850
C. 2500
D. 2800
E. 3000
9. Which one of the following is not an indication of prematurity:
A. Ear lobes lack cartilage and are pliable
B. Scalp hair is thick and long
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
C. Breast nodule is not palpable before 36th week
D. Testes are not fully descended, scrotum is small
E. Soles of feet show only the transverse creases
Most full-term infants regain their birth weight by the age of:
A. 3 days
B. 5 days
C. 10 days
D. 3 weeks
E. 4 weeks
Neonatal physiologic weight loss is characterized by:
A. Infants regain their birth weight by 3rd day
B. Weight loss correlates with birth weight
C. Weight loss does not exceeds 8 %
D. All of the above
E. None of the above
Physiologic jaundice of the newborn is characterized by:
A. Maximum is evident by the 5th day
B. Is due to immature function of the liver
C. Is the result of intensive erythrocyte destruction after the birth
D. All of the above
E. None of the above
The mean birth weight for a mature newborn of 38 wk gestation:
A. 2390
B. 2510
C. 2630
D. 3050
E. 4280
Most full-term infants regain their birth weight by the age of:
A. 1 day
B. 3 days
C. 10 days
D. 3 weeks
E. 4 weeks
Full-term infants usually double their birth weight by:
A. 1 mo
B. 2 mo
C. 5 mo
D. 8 mo
E. 9 mo
By 4 mo the head circumference is about:
A. 35 cm
B. 38 cm
C. 41 cm
D. 44 cm
E. 47 cm
During the second year a child will gain about __________ kg:
A. 1,0
B. 1,5
C. 2,5
D. 3,5
E. 4,0
9 mo old boy normally has a head circumference of:
A. 35 cm
B. 40 cm
C. 45 cm
D. 50 cm
E. 52 cm
During the first six months of life the head circumference increases to about:
A. 1,50 cm
B. 1,75 cm
C. 2,00 cm
D. 2,50 cm
E. 2,75 cm
20. Failure to thrive of I stage is characterized by weight deficiency:
А. 5 – 10%
В. 10 – 15%
С. 10 – 20%
D. 20 – 30 %
Е. 25 – 30%
21. Subcutaneous fat disappears completely in failure to thrive of IInd stage from:
А. Face, abdomen
В. Abdomen, trunk, extremities
С. Face
D. Extremities
Е. Abdomen, trunk, face
22. Congenital failure to thrive means:
А. Low birth weight
В. Prematurity
С. Low birth weight in correspondence to the body length
D. Low birth weight in correspondence to gestational age
Е. None of the above
23. Excess weight in infants is termed:
А. Failure to thrive
В. Eutrophia
С. Atrophy
D. Overnutrition
Е. Undernutrition
24. Obesity of IIIrd stage is characterized by excess weight about:
А. 10 – 15%
В. 20 – 30%
С. over 30%
D. 50 – 100 %
Е. over 100%
25. Following is seen in pituitary dwarfism:
А. Weight deficiency, mental retardation
В. Short limbs, normal IQ
С. Excess weight, mental retardation
D. Normal body proportions, mental retardation
Е. Normal body proportions and IQ
26. Which one of the following achievements would not be expected in a 3-mo old:
A. Follow an object through an arc of 180 degrees
B. Smile on social contact
C. Attempt to make contact with an offered object
D. Produce some sounds of pleasure, on social contact
E. Show a preference for the person giving him the most care
27. By 6 mo the infant should be able to:
A. Change the orientation of his body in order to extend hand toward a toy
B. Assume a standing position without help
C. Take some steps with hands held
D. Perform all of the above
E. Accomplish none of the above
28. Shows fear of strangers; appearance of family love; quick changes from crying to laughing – best describes the
child from:
A. 4 – 8 wk
B. 5 – 6 mo
C. 7 – 8 mo
D. 12 – 14 mo
E. 18 – 20 mo
29. All of the following are characteristics of the 5 yr-old, except for:
A. Appetite is usually good, may be slow in eating
B. Loves his home and family
C. Fears of losing mother
D. Good memory for past events
E. Understands rules of “right” and “wrong”
30. Sits steady; plays pat-a-cake; holds own bottle, says “Mama”, “Dada” – best describes the child from:
A. 7 – 8 mo
B. 8 – 9 mo
C. 10 – 11 mo
D. 12 – 13 mo
E. 14 – 15 mo
31. At 12 mo of age a child should:
A. Carry out 4 directions with a ball
B. Turn pages of book singly
C. Feed self well
D. Names 1 or more colors correctly
E. Walks with 1 hand held
32. An 8 year old child has low-grade fever, arthritis, colicky abdominal pain and a purpuric rash llocalized on
the lower extremities. laboratory studies reveal a guaiac-positive stool, urinalysis with red blood cell (RBC) casts and
mild proteinuria, and a normal platelet count. The most likely diagnosis is:
A Henoch-Schonlein's vasculitis
B Systemic lupus erythematosus (SLE)
C Rocky Mountain spotted fever
D Idiopathic thrombocytopenic purpura
E Poststreptococcal glomerulonephritis
33. A 9 year old girl with a history of intermittent wheezing for several years is brought to the pediatrician. The
child has been taking no medications for some time. Physical examination reveals agitation and perioral cyanosis.
Intercostal and suprasternal retractions are present. The breath sounds are quiet, and wheezing is audible bilaterally. The
child is admitted to the hospital. Appropriate interventions might include all of the following, EXCEPT:
A Prescribe nebulized cromolyn sodium
B Prescribe intravenous aminophylline
C Administer supplemental oxygen
D Prescribe intravenous corticosteroids
E Prescribe nebulized metaproterenol
34. Routine examination of a child with a history of bronchial asthma reveals AP of 140/90 mm Hg. The most
likely cause of the hypertension is:
A Renal disease
B Theophylline overdose
C Chronic lung disease
D Coarctation of the aorta
E Obesity
35. A 10-year-old child complains of fever , frequent painful urination. Urine test: proteinuria [0,066 g/L],
leukocytouria, bacteriuria. What is the most probable diagnosis?
A Acute pyelonephritis
B Acute glomerulonephritis
C Dysmetabolic nephropathy
D Acute cystitis
E Urolithiasis
36. A 8-year-old boy has suffered from tonsilitis. In 2 weeks he started complaining of migratory joint pain,
edema of joints, restriction of movements, fever. On examination, an acute rheumatic heart disease, activity of the III-rd
degree, primary rheumocarditis, polyarthritis; acute course of disease, cardiovascular failure IIA. What medication is to
be prescribed?
A Prednisone
B Cefazolin
C Delagil
D Diprazinum
E Erythromycin
37. The 10 y.o. boy has complains on headache, weakness, fever 40˚С, vomiting, expressed dyspnea, pale skin
with flush on right cheek, lag of right hemithorax respiratory movement, dullness on percussion over low lobe of right
lung, weakness of vesicular respiration in this
zone. The abdomen is painless and soft at palpation. Which disease
lead to these symptoms and signs?
A Pneumonia croupousa
B Intestinal infection
C Acute appendicitis
D Acute cholecystitis
E Flu
38. A neonate showed jaundice on the 2nd day of life, then it became more evident. The adynamia, vomiting
and hepatomegaly were observed. Indirect bilirubin level was 275 mmol/L, direct bilirubin level – 15 mmol/L, Hb - 150
g/l. Mother’s blood group - 0[I], Rh+, child’s blood group- A[II], Rh+. What is the most probable diagnosis?
A Hemolytic disease of the neonate [АВО incompatibility], icteric type
B Jaundice due to conjugation disorder
C Hepatitis
D Physiological jaundice
E Hemolytic disease of the neonate [Rh - incompatibility]
39. A 3 year old child has been suffering from fever, cough, coryza, conjunctivitis for 4 days. He has been
taking sulfadimethoxine. Today it has fever up to $39^oC$ and maculopapular rash on its face. Except of rash the
child's skin has no changes. What is your diagnosis?
A Measles
B Allergic rash
C Rubella
D Scarlet fever
E Pseudotuberculosis
40. A 2 year old girl has been ill for 3 days. Today she has low grade fever, severe catarrhal presentations,
slight maculopapular rash on her buttocks and enlarged occipital lymph nodes. What is your diagnosis?
A Rubella
B Scarlet fever
C Measles
D Adenoviral infection
E Pseudotuberculosis
41. A 7 y.o. girl fell ill abruptly: fever, headache, severe sore throat, vomiting. Minute bright red rash appear in
her reddened skin in 3 hours. It is more intensive in axillae and groin. Mucous membrane of oropharynx is hyperemic.
Greyish patches is on the tonsills. Submaxillary lymph nodes are enlarged and painful. What is your diagnosis?
A Scarlet fever
B Measles
C Rubella
D Pseudotuberculosis
E Enteroviral infection
42. The child has complains of the "night" and "hungry" abdominal pains. At fibroscopy in area a bulbus ofa
duodenum the ulcerrative defect of 4 mms diameter is found, the floor is obtected with a fibrin, (H.p +). Administer the
optimum schemes of treatment:
A Omeprasole - Trichopolum - Claritromicin
B De-nol
C Maalox - Ranitidin
D Vicalinum - Ranitidin
E Trichopolum
43. A mother with an infant visited the pediatrician for expertise advice. Her baby was born with body weight
3,2 kg and body length 50 cm. He is 1 year old now. How many teeth the baby should have?
A8
B 10
C 12
D 20
E 6
44. A mother consulted a pediatrician about her son. Her son was born with body mass of 3 kg and length of 48
cm. He's 1 year old now. What is the average body weight?
A 10,5 kg
B 9,0 kg
C 11,0 kg
D 12,0 kg
E 15,0 kg
45. 6 m.o. breast-fed infant. How many times per day the infant should be fed?
A5
B 7
C 6
D 8
E 4
46. Mother asked the doctor for a cardiac check up of the 3-year-old son. Where is the left relative heart border
located?
A 1 cm left from the left medioclavicular line
B 1 cm right from the left medioclavicular line
C Along the left medioclavicular line
D 1 cm left from he left parasternal line
E 1 cm right from the left parasternal line
47. A boy of 7 y.o. had an attack of asthma and distant whistling rales after playing with a dog. In the medical
hystory: atopic dermatitis caused by eating eggs, chicken, beef. What group of allergens is the reason of the
development of bronchial astma attacks?
A Epidermal
B Dust
C Pollen
D Itch mite
E Chemical
48. A 12 year old child suffers of peptic- ulcer disease. What is the etiology of this disease?
A Helicobacter pylory
B Salmonella
C. Lambliosis
D Influenza
E. Intestinal bacillus
49. An 18-month-old child was taken to a hospital on the 4-th day of the disease. The disease began acutely
with temperature 39, weakness, cough, breathlessness. He is pale, cyanotic, has had febrile temperature for over 3 days.
There are crepitative fine bubbling rales on auscultation. Percussion sound is shortened in the right infrascapular region.
X-ray picture shows non-homogeneous segment infiltration 8-10 mm on the right, the intensification of lung pattern.
Your diagnosis:
A Segmentary pneumonia
B Grippe
C Bronchitis
D Bronchiolitis
E Interstitial pneumonia
50. A 6 y.o. asthmatic child was taken to the emergency hospital because of severe coughing and wheezing for
the last 24 hours. Physical examination reveals that the child is excitable, has intercostal and suprasternal retractions,
expiratory wheezing throughout all lung fields, RR- 60/min. Initial treatment may include the prescription of:
A Salbutamol aerosol
B Parenteral phenobarbital
C Intravenous fluids in the first 2 h to compensate water deficiency
D N-acetyl cysteine and cromolyn by inhalation
E Parenteral gentamicyn
51. A 7 y.o. boy has crampy abdominal pain and a rash on the back of his legs and buttocks as well as on the
extensor surfaces of his forearms. Laboratory analysis reveals proteinuria and microhematuria. He is most likely to be
affected by:
A Anaphylactoid purpura
B Systemic lupus erythematosus
C Poststreptococcal glomerulonephritis
D Polyarteritis nodosa
E Dermatomyositis
52. A girl is 12 y.o. Yesterday she was overcooled. Now she is complaining on pain in suprapubic area,
frequent painful urination by small portions, temperature is 37,8 C. Pasternatsky symptom is negative. Urine analysis:
protein - 0,033 g/L, WBC- 20-25 in f/vis, RBC- 1-2 in f/vis. What diagnosis is the most probable?
A Acute cystitis
B Dysmetabolic nephropathy
C Acute glomerulonephritis
D Acute pyelonephritis
E Urolithiasis
53. An infant aged 1 year on the third day of common cold at night developed inspiratory stridor, hoarse voice
and barking cough. Physical examination revealed suprasternal and intercostal chest retractions. There is a bluish skin
discoloration moistly seen over the upper lip. The respiratory rate is 52 per min and pulse- 122 bpm. The body
temperature is 37,5 C. What disease does the infant have?
A Acute infectious croup due to viral laryngotracheitis
B Acute laryngitis
C Bronchopneumonia without complications
D Acute bronchiolitis with respiratory distress
E Acute epiglottitis
54. A child is 2 years old. The child complains of hoarse voice, dyspnea with obstructed inspiration. The
disease started 3 days ago from dry cough and nose stuffiness. Objectively:
general condition is unbalanced, stridor
is present. The child's skin is pale. Body temperature is $37,7^oC$. The palatine arches are hyperemic. There is no
deposit. Heart sounds are rhythmic. Auscultation of lungs reveals rough breathing sounds, crepitation is absent.
Parainfluenza virus has been detected in nasopharynx lavage. What is the most likely diagnosis?
A Acute laryngotracheitis
B Epiglottitis
C Foreign body
D Diphtheria
E Laryngospasm
55. Examination of a 9-month-old girl revealed skin pallor, cyanosis during excitement. Percussion revealed
transverse dilatation of cardiac borders. Auscultation revealed continuous systolic murmur to the left of the breastbone
in the 3-4 intercostal space. This murmur is conducted above the whole cardiac region to the back. What congenital
cardiac pathology can be suspected?
A
B
C
D
E
Defect of interventricular septum
Defect of interatrial septum
Coarctation of aorta
Fallot's tetrad
Pulmonary artery stenosis
56. On the 21 day after appearance of vesiculous chickenpox rash a 7-year-old child developed ataxia,
nystagmus, intention tremor, muscle hypotonia. Liquor analysis shows a low-grade lymphocytic pleocytosis, slightly
increased protein rate. What complication is it?
A Encephalitis
B Purulent meningitis
C Pneumonitis
D Acute nephritis
E Postherpetic neuralgia
57. A child with tetralogy of Fallot is most likely to exhibit:
A Increased pressure in the right ventricle
B Increased pulmonary blood flow
C Increased pulse pressure
D Normal pressure gradient across the pulmonary valve
E Normal oxygen tension in the left ventricle
58. A 2-months-old child after preventive vaccination had a prolonged hemorrhage from the vaccination place
and due to those an intramuscular hematoma. During examination of the child a considerable rise of prothrombin
consumption and a significant prolongation of the activated partial thromboplastic time were found. What is the most
probable diagnosis?
A Hemophilia
B Werlhof's disease
C Henoch-Schoenlein disease
D Hemorrhagic disease of the neonate
E Inborn afibrinogenemia
59. A 10 y.o. boy with hemophilia has signs of acute respiratory viral infection with fever. What of the
mentioned antifebrile medications are contraindicated to this patient?
A Acetylsalicylic acid
B Analgin
C Pipolphen
D Paracetamol
E Panadol extra
60. A 7-year-old child is sick for 2 weeks with running nose, was taking nasal drops. The boy suffers with
alimentary allergy. He applied to doctor due to suppurative and bloody discharges from nose, maceration of ala nasi
and upper lip. Rhinoscopy results: there are whitish-greyish areas at nasal septum. Mucous membrane of oropharynx is
not changed.
What is the most probable disease?
A Diphtheria of the nose
B Adenovirus
C Rhinovirus
D Allergic rhinitis
E Sinusitis (maxillar sinus))
61. A child is 4 years old, has been ill for 5 days. There are complaints of cough, skin rash, t- 38,2oC, face
puffiness, photophobia, conjunctivitis. Objectively: there is bright, maculo-papulous, in some areas confluent rash on
the face, neck, upper chest. The pharynx is hyperemic. There are seropurulent discarges from the nose. Auscultation
revealed dry rales in lungs. What is the most likely diagnosis?
A Measles
B Adenoviral infection
C Scarlet fever
D Rubella
E Enterovirus exanthema
62. A 7-year-old boy has been managed for a month. Immediately after hospitalization there were apparent
edema, proteinuria - 7,1 g/l, daily urine protein - 4,2 g. Blood chemiswtry shows persistent hypoproteinemia (43,2 g/l),
hypercholesterolemia (9,2 millimole/l). The patient is most likely have the following type of glomerulonephritis:
A Nephrotic
B Nephritic
C Isolated urinary
D Hematuric
E Combined
63. A boy, aged 9, was examined: height - 127 cm (-0,36), weight - 28,2 kg (+0,96), chest circumference - 64,9
cm (+0,66), lung vital capacity - 1520 ml (-0,16). What is the complex assessment of the child's physical development?
A Harmonious
B
C
D
E
Disharmonious
Apparently disharmonious
Excessive
Below the average
64. Two weeks after recovering from tonsillitis an 8-year-old boy developed edema of face and lower limbs.
Objectively: the patient is in grave condition, AP- 120/80 mm Hg. Urine is of dark brown colour. Oliguria is present.
On urine analysis: relative density - 1,015, protein - 1,2 g/l, RBCs are leached and cover the whole vision field, granular
casts - 1-2 in the vision field, salts are represented by urates (big number). What is the most likely diagnosis?
A Acute glomerulonephritis with nephritic syndrome
B Acute glomerulonephritis with nephrotic syndrome
C Acute glomerulonephritis with nephrotic syndrome, hematuria and hypertension
D Acute glomerulonephritis with isolated urinary syndrome
E Nephrolithiasis
65. A 5-year-old child had strong headache, vomiting, ataxy, dormancy, discoordination of movements, tremor
of the extremities on the 8th day of the disease. It was followed by rise in body temperature, vesiculosis rash mainly on
the skin of the body and the hairy part of the head. At the second wave of the fever a diagnosis of encephalitis was
given. What disease complicated encephalitis in this case?
A Chicken pox
B Measles
C German measles
D Enterovirus ifection
E Herpetic infection
66. A 4 y.o. boy was admitted to the hospital with complaints of dyspnea, rapid fatigability. His anamnesis
registers frequent respiratory diseases. On percussion: heart borders are dilatated to the left and upwards. On
auscultation: amplification of the SII above pulmonary
artery, a harsh systolodyastolic "machine" murmur is
auscultated between the II and the III rib to the left of breast bone, this murmur is conducted to all other points
including back. AP is 100/20 mm Hg. What is the most probable diagnosis?
A Opened arterial duct
B Interventricular septal defect
C Isolated stenosis of pulmonary arterial orifice
D Interatrial septal defect
E Valvar aortic stenosis
67. After the birth a child was pale and had arrhythmic breathing. Oxygen therapy didn't have any effect. Pulse
was weak and rapid. It was difficult to measure arterial pressure accurately. There were no edema. What is the most
likely reason for these symptoms?
A Asphyxia
B Congestive heart failure
C Intracranial haematoma
D Intrauterine sepsis
E Congenital pneumonia
68. An infant is 2 d.o. It was full-term born with signs of intrauterine infection, that's why it was prescribed
antibiotics. Specify, why the gap between antibiotic introductions to the new-born children is longer and dosage is
smaller compared to the older children and adults?
A The newborns have a lower level of glomerular filtration
B The newborns have lower concentration of protein and albumins in blood
C The newborns have reduced activity of glucuronil transferase
D The newborns have diminished blood pH
E The newborns have bigger hematocrit
69. A 2 month old full-term child was born with body weight 3500 g. Current weight is 4900 g. Evaluate the
current weight of the child:
ACorresponding to the age
B 150 g less than necessary
C Hypotrophy of the I grade
D Hypotrophy of the II grade
E Paratrophy of the I grade
70. A 5 month old boy was born prematurely, he didn't suffer from any disease at the infant age and later on.
Examination at an outpatient's hospital revealed paleness of skin, sleepiness. Blood count: Hb - 95 g/l, erythrocytes 3,5x10/l, colour index - 0,7. What is the most probable cause of anemia?
A Iron deficit
B Hemogenesis immaturity
C Infectious process
D Erythrocyte hemolysis
E VitB12 deficiency
71. An 8 year old girl complains about joint pain, temperature rise up to 38 C, dyspnea. Objectively: the left
cardiac border is deviated by 2,5 cm to the left, tachycardia, systolic murmur on the apex and in the V point are present.
Blood count: leukocytes - 20,0x10/l, ESR - 18 mm/h. What sign does prove rheumatic fever diagnosis?
A Carditis
B Arthralgia
C Leukocytosis
D Fever
E Accelerated ESR
72. A 5 y.o. child has systolic murmur in the second intercostal to the right of the sternum. The murmur passes
to the neck and along the sternum left edge. The pulse on the left
brachial artery is weakened. BP on the right arm
is 110/60 mm Hg, on the left - 100/60 mm Hg. ECG results: hypertrophy of the right ventricle. What defect is the most
probable?
A Aortic stenosis
B Defect of interventricular septum
C Defect of interatrial septum
D Coarctation of the aorta
E Open aortic duct
73. A 5-year-old child developed an acute disease starting from body temperature rise up to $38,5^oC$,
running nose, cough and conjunctivitis. On the 4th day the child presented with maculo-papular rash on face. Body
temparature rose again up to 39,2 C. Over the next few days the rash spread over the whole body and extremities.
Mucous membrane of palate was hyperemic, there was whitish deposition on cheek mucous membrane next to molars.
What is your provisional diagnosis?
A Measles
B Acute viral respiratory infection
C Yersinia
D Enterovirus diseases
E Rubella
74. A 10 year old girl complains about abdominal pain that is arising and getting worse after eating rough or
spicy food. She complains also about sour eructation, heartburn, frequent constipations, headache, irritability. She has
been suffering from this for 12 months. Objectively: the girl's diet is adequate. Tongue is moist with white deposit at the
root. Abdomen is soft, painful in its epigastric part. What study method will help to make a diagnosis?
A Esophagogastroduodenoscopy
B Intragastral pH-metry
C Fractional examination of gastric juice
D Contrast roentgenoscopy
E Biochemical blood analysis
75. A 13 y.o. teenager who suffers from hemophilia A was taken to the hospital after a fight at school. His
diagnosis is right-sided hemarthros of knee joint, retroperitoneal hematoma. What should be primarily prescribed?
A Fresh frozen plasma
B Aminocapronic acid
C Washed thrombocytes
D Placental albumin
E Dry plasma
76. A full-term baby was born with body weight of 3200 g, body length of 50 cm, Apgar score - 8-10 points.
What is the optimum time for the first breast-feeding?
A First 30 minutes
B First 6 hours
C First 24 hours
D First 48 hours
E After 48 hours
77. On the second day after preventive vaccination a 2-year-old boy presented with abdominal pain without
clear localization, body temperature rose up to 38 C. On the third day the child got red papular haemorrhagic eruption
on the extensor surfaces of limbs and around the joints. Knee joints were edematic and slightly painful. Examination of
other organs and systems revealed no pathological changes. What is the most likely diagnosis?
A Haemorrhagic vasculitis
B Thrombocytopenic purpura
C Meningococcemia
D Urticaria
E DIC syndrome
78. Benefits of the breast milk composition include:
A. Contains proteins, fats, carbohydrates and minerals in optimal ratio
B. Contains valuable antibodies from mother that may help baby resist infections
C. Contains microelements in necessary amounts
D. Provides the digestive enzymes, vitamins, and hormones that infants need
E. All mentioned above
79. Secretion of colostrum takes place during:
A. The first day after birth of a baby
B. First three days after birth
C. First week after birth
D. Two weeks after birth
E. Three month after birth
80. Compared with mature milk, colostrum contains:
A. More proteins
B. More fats
C. More carbohydrates
D. More water
E. All of the above mentioned
81. Content of proteins in mature human milk is about
A. 0.5-1.0 g/100ml
B. 0.8-1.2 g/100ml
C. 1.1-1.5 g/100ml
D. 1.8-2.5 g/100ml
E. 2.0-3.2 g/100ml
82. Whey proteins/casein ratio in mature human milk should be
A. 20/80
B. 40/60
C. 50/50
D. 60/40
E. 80/40
83. Proteins of breast milk are characterized by:
A. Never cause allergic reactions
B. Contain all essential amino acids for a baby
C. Contain lactoferrine
D. Contain biologically active secretory IgA
E. All of the above mentioned
84. Content of fats in mature human milk is about
A. 3.5-4.5 g/l
B. 4.5-5.5 g/l
C. 5.5-6.5 g/l
D. 6.5-7.5 g/l
E. 7.5-8.5 g/l
85. Content of carbohydrates in mature human milk is about
A. 5-5.5 g/l
B. 6-6.5 g/l
C. 7-7.5 g/l
D. 8-8.5 g/l
E. 9-9.5 g/l
86. First feeding of a newborn baby should be done:
A. During 5 min after the birth
B. During 15-30 min after birth
C. During 2 hr after birth
D. During 12 hr after birth
E. During 24 hr after birth
87. What frequency of feedings is recommended for a baby of the first month of age?
A. 5 times a day
B. 6 times a day
C. 7 times a day
D. 8 times a day
E. Baby should be fed whenever a baby is hungry
88. Which of mentioned methods can be used for calculation of daily food amount in a case of 5-day old baby?
A. Method of calories
B. Finkelshteyn method
C. Volume method
D. All of the above mentioned
E. None of the above mentioned
89. Which of the below mentioned methods can be used for calculation of daily food amount in case of 3 mo old baby?
A. Finkelshteyn method
B. Volume method
A. Zaytseva method
D. All of the above mentioned
E. None of the above mentioned
90. Daily food amount of 3 mo old baby consist of___ part of his body weight:
A. 1/5
B. 1/6
C. 1/7
D. 1/8
E. 1/9
91. Daily food amount of 5 mo old baby consist of___ part of his body weight:
A. 1/5
B. 1/6
C. 1/7
D. 1/8
E. 1/9
92. Which formula is correct for calculation of daily food amount for a baby under 10 days of age?
A. 2 % × birth weight (g) × day of life
B. 3% × birth weight (g) × day of life
C. 4 % × birth weight (g) × day of life
D. 5 % × birth weight (g) × day of life
E. 6 % × birth weight (g) × day of life
93. Which formula is correct for calculation of daily food amount for a baby under 10 days of age with body weight at
birth 3,400g?
A. 50 × day of life
B. 60 × day of life
C. 70 × day of life
D. 80 × day of life
E. 90 × day of life
94. How big is the daily requirement of calories for a breastfed baby under 3 mo of age?
A. 120-125 kcal/kg
B. 115-120 kcal/kg
C. 110-115 kcal/kg
D. 105-110 kcal/kg
E. 100-105 kcal/kg
95. How big is the daily requirement of proteins for a breastfed baby under 6 mo of age?
A. 1.0-1.5 g/kg
B. 1.5-2.0 g/kg
C. 2.0-2.5 g/kg
D. 2.5-3.0 g/kg
E. 3.0-3.5 g/kg
96. How big is the daily requirement of proteins for a breastfed baby over 6 mo of age?
A. 1.0-1.5 g/kg
B. 1.5-2.0 g/kg
C. 2.0-2.5 g/kg
D. 2.5-3.0 g/kg
E. 3.0-3.5 g/kg
97. How big is the daily requirement of fats for a breastfed baby under 6 mo of age?
A. 4.0-4.5 g/kg
B. 5.0-5.5 g/kg
C. 6.0-6.5 g/kg
D. 7.0-7.5 g/kg
E. 8.0-8.5 g/kg
98. How big is the daily requirement of fats for a breastfed baby over 6 mo of age?
A. 4.0-4.5 g/kg
B. 5.0-5.5 g/kg
C. 6.0-6.5 g/kg
D. 7.0-7.5 g/kg
E. 8.0-8.5 g/kg
99. How big is the daily requirement of carbohydrates for a breastfed baby of the first year of age?
A. 12-14 g/kg
B. 13-15 g/kg
C. 14-16 g/kg
D. 15-17 g/kg
E. 16-18 g/kg
100. The recommended age of introduction of complementary foods for a breastfed baby is:
A. 4 mo
B. 5 mo
C. 6 mo
D. 7 mo
E. 8 mo
101. Complementary foods should be introduced at the age:
A. 10-17 weeks
B. 17-20 weeks
C. 17-26 weeks
D. 20-26 weeks
E. 26-32 weeks
102. By what age should cereal be introduced into the diet of breastfed baby?
A. 3.0-3.5 mo
B. 4.0-4.5 mo
C. 5.0-5.5 mo
D. 6.0-6.5 mo
E. 7.0-7.5 mo
103. By what age should vegetables be introduced into the diet of breastfed baby?
A. 3.0-3.5 mo
B. 4.0-4.5 mo
C. 5.0-5.5 mo
D. 6.0-6.5 mo
E. 7.0-7.5 mo
104. By what age should meat puree be introduced into the diet of breastfed baby?
A. 3.0-3.5 mo
B. 4.0-4.5 mo
C. 5.0-5.5 mo
D. 6.5-7.0 mo
E. 7.5-8.5 mo
105. By what age should yogurt be introduced into the diet of breastfed baby?
A. 4.0-5.0 mo
B. 5.0-6.0 mo
C. 6.0-7.0 mo
D. 7.0-8.0 mo
E. 8.0-9.0 mo
106. By what age should egg yolk be introduced into the diet of breastfed baby?
A. 3.0-3.5 mo
B. 4.0-4.5 mo
C. 5.0-5.5 mo
D. 6.0-6.5 mo
E. 7.0-7.5 mo
107. At what age can frit juices be introduced into the diet of a breastfed baby?
A. 3 mo
B. 4 mo
C. 5 mo
D. 6 mo
E. 7 mo
108. In artificial feeding baby of the first 6 mo of life does not receive maternal milk at all or it makes _____ and less of
daily amount of food:
A. 1/4
B. 1/5
C. 1/6
D. 1/7
E. 1/8
109. Indications for artificial feeding include all of mentioned below except:
A. Acute viral infection of a baby
B. Mother’s agalactia
C. Death of mother
D. Mother’s HIV infection
E. Mother’s active tuberculosis
110. In which situation formula feeding should be recommended?
A. Baby was born preterm
B. Baby had an episode of allergic skin rush
C. Baby is too weak to suck the mother’s breast
D. Baby has galactosemia
E. All of the above mentioned
111. First-stage formulas are characterized by:
A. They are whey dominant
B. Content of protein does not exceed 1.2-1.4 g/l
C. They are suitable for babies from birth till 6 mo
D. They are easier to digest
E. All of the above mentioned
112. Follow-on formulas are characterized by:
A. They are whey dominant
B. They have higher content of protein (1.5-1.8 g/l)
C. They are suitable for babies from birth
D. They do not contain enough vitamins
E. All of the above mentioned
113. Which of these formulas can be recommended for a healthy 3-mo old baby?
A. Hipp PRE
B. Nutrilon 1
C. Alfare
D. NAN 2
E. All of the above mentioned
114. Which of these formulas can be recommended for a healthy 7-mo old baby?
A. NAN 2
B. Hipp 2
C. Nutrilon 2
D. Nestogen 2
E. All of the above mentioned
115. Which of these formulas can be recommended for a 5-mo old baby manifesting food allergy?
A. Hipp PRE
B. Nestogen1
C. NAN 1 HA
D. NAN 2 HA
E. All of the above mentioned
116. Which of these formulas can be recommended for a baby born preterm with low body weight?
A. Hipp PRE
B. Nutrilon 1
C. Alfare
D. NAN 2
E. All of the above mentioned
117. What frequency of feedings is recommended for a 3-mo old formula-fed baby?
A. 5 times a day
B. 6 times a day
C. 7 times a day
D. 8 times a day
E. Baby should be feed whenever a baby is hungry
118. How big is the daily requirement of proteins for a baby under 6 mo of age receiving the first-stage formula?
A. 1.0-1.5 g/kg
B. 1.5-2.0 g/kg
C. 2.0-2.5 g/kg
D. 2.5-3.0 g/kg
E. 3.0-3.5 g/kg
119. How big is the daily requirement of proteins for a baby under the 6 mo of age receiving non-adapted formula?
A. 1.0-1.5 g/kg
B. 2.5-3.0 g/kg
C. 3.0-3.5 g/kg
D. 3.5-4.0 g/kg
E. 5.0-5.5 g/kg
120. The recommended age of introduction of complementary foods for a baby fed by a first-stage formula is:
A. 4 mo
B. 5 mo
C. 6 mo
D. 7 mo
E. 8 mo
121. Weaning for artificially fed babies receiving a first-stage formula should be started at:
A. 10-17 weeks
B. 17-20 weeks
C. 17-26 weeks
D. 20-26 weeks
E. 26-32 weeks
122. Healthy baby can be fed exclusively by a first-stage formula till:
A. 3 mo
B. 4 mo
C. 5 mo
D. 6 mo
E. 7 mo
123. Mixed feeding is such a type of feeding when baby of first months of age additionally to breast milk is given:
A. Fruit juice
B. Milk cereal
C. Artificial milk formula
D. Vegetable puree
E. Water
124. What of the mentioned below is an indication for mixed feeding:
A. Acute viral infection of a baby
B. Agalactia in mother
C. Mother’s hypogalactia
D. Mother’s HIV infection
E. Mother’s active tuberculosis
125. Hypogalactia should be suspected if:
A. Baby cries after a small period of time after feeding
B. Baby has weight gain less than 500 g in the first month
C. Baby wets less than 6 times a day
D. Baby has dry skin and mucous membranes
E. All of the above mentioned
126. What of the below mentioned can be recommended as additional feeding for a hungry baby of first months of age?
A. Milk cereal
B. Whole milk
C. First-stage formula
D. Follow-on formula
E. All of the above mentioned
127. Which of mentioned formulas can be recommended as additional feeding for a healthy 2-mo old baby?
A. Hipp PRE
B. NAN 1
C. Alfare
D. Nutrilon 2
E. All of the above
128. How big is the daily requirement of proteins for a 4-mo mixed-fed baby receiving the first-stage formula?
A. 4.0-4.5 g/kg
B. 3.5-4.0 g/kg
C. 3.0-3.5 g/kg
D. 2.5-3.0 g/kg
E. 2.0-2.5 g/kg
129. How big is the daily requirement of fats for a mixed-fed baby under the 6 mo of age receiving first-stage formula?
A. 7.0-7.5 g/kg
B. 6.5-7.0 g/kg
C. 6.0-6.5 g/kg
D. 5.5-6.0 g/kg
E. 5.0-5.5 g/kg
130. The best age of introduction of complementary foods for a mixed-fed baby receiving the first-stage formula is:
A. 3 mo
B. 4 mo
C. 5 mo
D. 6 mo
E. 7 mo
131. In case of mother’s hypogalactia artificial formula can be given to a baby:
A. After each breastfeeding
B. After every other breastfeeding
C. After the first feeding in the morning and the last in the evening
D. After each breastfeeding except the first and the last one
E. It does not matter when