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[...]... soundly, waking only at sunrise Questions 54 to 58 For each of the cases listed below, select the type of cold injury most likely to be causing the symptoms described Each lettered option may be used once, more than once, or not at all a Frostnip b Frostbite c Chilblain d Cold panniculitis e Hypothermia f Trench foot 54 A 6-year-old boy returns from playing all day in the snow with several erythematous,... the most likely diagnosis? (Courtesy of Susan John, MD.) a Osgood-Schlatter disease b Physiologic genu varum c Slipped capital femoral epiphysis d Legg-Calvé-Perthes disease e Blount disease 15 A very concerned mother brings a 2-year-old child to your office because of two episodes of a brief, shrill cry followed by a prolonged expiration and apnea You have been following this child in your practice... prompts you to suspect which of the following? a Occult omphalocele b Leukocyte adhesion deficiency c IgG subclass deficiency d Umbilical granuloma e Persistent urachus (urachal cyst) 33 You are seeing an established patient, a 4-year-old girl brought in by her mother for vaginal itching and irritation She is toilet trained and has not complained of frequency or urgency, nor has she noted any blood... (Courtesy of Adelaide Hebert, MD.) a Epidermolysis bullosa b Staphylococcal scalded skin syndrome c Erythema multiforme d Drug eruption e Scarlet fever 6 A mother brings to your office an article from the Internet suggesting that infants in day care have a statistically higher incidence of upper respiratory infections (p < 0.05) as compared to children not in day care You explain to her... that he had been healthy and that they put him to bed as usual for the night at the regular time When they next saw him in the morning, he was not breathing Physical examination is uninformative A film from a routine skeletal survey is shown below Which of the following is the most likely diagnosis? (Courtesy of Susan John, MD.) a Scurvy b Congenital syphilis c Sudden infant death syndrome (SIDS) d Osteogenesis... most likely to yield the diagnosis in this patient? a Examination of joint fluid b X-ray of the knee c Erythrocyte sedimentation rate (ESR) d CBC and differential e Blood culture 35 A 14-year-old high school student arrives to your clinic for well-child care In reviewing his records you determine that his most recent immunization for tetanus was at 4 years of age Which of the following should you recommend?... lethargic Jimmy is found to have miosis, bradycardia, and hypotension He develops respiratory depression that progresses to apnea, and has to be intubated His condition would most likely benefit from which of the following therapies? a Deferoxamine b Naloxone (Narcan) c N-acetylcysteine (Mucomyst) d Crotalidae polyvalent immune fab (CroFab) e Dimercaptosuccinic acid (DMSA, succimer) 38 As a city public... The areas in question have many scattered pustules full of a milky fluid Upon examining pustules, they easily wipe away, revealing a small hyperpigmented macule 46 The obstetrical resident on call asks you to evaluate an area of a newborn’s scalp that seems to have no hair and is scaly and yellowish 47 A newborn’s mother complains that her infant seems to have several very small raised white dots around... day care are 5% more likely to have an upper respiratory tract infection than infants not in day care b A critical threshold for medical significance has been reached c Infants in day care will have an upper respiratory infection 5% of the time d The odds are less than 1 in 20 that the differences in upper respiratory infection rates observed were only a chance variation e The study suggests that day... his left eye, you note markedly swollen upper and lower lids, proptosis, and limitation of movement of the eye His sclera is mildly hyperemic The next step in managing this patient is which of the following? a Parental reassurance and close follow-up b CBC, blood culture, IM ceftriaxone, and follow-up the next day in clinic c Ocular antibiotic drops for 7-10 days d Oral antibiotics for 7-10 days e Referral . Adolescent Questions Answers Index Introduction Pediatrics: PreTest Self-Assessment and Review, Thirteenth Edition, provides comprehensive self-assessment and review within the field of pediatrics. The 500 questions. 2011 Rory Snepar Third Year Medical Student UMDNJ-SOM Class of 2011 Contents Introduction General Pediatrics Questions Answers The Newborn Infant Questions Answers The Cardiovascular System Questions Answers The. reference materials listed in the bibliography or to other standard texts in medicine. General Pediatrics Questions 1. Two weeks after a viral illness, a 9-year-old boy presents to your clinic