Pediatric Endocrinology and Gastroenterology Quiz
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Questions and Answers

Which of the following would not be considered in diagnosing hypothyroidism in a 9-year-old boy with an enlarged thyroid gland?

  • Fasting plasma glucose 3.5 mmol/L (correct)
  • Low voltage in ECG
  • Sonography enlarged thyroid gland
  • Elevated TSH; reduced fT4; elevated AB-to-TPO
  • Which result is most likely to confirm hypothyroidism in a 14-year-old boy exhibiting developmental delays and overweight after encephalitis?

  • Cholesterol 5.2 mmol/L
  • Nodular thyromegaly in sonography
  • Extremely elevated Antibodies to thyroid peroxidase enzyme
  • Low free T4 and low TSH levels (correct)
  • What is the primary cause of hemolytic disease of the newborn?

  • Hemoglobinopathy
  • Immaturity of liver glucuronyltransferase
  • Isoimmune hemolytic anemia (correct)
  • Autoimmune hemolytic anemia
  • Through which vein is an exchange transfusion typically performed in cases of hemolytic jaundice?

    <p>Umbilical</p> Signup and view all the answers

    Which transplacental infection is most likely associated with osteitis?

    <p>Cytomegalovirus</p> Signup and view all the answers

    Which cytokines are produced by Type 1 helper T cells?

    <p>IL-2, IL-6, TNF</p> Signup and view all the answers

    What is the most appropriate next step for a 14-year-old boy with Crohn's disease and elevated C-reactive protein?

    <p>Intravenous antibiotics and infliximab induction regime</p> Signup and view all the answers

    Which alternative therapy is most likely to benefit symptoms in a child with terminal ileal Crohn's disease?

    <p>Boswellia serrata extract</p> Signup and view all the answers

    Which extraintestinal manifestation of Crohn's disease is most beneficial in biological treatment?

    <p>Primary sclerosing cholangitis</p> Signup and view all the answers

    What is the most appropriate next step for a 9-year-old girl with rectal bleeding and a history of temporary ileostomy?

    <p>Referral to surgeons</p> Signup and view all the answers

    Which test is best for diagnosing inflammatory bowel disease in a 6-year-old with suspected symptoms?

    <p>Colonoscopy</p> Signup and view all the answers

    Which of the following cytokines is classified as an anti-inflammatory cytokine?

    <p>IL-10</p> Signup and view all the answers

    What environmental factors can affect immunity?

    <p>Both A and C</p> Signup and view all the answers

    Massive hemolysis of erythrocytes primarily leads to which of the following conditions?

    <p>olygocythemic hypovolemia</p> Signup and view all the answers

    Which factor is NOT a cause of polycythemic hypovolemia?

    <p>anemia</p> Signup and view all the answers

    What is the main characteristic of the first hours following acute hemorrhage?

    <p>acute hypovolemia</p> Signup and view all the answers

    Which mechanism is involved in blood volume restoration after hemorrhage?

    <p>redistribution of the water between sectors</p> Signup and view all the answers

    Which of the following is a correct process for normalizing blood pressure during the reflex phase after hemorrhage?

    <p>influence on baroreceptors from the reflexogenic regions</p> Signup and view all the answers

    Aldosterone is produced by which gland?

    <p>Adrenal gland</p> Signup and view all the answers

    What is the most likely diagnosis confirmation for a boy with hypothyroid symptoms and an enlarged thyroid gland?

    <p>Positive Anti-microsomal and anti-thyroglobulin antibodies</p> Signup and view all the answers

    Which of the following substances increases the force of contraction in the heart chambers?

    <p>Thyroxine</p> Signup and view all the answers

    What is the best indicator of folic acid deficiency in a 1-year-old child?

    <p>Increase number of hypersegmented neutrophils</p> Signup and view all the answers

    An extremely high RBC distribution width (RDW) is most likely associated with which condition?

    <p>Megaloblastic anemia</p> Signup and view all the answers

    What type of hypersensitivity is allergic rhinitis primarily associated with?

    <p>Immediate hypersensitivity</p> Signup and view all the answers

    Atopic dermatitis is primarily based on which type of hypersensitivity?

    <p>Immediate hypersensitivity</p> Signup and view all the answers

    The triad of immune deficiency, thrombocytopenia, and eczema is characteristic of which syndrome?

    <p>Wiskott-Aldrich syndrome</p> Signup and view all the answers

    What is the MOST likely diagnosis for a patient with cyanotic skin and mucous membranes, a heart rate of 146 beats per min, and a 4/6 systolic murmur at the left edge of the sternum?

    <p>Tetralogy of Fallot</p> Signup and view all the answers

    During the examination of a 4.5-month-old infant, which diagnosis is the MOST likely with a 2/6 harsh systolic murmur at the left lower sternal border?

    <p>CHD. Ventricular Septal Defect</p> Signup and view all the answers

    What is the MOST likely preliminary diagnosis for a 3-year-old with an ejection systolic murmur best heard at the left 2nd intercostal space?

    <p>Innocent murmur</p> Signup and view all the answers

    In a neonate with cyanosis, a soft systolic murmur, and an oxygen saturation of 66% that doesn't improve with oxygen, which diagnosis is MOST likely?

    <p>Congenital Cyanotic Heart Defect</p> Signup and view all the answers

    What diagnosis is indicated for a 12-year-old boy with cold feet, high blood pressure in the arm, and a radio-femoral pulse delay?

    <p>Coarctation of Aorta</p> Signup and view all the answers

    Which condition typically presents with a weak S2 heart sound and relative cardiac dullness observed in a physical exam?

    <p>Eisenmenger Syndrome</p> Signup and view all the answers

    What describes the heart sounds in a patient diagnosed with Tetralogy of Fallot?

    <p>Sonorous and rhythmic</p> Signup and view all the answers

    Which of the following conditions would most likely result in cyanosis that persists after oxygen administration in the newborn?

    <p>Congenital Cyanotic Heart Defect</p> Signup and view all the answers

    What is the nature of diarrhea in malabsorption syndrome?

    <p>Mushy abundant stools</p> Signup and view all the answers

    What is the most effective method of eradication of Helicobacter pylori infection in treating chronic gastroduodenitis in children?

    <p>Triple therapies</p> Signup and view all the answers

    What disease is characterized by pain in the epigastrium occurring 1.5-2 hours after eating?

    <p>Gastric ulcer</p> Signup and view all the answers

    What is the most common cause of dark coloration of emesis in patients vomiting with hematemesis?

    <p>Gastric ulcer</p> Signup and view all the answers

    Which type of treatment is NOT typically used for steroid ulcers?

    <p>Antibiotics</p> Signup and view all the answers

    What examination should be conducted to determine the treatment plan for a child diagnosed with a new duodenal ulcer?

    <p>Helicobacter pylori testing</p> Signup and view all the answers

    What is the main pathogenetic factor contributing to biliary tract dysfunction?

    <p>Eating disorders</p> Signup and view all the answers

    What is the most likely diagnosis for a 1-month-old child with increased crying and fussiness during the evening hours?

    <p>Colic</p> Signup and view all the answers

    Signup and view all the answers

    Study Notes

    Malabsorption Syndrome Diarrhea

    • Diarrhea in malabsorption syndrome is characterized by mushy, abundant stools.

    Helicobacter pylori Infection Treatment

    • The most effective method for eradicating Helicobacter pylori infection in children with chronic gastroduodenitis is a triple therapy.

    Epigastric Pain

    • Pain in the epigastrium occurring 1.5-2 hours after eating is most likely due to a duodenal ulcer.

    Hematemesis (Vomiting with Blood)

    • The most common cause of dark-colored vomit (hematemesis) is a gastric or duodenal ulcer.

    Steroid Ulcer Treatment

    • Antibiotics, a sparing diet, antisecretory drugs, and cytoprotectors are used to treat steroid ulcers. Prednisolone should be avoided.

    Duodenal Ulcer Treatment

    • Helicobacter pylori testing is crucial for determining the treatment strategy for a 12-year-old with a new duodenal ulcer.

    Biliary Tract Dysfunction

    • The main pathogenetic factor in biliary tract dysfunction is often burdened heredity.

    One-Month-Old Infant Diagnosis

    • Increased crying, fussiness, and flatus passage in the evening hours in a one-month-old infant suggest colic.

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    Description

    Test your knowledge on pediatric endocrinology and gastroenterology through a series of clinical scenarios. This quiz covers topics such as hypothyroidism, Crohn's disease, and hemolytic disease of the newborn. Perfect for medical students or healthcare professionals specializing in pediatrics.

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