大学MOOC Pediatrics(Wenzhou Medical University)1458193166 最新慕课完整章节测试答案

Unit test

1、单选题：
‍Infant age records should be detailed to_?​
选项：
A:  Months of age
B: Years of age
C:  Number of days
D: Nominal age
答案: 【  Months of age】

2、单选题：
‌An infant can regard his parent’s face, follow to the midline, lift his head from the examining table, smile spontaneously, and respond to a bell. He does not yet regard his own hand, follow past the midline, nor lift his head to a 45o angle off the examining table. Which of the following is the most likely age of the infant?‍
选项：
A: 1 month
B: 3 months
C: 6 months
D: 9 months
答案: 【 1 month】

3、单选题：
‏About the average weight of a child, which one of the following may not true? ‌
选项：
A: 3.5 kg at birth
B: 5 kg at 6 m
C: 10 kg at 1 yr
D: 20 kg at 5 yr
答案: 【 5 kg at 6 m】

4、单选题：
‏If a child is 1 year old, his body weight should be_?‏
选项：
A: 3.5 kg
B: 5 kg
C: 10 kg
D: 20 kg
答案: 【 10 kg】

5、单选题：
‎About the rules of motor development in child, which one is not true?‌
选项：
A: upper and lower
B: extremity to center
C: dyssynchrony to synchrony
D: gross to fine
答案: 【 extremity to center】

Unit test

1、单选题：
‎During a regular checkup of an 8-year-old child, you note a loud first heart sound with a fixed and widely split second heart sound at the upper left sternal border that does not change with respirations. The patient is otherwise active and healthy. Which of the following heart lesions most likely explains these findings?‎
选项：
A: Atrial septal defect (ASD)
B: Ventricular septal defect (VSD)
C: Isolated tricuspid regurgitation
D: Tetralogy of Fallot
答案: 【 Atrial septal defect (ASD)】

2、单选题：
​A 2-year-old boy has been doing well despite his diagnosis of tetralogy of Fallot. He presented to an outside ER a few days ago with a complaint of an acute febrile illness for which he was started on a “pink antibiotic.” His mother reports that for the past 12 hours or so he has had a headache and is more lethargic than normal. On your examination he seems to have a severe headache, nystagmus眼球震颤, and ataxia运动失调. Which of the following would be the most appropriate first test to order?‌
选项：
A: Urine drug screen
B: Blood culture
C: Lumbar puncture
D: CT or MRI of the brain
答案: 【 CT or MRI of the brain】

3、单选题：
‌The atrial septal defect (ASD) most commonly associated with partial anomalous pulmonary venous return (PAPVR) is:‍
选项：
A: Secundum defect
B: Sinus venosus defect
C: Ostium primum defect.
D: Coronary sinus defect.
答案: 【 Sinus venosus defect】

4、单选题：
‎The direction of an intracardiac shunt at the atrial level is controlled by:‏
选项：
A: The size of the defect
B: The compliance of the right and left ventricles
C: The systemic oxygen saturation.
D: Right atrial pressure.
答案: 【 The compliance of the right and left ventricles】

5、单选题：
‍An infant with a ventricular septal defect has been maintained on digoxin for congestive heart failure. The loop diuretic furosemide (Lasix) was recently added to the pharmacologic regimen to treat symptoms of increasing congestive heart failure. What diseases must we watch out for? ‌
选项：
A: hypothyroidism
B: hyperaldosteronism.
C: hypokalemia
D: hyperinsulinemia
答案: 【 hypokalemia】

6、单选题：
​A patient with systolic ejection murmur, and his electrocardiogram (ECG) shows an incomplete right bundle branch block in the precordial lead. The most likely problem with this patient is _?‏
选项：
A: A secundum ASD.
B: A sinus venosus ASD with PAPVR.
C: An ostium primum ASD
D: A complete AV canal defect.
答案: 【 A secundum ASD.】

7、单选题：
​A mother brings her 11-year-old son to your office because he easily becomes short of breath while running. She states that he does not seem to be able to play as long a period of time as his friends. The patient’s blood pressure is 140/60 mmHg and he has bounding peripheral pulses. On auscultation of the heart, you detect a harsh, loud continuous murmur heard best below the left clavicle. Which of the following is the most likely diagnosis? ‌
选项：
A: Cervical venous hum
B: Hepatic venous hum
C: Coarctation of the aorta
D: Patent ductus arteriosus
答案: 【 Patent ductus arteriosus】

8、单选题：
‌A cardiologist is called to consult on the care of a 2-day-old girl delivered at 33 weeks’ gestation. The infant is lying supine in her isolette. She is acyanotic, but has a heart rate of 192/ min and a respiratory rate of 60/min. She has a nonradiating continuous machinery murmur at the left upper sternal border that remains the same with compression of the ipsilateral, then contralateral jugular veins. S1 and S2 are normal. Her peripheral pulses are bounding. Which of the following is the most likely diagnosis?‍
选项：
A: Aortic stenosis with aortic regurgitation
B: Patent ductus arteriosus
C: Systemic arteriovenous fistula
D: Venous hum
答案: 【 Patent ductus arteriosus】

9、单选题：
‏A 3-month-old infant is evaluated by a pediatric cardiologist. The infant was noted at birth to have an upper left sternal border ejection murmur. The infant developed cyanosis slowly over the past two months. ECG showed right axis deviation and right ventricular hypertrophy. A chest X-ray showed a small heart with a concave main pulmonary artery segment and diminished pulmonary blood flow. Which of the following is the most likely diagnosis?‎
选项：
A: Complete atrioventricular canal defect
B: Hypoplastic left ventricle
C: Isolated atrial septal defect
D: Tetralogy of Fallot
答案: 【 Tetralogy of Fallot】

10、单选题：
‏A 2-year-old boy has been doing well despite his diagnosis of tetralogy of Fallot. He presented to an outside ER a few days ago with a complaint of an acute febrile illness for which he was started on a “pink antibiotic.” His mother reports that for the past 12 hours or so he has had a headache and is more lethargic than normal. On your examination he seems to have a severe headache, nystagmus, and ataxy. Which of the following would be the most urgently required test for him? ‍
选项：
A: Urine drug screen
B: Blood culture
C: Lumbar puncture
D: CT or MRI of the brain
答案: 【 CT or MRI of the brain】

Unit test

1、单选题：
‌Which of the following can be described as the “strong positive” result of PPD test? ‌
选项：
A: 10-20 mm induration
B: >20 mm induration, blister and necrosis
C: ≧20 mm induration
D: ≧15 mm induration
答案: 【 ≧20 mm induration】

2、单选题：
‎Which one of the following conditions about latent tuberculosis infection need anti-tuberculosis therapy? ‌
选项：
A: Infants (≤ 3 years, especially ≤1 year) who have not received BCG vaccination, PPD test is positive
B: Children suffering from pertussis, PPD test is positive.
C: Infants (≤ 3 years, especially ≤ 1 year) who have received a BCG vaccine, PPD test is ≥ 3+.
D: All of above.
答案: 【 All of above.】

3、单选题：
‍Which one of the following statements is not the basic principles of chemotherapy for TB? ​
选项：
A: Early treatment
B: Combination: Several drugs are used 
C: Regularity
D: Enough dose
答案: 【 Enough dose】

Unit test

1、单选题：
‍A previously well 1-year-old infant has had a runny nose and has been sneezing and coughing for 2 days. Two other members of the family had similar symptoms. Four hours ago, his cough became much worse. On physical examination, he is in moderate respiratory distress with nasal flaring, hyperexpansion of the chest, and easily audible wheezing without rales. What The most likely diagnosis?‏
选项：
A: Bronchiolitis
B: Viral croup
C: Asthma
D: Epiglottitis
答案: 【 Bronchiolitis】

2、单选题：
‏Which is not the etiology of  bronchiolitis ​
选项：
A: Respiratory syncytial virus
B: Parainfluenza virus
C: Adenoviruses
D: Cytomegalovirus
答案: 【 Cytomegalovirus】

Unit test

1、单选题：
‎Which one of the following is the most common cause of community acquired pneumonia in child?​
选项：
A: Streptococcus pneumoniae
B: Staphylococcus Aureus
C: Haemophilus Influenzae
D: Group A streptococcus
答案: 【 Streptococcus pneumoniae】

2、单选题：
‍A 5-yr old male, previously healthy, 5 days fever, 2 days cough and tachypnea, highest T 40℃, inspiratory retraction (3 depress sign), fine crackles in both lungs. What is the most likely cause for his condition?​
选项：
A: Streptococcus peneumoniae
B: Chlamydia pneumoniae
C: Respiratory syncytial virus
D: Haemophilus influenzae
答案: 【 Streptococcus peneumoniae】

3、单选题：
‌Which of the following is the specific feature of pneumonia?​
选项：
A: Fever
B: Cough
C: Tachypnea
D: Wheezes
答案: 【