Estavillo Karen G.

Prime 4-MCC

HFMD

1. What among the viral etiology of HFMD can have more severe manifestations with
neurologic and cardiopulmonary involvement?
a. Coxsackie A16
b. Enterovirus 71
c. Coxsackie B2
d. Enterovirus 17

2. This is the most common etiologic agent that causes hand foot and mouth disease?
a. Coaxsackie A16
b. Enterovirus 71
c. Coxsackie A5
d. Coxsackie B2

3. Skin lesions occur more commonly on the hands than feet and are more common on
a. Dorsal surface of palms and soles
b. Ventral surface of palms and soles
c. Tip of fingers and toes
d. Heels of both feet

4. Which of the following feature is atypical of Hand-Foot-and-Mouth disease

a. Fever
b. Macular lesion on buccal mucosa
c. Sore mouth 
d. Encephalitis

5. FDA approved recommended treatment for scabies?

a. 10-25% Benzoyl benzoate lotion
b. 0.5% Malathion lotion
c. 2-10% Sulfur in petrolatum
d. 5% Permethin cream

PNEUMONIA
 1. What is the most common pathogen causing pneumonia in neonates?
a. Group A streptococcus
b. Group B streptococcus
c. S. pneumonia
d. H. influenza

2. Most common complication of croup

1. Viral pneumonia
2. Bacterial pneumonia
3. Allergy
4. Asthma

3. It is an infection of the lower respiratory tract that involves the airways and parenchyma
with consolidation of the alveolar spaces 
a. Allergy
b. Asthma
c. Atelectasis 
d. Pneumonia

4. In the work up of cough, which of the following is the gold standard in establishing
diagnosis of viral pneumonia?
a. Tissue culture
b. Culture of lung aspirates
c. Blood culture
d. Sputum culture

5.  3. CP, 7 year old, male, presented with low-grade fever, mild dehydration, and RR:
>30/min. What is the classification of pneumonia presented by the patient? 
a. PCAP A
b. PCAP B
c. PCAP C
d. PCAP D

ACUTE NASOPHARYNGITIS, ACUTE TONSILITIS, OTITIS MEDIA/OTITIS EXTERNA,

IMPACTED CERUMEN
1. These viruses, which include more than 100 serotypes, are the most common viruses
associated with cold symptoms and collectively cause 30-5-% of colds.
a. Coronaviruses
b. Rhinoviruses
c. Respiratory syncytial virus (RSV)
d. Influenza virus

2. This is the most common cause of bacterial pharyngitis in children and adolescents.
e. Streptococcus pyogenes
f. Streptococcus pneumonia
g. Streptococcus agalactiae
h. Staphylococcus aureus

3. Gold standard for diagnosis GABHS pharyngitis

a. Antibiotics
b. Tonsilectomy
c. Throat culture
d. RT PCR

a. This is the most common etiologic agent causing Acute Otitis Media among pediatric
age group.
a. Group A streptococcus
b. S. pneumonia
c. M. catarrhalis
d. Non-typable H. influenza

b. A 9-year old, male, patient came in at the OPD clinic with the following symptoms: ear
pain in the left ear for 3 days, with colds, watery nasal discharge, yellowish mucoid, with
cough and non-productive and non-distressing. Patient has good appetite and good
activity. What would be your initial impression?

a. Acute tonsillopharyngitis, viral

b. Acute Otitis Media 
c. Otomycosis
d. Impacted Cerumen