PEDIA II BACTERIAL INFECTIONS 1. What specific staphylococcal exotoxin hemolyses RBC and degrades spingomyelin? a. Alpha toxin b.

Beta toxin c. Delta toxin d. Leucocidin What is the DOC for methicillin resistant staph. Aureus a. Oxacillin b. Cloxacillin c. Erythromycin d. Vancomycin A 3 year old child developed fever and was noted to have sand paper like rash all over the body. What is the probable disease of this child a. Kamasoki dse b. Scarlet fever c. Erysipelas d. Impetigo What is the best prophylaxis for rheumatic heart disease a. Erythromycin 50 mg/kg/ day once daily b. Cefuroxime 500 mg once daily c. Ceftriaxone 1 g once daily d. Benzathine Pen G 12 M every 3 4 weeks A patient suddenly developed purpuric rash all over the body within 24 hours. It is accompanied by high grade fever. Patient is ill looking. What is the probable diagnosis a. H. influenza infection b. Meningococcal infection c. Pneumococcal infection d. Streptococcal infection The usual CSF picture of bacterial meningitides is a. Increased sugar (high), low protein b. High sugar, high protein c. Low sugar, high protein d. Low sugar, low protein A lancet shaped organism was isolated in the tracheal aspirate of the child with pneumonia. The most probable etiologic agent is a. H. influenza infection b. Meningococcal infection c. Pneumococcal infection d. Streptococcal infection A child with Nephrotic Syndrome developed peritonitis. The most common etiologic agent affecting this patient is a. H. influenza infection b. Meningococcal infection c. Pneumococcal infection d. Streptococcal infection An adnexal mass was noted on ultrasound in a 17 yr old female. Culture of the vaginal discharge grow very well on Thayer Martin medium. The patient probably has a. Chlamydial infection b. Gonococcal infection c. Syphilis infection d. Streptococcal infection 1 10. The most pathogenic and invasive etiology of Acute Bacterial Meningitis is causing 60 70% of it in children <2 yrs old is a. Pneumococcal b. H. influenzae c. Streptococcal d. E. coli 11. Bull Neck appearance reddened tonsils with pseudomembrane is typically seen in what type of diphtheria a. Faucial b. Laryngotracheal c. Nasal 12. This disease usually is positive in Schick test a. Diphtheria b. Pertussis c. Tetanus d. H. influenza 13. A child was born assisted by a midwife, the umbilical stump look infected. As the physician I would give a. An anti toxin Hyperimmune globulin b. Penicillin c. Cleaning of the stump d. All 14. The drug of choice for Pertussis is a a. Cephalosporin b. B lactamase c. Macrolide d. Cotrimoxazole 15. A child was noted to have persistent fever for the last 6 days. A transient rash was seen called the Rose spots. The probable diagnosis is a. Kwashiorkor b. Scarlet fever c. Dengue fever d. Typhoid fever 16. The best specimen on week 3 of typhoid fever is derived from the a. Blood b. Urine c. Stool d. CSF 17. The Gold Standard for the diagnosis of Typhoid is a. Widal test b. Typhi dot c. Blood culture growth of Salmonella 18. The most common case of bloody diarrhea in the Philippines is a. Amoebiasis b. Shigellosis c. Salmonellosis d. Enteroinvasive E. coli 19. What is the mode of transmission of Cholera a. Respiratory b. Fecal oral c. Serum d. Droplet 20. A 10 year old child expectorated a rust colored phlegm, what is the probable etiologic agent

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PEDIA II a. Pneumococcal b. Meningococcal c. H. influenzae d. Pseudomonas El Tor is another name for a. Amoebiasis b. Shigellosis c. Salmonellosis d. Cholera At the ward, as the intern is walking along the corridor, he saw a man with an open wound and he noted a fruity smell. The probable culture of the wound will yield a a. Pneumococcal infection b. Gonococcal infection c. Pseudomonas infection d. E. coli infection A child suddenly developed low grade fever. There are some nodules on the skin and said to be (+) to MITSUDA TEST. The probable diagnosis is a. Pseudomonas b. Leprosy c. Chlamydia d. E. coli Conjunctivitis, pain on the calf area, high grade fever with jaundice is seen in a. Measles b. Leptospirosis c. Hepatitis d. Liver failure A child waas noted to have a notch at edge of central incision, with some form of paralysis. The probable etiologic agent is a. Gonococcal infection b. Syphilis c. Leptospirosis d. Chlamydia b. Tetracycline c. Erythromycin d. Mucolytic DOC for H. Influenza infection a. Pen G b. Erythromycin c. Chloramphenicol d. Ampicillin Community acquired pneumonia in children less than 5 years old is commonly secondary to a. H. Influenzae and S. aureus b. S. aureus and S. Pneumoniae c. H. influenzae and S. pneumoniae d. H. influenzae and N. meningitides In a 4 year old child with meningitis who is noted to have petechiae in the lower extremities, the most likely etiologic agent is a. S. aureus b. N. meningitides c. E. coli d. H. influenzae The drug of choice for Staphylococcal pneumonia is a. Cefuroxime b. Ampicillin c. Cephalexin d. Oxacillin The cell wall of this organism is composed mainly of peptidoglycan techoic acid and protein A a. S. pneumoniae b. E. coli c. S. aureus d. H. influenzae Scalded fever is secondary to a. S. pneumonia b. S. aureus c. Streptococci and S. aureus d. H. influenzae DOC for MASA a. Pen G b. Monomycin c. Rifampicin d. Oxacillin The etiologic agent of impetigo is a. S. aureus b. S. epidermidis c. N. meningitides d. Group A streptococci It has become the leading cause of neonatal sepsis in developed countries a. H. influenzae b. Group B Strep. c. E. coli d. S. aureus Most common cause of UTI in infants and children a. S. aurues b. E. coli c. Shigella d. Pseudomonas

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FINALS SEPTEMBER 2003 1. The infection can be considered as differential diagnosis of congenital syphilis a. Rubella b. Hepatitis c. Typhoid fever d. Gonorrhea --- inclusion conjunctivitis is secondary to a. Pseudomonas b. Chlamydia c. Gonorrhea d. Syphilis Formation of bacterial exotoxin is the culprit in this infection a. Tetanus b. Leptospirosis c. Typhoid fever d. Pseudomonas Part of the management of whooping cough a. Antitoxin administration 2

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PEDIA II 15. Antibiotic that can be given in cases of cholera to shorten the duration of diarrhea a. Chloramphenicol b. Ampicillin c. Tetracycline d. Erythromycin 16. DOC for early stage of Syphilis a. Pen G Procaine b. Ceftriaxone c. Pen G Benzathine d. Pen G Crystalline 17. DOC for a 4 year old male child with S. pneumoniae infection a. Ampicillin b. Erythromycin c. Cephalexin d. Pen G 18. Neonatal Ophthalmia is secondary to a. N. gonorrhea b. Strep. Pyogenes c. Treponema pallidum d. Group B Strep. 19. Vaccine for this organism is recommended in patients with sickle cell disease a. H. influenzae b. S. aureus c. H. influenzae and Pneumococcus d. S. aureus and Pneumococcus 20. DOC for meningococcemia a. Ceftriaxone b. Pen G c. Chloramphenicol d. Cefotaxime MATCHING TYPE: A. PSEUDOMONAS AEROGINOSA B. CLOSTRIDIUM TETANI C. S. AUREUS D. AGALACTIAE E. E. STREP. PYOGENES d. Lincomycins

3. A 5 year old child was noted to have spiking fever

associated with conjunctivitis. He also complained of calf pain and developed jaundice in five days time after onset of symptoms. I would be highly considering a. Leptospirosis b. Hepatitis c. Measles d. Chlamydial infection 4. One of the ff. are manifestations of Early syphilis except a. Fever b. Failure to thrive c. Vesicular rash d. Olympian brow 5. The stage where MITSUDA test is positive is a. T.T. Tuberculoid b. Borderline Tuberculoid c. Borderline d. Lepromatous 6. The toxin Staph that is responsible for tissue necrosis and platelet aggregation is a. Alpha toxin b. Beta hemolysin c. Kappa hemolysin d. Delta hemolysin 7. The leading cause of pneumonia among malnourished children is a. Streptococcus b. Staphylococcus c. Mycoplasma d. Pneumococcus 8. A child was noted to have measles. He was noted to developed pneumonia together with measles. The most common etiologic agent is a. Streptococcus b. Staphylococcus c. Mycoplasma d. Pneumococcus 9. A nine year old child attended a kiddie party. He was noted to eat salad noodles and chicken. After 4 hours he was noted to have severe vomiting and diarrhea. A number of people who attended the party suffered the same fate. The most probable diagnosis is a. Streptococcus b. Staphylococcus c. Mycoplasma d. Pneumococcus e. 10. Cloxacillin is the drug of choice for a. Streptococcus b. Staphylococcus c. Mycoplasma d. Pneumococcus 11. Strawberry tongue, sand paper rash and circumoral pallor was seen in the child with fever. The most probable diagnosis is a. Streptococcus b. Staphylococcus 3

21. Neonatal Sepsis (D) 22. Toxic Shock syndrome ( C )

BACTERIAL FINALS (APRIL 7, 2005) 1. A wart like moist lesion was seen in the genitalia. Upon microscopic examination of the secretions, a slender long tightly spirochete with tapered ends was noted. Short of any other history. I will be suspicious of a. Chlamydial infection b. Gonorrheal infection c. Syphilis d. Mycoplasma infection 2. The drug of choice for Chlamydial Pneumonia is a. Penicillin b. Cotrimoxazole c. Macrolide

PEDIA II c. Mycoplasma d. Pneumococcus 12. The most common etiology of Rheumatic fever is a. Streptococcus b. Staphylococcus c. Mycoplasma d. Pneumococcus 13. Asplenic patients should take this vaccine every five years because of increase susceptibility to this organism a. Diptheria b. Typhoid c. Pertussis d. Pneumococcal 14. Exposed hospital personnel to meningococcemia is often advised to take a. Penicillin b. Erythromycin c. Lincomycin d. Ciprofloxacin 15. Infection of Gonococcus in the newborn usually involves a. Joints b. Eyes c. Teeth d. Lungs 16. Epiglottitis in children is usually caused by a. H. Influenzae b. Streptococcus c. Staphylococcus d. Meningococcus 17. A child was suffering from cough. The attacks are described as paroxysmal with bursts of short expiration followed by long inspiration producing a distinct sound. The probable cause of this cough is a. Bordatella pertussis b. Streptococcus c. H. influenzae d. Pneumococcus 18. One of the ff. statements about the treatment of pertussis is true a. Exposure to the --- is conventional therapy b. Ampicillin do not shorten the duration but decreases the communicability c. The organism is eradicated in the first twenty four hours after intake of antibiotic d. The current recommendation therapy is 7 days 19. This organism is motile gram positive anaerobic rods that forms terminal spores resembling drumsticks. The most common disease presentation is that of a. Pharyngitis b. Tetanus c. Pseudomembrane formation d. Pleural effusion 20. A child had an accidental sustaining wounds from a rusty iron bar. After 14 days, he developed trismus, generalized stiffness and spasms. He was however oriented to time, place and person. The most probable disease condition affecting the patient is 4 a. Rabies b. Tetanus c. Seizure d/o secondary to CNS infection d. Acute encephalitis 21. The treatment of food poisoning due to Salmonellosis in a 10 year old child is a. Cotrimoxazole b. Chloramphenicol c. Ceftriaxone d. Supportive only 22. The gold standard for all the diagnosis of typhoid fever is a. Widal test b. Typhi dot test c. Blood culture yield of salmonella d. Elisa test 23. The most common cause of body diarrhea is a. Amoebiasis b. Shigellosis c. Enteroinvasive E. coli d. Salmonellosis 24. The most common complication of cholera a. Dehydration b. Meningitis c. Metabolic acidosis d. Hypocalcemia 25. The drug of choice that is sensitive to Pseudomonas is a. Ceftraixone b. Penicillin c. Vancomycin d. Erythromycin