11. Rubella (German Measles).

***) Concerning rubella all of the following statements are true, except:

1. A large proportion of rubella cases are seen in infants and children

2. Preventing infection of the fetus is a major objective of immunization program

3. The only reliable evidence of rubella immunity is a history of having had the illness

4. 80-90% of young adults have serological evidence of post infection immunity

5. Incubation period of rubella is 7-10 days

Answer: E* Incubation period of rubella is 7-10 days

***) The syndrome of congenital rubella includes all of the following abnormalities, except:

1. Heart disease

2. Cleft palate

3. Auditory defect

4. Hepatosplenomegaly and jaundice

5. Meningo-encephalitis

Answer: E* Meningo-encephalitis

***) Which one of the following is usually not regarded as a manifestation of congenital rubella:

1. Cataracts

2. Deafness

3. Microcephaly

4. Meningocele

5. Hepatosplenomegaly

Answer: D* Meningocele

***) One of the following is true:

1. Incubation period of mumps 21-28 days

2. Incubation period of varicella 7-14

3. Incubation period of mononucleosis in adolescents is 2-3 weeks

4. Incubation period of rubella is 14-21 days

5. Incubation period of measles is 14-18 days

Answer: D* Incubation period of rubella is 14-21 days

12. Erythema lnfectiosum.

***) The rash of erythema infectiosum appears first on the:

Face

Arms

Trunk

Legs

Hands

Answer: A* Face

13. Reye Syndrome.

***) Reye’s syndrome is a disease characterized by;

1. Encephalopathy

2. Encephalopathy with recent history of paracetamol intake

3. Encephalopathy with recent history of salicylate intake

4. Meningitis with history of salicylate intake

5. Meningo-encephalitis

Answer: C* Encephalopathy with recent history of salicylate intake

14. Poliomyelitis.

???) Which of the following disease has the longest incubation period:

Mumps

Measles

Diphtheria

Chickenpox

Poliomyelitis

Answer: 5* Poliomyelitis

???) Poliomyelitis is characterized by all of the following, except:

Limbs weakness is symmetrical

Cerebrospinal fluid (CSF) cell count is high in the first weeks of illness

Fibrillations are present on electromyography examination

Caused by virus

Preventable by vaccination

Answer: 1* Limbs weakness is symmetrical

• Neonatology p62-p76.

1. Neonatal Care.

***) Which of the following might increase fetal lung maturity in preterm delivery:

1. Estrogen

2. Prolactin

3. Thyroxine

4. Glucocorticoides

5. Alpha fetoprotein

Answer: D* Glucocorticoides

***) The umbilical stump of the newborn sloughs off after delivery about:

1. 2^nd day

2. 5^th day

3. 10^th day

4. 15^th day

5. 21^st day

Answer: C* 10th day

***) The tidal volume of a normal newborn is about:

1. 5 ml

2. 20 ml

3. 50 ml

4. 70 ml

5. 120 ml

Answer: B* 20 ml

***) The most common factor associated with neonatal death is:

1. Birth injury

2. Prematurity

3. Congenital malformations

4. Metabolic diseases

5. Intrauterine growth restrictions

Answer: B* Prematurity

***) One of the following is associated with small infants:

1. Mothers with untreated gestational diabetes

2. Multipara

3. Large parents

4. Maternal smoking

5. Post-date pregnancy

Answer: D* Maternal smoking

***) The fine downy hair covering the skin of a newborn is called:

1. Vernix caseosa

2. Lanugo

3. Milia

4. Erythema toxicum

5. Mottling

Answer: B* Lanugo