5. Normal Physical Growth.

***) Children triple their birth weight by age of:

1. 1 year

2. 2 years

3. 6 Months

4. 9 Months

5. 3 Months

Answer: A* 1 year

***) In normal developing fetus, the most likely head circumference measurement at full term is:

1. 30 cm

2. 33 cm

3. 36 cm

4. 38 cm

5. 40 cm

Answer: C*36 cm

***) The average head circumference of a normal child at one year of age is:

1. 40-42 cm

2. 43-45 cm

3. 46-48 cm

4. 49-52 cm

5. 53-56 cm

Answer: C* 46-48 cm

***) The average growth of head circumference during the first year is:

1. 5 cm

2. 8cm

3. 12 cm

4. 16 cm

5. 20 cm

Answer: C* 12 cm

***) In the majority of infants the anterior fontanel is closed by:

1. 3 months

2. 6 months

3. 10 months

4. 18 months

5. 24 months

Answer: D* 18 months

***) Regarding development, all the following are true except:

1. The newborn regains his body weight by 10 days of age

2. Double birth weight by 5 months, triple by 1 year

3. Double birth length at 4 years

4. Increased head circumference 4-5 cm during the first year

5. Increased length 25-30 cm during first year

Answer: D* Increased head circumference 4-5 cm during the first year

***) Growth charts of 1 year old child show length of one stand deviation (SD) below third percentile, weight and head circumference of 2 SD's below the third percentile. The most likely primary diagnosis is:

1. Microcephaly

2. Failure to thrive

3. Short stature

4. Failure to thrive leading into short stature

5. Failure to thrive leading into microcephaly

Answer: E* Failure to thrive leading into microcephaly

6. Failure to Thrive (ftt).

***) Causes of failure to thrive include all of the following, except:

1. Emotional deprivation

2. Intestinal malabsorption

3. Renal tubular disorders

4. Chronic heart failure

5. Acute chest infection

Answer: E* Acute chest infection

***) Caloric requirements by the beginning of the second week of life are:

1. 60 kcal/kg

2. 80 kcal/kg

3. 100 kcal/kg

4. 120 kcal/kg

5. Over 140 kcal/kg

Answer: C* 100 kcal/kg

***) The daily requirement of vitamin D for the newborn is:

1. 40 IU

2. 400 IU

3. 4,000 IU

4. 40,000 IU

5. 400,000 IU

Answer: B* 400 IU

***) All of the following statements concerning daily needs of an infant are true, except:

1. 400 IU of vitamin D

2. 6 mg of iron

3. 50 mg of vitamin C

4. 110 calories per kg

5. 150 ml of water per kg

Answer: B* 6 mg of iron

***) Craniotabes could be seen in all of the following conditions, except:

1. Rickets

2. Vitamin E deficiency

3. Hydrocephaly

4. Syphilis

5. Premature baby

Answer: B* Vitamin E deficiency

***) Clinical signs of marasmus may include all of the following, except:

1. Loss of turgor of skin

2. Poor appetite

3. Hypotonia

4. Subnormal temperature

5. Never associated with edema

Answer: E* Never associated with edema

***) All are feature of Kwashiorkor, except:

1. Anorexia

2. Constipation

3. Liability to infection

4. Hair depigmentation

5. Moon face

Answer: B* Constipation

***) Each of the following statements about Kwashiorkor is true, except:

1. It is primarily a caloric malnutrition

2. Loss of muscle tissue is present

3. Hepatomegaly is due to fatty infiltration

4. Pigmented skin is common

5. Edema of limbs is usually present

Answer: A* It is primarily a caloric malnutrition

***) Regarding Kwashiorkor all of the following are true, except:

1. Caused by low protein diet

2. Failure to thrive and edema are presenting features

3. Caused by low caloric diet

4. Hypopigmentation of the hair is a feature

5. Abdominal distension is a feature

Answer: C* Caused by low caloric diet