Robert Yetman - Pediatrics PreTest Self-Assessment And Review

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David Lee
Third Year Medical Student
SUNY Downstate Medical Center
Class of 2011

LaToya Roberts
Third Year Medical Student
UMDNJ-SOM
Class of 2011

Rory Snepar
Third Year Medical Student
UMDNJ-SOM
Class of 2011

Pediatrics: PreTest Self-Assessment and Review, Thirteenth Edition, provides comprehensive self-assessment and review within the field of pediatrics.

The 500 questions in the book have been designed to be similar in format and degree of difficulty to the questions in Step 2 of the United States Medical Licensing Examination (USMLE). They may also be a useful study tool for Step 3 or clerkship examinations.

For multiple-choice questions, the one best response to each question should be selected. For matching sets, a group of questions will be preceded by a list of lettered options. For each question in the matching set, select one lettered option that is most closely associated with the question.

Each question in this book has a corresponding answer, a reference to a text that provides background to the answer, and a short discussion of various issues raised by the question and its answer.

To simulate the time constraints imposed by the qualifying examinations for which this book is intended as a practice guide, the student or physician should allot about one minute for each question. After answering all questions in a chapter, as much time as necessary should be spent in reviewing the explanations for each question at the end of the chapter. Attention should be given to all explanations, even if the examinee answered the question correctly. Those seeking more information on a subject should refer to the reference materials listed in the bibliography or to other standard texts in medicine.

Two weeks after a viral illness, a 9-year-old boy presents to your clinic with a complaint of several days of weakness of his mouth. In addition to the drooping of the left side of his mouth, you note that he is unable to completely shut his left eye. His smile is asymmetric, but his examination is otherwise normal. His photograph is shown. Which of the following is the most likely diagnosis?

(Reproduced with permission from Knoop KJ, Stack LB, Storrow AB. Atlas of Emergency Medicine. 2nd ed. New York, NY: McGraw-Hill; 2002.)

a. Guillain-Barr syndrome

b. Botulism

c. Cerebral vascular accident

d. Brainstem tumor