NMS Q&A Family Medicine

256 NMS Q&A Family Medicine7 What is the average caloric requirement for a newborninfant?(A) 50 kcal/kg/day(B) 120 kcal/kg/day(C) 150 kcal/kg/day(D) 500 kcal/day(E) 700 kcal/day8 Each of the following is a risk factor for sudden infantdeath syndrome (SIDS) in the United States, exceptfor which one?(A) Low socioeconomic status(B) Minority ethnicity(C) Maternal smoking(D) Sleeping in the prone position(E) Family history of atopic disease9 Which of the following immunizations should begiven in the newborn period?(A) Diphtheria, tetanus, pertussis (DTaP), first dose(B) Hemophilus influenzae type B (Hib), first dose(C) Inactivated polio vaccine (IPV), first dose(D) Pneumococcal vaccine (PCV), first dose(E) Hepatitis B (HepB), first dose10 At birth, a full-term female infant has received silvernitrate ointment 1%. Five days later she exhibits conjunctivitis.Which of the following is the most significantlikely possible etiologic origin?(A) S. aureus(B) Group A beta-hemolytic streptococci(C) Gonococcus(D) Chlamydia trachomatis(E) H. influenzae11 In counseling a first-time mother regarding normalgrowth and development of her baby, which of thefollowing do you outline as the normal course ofdevelopmental milestones?(A) Head up and controlled at 2 weeks, situnsupported at 3 months, crawl at 6 months,and walk at 9 months(B) Head up and controlled at 2 months, situnsupported at 4 months, crawl at 6 months,and walk at 9 months(C) Head up and controlled at 3 months, situnsupported at 6 months, crawl at 9 months,and walk at 12 months(D) Head up and controlled at 4 months, situnsupported at 8 months, crawl at 10 months,and walk at 14 months(E) Head up and controlled at 6 months, situnsupported at 10 months, crawl at 12 months,and walk at 18 months12 In advising the mother referred to in Question 9,which of the following rules of thumb do you suggestregarding body weight for her infant?(A) The child should weigh 15 lb (6.8 kg) by6 months and 22 lb (10 kg) by 1 year.(B) The child should weigh 10 lb (4.5 kg) by6 months and 15 lb (6.8 kg) by 1 year.(C) The child should double the birth weight by theage of 6 months and increase it three times bythe age of 1 year.(D) The child should double the birth weight by6 months and triple it by 1 year.(E) Weight does not matter as long as the child hasa normal appetite.13 You are counseling an expectant couple regarding themany benefits of breast feeding. Which of the followingis a recognized beneficial effect?(A) It decreases neonatal jaundice.(B) It increases weight gain in the infant relative tothose who are fed formula.(C) Breast milk supplies IgG antibodies.(D) The uterus returns to normal size faster inmothers who breast feed.(E) Term babies who are breast fed do not needfluoride supplementation.14 Besides prematurity, certain situations predispose achild to iron deficiency. Which of the following childrenmay have this problem?(A) An infant who is breast fed(B) An infant born at term, now 4 months old, whohas been on Enfamil formula(C) A postdate newborn, now 3 months old, whohas been on Isomil formula(D) A 10-month-old infant who has an allergy tocow’s milk protein(E) An infant started after 6 months on solid foodsthat are rich in vitamin C