1. Developmental Milestones.***) At age of 4 months infant can do all of the following, except:A. Orients to voiceB. Says "dad & mama"C. Supports head wellD. Says "ah-goo"E. Does not say clear words

Answer: B* Says "dad & mama"

***) A child can usually roll over by age:A. 4 weeksB. 12 weeksC. 16 weeksD. 28 weeksE. 40 weeks

Answer: C* 16 weeks

***) All of the following are present in an average child aged 11 months, except:A. Bladder control by dayB. Can throw objectsC. Usually 2-4 teethD. Responds to simple commandsE. An index finger approach to objects

Answer: A* Bladder control by day

***) An average child of 12 months can do all, except:A. Sits without supportB. Has an index finger approach to objectsC. Waves bye-byeD. Enjoys looking at picture booksE. Control urination by day time

Answer: E* Control urination by day time

***) A 1 year old child would be expected to do all of this, except:A. Build a tower of 3 cubesB. Grasp a pelletC. Reach for an objectD. Transfer an object from hand to handE. Stand alone

Answer: A* Build a tower of 3 cubes

***) A normal 1 year old child can do all of the following, except:A. Throw objectsB. Know own nameC. Speak in phrasesD. Walk with supportE. Pull self up and stand holding on the furniture

Answer: C* Speak in phrases

***) Child at one year of age can do all except:A. Pulls self up and stand on furnitureB. Throw objectsC. Obeys simple requestsD. Knows own homeE. Speaks in phrases

Answer: E* Speaks in phrases

***) Most normal children can walk at the age of:A. 6 monthsB. 8 monthsC. 10 monthsD. 12 monthsE. 18 months

Answer: D* 12 months

***) The most advanced language function a 14 months old child usually can perform is one of the following:A. Speak several recognizable wordsB. Combine two different wordsC. Speak in complete sentencesD. Use the past timeE. Refer to himself (I)

Answer: A* Speak several recognizable words

***) A 15 months old infant can do all of the following, exceptA. Walks aloneB. Uses 4-6 wordsC. Builds tower of 2 cubesD. Creeps upstairsE. Points to 8 body parts

Answer: E* Points to 8 body parts

***) The average 18 months old child is expected to know:A. 10 wordsB. 20 wordsC. 40 wordsD. 60 wordsE. 100 words

Answer: A*10 words

***) A normal child of 18 months should do all of the following, exceptA. Walks aloneB. Uses spoon himselfC. Puts two to three words together in a phraseD. Uses at least 4 clear wordsE. Understands requests and forbids

Answer: C* Puts two to three words together in a phrase

***) By age of 2 years the child can speak:A. Three word sentencesB. Four words sentencesC. Five words sentencesD. Six words sentencesE. Seven words sentences

Answer: A* Three word sentences

***) A 24 months old child is expected to do all of the following, exceptA. Walk up and down stairs, one step at a timeB. Handle spoon wellC. Build a tower of 4 cubesD. Can put 3 words togetherE. Can draw a square

Answer: E* Can draw a square

***) A child at the age of 36 months, can do all except:A. Rides tricycleB. Build lower of 10 cubesC. Washes handsD. Knows age and sexE. Running well

Answer: C* Washes hands

***) A child can hop on one foot by age of:

A. One yearB. Two yearsC. One year and a halfD. Two years and a halfE. Four years

Answer: E* Four years

***) Define the ability to abstract terms such as justice, honesty and dignity is expected to occur at age of:A. Three yearsB. Four yearsC. Five yearsD. Seven yearsE. Ten years

Answer: E* Ten years

2. Primitive Reflexes.***) A normal full term newborn can demonstrate all of the following reflexes, except:A. Moro reflexB. Palmar grasp reflexC. Sucking reflexD. Parachute reflexE. Rooting reflex

Answer: D* Parachute reflex

***) When examining a two months old infant you expect to find all the following reflexes except:A. Moro ReflexB. Parachute ReflexC. Palmar ReflexD. Rooting ReflexE. Planter Reflex

Answer: B* Parachute Reflex

***) All of the following statements about Babinski reflex are true, except:A. Positive response is considered to be normal in the first year of lifeB. Negative response is also considered to be normal in the first year of life C. Asymmetrical positive response is considered normal in the first year of lifeD. It is considered as pathological reflexE. It is induces by stimulating the lateral aspect of foot

Answer: E* It is induces by stimulating the lateral aspect of foot

***) Following a difficult delivery a unilateral Moro reflex is elicited. This is often a presenting sign of a:A. Subdural hematomaB. Tentorial tearC. Fractured clavicleD. SepsisE. Depressed skull fracture

Answer: C* Fractured clavicle

3. Vaccinations.***) The first dose of DPT and oral polio vaccines is recommended at:A. First day of lifeB. 3 weeksC. 2 or 3 monthsD. 6 monthsE. 9 months

Answer: C* 2 or 3 months

***) DPT is a vaccine given to infants usually at 2 months of age, and protects from all of the following disease, except:A. DiphtheriaB. PertussisC. MeaslesD. TetanusE. Diphtheria and tetanus

Answer: C* Measles

***) Concerning oral polio vaccine OPV (Sabin) all of the following are true, except:A. OPV is a live attenuated vaccineB. OPV is best stored at 2-8° CC. It is easy to administerD. It is of definite value on controlling epidemics of polioE. One dose is sufficient and will give long life immunity

Answer: E*One dose is sufficient and will give long life immunity

***) All these vaccines are alive attenuated, except:A. MumpsB. MeaslesC. Yellow feverD. Hepatitis B vaccineE. Rubella

Answer: D* Hepatitis B vaccine

***) All of the following immunizations are generally performed using a live organism, except:A. Poliomyelitis SabinB. MeaslesC. RubellaD. Whooping coughE. Mumps

Answer: D* Whooping cough

***) The following immunizations are generally performed using a live attenuated organism, except:A. PoliomyelitisB. MeaslesC. Bacillus Calmette Guerin BCGD. PertussisE. Influenza

Answer: D* Pertussis

***) In immunosuppressed children, all of the following vaccines are contraindicated, except:A. Measles vaccineB. Oral polio vaccineC. Rubella vaccineD. Pertussis vaccineE. BCG

Answer: D* Pertussis vaccine

***) One of the following vaccines can be given to patient with T-cell deficiency:A. PertussisB. Oral polioC. RubellaD. BCGE. Measles

Answer: A* Pertussis

***) Measles vaccine is given in Jordan at age:A. 3 monthsB. 6 monthsC. 9 monthsD. 15 monthsE. 24 months

Answer: C* 9 months

***) Select the most appropriate statement:A. Measles vaccine is a live attenuated virusB. Prophylaxis against malaria is always effectiveC. Tuberculosis can always be prevented by the BCG vaccine aloneD. The most important factor in the prevention of cholera is immunization with vaccineE. The most important factor in the prevention of coronary heart disease are active exercises

Answer: A* Measles vaccine is a live attenuated virus

***) All of the following about rubella vaccine are true, except:A. It is a live attenuated viral vaccineB. It should not be given to children before the age of one yearC. It should not be administered to pregnant womenD. It may be associated with arthritis in adult femalesE. It should not be administered with other viral vaccines

Answer: E* It should not be administered with other viral vaccines

***) Reactions to live MMR vaccine usually occur:A. Within minutes after vaccinationB. Within 24 hours of injectionC. Within 48 hours of injectionD. After 6-8 days following the injectionE. After 14-21 days following the injection

Answer: D* Within minutes after vaccination

***) The national vaccination program in Jordan includes vaccination against all of the following, except:A. MeaslesB. Whooping coughC. DiphtheriaD. Hepatitis AE. Poliomyelitis

Answer: D* Hepatitis A