1-Regarding CRETINISM , one is correct : a. dysgenesis is by far the most most common cause b. incidence is 1 / 40,000 live births c. diarrhea is common presentation presentation d. appetite is voracious e. small small birth weight weight -Sei!ures in neonate can "resent in any of the fo##o$ing ty"e , e%ce"t : a. subtle subtle b. clonic c. genera#i!ed tonic & c#onic c#onic d. myoclonic myoclonic e. toni tonicc 'a. b. c. d. e.
The drug drug of of choice choice for for neon neonata ata## sei!ur sei!uree is: carbamazepine valproic acid "heno henob barbi arbito ton ne midazolam phynetoin
(-
)or the differentia# diagnosis diagnosis of S*M*+I S*M*+I and / /N "henomenae, "henomenae, $e need need to chec0 b#ood sugar, t: ' am and am 6 am and 12 midnight 6 am and 6 pm 12 midmid-da day y and and 12 midn midnig ight ht 6 hrs inter terval
a. b. c. d. e.
2-## these features can "resent in 3/S3I4s disease e%ce"t: a. bilateral bulbar conunctivitis conunctivitis without e!udates e!udates b. strawberry tongue tongue c. des"uamation o# #ingers #ingers d.a%i##ary d. a%i##ary #ym"hadeno"athy #ym"hadeno"athy e. polymorphic s$in rash rash primarily truncal 5-Regarding Enuresis, one is correct : a. most chi#dren achie6e b#adder b#adder contro# during day and night by the age of 2 yrs b. organic causes causes present in more than %0& o# cases c. #emale #emale predomina predominate te d. no spontaneous resolution e. secondary enuresis ' (0 & o# cases -Regarding I7ETES ME88IT9S , one is correct : a. im"ro6ed contro# contro# decrease com"#ications b. caloric mi!ture compromise compromise %%& )at, )at, 1%& carbohydrate and *0& protein c. insulin re"uirements re"uirements increase during +oney+oney- moon period d. no need #or insulin during #ebrile #ebrile illness e. hypersensitivity to human human insulin is common -Ne"hritic syndrome syndrome inc#udes a## the fo##o$ing, e%ce"t: a. gross hematuria b. edema c. hy"er#i"idemia d. hypertension e. albuminuria proteinuria
;- Regarding "recocious "uberty one is correct : a. onset be#ore ( yrs in #emale b. onset be#ore 10 yrs in males c. most cases in fema#es are idio"athic d. congenital adrenal hyperplasia is a cause o# delayed puberty e. leads #inally to tall stature
1<- Ma=or manifestations of rheumatic fe6er inc#ude a## the fo##o$ing, e%ce"t: a. migratory arthritis b. carditis c. erythema mu#tiforme d. subcutaneous nodules e. chorea
11- Regarding secondary "ro"hy#a%is for rheumatic fe6er, one is correct: a. drug of choice is #ong acting "enici##in b. metronidazole can be used in case o# penicillin sensitivity c. patients need no prophyla!is #or dental surgery i# there is evidence o# rheumatic heart disease d. duration is li#e long in all cases e. oral prophyla!is is enough
1- Regarding rheumatic fe6er, one is correct : a. "ea0 age is 2-12 yrs b. it is a rare cause o# ac"uired heart disease in developing countries c. no association with + mar$ers d. complication o# streptococcal in#ection beta hemolytic group w. oint involvement leads to de#ormity
1'- ## considered ste"s in enuresis management, e%ce"t: a. star chart b. "unishment c. conditioning device d. antidepressants e. desmopressin
1(- -month-o#d infant has fai#ure to thri6e, $ith 6omiting and diarrhea noted since 1 month of age. e6e#o"menta# neuro#ogica# mi#estones are not being met. "hysica# e%amination re6ea#s he"atomega#y. The eyes sho$ cataract formation in the crysta##ine #enses. The baby dies of fu#minant Escherichia coli se"ticemia at months of age. /hich of the fo##o$ing disorders is most #i0e#y to "roduce these findings> a. +unters disease b.+a#actosemia c. henyl$etonuria d. +omocystinuria e. ongenital rubella syndrome
12. 1<-year-o#d boy is menta##y retarded, but ab#e to carry out acti6ities of dai#y #i6ing, inc#uding feeding himse#f and dressing himse#f. *n "hysica# e%amination, he has brachyce"ha#y and ob#i?ue "a#"ebra# fissures $ith "rominent e"icantha# fo#ds. *n the "a#m of each hand is seen a trans6erse crease. 9"on auscu#tation of the chest, there is a #oud systo#ic murmur. /hich of the fo##o$ing diseases $i## he most #i0e#y de6e#o" by the age of < years >
a. chronic renal #ailure b. hepatic cirrhosis c. acute #eu0emia
d. acute myocardial in#arction e. aortic dissection 15- 1<-year-o#d ma#e fe## $hi#e riding his scooter do$n a stee" hi##. In the Emergency e"artment, his in=uries inc#uded a fractured $rist and a #acerated s"#een, $hich re?uired surgica# remo6a#. T$o years #ater he is diagnosed $ith bacteria# "neumonia. /hich of the fo##o$ing bacteria# agents is the most #i0e#y "athogen for this "atient@s "neumonia3 a. Escherichia coli b. Klebsiella pneumoniae c. Neisseria meningitides d. Streptococcus pneumoniae e. Staphylococcus aureus 1- 1<-year-o#d boy has a #ong history of recurrent infections. These ha6e inc#uded "neumonia, su""urati6e #ym"hadenitis, "ersistent rhinitis, dermatitis, diarrhea, and "eriana# abscesses. In6o#6ed organisms ha6e inc#uded Staphylococcus aureus, Serratia, Escherichia coli , and Pseudomonas. 7io"sy of s0in and #ym"h nodes ha6e demonstrated granu#omatous #esions, e6en though the on#y s"ecies iso#ated $ere those noted abo6e. Immunog#obu#in #e6e#s are higher than norma#. /hich of the fo##o$ing findings $ou#d be most he#"fu# in estab#ishing the diagnosis> a. bsent cells and normal numbers o# cells b. 5e#icient nitro blue tetrazolium dye reduction in neutrophils c. +igh serum g7 and very low serum g8 d. 9ery low 511 on the sur#ace o# white blood cells e. 9ery low serum calcium levels 1- n emergency cesarean section is being "erformed because of feta# distress. t de#i6ery the baby is co6ered $ith thic0 meconium and is a"neic. The most a""ro"riate management is: a. gives o!ygen b. intubates the trachea and ventilates the baby c. 6enti#ate $ith bag and mas0 d. aspirate the baby :s gastric content e. suction trachea under direct vision 1;- mother brings to you her 2 years o#d boy for short stature. 7oth "arents had a history of short stature in chi#dhood, but they are no$ of norma# height. )eatures that ?ua#ify as criteria for the diagnosis of constitutiona# gro$th de#ay inc#ude a## the fo##o$ing, e%ce"t: a. height and weight below the third centile b. normal growth o# % cm per year c. the child was normal at birth #or height and weight d. delayed puberty
e. bone age is e?ua# to chrono#ogica# age <- ## of the fo##o$ing are features of chronic non s"ecific ATodd#erBs diarrhea of chi#dhood, e%ce"t: a. three to si! watery stools per day b. fami#ia# tendency c. onset at age o# 6- *0 months d. reduced inta$e o# dietary #at e. #ailure to thrive 1- fter diagnosis and treatment of a urinary tract infection in a '-year-o#d fema#e chi#d, further in6estigations shou#d inc#ude $hich one of the fo##o$ing> a. renal ultrasound only b. rena# u#trasound and 6oiding cystourethrogram c. intravenous pyelogram d. voiding cystourethrogram e. intravenous pyelogram and voiding cystourethrogram - *#igohydramnios is associated $ith $hich one of the fo##o$ing conditions; a. rena# agenesis b. #etal erythroblastosis c. tracheo-esophageal #istula d. down syndrome e. anencephaly '- ## of the fo##o$ing sym"toms fa6or the diagnosis of acha#asia e%ce"t: a. dysphagia #or solids b. dysphagia #or li"uids c. "ainfu# s$a##o$ing d. regurgitation e. nocturnal regurgitation o# undigested #ood (- Si% months after he"atitis 7 infection or immuni!ation, $hich one of the fo##o$ing mar0ers $ou#d be the best indicator of ac?uired immunity: a. anti < +bsg b. +b e g c. +b s g d. nti +b c g e. nti +b e g 2- /hich of the fo##o$ing statements about hemorrhagic disease of the ne$born is true:; a. more common in #emales b. more common in bottle- #ed babies c. re"uires therapy with #resh #rozen plasma d. has "ro#onged "rothrombin time e. becomes evident in the #irst 24 < hrs
5- "rimigra6ida has been gi6en Dethidine during the #ast ( hrs of the #abour, de#i6ery $as une6entfu#, but the baby sho$s "oor res"iratory effort. immediate management inc#udes a## the fo##o$ing, e%ce"t: a. drying the e!posed s$in b. clearance o# the airway c. intra6enous sodium bicarbonate d. administration of na#o%one e. o!ygen
- diagnosis of hemo"hi#us inf#uen!ae ty"e 7 E"ig#ottitis =ust been made. The chi#d has one & year & o#d unimmuni!ed brother . $hich "re6enti6e measure among fami#y contacts is a""ro"riate: a. ri#ampicin prophyla!is in all #amily members b. ri#ampicin prophyla!is in adult only c. ri#ampicin prophyla!is in children only d. immunization in children less than 1= month old e. immunization o# all #amily members
- '-$ee0-o#d boy is brought to the Emergency e"artment because of a genera#i!ed sei!ure hours ago. The infant is high#y irritab#e $ith incessant high "itched crying. The infant@s $eight is .2 0g A2< gm be#o$ birth $eight, b#ood "ressure is < (< mm Fg,"u#se is 1(2min and res"irations are 2<min. 8aboratory resu#ts sho$: 7#ood g#ucose 1< mgd8 - 9rea nitrogen 2< mgd8 -Serum sodium 1< mE?8 Serum ca#cium .2 mgd8 -Serum magnesium 1.2 mgd8 /hich of the fo##o$ing is the most #i0e#y cause of this infant@s sei!ure> a. +ypocalcaemia b. +ypoglycemia c. +ypomagnesaemia d. +ypernatremia e. 7eningitis ;- "ediatrician e%amines a -month-o#d infant $ho had been born at term. continuous murmur $as heared at the u""er #eft sterna# boarder. The "eri"hera# "u#ses in a## e%tremities are fu## and sho$ $idened"u#se "ressure. /hich of the fo##o$ing is the most #i0e#y diagnosis> a. oarctation o# the aorta b. atent ductus arteriosus c. eripheral pulmonic stenosis d. ersistent truncus arteriosus e. 9entricular septal de#ect '<- <-month-o#d "resents to the office $ith a -day history of a harsh, bar0ing cough. Fis mother states he has not had any fe6er, a#though he had a runny noseear#ier in the $ee0. *n e%amination, he is notab#y hoarse $ith ins"iratory stridor. Fe is not droo#ing and is sitting comfortab#y. The rest of his e%amination is $ithin norma# #imits. /hich of the fo##o$ingis the most #i0e#y diagnosis> a. cute #aryngotracheobronchitisB b. spiration o# #oreign body in the upper respiratory tract c. >piglottitis d. aryngomalacia e. ?ubglottic stenosis '1- 15-month-o#d is ta0en to the emergency room after fa##ing $hi#e $a#0ing. The todd#er has an en#arging, s$o##en bruise on his forehead, $hich is no$ o6er t$o inches across.. b#ood sam"#e is dra$n, and the chi#d oo!es b#ood at the "uncture site for 2 minutes. C#otting studies on the b#ood sam"#e sho$ a "ro#onged DTT and a norma# DT and 6ery #o$ #e6e#s of factor GIII. /hich of the fo##o$ing is the most #i0e#y diagnosis> a. 5isseminated intravascular coagulation b. +emophilia c. +emophilia d. +yperhomocysteinemia e. Gon /i##ebrandBs disease
'- 2-year-o#d boy de6e#o"s a headache, cough, mya#gia and a fe6er. Fe has been a hea#thy chi#d $ith a## immuni!ations u" to date. Fe i s gi6en a
decongestant and an as"irin for his sym"toms $ith some re#ief. Fo$e6er, ( days #ater, he is brought bac0 by his "arents because of "ersistent 6omiting and irritabi#ity. *n "hysica# e%amination, he is found to be semi comatose, becoming combati6e on stimu#ation. /hich of the fo##o$ing #e6e#s shou#d be measured to aid in the diagnosis of this "atient> a. ?erum ammonia level b. ?erum blood urea nitrogen level c. ?erum calcium level d. ?erum opiate level e. ?erum sodium level ''- (-year-o#d, a""arent#y hea#thy chi#d is e%amined by a "ediatrician. The "ediatrician hears a #oud systo#ic e=ection murmur $ith a "rominent systo#ic e=ection c#ic0. Fe a#so hears a soft, ear#y diasto#ic murmur. 7oth murmurs are heard best at the u""er right sterna# border. EC+ sho$s #eft 6entricu#ar hy"ertro"hy. /hich of the fo##o$ing is the most #i0e#y> diagnosis> a. ortic valve stenosis b. trial septal de#ect c. etralogy o# )allot d. ransposition o# great arteries e. 9entricular septal de#ect
'(- (-month-o#d infant boy has gained on#y 1< ounces since birth. Fe has fai#ed to gain $eight $ith mu#ti"#e formu#a "re"arations. Fis stoo#s ha6e been #oose and fatty. n o#der sister had simi#ar sym"toms and has been re"eated#y hos"ita#i!ed for fai#ure to thri6e and recurrent "u#monary infections. /hich of the fo##o$ing is the most #i0e#y cause of this "atient@s> gastrointestina# sym"toms> a. chlorhydria b. acterial overgrowth c. olonic inertia d. 8astric hypersecretion e. Dancreatic e%ocrine insufficiency
'2- (-$ee0-o#d infant "resents $ith tachycardia, tachy"nea, and "oor $eight gain. Fis arteria# b#ood gas sho$s a "F of .'(, a DaC* of (1 mm Fg, and a Da* of ( mm Fg. chest radiogra"h sho$s cardiomega#y. Echocardiogra"hy re6ea#s a structura##y norma# heart, #eft 6entricu#ar di#atation, a #eft 6entricu#ar e=ection fraction of a. ngiotensin-con6erting en!yme inhibitor b. orticosteroid c. 5igo!in d. >pinephrine e. )urosemide
'5- (-year-o#d boy "resents $ith se6ere "ains in both of his #egs. *n
"hysica# e%amination, his tem"erature is '. C A;;. ), b#ood "ressure is 1<5 mm Fg, "u#se is ;5min, and res"irations are 1min. Fe is noted to ha6e mar0ed "a##or on his #i"s and "a#"ebra# con=uncti6a. Numerous "ur"ura and "etechiae are noted on his s0in. Fis s"#een is "a#"ab#e ' cm be#o$ his #eft costa# margin. 8aboratory e6a#uation re6ea#s a $hite b#ood ce## count of 15<<mm' hemog#obin, 5.1 gd8 and "#ate#ets, '5,<<<mm'. /hich of the fo##o$ing diagnoses is most consistent $ith these findings> a. cute lymphocytic leu$emia b. plastic anemia c. +enoch-?ch@nlein purpura d. mmune thrombocytopenic purpura e. hrombotic thrombocytopenic purpura '- neonate de6e#o"s se6ere cyanosis that begins $ithin minutes of birth. 7#ood dra$n one hour after birth sho$s metabo#ic acidosis $ith res"iratory acidosis. chest %-ray fi#m sho$s a narro$ base to the great 6esse#s and the heart resemb#e an egg on its side. EC+ is norma#. /hich of the fo##o$ing is the most #i0e#y diagnosis> a. ortic valve stenosis b. omplete atrioventricular canal de#ect c. etralogy o# )allot d. ransposition o# the great arteries e. Anderdeveloped hypoplastic le#t ventricle syndrome '- 6omiting infant is brought to the emergency room. The b#ood $or0 resu#ts re6ea# a norma# b#ood count, but a hy"onatremic, hy"och#oremic, metabo#ic a#0a#osis. /hich of the fo##o$ing $ou#d be consistent $ith these findings> a. 5iabetes mellitus b. ystic #ibrosis c. >thanol poisoning d. iron ingestion e. soniazide ingestion ';- n 11-year-o#d boy "resents $ith fe6er and sore throat. ra"id-stre" test confirms stre"tococca# "haryngitis. Fe is #ea6ing for a summer cam" in days. In the "ast, he has had "rob#em finishing the $ho#e course of antibiotic treatment. /hich of the fo##o$ing is the best treatment for his stre"tococca# "haryngitis> a. single dose o# benzathine penicillin 8 intramuscularly b. single dose o# ce#tria!one intramuscularly c. single dose o# procaine penicillin 8 intramuscularly d. >rythromycin orally #or % days e. enicillin 9 orally #or % day
(<- In the treatment of bronchia# asthma, a## are suitab#e treatment o"tions in acute e%acerbation ,e%ce"t: a. ventolin nebulizer b. ventolin inhaler c. theyophilin intravenously d. corticosteroids intravenously e. salmetrol inhaler
(1- If an asthmatic chi#d "resented $ith dys"nea $hi#e ta#0ing, using the accessory musc#es for breathing, and his "u#se o%imetry is ;
e%acerbation is c#assified as: a. mild b. moderate c. severe d. mild to moderate e. he is not in e!acerbation #rom the start
(- /hich of the fo##o$ing does not match> a. epiglottitis ------ thumbprint sign b. croup ------ ?teeple ?ign c. retropharyngeal abscess ------ widened retropharyngeal space d. peritonsilar abscess ------ trismus e. otitis media ------ cough ('- a## the fo##o$ing interfere $ith hemostasis, e%ce"t: a. alcohol b. aspirin c. broad spectrum antibiotics d. igo%in e. methotre!ate ((- ## are characteristics of b#eeding due to "#ate#et disorders, e%ce"t: a. involving mucous membrane primarily b. the de#ayed b#eeding is usua##y se6ere c. petechiae present d. small, super#icial ecchymosis is evident e. is one o# the commonest causes in pediatric age group (2- CNS #eu0emia "resent $ith a## the fo##o$ing e%ce"t :; a. headache and vomiting b. ata!ia c. polyphagia d. weight loss e. norma# CS) findings is the usua# (5- ## carry good "rognostic 6a#ue in 88, e%ce"t: a. age between 2 and 10 yrs b. /7C J 2<<<< at diagnosis c. fema#e "atients d. absent o# t (, 22 e. N Inde% K 1.15 (- Regarding attention deficit hy"er0inetic disorder in chi#dren a## of the fo##o$ing statements are correct e%ce"t: a. revalence in children is *-=& b.## sym"toms disa""ear at adu#thood c. ?chool adaptation is needed d. 7edical treatment is indicated i# there is school #ailure e. ?ymptoms appear be#ore seven years o# age (- 2 year o#d chi#d "resented to you $ith difficu#ty to stand from sitting "osition. Fe has ca#f hy"ertro"hy. $hich one of the fo##o$ing statements is TRUE? a. al# hypertrophy is pathognomonic #or 5uchene disease b. 8lobal developmental delay rules out the diagnosis o# muscle dystrophy c. In uchene disease CD3 is high since birth d. ec$er disease is inherited in autosomal recessive pattern e. he prognosis #or the child described above is good
(;-## of the fo##o$ing statements regarding metabo#ic disorders in chi#dren are true e%ce"t: a. ysmor"hic features ru#e out the diagnosis of metabo#ic disorders b. +istory o# une!plained deaths in siblings raise the possibility o# metabolic disorders c. 7ost metabolic disorders are inherited in an autosomal recessive pattern d. Brganomegaly is suggestive o# lysosomal storage disorders e. antenatal diagnosis is possible #or several metabolic disorders 2<- ## of the fo##o$ing statements regarding Dheny#0etonuria are true e%ce"t: a. It is a #i"id storage disorder b. here is no acute clinical symptoms c. henylalanine restricted diet is mandatory d. utosomal recessive inheritance e. eads to mental retardation i# not treated 21- ; month o#d ma#e chi#d "resented to you $ith hy"otonia , $hich one of the fo##o$ing signs indicates that the hy"otonia is due to u""er motor neuron disorderAchoose one correct : a. +ypotonia in in#ants is always a sign o# upper motor neuron disorder b.E%aggerated dee" tendon ref#e%es c. ositive babins$i sign bilaterally d. bsence o# cerebellar signs e. ntact cranial nerves 2- 5 month o#d chi#d "resented to you because of $ea0ness, u"on e%amination you found se6ere hy"otonia, "o$er $as 12, and the dee" tendon ref#e%es $ere absent, there $ere a#so fascicu#ation in the tongue .The most #i0e#y diagnosis in this infants is: a. cerebral palsy b. myasthenia gravis c. $erding Foffman disease d. congenital muscle dystrophy e. metabolic disorder 2' - /hich one of the fo##o$ing statements regarding cerebra# "a#sy in chi#dren is true Achoose one correct: a. pertussis vaccine is contraindicated b. patients cognitive #unction deteriorate with time c. dea#ness worsens with time d. tetraplegic cerebral palsy patients carry the worst prognosis e. the maority o# patients have mental retardation 2(- ## of the fo##o$ing statements regarding e"i#e"sy in chi#dren are correct e%ce"t: a. >pilepsy is more common in children than in adults b. Bne third o# patients do not respond to medical treatment c. 9agal nerve stimulation is a palliative treatment in epilepsy d./est syndrome carries a good "rognosis in most "atients e. ?yndromic classi#ication permits prediction o# prognosis
22- Femo"hi#us inf#uen!ae ty"e 7 6accine has been recommended for $hich one of the fo##o$ing grou"s; a. siblings and day care contacts o# children who develop systemic hemophilus in#luenzae type in#ections regardless o# age b. all children at age o# two months c. any child with impaired immunity or chronic diarrhea d. all children a#ter the age o# #ive years e. all the children at the time o# there #irst birth date
25 - E%"osure to #ead can cause a## the fo##o$ing, e%ce"t: a. abdominal pain b. porphyria c. cirrhosis o# the liver d. paresis e. anemia 2- "re6ious#y $e## -month- o#d boy admitted to the hos"ita# $ith 1-hrs history of intermittent "eriods of screaming and 6omiting. *n "hysica# e%amination there is a ?uestionab#e right u""er ?uadrant mass, he a""ears i##, "a#e and s#ight#y dehydrated, the most #i0e#y diagnosis is: a. volvulus b. acute intussusce"tion c. hydronephrosis d. malrotation e. +irschsbrung enterocolitis 2- 5- month o#d baby "resents $ith 6omiting and diarrhea of acute onset. Fer systo#ic b#ood "ressure $as (< mmFg and "u#se rate 15< min she has "oor "eri"hera# circu#ation and is 6ery #ethargic. Fer serum sodium 12 mmo# # , $hich one of the fo##o$ing is the best initia# management : a. oral solution containing %0 m>" sodium per liter b. intra6enous 2 H de%trose in $ater at < m# 3g "er ( hours c. septic wor$ up d. hydrocortisone 200 mg intravenously e. intravenous 0.( & saline 20 ml / Cg over 60 minutes 2;- ' $0 o#d baby is brought to the emergency de"artment $ith '5 hrs history of "rogressi6e 6omiting. The birth $eight $as '.1 3g. *n e%amination his $eight . he is moderate#y dehydrated and is 6ery irritab#e but not to%ic. Fis b#ood $or0 u" re6ea#s: "F .2 DaC* '< mmFg FC*' '1 mmo# 8 7.E 3 ' mmo# 8 Na 1'2 C# < mmo# 8 urea . mmo# 8 $hich of the fo##o$ing is the most #i0e#y diagnosis > a. congenital adrenal hyperplasia b. cystic #ibrosis c. 8astroenteritis d. yloric stenosis e. Bbstructive uropathy 5<- The disa""earance of a 6entricu#ar se"ta# defect murmur in a "atient 0no$n to ha6e a #arge #eft to right shunt is most #i0e#y due to : a. increase in the lt. to rt. ?hunt b. development o# pulmonary stenosis c. closure o# 9?5 d. development o# signi#icant pulmonary arterial hypertension e. development o# aortic stenosis 51- 1 year o#d chi#d $ho had gastroenteritis is asym"tomatic after days dietary management. stoo# cu#ture then re"orted "ositi6e for sa#mone##a grou" b. $hich one of the fo##o$ing is the most a""ro"riate: a. oral chloramphenicol b. dietary management on#y c. oral ce#aclor d. oral sul#ametho!azole / trimethoprim e. oral ampicillin
5- Inheritance in uchenne musc#e dystro"hy, one is true : a. autosomal recessive b. autosomal dominant c. se! lin$ed dominant d. multi#actorial e. se% #in0ed recessi6e
5'- 2 & $0 o#d infant "resents $ith history of 6omiting since birth, this occurs short#y after feeding and is often associated $ith burbing. Fe is e%c#usi6e#y breast fed. Fis birth $eight $as . 3g no$ he is '. 3g and "hysica# e%am is $ithin norma# #imits. The most #i0e#y diagnosis is: a. otitis media b. urinary tract in#ection c. mil$ allergy d. "y#oric stenosis e. gastroesophageal re#lu! disease
5(- Com"ared $ith human mi#0 co$ mi#0 contain more of the fo##o$ing , e%ce"t: a. rotein b. hosphate c. 9itamin C d. actose e. ?odium
52- n infant of 15 months $as referred for assessment of sus"ected menta# retardation, $hich of the fo##o$ing is outside the range of norma#: a. +e does not scribble spontaneously b. +e does not wal$ alone c. Mama and 7a7a are the on#y $ords $hich are c#ear#y recogni!ed d. +e is able to build o# #our cups e. +e is unable to through an obect over his head
55- fi6e years o#d chi#d shou#d be ab#e to do a## of the fo##o$ing , e%ce"t: a. ra$ a man b. denti#y #our colors c. opy a circle d.Count from one hundred and bac0$ard e. ?$ip with alternate #eet
5- 7y the age of four months most fu## term infant shou#d be ab#e to do the fo##o$ing, e%ce"t: a. Can ro## o6er b. +ave conugate eye movement c. Deach out and grasp obect d. ?it with support e. 7abb#e and 6oca#i!e
5- The fo##o$ing findings are suggesti6e of bronchio#itis, e%ce"t: a. >!piratory wheezes and crac$les heard on chest auscultation b. )ever *= c c. +yperin#lation o# the chest d./ides"read "atchy o"acification of the #ung fie#ds on chest radiogra"h e. denti#ication o# respiratory syncytial virus in nasopharyngeal secretions
5;- The fo##o$ing organisms common#y cause community ac?uired res"iratory tract infection e%ce"t : a. Despiratory syncytial virus b. ?treptococcus pneumonia c. Dneumocystis carinii d. 7ycoplasma pneumonia e. arain#luenza virus <- In Fenoch- Schon#ein "ur"ura , one is true : a. thrombocytopenia b. increased susceptibility to in#ection c. destructi6e arthro"athy d. blood in stool e. intracranial hemorrhage 1- Fuman immunodeficiency 6irus infection in chi#dren, a## are true e%ce"t: a. in most cases is due to administration of contaminated b#ood "roducts b. may present with pneumocystis carinii pneumonia c. may present with neurological signs in absence o# immunode#iciency d. is more li$ely to present with recurrent bacterial in#ections than in adults e. may be ac"uired by breast #eeding #rom an in#ected mother - Chi#dren $ith fo##o$ing genetic disorders ha6e an increased ris0 of ma#ignancy e%ce"t: a. ata!ia telangiectasia b. neuro#ibromatosis type c. congenital hemihypertrophy d. down syndrome e. achondro"#asia '- Neurob#astoma, a## are true e%ce"t: a. may spontaneously regress without treatment b. commonly presents with abdominal mass c. prognosis is determined by age at presentation d. may be detected by measuring urinary catecholamines e. common#y "resents at stage IG (- Idio"athic thrombocyto"enic "ur"ura, one is correct: a. results #rom decreased platelet production b. classically presents with acute blood loss c. re"uires urgent treatment to prevent intracranial hemorrhage d. should be con#irmed by bone marrow aspiration e. is "receded by a 6ira# 9RTI in more than 5< H of cases 2- Fa!ards of b#ood transfusion inc#ude a## e%ce"t: a. hemosidrosis b. circulatory #ailure c. hy"o0a#emia d.5 e. 79 in#ection 5- chi#d $ho s$a##o$ed an un0no$n ?uantity of a strong b#each so#ution shou#d: a. e allowed home i# there is no ulceration o# the lips or tongue b. +ave vomiting induced by ipecac c. e investigated with a barium swallow d.7e in6estigated by an ear#y endosco"y e. e given a course o# oral clindamycin as prophyla!is o# anaerobes
- 8actose into#erance may occur due to a## of the fo##o$ing, e%ce"t:
a. s a congenital abnormality b. n e!treme preterm in#ants as a result o# 8 tract immaturity c. )ollowing gastroenteritis d. n celiac disease e. s a resu#t of "ancreatic insufficiency
- Ce#iac disease is associated $ith a## the fo##o$ing e%ce"t: a. +-= antigen b. 5ermatitis herpeti#ormis c. ncreased ris$ o# bowel lymphoma d. emporary sensitivity to gluten e. e#ayed "uberty
;- Thrombocyto"enia is a recogni!ed com"#ication of the fo##o$ing conditions, e%ce"t: a. 7eningococcal septicemia b. +ypersplenism c. cute myeloid leu$emia d.Femo"hi#ia e. avernous hemangioma
<- "ro#onged b#eeding time is seen in $hich one of the fo##o$ing : a. )actor = de#iciency disease b. oumadin orally c. Gon /i##ebrandsBs disease d. aracetamol intravenously #or pyre!ia e. +eparin subcutaneously
1- In ana"hy#actic reaction a## are true e%ce"t: a. s an e!ample o# type hypersensitivity reaction b. ?hould be treated by subcutaneous atropine c. 7ay cause #acial swelling and upper airway obstruction d. 7ay present with acute onset wheezes e. s a recognized complication o# 9
- Tumor #ysis syndrome, a## are true e%ce"t: a. haracterized by hyper$alemia b. haracterized by hyperuricemia c. haracterized by hyperphosphatemia d. s reduced in severity by treatment with allopurinol e. Moderate f#uid restriction A' rd maintenance $i## decrease the se6erity '- ## the fo##o$ing are EC+ changes in hy"er0a#emia, e%ce"t: a. tall, pea$ed wave b. ? segment depression c. prolongation o# -D interval d. a""earance of 9 $a6e e. widening o# ED? interval (- Sei!ures in acute rena# fai#ure can resu#t from a## the fo##o$ing, e%ce"t: a. hyponatremia b. hypertension c. cerebral hemorrhage d.hy"erca#cemia e. uremia 2- Indication of dia#ysis in cute Rena# )ai#ure inc#udes a## the fo##o$ing, e%ce"t:
a. severe acidosis b. severe hyper$alemia c. #luid overload d. hy"otension e. heart #ailure 5- In T.7. meningitis one is incorrect: a. pea$ age is less than %yrs and within 6 months o# the primary in#ection b. initial presentation withF low grade #ever, headache and subtle personality changes c. CS) sho$s increase #ym"hocytes d. glucose is low with protein is high in ?) e. acid #ast bacilli are usually detected in ?) - Signs and sym"toms of acti6e T.7. disease inc#ude a## the fo##o$ing , e%ce"t: a. productive cough ' * w$s duration b. blood with sputum c. night sweat d. loss o# appetite e. increase $eight - In )ai#ure to thri6e, choose one correct statement: a. is most commonly due to organic cause b. is most commonly due to lac$ o# calories c. usually re"uires a battery o# laboratory tests to determine the cause d. documentation o# caloric inta$e is not re"uired to rule out under#eeding e. responds to #eeding i# the cause is organic ;- chi#d $ith moderate ma#nutrition fo##o$ing a chronic diarrhea# i##ness is #i0e#y to ha6e a## the fo##o$ing, e%ce"t: a. greater #all in height centile than o# head circum#erence centile b. muscle hypotonia c. low total body potassium d. loss o# s$in turgor e. iron de#iciency anemia ;<- /hich of the fo##o$ing statements regarding the most "ro"er inter"retation *f "ositi6e reaction to tubercu#in AMantou% test in a ; yrs o#d chi#d is: a. su##ering #rom active tuberculosis b. immune to invasion by tubercle bacilli c. susceptible to invasion by tubercle bacillus d. in need #or 8 vaccination e. sensiti6e to tubercu#o- "rotein ;1- Dro#onged indirect hy"erbi#irubinemia occur in a## of the fo##o$ing, e%ce"t: a. 8alactosemia b. riggler < Gaar syndrome c. breast mil$ aundice d. intra6enous a#imentation. e. hypothyroidism ;- In 7* incom"atibi#ity a## the fo##o$ing are true, e%ce"t: a. is the most common isoimmune hemolytic disease o# the newborn b. women o# blood group B account #or the vast maority o# B incompatibility c. microspherocytes are usually seen on the peripheral blood #ilm d. usua##y it does not occur in the first "regnancy e. baby direct comb:s test is usually negative
;'- ## the fo##o$ing signs may be "resent in infant $ith de6e#o"menta# dis#ocation of the hi", e%ce"t:
a. limitation o# abduction o# the hips b. asymmetrical thighs #old c. absent femora# "u#ses d. ortolani or arlow maneuver is used clinically to diagnose e. crying due to pain on movement o# the limb ;(- )oreign body in the res"iratory "assages can cause a## the fo##o$ing, e%ce"t: a. atelectasis b. unilateral pulmonary hyperin#lation c. mediastina# dis"#acement to the o""osite side d. wheezing e. recurrent chest in#ection ;2- norma# "uberta# de6e#o"ment inc#udes a## the fo##o$ing e%ce"t : a. (% & o# girls will have commenced puberty be#ore the age o# 14 yrs b. #utini!ing hormone stimu#ates s"ermatogenesis c. #utini!ing hormone stimu#ates o6u#ation in fema#es d. increase o# the testicular volume to 4 ml is the #irst sign o# puberty in males e. the growth spurt occurs in girls earlier than in males ;5- )o##o$ing near dro$ning e"isode a chi#d may de6e#o" a## the fo##o$ing e%ce"t : a. reduced intracrania# "ressure b. gross e#ectro#yte imba#ance c. cardiac arrhythmias d. hypothermia e. respiratory distress ;- Regarding congenita# adrena# hy"er"#asia, a## the f o##o$ing are true, e%ce"t: a. autosomal recessive inheritance b. most common#y due to 1 hydro%y"rogesterone deficiency c. cause precocious puberty d. due to enzyme de#iciency in the biosynthesis o# cortizol #rom cholesterol e. the most common cause o# ambiguous genitalia ;- In ne"hrotic syndrome a## the fo##o$ing statements are true e%ce"t: a. hyperlipidemia is common b. abdominal pain may be a symptom o# hypoalbuminemia c. rena# bio"sy is routine#y indicated d. there is increasing clotting tendency e. in more than H%& o# the cases has at least one relapse within 1 year ;;- a## the fo##o$ing are true about bruce##osis, e%ce"t: a. cows and goats are the common source o# in#ection b. can be transmitted from one "erson to "erson c. #ever, sweating and poor appetite are common #eatures d. oint pain is common in children e. course o# treatment is 4- 6 wee$s 1<<- the fo##o$ing are characteristic of sa#icy#ate "oisoning, e%ce"t: a. hy"o6enti#ation b. hyperglycemia c. hyperthermia d. dehydration e. tinnitus
