اسئلة الاطفال 2013

 1) 2 month old child , presented to the pediatrician with tongue Fasciculation and generalized Hypotonia , feeding difficulty and absence of deep tendon reflexes . The most likely diagnosis is ?
A .Guillain barre syndrome
B .Duchenne muscular dystrophy
C .Spinal muscular atrophy``````````````
D .Tuberous sclerosis
E .Lesch _ Nyhan disease
 2) Vitamin D requirement for infants in physiological state is ?
A . 200 I.U
B . 400 I.U``````````````
C . 600 I.U
D . 4000 I.U
E . 800 I.U
 3) Newborn presented to the pediatrician with main complain of bleeding from umbilical scar . History of baby delivery at home , which of the following is the most common cause of these signs and symptom ?
A . Bleeding diathesis
B . ITP
C . Hemolytic disease of the newborns
D . Vitamin C deficiency
E . Vitamin K deficiency```````````

 4) Treatment of choice for mastitis neonatorum is ?
A . Reassurance of the parents``````````
B . Antibiotics topically
C . Warm compression
D . Massage therapy
E . Bromocriptine therapy

 5) All of the following are seen in Down syndrome except ?
A . Brushfield spots
B . Hypotonia
C . Mongolian spots````````````
D . Atlantoaxial instability
E . Hypothyroidism

 6) Most common cause of mental retardation in children is ?
A . Sociocultural factors
B . Psychological factors
C . ADHD
D . Chromosomal factors`````````
E . Economical factors

 7) Screening program in Jordan include ?
A . Congenital hypothyroidism , G6PD , hearing loss .``````````
B . G6PD , Phenylketonuria , hearing loss .
C . Congenital hypothyroidism , Phenylketonuria , hearing loss .
D . G6PD , Phenylketonuria , congenital hypothyroidism .
E . Congenital hypothyroidism , Phenylketonuria .

 8 ) X_linked recessive inheritance include ?
A . Hereditary spherocytosis
B . VWD
C . Chorea Huntington
D . Hemophilia A```````````
E . Osteogenesis imperfecta


 9) Preterm baby is ?
A . Weight less than 2.5 kg regardless of gestational age .
B . Above completed 37 weeks gestational age .
C . Below completely 37 gestational age .````````````
D . Below completed 40 weeks gestational age .
E . Immature lungs regardless of gestational age.

 10) Infant of diabetic mother has all of the following except ?
A . Hypomagnesemia
B . IUGR``````````
C . Hyperbilirubinemia
D . Respiratory distress syndrome
E . Hyperviscosity

 11) Newborn baby present with Cyanosis immediately after birth , the most common cause is ?
A . TOF
B . TGA````````````
C . TAPVR
D . Tricuspid atresia
E . Truncus arteriosus

 12) The most important risk factor for Necrotizing enterocolitis is ?
A . Prematurity```````````
B . Postmaturity
C . Infant of diabetic mother
D . Congenital hypothyroidism
E . Black race
 13) Newborn baby is presented in second day postoperative delivery with chief complain of repeated vomiting . On abdominal film present Double bubble sign , the most common cause is ?
A . Esophageal atresia
B . Duodenal atresia``````````````
C . Jujenal atresia
D . Congenital Pyloric stenosis
E . Imperforate anus

 14) Newborn baby is presented with jaundice , laboratory results show umbilical cord blood Hb 12.5 mg/dl , total serum bilirubin is 8 mg/dl. The best next step in management is ?
A . Phototherapy
B . Reassurance of the parents that is physiological```````````
C . Immediately blood transfusion operation
D . Admission and repeat testing after one hour .
 15) One of the following is true about congenital hypothyroidism ?
A . Mental retardation is a rare complication
B . If untreated , child will be suffer from hypertonia
C . It is mostly asymptomatic at birth````````````
D . Presented with microglossia
E . T3 , T4 , TSH are low in serum

 16) One is true about hereditary spherocytosis ?
A . History of father that has gallbladder stones and Splenectomy .`````````````
B . It is X_linked recessive
C . MCH is low
D . Diagnosis is confirmed by blood smear
E . Folate is not beneficial

 17) All of the following are true about neonatal sepsis except ?
A . Prematurity is a risk factor
B . Signs and symptoms are non specific
C. Present with hypothermia and hyperthermia
D . Most common microorganism is E coli``````````
E . If meningitis present , so treat with Ampicillin and cefotaxime

 18) 3 months old infant is presented with parents to emergency room with chief complain hypoactivity , fever , the best next step in management is ?
A . Admission and sepsis work````````
B . Admission and symptomatic treatment
C . Admission and observation
D . Chest X_Ray , if positive give him antibiotics
E . Lumbar puncture , if positive give him antibiotics

 19) Child 6 years old , is presented with clinical picture of acute Epiglotitis , the best next step in management ?
A . Give him antibiotics and admission to floor beds
B . O2 therapy and admission to floor beds
C . Give him antibiotics and go home
D . ICU admission and ENT consultation``````````

 20) All of the followings immunodeficiencies disorders are associated with malignancy except ?
A . Ataxia telangiectasia
B . Selective IgA deficiency
C . Chediak Higashi syndrome
D . Wiskott Aldrich syndrome
E . Hyperimmunoglobulin M syndrome


 21) One of the following is live attenuated vaccine ?
Diphtheria
Hepatitis B
Tetanus
Hib
Rubella````````````


 22) About snake bite injury , all are true except ?
A . Cold ice is used
B . Tourniquet using is necessary
C . Incision and suction of the bite is true````````
D . Antivenin administration if available
E . Compression bandage and immobilization are true

 23) Causes of neonatal seizures , include all of the following except ?
Tuberous sclerosis
Hypomagnesemia
Hypocalcemia```````````
Hypoglycemia
Febrile convulsions

 24) All of the following statements are true except ?
A . Vitamin k deficiency causes bleeding tendency
B . Vitamin D deficiency causes Rachitis
C . Vitamin A deficiency causes craniotabes`````````
D . Vitamin B6 deficiency causes neonatal seizures
E . Vitamin C deficiency causes Gum bleeding

 25) All are true about Klinefelter syndrome except ?
A . Karyotype 47 , XYY``````````
B . Tall stature
C . Microorchidism
D . Mental retardation
E . Decreased upper : lower segment ratio

 26) Head circumference in 1 year old infant ?
40_42 cm
42_44 cm
44_46 cm
46_48 cm````````
48_50 cm

 27) Alarming sign of development , include all of the following except ?
A . Urine control in day time in 1.5 years old`````````
B . Walking well in 1.5 years old
C . Know name , sex , age at 3 years old
D . Pincer grasp in 9 months
E . Dominance of the hand in 1 years old

 28) Newborn baby , at birth weight was 3.5 kg , at one year old will be weighted ?
9.5 kg
10 kg
11 kg
10.5 kg````````
11.5 kg
 29) Side effects of long-term steroid therapy , include all of the following except ?
PUD
Eosinophilia ``````
Osteoporosis
Skin striae
Weight gain

 30) Physiological infants requirements , include all of the following are true except ?
A . Vitamin A 4000 I.u / day .
B . Iron 10 mg / day
C . Calories 110 kcal / kg / day
D . Vitamin D 1200 I.u / day`````
E . Vitamin C 50 mg / day
 31) All of the following are true about Kwashiorkor , except ?
A . It is characterised by edema
B . Hypoproteinemia
C . Mainly it is due to inadequate calories````````
D . Heart failure is one of the complication
E . Occasionally Hepatomegaly

 32) A 7 years old boy has recently problems with bedwetting , on physical examination appear that boy has Enuresis and Hyperventilation syndrome , this boy is expected to have all of the following except ?
A . Serum PH < 7.4``````````
B . PCO2 < 35 mmHg
C . Normal anion gap
D . Ketones bodies in serum and urine
E . Autoantibodies against cells of langerhans

 33) A 8 years old boy is presented with parents with chief complain of Enuresis , all of the following investigations should be done except ?
A . Urine culture .
B . Urine analysis .
C . Blood glucose .
D . IVP .````````
E . Ultrasound abdomen and pelvis .

 34) First vaccine that will be damaged by heating is ?
OPV```````````
IPV
BCG
DTap
Hib

 35) All of the following vaccines affected by freezing except ?
A . Diphtheria
B . Pertussis
C . Measles`````````
D . Tetanus
E . IPV

 36) All of the following are true about hepatitis A except ?
A . This is very contagious disease .
B . This is preventable disease by vaccination .
C . May be represent nosocomial infection .
D . In children it is more dangerous than in adults .
E . If it occur in immunodeficiency baby , it will lead to fluminant hepatitis and up to death

 37) About hepatitis B vaccine , one is true ?
A . It is live attenuated
B . It is safe in pregnancy``````````
C . The total number of vaccine is 4
D . It is not present in Jordan vaccine program
E . The first dose is given in 1 years old
 38) All of the following are true about Jordan vaccine program except ?
A . The total of Hep vaccine is three , given in 2 , 3 ,4 months of age
B . MMR vaccine is given in 1 year old
C . Measles vaccine is given in 6 month of age````````````
D . The first vaccine against poliomyelitis is IPV
E . This program not include rotavirus vaccine

 39) All of the following causes maculopapular rash except ?
Varicella
Measles
Fifth disease
Hand foot mouth disease`````````
Rubella

 40) A 5 month old infant present with upper respiratory tract infection and wheezes , lab results increasing lymphocytes ( lymphocytosis ) . Which of the following is the most likely diagnosis ?
Pneumonia
Bronchitis
Influenza
Bronchiolitis`````````
Para_influenza

 41) 10 years old child , present with chief complain of fever 38.5 , dry cough , on chest X_Ray bilateral patchy infiltration , CBC appear normal , child do not appear ill , which of the following the most likely diagnosis ?
Streptococcus pneumonia
Viral pneumonia
Bronchitis
Mycoplasma pneumonia```````````
Bronchiolitis

 42) About celiac disease , all of the following are true except ?
A . Diarrhea
B . Failure to thrive
C . Permanent intolerance to gluten
D . Vomiting
E . Increasing of appetite

 43) All of the following are used in treatment of Acute attack of bronchial asthma except ?
A . Theophylline
B . Cromoglycate Na````````
C . Ipratropium bromide
D . Corticosteroids
E . Magnesium sulfate

 44) 5 years old child , presented with chief complain of recurrent attack of dry cough , at night mainly . On physical exam wheezy chest , which of the following is most likely diagnosis ?
Bronchial asthma`````````
Pneumonia
Bronchitis
Bronchiolitis
Cystic fibrosis

 45) All of the following are signs and symptoms of severe attack of bronchial asthma except ?
PaCO2 normal```````
Bradycardia
Wheezy chest
PaO2 < 60 mmHg
Cyanosis

 46) One is true about otitis media ?
A . Tobacco smoking is one of the risk factors```````````````
B . Mostly in children more than 10 years old
C . In females more than males
D . Moraxella catarrhalis is the most common cause
E . The drug of choice is Ceftriaxone

 47) 12 years old female present with parents , with chief complain of pain suprapubic , on urine culture is positive for Pseudomonas aeruginosa , which of the following is the best for treatment ?
Amoxicillin
Clarithromycin
Rifampicin
Ceftazidime```````
Streptomycin

 48) The following ABG , PH = 7.2 , PCO2 = 65 mmHg , HCO3 = 25 mg/dl , which of the following is the most likely diagnosis ?
A . Uncompensated metabolic acidosis .
B . Uncompensated respiratory acidosis .``````````
C . Mixed metabolic and respiratory acidosis .
D . Compensated respiratory acidosis .
E . Uncompensated respiratory alkalosis .

 49) All of the following are true about ASD except ?
A . Loud first heart sound
B . Right axis deviation on ECG
C . Cyanosis```````````
D . Pulmonary blood flow increased
E . No need for infective endocarditis prophylaxis

 50) All of the following are signs and symptoms of heart failure in children except ?
A . Feeding difficulty
B . Sweating during feeding
C . Failure to thrive
D . Orthopnea
E . Cyanosis``````````

 51) All of the following are cyanotic heart disease except ?
TOF
Tricuspid atresia
Coarctation of aorta```````````
Ebstein anomaly
TGA
 52) All of the following are true about gastroenteritis in children except ?
A . All Salmonella induced gastroenteritis need antibiotics .````````````````
B . Most common cause of Acute diarrhea in children is gastroenteritis .
C . Rotavirus is the most common cause in infancy .
D . If positive history of antibiotic use , the cause will be C . difficile
E . If history of food poisoning , the cause mostly Staphylococcus aureus
 53) All of the following are true about Pyloric stenosis except ?
A . Polyphagia
B . Hypochloremia
C . Ultrasound is essential for diagnosis
D . Bile stained vomitus```````
E . Pylorotomy is the treatment of choice after electrolytes correction .

 54) Most common cause of recurrent abdominal pain in children is ?
Meckels diverticulum
UTI````````
Intussusception
Celiac disease
Gastroenteritis

 55) A 5 years old boy is seen with maculopapular lesions on the legs and buttocks , he is complain of abdominal pain , in urine analysis present Hematuria , other lab findings are within normal , the most likely diagnosis ?
ITP
TTP
HSP`````````````
SLE
Kawasaki disease

 56) 4 years old boy suffers from developmental delay . Lab findings are Ca 7.1 mg/dl , PO4 2.1 mg/dl , ALP 1800 I.u . Which of the following is the most likely diagnosis ?
Nutritional rickets``````````
Hypoparathyroidism
Pseudo_hypoparathyroidism
Chronic kidney disease
Kwashiorkor

 57) All of the following are true about DM type two except ?
A . Mostly in old age , but recently start to appear in young age .
B . Associated with obesity .
C . DKA does not occur .````````
D . Lifestyle modification is helpful .
E . In some cases insulin is used for treatment

 58) All of the following are true about DM type one except ?
A . It is autoimmune
B . Mostly in children and young ages
C . 20_25% diagnosed with DKA v
D . Acanthosis nigricans```````````
E . Insulin is essential for treatment

 59) All of the following are true about IDA except ?
A . Decreased serum Fe .
B . Decreased hemosiderin .
C . Increased RDW .
D . Decreased transferrine saturation .
E . Decreased TIBS .````````````

 60) About acrodermatitis enteropathica , all are true except ?
A . Associated with congenital anomaly .
B . Associated with zinc deficiency
C . Perioral skin rash
D . Diarrhea
E . Alopecia```````````
 61) 10 years old child complain of easy bruising , bleeding on knee joints , petechiae on skin of upper extremities , lab findings : INR normal , PT normal , PTT increased , bleeding time increased , platelets normal count and function .
Which of the following is the most likely diagnosis ?
DIC
Vitamin k deficiency
ITP
VWD`````````````
HSP
 62) The treatment of choice of G6PD deficiency is ?
A . Splenectomy
B . Supportive and blood transfusion if needed .`````````````
C . Bone marrow transplantation .
D . Plasmapheresis .
E . No need for treatment .

 63) Most common cancer in children is ?
CML
ALL````````
Brain tumor
Lymphoma
Neuroblastoma

 64) All of the following are causes of prenatal Polyhydramnios except ?
Potor syndrome`````````
Anencephaly
Duodenal atresia
Diabetic mother
Diaphragmatic hernia

 65) All are true suggest the diagnosis of febrile seizure except ?
A . 6 months _ 6 years old
B . Generalized tonic clonic
C . Rapid increase of temperature
D . Family history of epilepsy```````````
E . No EEG or neuroimaging findings .
 66) All are true about Neurofibromatosis type one except ?
A . Cafe au lait spots
B . Bilateral acoustic neuroma`````````
C . Freckling in axilla
D . Autosomal dominant inheritance
E . Optic gliomas
 67) All are true about Guillain barre syndrome except ?
A . Ascending Demyelinating polyneuropathy .
B . Post infection mostly Campylobacter jejuni
C . Abnormal light _ pupil reaction``````````
D . Autoimmune instability
E . Protino_cellular dissociation on CSF analysis

 68) Tuberculin mantoux skin test is considered positive if ?
A . > 10 mm induration
B . > 10 mm Erythema
C . > 5 mm induration
D . > 15 mm Erythema
E . > 15 mm induration`````````
`
 69) Increasing of alpha fetoprotien is noted in ?
ALL
Lymphoma
Pheochromocytoma
Hepatoblastoma
HCC`````````