اسئلة الاطفال 2014 (2)

 1 ) All are true about physiology of growth and development except ?

A . Normal weight at birth 3 kg .
B . Height at 1 years old 75 cm .
C . Normal head circumference at birth 53 cm .
D . Babinski reflex presents in infant up to 2 years old .
E . Parachute reflex starts to appear by 6 _ 8 months .

2) All are true about physiological development milestones except ?

A . Smiles start at 2 _ 3 months old .
B . Walks without support start at 15 months old .
C . Says 2 _ 3 word's phrases at 18 months old .
D . Hops on one foot start at 4 year old .
E . Knows sex , age , rides tricycle, copies a circle start at 3 years old .

3) Most common cause of congenital neonatal heart block , that the mother having ?

A . Scleroderma limited
B . SLE
C . Rheumatoid arthritis
D . DM
E . Scleroderma diffuse

4) When a mother is carrier of X_linked recessive disease , the chance that her male child will have the disease is ?

A . Zero
B . 25%
C . 50%
D . 75%
E . 100%

5) All are normal physiological development finding at 24 months old age child , except ?

A . Climbs upstairs not alternating .
B . Runs and kicks ball .
C . Tower of 7 cubes .
D . Says 2_3 word's phrases .
E . Knows sex , age , copies a circle .

 6 ) All are true about viral gastroenteritis in infants except ?

A . Most common cause is Rotavirus .
B . It resolves within 3 _ 7 days .
C . Bloody diarrhea mostly .
D . Day care is risk factor .
E . Rehydration by ORS is the major point in treatment .

7 ) All are causes of neonatal indirect hyperbilirubinemia except ?

A . Physiological jaundice
B . Galactosemia
C . RH _ isoimmunization
D . Gilbert syndrome
E . G6PD

8 ) The most common cause of epistaxis in children is ?

A . ITP
B . Picking of nose
C . Adenoid hypertrophy
D . HTN
E . Allergic rhinitis

 9 ) Child normally starts to down stairs alternating hops on one foot , draws square , count 4 objects uses past tense , at ?

A . 2 years old
B . 2.5 years old
C . 3 years old
D . 4 years old
E . 5 years old

10) All are true about intussusception except ?

A . Telescoping of bowels .
B . Typical age children 3 _ 5 years old .
C . Typical site is ileocecal junction .
D . Classical triad of sudden abdominal pain , palpable mass and red currant jelly stool .
E . Air enema can be diagnostic and therapeutic and surgery rarely is needed .

11) Most common cause of palpable abdominal mass in newborn is ?

A . Lymphoma
B . Rhabdomyosarcoma
C . Hydronephrosis
D . Teratoma
E . Neuroblastoma

12) All are true about hyaline membrane disease except ?

A . The pathology is airway obstruction by meconium .
B . Major risk factors is preterm .
C . Onest within first few hours of life .
D . Ground glass appearance on CXR .
E . Prenatal steroids is prevention method .

13) The average growth of head circumference during the first year of life , normally ?

A . 5 cm
B . 12 cm
C . 20 cm
D . 16 cm
E . 8 cm

 14) All of the following are developmental red flags except ?

A . No walking at 18 months old .
B . No smiling at 3 months old .
C . Don't know sex , age at 24 months old .
D . Don't say 3 word's at 18 months old .
E . Don't copy circle at 5 years old .

15) All are true about Wilms tumor except ?
A . Most common cause of painless abdominal mass in children age group 3 _ 4 year old .
B . It is malignant cancer of the kidneys .
C . Most of cases are unilateral , don't cross midline of the abdomen .
D . Most common site of metastasis is lung .
E . It has a good prognosis .

16) All of the following neonatal skin conditions don't require treatment except ?
A . Mongolian spot
B . Port wine Hemangioma
C . Erythema toxicum
D . Milia
E . Salmon patch

17) One of the following vaccines can be given to patient with T cell deficiency ?
A . Pertussis vaccine
B . Oral polio vaccine
C . Rubella vaccine
D . BCG vaccine
E . Measles vaccine

 18) Regarding human breast milk , all are true except ?
A . Iron of human milk is poorly absorbed .
B . Breast milk is poor in vitamin K .
C . Lactose in human milk is higher than cow milk .
D . Sodium in human milk is lower than cow milk .
E . Proteins in human milk are lower than cow milk .

 19) All are true about Down syndrome except ?
A . Advanced maternal age is the major risk factor .
B . Macrocephaly and flat occiput .
C . Low set ears .
D . Short stature .
E . Mental retardation .

20) All are true about hemolytic uremic syndrome except ?
A . Diarrhea from E coli 0157:H7
B . Anemia
C . Thrombocytosis
D . Acute renal injury
E . Antibiotics are contraindicated for diarrhea

 21) One of the following does not occur in premature ?
A . Hypoglycemia
B . Hypocalcemia
C . Jaundice
D . RDS
E . Meconium aspiration

 22) The source that contain least amount of vitamin K is ?
A . Liver
B . Human milk
C . Cow milk
D . Soya milk
E . Spanish

23) All are true about breast milk except ?
A . It is contraindicated in Galactosemia .
B . It is contain higher proteins as compared to cow's milk .
C . Colostrum breast milk is rich in protein , minerals and immunoglobulin IgA .
D . HIV and AIDS are contraindications for breastfeeding .
E . Breast milk jaundice is the most common cause of persistent prolonged physiological jaundice .

 24) All are true about Turner syndrome except ?
A . Genotype is 45 XO
B . Short webbed neck
C . Streak ovaries
D . VSD is the most common CVS anomaly
E . Primary Amenorrhea

25) All are true about nephritic syndrome except ?
A . RBCs casts in urine
B . Oliguria
C . HTN
D . Massive proteinuria
E . Azotemia

26) All are true about marasmus except ?
A . Poor appetite
B . Hypotonia
C . Loss of skin turgor
D . Loss of subcutaneous fat
E . No edema

27) All are true about normal physiological contents of breast milk except ?
A . Calories 67 kcal / 100 ml
B . Protein 0.9 _ 1.5 % mostly whey protein
C . FAT 5.3 % mostly MC FA
D . Carbohydrate 6.5 _ 7 %
E . Ca : Po4 ratio 1.8 : 1

 28) All are true about DiGeorge syndrome except ?
A . Cyanotic congenital heart disease .
B . Micrognathia .
C . Thyroid hypoplasia .
D . Immunodeficiency T cell .
E . Hypoparathyroidism .

29) All of the following anemias are causes of increased Reticulocytes ( Reticulocytosis ) except ?
A . G6PD
B . SCA
C . HUS
D . Megaloblastic anemia
E . Autoimmune hemolytic anemia

30) One of the following nephritic syndrome associated with low complement in serum ?
A . PSGN
B . HSP
C . IgA nephropathy
D . Goodpasture syndrome
E . Rapid progressive glomerulonephritis

31) One of the following is not present in the neonatal Jordan vaccination program ?
A . H influenza type B
B . Streptococcus pneumonia
C . Tetanus
D . Mumps
E . Hepatitis B

32) All are true about congenital heart disease except ?
A . Boot like heart on CXR _ TOF .
B . Egg like heart on CXR _ TGV .
C . Snow man like heart on CXR _ T.A .
D . Increased pulmonary blood flow _ ASD .
E . Most common congenital heart disease _ VSD .

 33) All are causes of Microcytic anemia except :
A) SCA
B ) Anemia of chronic diseases
C) Lead toxicity
D) Thalassemia
E) Sideroblastic anemia

 34) All are true about Nephrotic syndrome except ?
A . Massive proteinuria > 40 mg m2 hr
B . Hypoalbuminemia < 20 g/l
C . HTN
D . Hyperlipidemia
E . Marked edema

35 ) All are causes of Thrombocytopenia except ?
A . Infectious mononucleosis
B . Hypersplenism
C . Kawasaki disease
D . Liver cirrhosis
E . Brucellosis

 36 ) All are causes of Splenomegaly except ?
A . Lymphoma
B . Polycythemia vera
C . Megaloblastic anemia
D . Malaria
E . IBD

 37 ) All of the following are cyanotic heart disease except ?
A . Ebstein anomaly
B . ECD
C . Truncus arteriosus
D . Eisenmenger syndrome
E . Tricuspid atresia

38 ) All are true about IDA except ?
A . Low MCV , MCH , MCHC .
B . Low ferritin .
C . High RDW .
D . High TIBC .
E . High hemosiderin .

 39) Most common cause of primary nephrotic syndrome in children is ?
A . FSGS
B . MPGN
C . IgA nephropathy
D . MCD
E . SLE

40) Polymorphic skin rash is characteristic for ?
A . Scarlet fever
B . Varicella
C . Rubella
D . Roseola
E . Measles

 41 ) The first step in management of neonatal diaphragmatic hernia is ?
A . Bag mask ventilation .
B . Intubation .
C . Orogastric tube insertion .
D . Dexamethasone administration .
E . Surgical approach .

 42 ) All are signs and symptoms of hypoglycemia except ?
A . Lethargy
B . Tremor
C . Cyanosis
D . Seizures
E . Bradycardia

 43 ) All are true about HSP except ?
A . Large vessel vasculitis .
B . URTI 1 _ 3 weeks before Onest of disease .
C . Rash in lower limbs and buttocks .
D . Abdominal pain and melena .
E . Hematuria .

 44 ) All are true about cystic fibrosis except ?
A . Meconium ileus
B . Finger clubbing
C . Rectal aganglionosis
D . Pancreatic failure
E . Infertility

45 ) Most common cause of bronchiolitis is ?
A . RSV
B . Parainfluenza virus
C . Influenza virus
D . Mycoplasma pneumonia
E . Rhinovirus

 46 ) All are causes of secondary HTN except ?
A . Hypothyroidism
B . Hyperthyroidism
C . Cushing syndrome
D . Conn syndrome
E . Addison disease

 47 ) All are true about acute epiglotitis except ?
A . Cause is Parainfluenza virus .
B . High grade fever .
C . Stridor .
D . Avoid examining the throat .
E . Intubation is the first step in treatment .

 48 ) All are true CSF findings in bacterial meningitis except ?
A . High WBC > 1000 cells / ml .
B . High neutrophils > 50% .
C . High glucose > 80 mg / dl .
D . High protein > 100 mg / dl .
E . High CSF pressure > 18 cm H2o .

 49) All are major Jones criteria of rheumatic fever except ?
A . Sydenham Chorea
B . Migratory arthritis
C . Erythema nodosum
D . Pancarditis
E . Subcutaneous nodule

 50 ) All are true about measles except ?
A . Incubation period 7 _ 21 days .
B . Contagious 3 _ 4 days before appearance of rash .
C . Airborne disease .
D . Most common type of rash is vesicles .
E . Most common complication is otitis media .

 51 ) The pathogen of infectious mononucleosis is called ?
A . Varicella zoster virus
B . Rubivirus
C . EBV
D . Coxsacki B virus
E . Morbillivirus virus

52 ) All are true about VSD except ?
A . Acyanotic left to right shunt .
B . Decreased pulmonary blood flow .
C . Most of cases are small , so they close spontaneously .
D . ECG finding _ LVH and RVH ( Biventricular hypertrophy ) .
E . Holosystolic murmur .

 53 ) All are true about DM type one except ?
A . Insulin deficiency .
B . Most common form of DM in children .
C . Autoimmune destruction of B cells of pancreas .
D . Sulfonylurea drugs are used in treatment .
E . DKA an initial presentation 25% of case's .

54 ) All are true about PDA except ?
A . Tachycardia
B . Cyanosis
C . Bounding pulse
D . Wide pulse pressure
E . Heavy machinery murmur

55 ) All are true about congenital hypothyroidism except ?
A . Prolonged jaundice
B . Constipation
C . Weight gain
D . Macroglossia
E . Umbilical hernia

56 ) All are true about TOF except ?
A . Most common cyanotic heart disease diagnosed beyond infancy .
B . Includes pulmonary stenosis , right ventricular hypertrophy , ventricular septal defect and overriding aorta .
C . Hypoxic tet spells .
D . Anemia .
E . Boot shaped heart on CXR .

57 ) All are causes of short stature except ?
A . Klinefelter syndrome
B . Turner syndrome
C . Down syndrome
D . Hypothyroidism
E . Cystic fibrosis

58) All are causes of non bilious vomiting except ?
A . Tracheoesophageal fistula
B . Pyloric stenosis
C . Esophageal Artesia
D . Duodenal Artesia
E . GERD

59 ) All are true about CAH except ?
A . Autosomal dominant disease .
B . Most common cause of ambiguous genitalia .
C . Most common cause is 21 alpha hydroxylase deficiency .
D . Hyponatremia and Hyperkalemia .
E . High serum 17_ OH progesterone

 60 ) All are true about IDA except ?
A . Pica
B . Leg ulcer
C . Angular cheilitis
D . Koilonychia
E . Systolic murmur

61 ) All are true about sickle cell disease except ?
A . B _ globin genes defect on chromosome 11 .
B . Splenomegaly is the most early sign .
C . Jaundice .
D . Vaso _ occlusive crisis .
E . Reticulocytosis .

 62 ) All are true finding in platelets disorder except ?
A . Ecchymosis .
B . Petechiae .
C . Epistaxis .
D . Bruises .
E . Purpura .

63 ) All are causes of tall stature except ?
A . Beckwith wiedemann syndrome
B . Hyperthyroidism
C . Gigantism
D . Marfan syndrome
E . Edwards syndrome

64 ) All are true about ITP except ?
A . Most common cause of Thrombocytopenia in children .
B . Sudden Onest of Petechiae , Epistaxis , Purpura .
C . Splenomegaly and lymphadenopathy .
D . Normal WBCs and RBCs .
E . Megakaryocytes on bone marrow biopsy .

65 ) All are causes of increased PT except ?
A . DIC
B . Liver cirrhosis
C . Vitamin K deficiency
D . VWD
E . Warfarin therapy

 66 ) Most common malignancy in children is ?
A . ALL
B . AML
C . CLL
D . Brain cancer
E . Lymphoma

67 ) All are increased in DIC except ?
A . PT
B . PTT
C . FDP
D . Bleeding time
E . Fibrinogen

 68 ) Most common cause of palpable abdominal mass in infancy is ?
A . Wilms tumor
B . Neuroblastoma
C . Lymphoma
D . Hepatoma
E . Lipoma

 69 ) All are true about Kawasaki disease except ?
A . Medium size vasculitis .
B . Fever for more than 5 days .
C . Most dangerous complication is renal failure .
D . Cervical lymphadenopathy .
E . Aspirin is used in treatment .

70 ) All are true about rubella except ?
A . Incubation period 2 _ 4 days .
B . Air droplet mode of transmission .
C . Maculopapular rash .
D . Occipital and cervical lymphadenopathy .
E . Most dangerous in first trimester of pregnancy .