اسئلة الاطفال 2015

1) Rice watery diarrhea is characteristic for :
A) Rota virus
B) E coli
C) Cholera
D) Cryptosporidiosis
E) Clostridium



2) Human growth hormone is effective in all except :
A) Turner syndrome
B) Chronic renal failure
C) Small for gestational age
D) Prader Willi syndrome
E) Achondroplasia





3) A person weight 90 kg and height 155 cm , BMI is :
A) 27.5 kg/m2
B) 33.5 kg/m2
C) 37.5 kg/m2
D) 40.5 kg/m2
E) 45.5 kg/m2




4) Child with SCA , the vaccine must be given post autosplenectomy is :
A) DTap vaccine
B) MMR vaccine
C) Hib vaccine
D) Pneumococcal vaccine
E) BCG vaccine





5) All are autosomal recessive disease except :
A) Cystic fibrosis
B) B thalassemia
C) PKU
D) Marfan syndrome
E) SCA




 6) How long does expressed fresh breast milk keep at room temperature :
A) 3 hours
B) 6 hours
C) 8 hours
D) 12 hours



7) How many cm should a child grow per year between the age 2_12 years :
A) 3 cm /year
B) 6 cm /year
C) 9 cm /year
D) 12 cm /year




8) One of the following are contraindications for breast feeding :
A) Chloramphenicol therapy
B) Ceftriaxone therapy
C) Mastitis
D) Breast feeding jaundice


9) The average head circumference growth in first 6 month of life is :
A) 3 cm
B) 6 cm
C) 9 cm
D) 12 cm


10) All of the following is autosomal recessive disease except :
A) Achondroplasia
B) Phenylketonuria
C) Galactosemia
D) CAH


11) All of the following has airborne mode of transmission except :
A) Measles
B) Varicella
C) Scarlet fever
D) Hand ,foot and mouth disease



12) One of the following is water borne disease :
A) Hepatitis C
B) HIV
C) Cholera
D) Malaria


13) All are seen in Kawasaki disease except :
A) Peak age 3 months to 5 years
B) Fever persisting 5 days
C) Most severe complication is splenic rupture
D) Most common early complication is Myocarditis



14) One of the following is a cause of Hyposplenism :
A) Gluten enteropathy
B) Sarcoidosis
C) Malaria
D) Megaloblastic anemia


15) MCV value in Macrocytic anemia is :
A) More than 60 Fl
B) More than 70 Fl
C) More than 90 Fl
D) More than 100 Fl
E) More than 120 Fl


16) All are true about breast feeding except :
A) Easily digested and low renal solute load
B) Contains IgG antibodies
C) Ca :Po4 ratio 1.8:1
D) Contains protein 0.9_1.5%


17) 3 years old child can do all of the following except :
A) Can draw square
B) Rides tricycle
C) Climbs upstairs non alternating
D) Combines 3 words sentence


18) In 18 months old child can do all except :
A) He runs well
B) Copies a circle
C) Do tower of 3 cubic
D) Eats with spoon


19) About G6PD all are true except :
A) X linked recessive disease
B) It has neonatal screening test
C) Reticulocyte count is low in acute crisis
D) In neonate present as prolonged pathological jaundice



 20) All are seen in Rheumatic fever except :
A) Short PR interval on ECG
B) CRP elevated
C) Sydenham chorea
D) Pancarditis
E) Subcutaneous nodules



21) All of the following are major criteria rheumatic fever except :
A) Sydenham chorea
B) Migratory arthritis
C) Rheumatic nodules
D) Erythema nodosum
E) Pancarditis



22) All are seen in infective endocarditis except :
A) Janeway lesions
B) Roth spots
C) Osler nodes
D) Erythema marginatum
E) Splinter hemorrhage


23) All are causes of metabolic alkalosis except :
A) Pyloric stenosis
B) Furosemide
C) Bartter syndrome
D) Addison disease
E) Gitelman syndrome


24) All are causes of respiratory acidosis except :
A) Narcotics
B) Kyphoscoliosis
C) Diaphragm muscle paralysis
D) Hyperkalemia
E) Severe bronchial asthma

25) One is true about Hypernatemia :
A) Correction of serum Na 1 mmol /hour
B) Na level > 160 mmol/L considered Hypernatemia
C) More common than Hyponatremia
D) SIADH is one of the causes
E) Associated with CHF



26) The normal range of plasma osmolality is :
A) 265_280 mosm /kg
B) 280_295 mosm / kg
C) 295_305 mosm / kg
D) 305_320 mosm / kg


27) Regarding treatment of Acute Epiglottitis , the best first step is :
A) IV antibiotics
B) Humidified oxygen by SFM
C) Corticosteroids
D) Intubation
E) Salbutamol

28) 30 months old baby bring to you in E.R . C/O dyspnea , Tachypnea , hypoxia , nasal flaring , muscle retraction , barking cough , x Ray shows a narrow subglottic airway ( Steeple sign ) , what is the likely diagnosis :
A) Acute Epiglottitis
B) Croup
C) Bacterial Tracheitis
D) Herpangina
E) Laryngospasm


29) All are causes of macrocephaly except :
A) CMV infection
B) Neurofibromatosis type one
C) Tuberous sclerosis
D) Fragile x syndrome
E) Sotos syndrome



30) Which of the following is common in all forms of shock :
A) Decreased cardiac output
B) Increased heart rate
C) Decreased CVP
D) Decreased tissue perfusion



 31) Each of the following are true about Giardia lamblia except :
A) It is transmitted feco oral route
B) It causes chronic diarrhea
C) Can effectively be treated by Albendazole
D) It is protozoon infection


 33) About ITP ¡ one is false :
A) Autoimmune disease
B) Bruises and Petechiae on the limbs
C) Lymphadenopathy
D) Best initial treatment is steroids
E) In chronic cases treated by splenectomy


34) All are causes of hypoglycemia except :
A) Growth hormone deficiency
B) Alcohol consumption
C) Liver cirrhosis
D) Pheochromocytoma
E) Pituitary failure


35) Best for diagnosis of Achalasia in children :
A) 24 hours esophageal PH metry
B) 24 hours esophageal manometry
C) Esophago_Gastro_Duodenoscopy
D) Barium swallow



36) A type of abdominal wall defect in which the intestine , liver , and other organs remain outside of the abdominal cavity without sac due to defect in development of the Muscles of the abdominal wall is called :
A) Umbilical hernia
B) Exomphalos
C) Inspissation
D) Gastroschisis


37) Pre term infant at high risk of all of the following except :
A) Broncho_pulmonary dysplasia
B) Meconium aspiration syndrome
C) PDA
D) NEC


38) 3 month old infant presented with watery stool ,no fever , no blood in stool , baby is poor eating , the best next step is :
A) Admission and give him motilium
B) Admission and do stool analysis
C) Outpatient treatment with ORS
D) Admission and give oral or IV rehydration
E) Admission and give him antibiotics


39) The best test for evaluating cases of meconium ileus is :
A) Contrast enema study
B) Ultrasonography
C) Plain abdominal X_Ray
D) Pancreatic function test


40) All are true about Crohn disease except :
A) Most common site is terminal ileum
B) Skip irregular lesions
C) Lead pipe like of abdominal X_Ray
D) Slight increase risk of colon cancer



41) All are benign neonatal skin conditions except :
A) Cutis marmorata
B) Erythema toxicum
C) Salmon patch
D) Erythema herpetiformis
E) Pustular melanosis



42) Select the correct statement regarding the GCS :
A) A score of 3 is normal
B) A score of 7 represents coma
C) A score of 11 represents severe head injury
D) A score of 8 represents mild head injury
E) A score of 15 represents bad prognosis


43) Most common solid tumor in children :
A) Wilms tumor
B) Brain tumor
C) Ewing sarcoma
D) Neuroblastoma


44) Normal child start to walk without support at :
A) 9 month
B) 12 month
C) 15 month
D) 18 month

45) All are Aminoacids except :
A) Arginine
B) Methionine
C) Tryptophan
D) Keratine
E) Cystine


46) All of the following are causes of Macrocytosis except :
A) Megaloblastic anemia
B) Hypothyroidism
C) Methotrexate therapy
D) Lead toxicity
E) Liver disease


47) Least common valvular heart disease lead to infective endocarditis :
A) Aortic stenosis
B) Mitral stenosis
C) Tricuspid stenosis
D) Pulmonary stenosis


48) Least common congenital heart disease with left to right shunt that can lead to infective endocarditis :
A) VSD
B) ASD
C) PDA
D) ECD

49) Most common congenital heart disease with left to right shunt that can lead to congestive heart failure :
A) ASD
B) PDA
C) TOF
D) VSD
E) TGV


50) All are used for treatment of GERD except :
A) Omeprazole
B) Metoclopromide
C) Frequent and smaller feeds
D) Ranitidine
E) Loratidine



 51) The first drug of choice in case of organophosphours poisoning :
A) Benzodiazepines
B) Activated charcoal
C) Atropine
D) Protamine



52) All are true about complex partial seizures except :
A) Automatisms
B) Can be come generalized
C) Loss of conscious or altered one
D) Illusions and hallucinations
E) No aura or post ictal period


53) All are true about simple partial seizures except :
A) Some patients have an aura
B) No post ictal period
C) Loss of consciousness
D) On EEG multi focal spike
E) Phenytoin or Carbamezipine used for treatment



54) First step in management of DKA coma :
A) Start insulin infusion
B) Start saline IV infusion
C) Start IV antibiotics
D) Airway scuring
E) Start bicarbonate IV



55) All are true about IDA except :
A) Most common cause of childhood anemia
B) Common diagnosis between 6 months _ 3 years
C) Pica is a sign of IDA
D) Low serum Ferritin and TIBC
E) Hypochromic Microcytic


56) All are causes of Hyperkalemia except :
A) Tumor lysis syndrome
B) Conn syndrome
C) CAH
D) Addison disease

 57) Aldosterone secretion from :
A) Zona Reticularis
B) Zona Fasciculata
C) Medulla
D) Zona Glomerulosa
E) Juxtaglomerular apparatus


58) Hashimoto thyroiditis associated with all of the following except :
A) DM type one
B) Down syndrome
C) Thyroid lymphoma
D) Cushing disease


59)All are true about Nephrotic syndrome except :
A) MCD is the most common cause
B) Hypoalbuminemia
C) Macroscopic Hematuria
D) No response to steroids indication for renal biopsy
E) Massive Proteinuria > 40 mg/m2/hr


60) All are true about ASD except :
A) Ostium primum is the most common type
B) Usually close spontaneously if < 8mm
C) Usually asymptomatic in childhood
D) On physical wide split of S2
E) Plethoric lung fields on CXR

61) All of the following conditions require prophylactic antibiotics to prevent infective endocarditis except :
A) Prosthetic heart valves
B) Isolated secundum ASD
C) TOF
D) Uncorrected aortic stenosis
E) MVP with regurgitation


62) All are true about Retinopathy of prematurity except :
A) It is a major cause of blindness in developed countries
B) Higher risk premature and low birth weight < 1500 gram
C) Retinal detachment is seen in stages 2 and 3
D) High o2 exposure after birth is risk factor

63) All are true about severe life threatening asthma except :
A) Altered consciousness level
B) Cyanosis
C) FEV1 50_70%
D) Silent chest
E) Respiratory acidosis


All Drugs are used for treatment of Acute attack of bronchial asthma except :
A) Salbutamol
B) Ipratropium
C) Inhaled steroids
D) Adrenaline
E) Aminophylline


65) One of the following vaccines is contraindicated in child with Burton agammaglobulinemia :
A) DTap vaccine
B) MMR vaccine
C) Hepatitis B vaccine
D) Pneumococcal vaccine
E) Hib vaccine


66) All are true about Salicylates toxicity except :
A) Early stage cause Hyperventilation and respiratory alkalosis
B) Late stage cause metabolic acidosis and Hypokalemia
C) Hyperthermia is an indication of severe toxicity
D) Nausea ,vomiting , diaphoresis and tinnitus are the earliest signs and symptoms
E) N acetylcysteine is the antidote


67) All are true about developmental dislocation of the HIP except :
A) There is screening program for DDH
B) It usually affect right hip
C) It more common in first born female
D) Breech presentation is risk factor
E) Dynamic ultrasound is the gold standard for diagnosis in first 6 month of life


68) All are signs and symptoms of cystic fibrosis except :
A) Most early sign is meconium ileus
B) Pancreas insufficiency
C) It has screening program in Jordan
D) Finger clubbing
E) Infertility later in life



69) All are true about FMF except :
A) 90 % of patients have thier first attack before the age of 18 years old
B) Common first attack are fever with abdominal pain , joint pain , chest pain , muscle pain or Erysipeloid
C) Complicated by Amyloidosis and kidney failure
D) Mutation in the chromosome 6
E) Colchicine decreases attack frequency



70) All of the following are true hepatitis B except :
A) All hepatitis B carries have antibodies to HBcAg and HBeAg
B) Hepatitis B carries with high HBeAg are more likely to have liver damage
C) It is RNA virus
D) Hepatitis B vaccine presents in Jordan vaccination program

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