اسئلة الاطفال 2016 (1)
1) All are true matching about antidote and substrates except ?
A . Ethylene glycol _ Fomepizole .
B . Iron _ Desferrioxamine .
C . INH _ Thiamine .
D . Lead _ DMSA .
E . Sulfonamides _ Methylene blue .
2) All are signs and symptoms of severe dehydration except ?
A . 15 % infant weight loss
B . Anuria
C . Tachycardia
D . Pulging fontanel
E . Comatose
3) All are causes of hypoglycemia except ?
Hypothyroidism
CAH
Galactosemia
Gigantism
Reye syndrome
4) All are true criteria of DKA except ?
A . Hyperglycemia > 11 mmol/l
B . Anion gap 12
C . PH < 7.3
D . Bicarbonate < 15 mmol/L
E . Serum ketones
5) All are causes of high anion gap metabolic acidosis except ?
Aspirin
Uremia
Lactate
Sepsis
Renal tubular acidosis
6) All are complications of small for gestational age except ?
Hypothermia
Hypoglycemia
Anemia
Necrotizing enterocolitis
Meconium aspiration syndrome
7) All are association with prematurity except ?
Apnoea
Jaundice
Retinopathy
PDA
Meconium aspiration syndrome
8) All are true about Caput succedaneum except ?
A . Diffuse edema on the scalp .
B . Don't cross suture line .
C . Most common cause vacuum vaginal delivery .
D . Rapidly resolves .
E . No anemia or jaundice .
9) All are true physiological jaundice except ?
A . Start after 24 hours .
B . Peak 3_4 th day of life .
C . Resolves by 21 days .
D . Max 14 mg/dl
E . Indirect bilirubin elevation .
10) Most common cause of neonatal seizures is ?
Brain injury
Idiopathic
Meningitis
Hypoglycemia
Kernicterus
11) All are causes of floppy infant except ?
Sepsis
Post_term
Hypoglycemia
Trisomy 21
Werdnig Hoffman disease
12) Self resolving bluish mouth floor swelling is called ?
Epsteins pearls
Ranula
Thrush
Vernix
Myxoma
13) All of the following are neural tube defect except ?
A . Anencephaly
B . Encephalocele
C . Spina bifida occulta
D . Myelo_meningocele
E . Dandy _ Walker malformation
14) Most common cause of heart failure in children ?
Congenital heart defects
Cardiomyopathy
Myocarditis
Kawasaki disease
HTN
15) All of the following infection can cause Hydrops fetalis except ?
Toxoplasmosis
Rubella
CMV
Candidiasis
Parvovirus B19
16) All are clinical features of heart failure in children except ?
Tachypnoea
Failure to thrive
Hepatomegaly
Splenomegaly
Tachycardia
17) All of the following are causes of systolic murmur except ?
Coarctation of aorta
Secundum ASD
HOCM
TOF
PDA
18) All are acyanotic congenital heart disease except ?
PDA
COA
Dextrocardia
TAPVR
HOCM
19) All are true about Jones criteria of Rheumatic fever except ?
Polyarthritis
Long PR interval
Sydenham Chorea
Erythema nodosum
Elevated ESR/CRP
20) All are common causes of Stridor except ?
Choanal atresia
Bronchitis
Macroglossia
Cystic hygroma
Epiglotitis
21) All of the following are bronchodilator for child with bronchial asthma except ?
Terbutaline
Formoterol
Ipratropium
Theophylline
Beclomethasone
22) All are true about Croup except ?
A . It's viral Laryngotracheobronchitis .
B . Children age 6 months _ 6 years .
C . High grade fever .
D . Barking cough .
E . Hoarseness of voice
23) All are causes of Acute diarrhea except ?
Antibiotics
HSP
HUS
Celiac disease
Intussusception
24) Most common cause of failure to thrive ?
Malnutrition
Emotional deprivation
DM
Malabsorption
Congenital heart disease
25) All are true about celiac disease except ?
A . Associated with type one DM , Down syndrome .
B . It's gluten protein enteropathy .
C . Chronic diarrhea .
D . Increased appetite .
E . Peripheral edema .
26) All are causes of Hematuria except ?
Alport syndrome
HSP
SCA
MCD
TB
27) Rib_notching on CXR is characteristic for ?
HOCM
Aortic stenosis
PDA
Coarctation of aorta
TOF
28) All are causes of direct hyperbilirubinemia except ?
Alpha one antitrypsin deficiency
Wilson disease
Sepsis
Thalassemia
Toxoplasmosis
29) All are causes of Polyuria except ?
DI
Fanconi syndrome
Chronic renal failure
Hyperkalemia
Hyperglycemia
30) All are true about Pre_renal cause of Acute renal failure except ?
A . Urine osmolality < 350 mosmol/kg .
B . Urine / plasma cr . ratio > 40 .
C . High urine specific gravity .
D . Urine Na < 20 mmol/l
E . FE NA < 1%
31) All are causes of constipation except ?
Hypothyroidism
Opioids
Functional
Hirschsprung disease
Intussusception
32) All are causes of indirect hyperbilirubinemia except ?
G6PD
Leptospirosis
HUS
Gilbert syndrome
Crigler najjar syndrome
33) Most common cause of renal calculi in children is ?
Congenital malformation
Cystinuria
Hyperurecemia
Chronic UTI
Oxalosis
34) All are causes of HTN in children except ?
Polycystic kidney disease
Renal artery stenosis
Hypoaldosteronism
CAH
Wilms tumor
35) All are true about cystic fibrosis except ?
A . Cough and wheezes .
B . Weight loss .
C . Bloody diarrhea .
D . Malabsorption .
E . Increased chloride level in sweat .
36) All of the following are causes of obesity except ?
A . Prader Willi syndrome
B . Bardet Biedl syndrome
C . Addison disease
D . Pseudo_hypoparathyroidism
E . Cushing disease
37) All are true about DM type one except ?
A . T_cell mediated B_cell destruction .
B . Anti GAD antibodies are positive .
C . Increased catabolism .
D . Candida infection and skin infection .
E . Associated with obesity .
38) All are signs and symptoms of hypoglycemia except ?
Anorexia
Sweating
Syncope
Tachycardia
Tremor
39) All are causes of congenital hypothyroidism except ?
Thyroid dysgenesis
Pendred syndrome
Hashimoto thyroiditis
Iodine deficiency
Empty sella syndrome
40) All are causes of Hypocalcemia except ?
A .Prematurity
B .Digeorge syndrome
C .Hypomagnesemia
D .Pseudo _ Pseudo_hypoparathyroidism
E .Nutritional rickets
41) All are true about vitamin D dependent rickets type one except ?
A . Plasma calcium decreased .
B . Plasma PO4 decreased .
C . Plasma alkaline phosphatase decreased .
D . 1.25(OH)2 D3 decreased .
E . Plasma PTH increased .
42) All are diagnostic criteria for SIADH except ?
A . Serum Na < 120 mmol/L .
B . Plasma osmolality< 270 mosm/kg
C . Urine NA > 20 mmol/L
D . Normal renal , adrenal , thyroid function .
E . No Hypovolemia or hypervolemia .
43) All are signs and symptoms of congenital hypothyroidism except ?
Prolonged time
Obesity
Constipation
Hypotonia
Dry skin
44) All are causes of short stature except ?
Turner syndrome
Fragile x syndrome
Noonan syndrome
Down syndrome
Celiac disease
45) All are true about congenital adrenal hyperplasia except ?
A . Autosomal dominant inheritance .
B . 21 alpha hydroxylase deficiency is the most common form .
C . Mutation in chromosome 6 In 21 alpha hydroxylase deficiency type .
D . Elevated plasma 17 hydroxy_progestrone level .
E . Hyponatremia , Hyperkalemia , metabolic acidosis .
46) Most common cause of gynecomastia in children ?
Leydig cell tumor
Sertoli cell tumor
Germ cell tumor
Pubertal gynecomastia
Androgen insensitivity syndrome
47) All are true about febrile seizures except ?
A . Occur in infant and small children .
B . Temperature > 39
C . Vast majority of febrile seizures are harmful .
D . 95_98% do not go onto develop epilepsy .
E . Mostly generalized tonic clonic .
48) Child can hop on one leg , go up and down stairs one leg at a time , ride bicycle at ?
2 years old
2.5 years old
3 years old
4 years old
15 months old
49) Child can combine 2 words together by the age ?
1.5 years old
2 years old
1 year old
15 months old
9 months old
50) All are causes of macrocytosis except ?
A . Diamond Blackfan syndrome
B . Fanconi anemia
C . Myelodysplastic syndrome
D . Thalassemia
E . Megaloblastic anemia
51) All are adverse prognostic factors for ALL except ?
A . Age < 1 year old or > 10 years old .
B . Philadelphia chromosome t (9:22)
C . Poor response to induction agents .
D . Female gender
E . High WBC at diagnosis .
52) Koplik spots are pathognomonic for ?
Scarlet fever
Measles
Rubella
Parvovirus
Human herpes virus 6
53) The triad of arthritis , colicky abdominal pain and palpable papular purpuric rash over buttocks and lower legs for ?
Polyarteritis nodosa
Wegener Granulomatosis
Takayasu arteritis
HSP
Scleroderma
54) All are causes of Hyperpigmentation except ?
Peutz_Jeghers syndrome
Mongolian spot
Neurofibromatosis
Phenylketonuria
Hypoadrenalism
55) Typical age for intussusception is ?
A . 0_6 months
B . 6_18 months
C . 18_36 months
D . 36_48 months
E . 48_60 months
56) All are causes of Cholestatic jaundice except ?
A . Caroli disease
B . Cystic fibrosis
C . Cholangitis
D . Budd Chiari syndrome
E . Biliary atresia
A . Ethylene glycol _ Fomepizole .
B . Iron _ Desferrioxamine .
C . INH _ Thiamine .
D . Lead _ DMSA .
E . Sulfonamides _ Methylene blue .
2) All are signs and symptoms of severe dehydration except ?
A . 15 % infant weight loss
B . Anuria
C . Tachycardia
D . Pulging fontanel
E . Comatose
3) All are causes of hypoglycemia except ?
Hypothyroidism
CAH
Galactosemia
Gigantism
Reye syndrome
4) All are true criteria of DKA except ?
A . Hyperglycemia > 11 mmol/l
B . Anion gap 12
C . PH < 7.3
D . Bicarbonate < 15 mmol/L
E . Serum ketones
5) All are causes of high anion gap metabolic acidosis except ?
Aspirin
Uremia
Lactate
Sepsis
Renal tubular acidosis
6) All are complications of small for gestational age except ?
Hypothermia
Hypoglycemia
Anemia
Necrotizing enterocolitis
Meconium aspiration syndrome
7) All are association with prematurity except ?
Apnoea
Jaundice
Retinopathy
PDA
Meconium aspiration syndrome
8) All are true about Caput succedaneum except ?
A . Diffuse edema on the scalp .
B . Don't cross suture line .
C . Most common cause vacuum vaginal delivery .
D . Rapidly resolves .
E . No anemia or jaundice .
9) All are true physiological jaundice except ?
A . Start after 24 hours .
B . Peak 3_4 th day of life .
C . Resolves by 21 days .
D . Max 14 mg/dl
E . Indirect bilirubin elevation .
10) Most common cause of neonatal seizures is ?
Brain injury
Idiopathic
Meningitis
Hypoglycemia
Kernicterus
11) All are causes of floppy infant except ?
Sepsis
Post_term
Hypoglycemia
Trisomy 21
Werdnig Hoffman disease
12) Self resolving bluish mouth floor swelling is called ?
Epsteins pearls
Ranula
Thrush
Vernix
Myxoma
13) All of the following are neural tube defect except ?
A . Anencephaly
B . Encephalocele
C . Spina bifida occulta
D . Myelo_meningocele
E . Dandy _ Walker malformation
14) Most common cause of heart failure in children ?
Congenital heart defects
Cardiomyopathy
Myocarditis
Kawasaki disease
HTN
15) All of the following infection can cause Hydrops fetalis except ?
Toxoplasmosis
Rubella
CMV
Candidiasis
Parvovirus B19
16) All are clinical features of heart failure in children except ?
Tachypnoea
Failure to thrive
Hepatomegaly
Splenomegaly
Tachycardia
17) All of the following are causes of systolic murmur except ?
Coarctation of aorta
Secundum ASD
HOCM
TOF
PDA
18) All are acyanotic congenital heart disease except ?
PDA
COA
Dextrocardia
TAPVR
HOCM
19) All are true about Jones criteria of Rheumatic fever except ?
Polyarthritis
Long PR interval
Sydenham Chorea
Erythema nodosum
Elevated ESR/CRP
20) All are common causes of Stridor except ?
Choanal atresia
Bronchitis
Macroglossia
Cystic hygroma
Epiglotitis
21) All of the following are bronchodilator for child with bronchial asthma except ?
Terbutaline
Formoterol
Ipratropium
Theophylline
Beclomethasone
22) All are true about Croup except ?
A . It's viral Laryngotracheobronchitis .
B . Children age 6 months _ 6 years .
C . High grade fever .
D . Barking cough .
E . Hoarseness of voice
23) All are causes of Acute diarrhea except ?
Antibiotics
HSP
HUS
Celiac disease
Intussusception
24) Most common cause of failure to thrive ?
Malnutrition
Emotional deprivation
DM
Malabsorption
Congenital heart disease
25) All are true about celiac disease except ?
A . Associated with type one DM , Down syndrome .
B . It's gluten protein enteropathy .
C . Chronic diarrhea .
D . Increased appetite .
E . Peripheral edema .
26) All are causes of Hematuria except ?
Alport syndrome
HSP
SCA
MCD
TB
27) Rib_notching on CXR is characteristic for ?
HOCM
Aortic stenosis
PDA
Coarctation of aorta
TOF
28) All are causes of direct hyperbilirubinemia except ?
Alpha one antitrypsin deficiency
Wilson disease
Sepsis
Thalassemia
Toxoplasmosis
29) All are causes of Polyuria except ?
DI
Fanconi syndrome
Chronic renal failure
Hyperkalemia
Hyperglycemia
30) All are true about Pre_renal cause of Acute renal failure except ?
A . Urine osmolality < 350 mosmol/kg .
B . Urine / plasma cr . ratio > 40 .
C . High urine specific gravity .
D . Urine Na < 20 mmol/l
E . FE NA < 1%
31) All are causes of constipation except ?
Hypothyroidism
Opioids
Functional
Hirschsprung disease
Intussusception
32) All are causes of indirect hyperbilirubinemia except ?
G6PD
Leptospirosis
HUS
Gilbert syndrome
Crigler najjar syndrome
33) Most common cause of renal calculi in children is ?
Congenital malformation
Cystinuria
Hyperurecemia
Chronic UTI
Oxalosis
34) All are causes of HTN in children except ?
Polycystic kidney disease
Renal artery stenosis
Hypoaldosteronism
CAH
Wilms tumor
35) All are true about cystic fibrosis except ?
A . Cough and wheezes .
B . Weight loss .
C . Bloody diarrhea .
D . Malabsorption .
E . Increased chloride level in sweat .
36) All of the following are causes of obesity except ?
A . Prader Willi syndrome
B . Bardet Biedl syndrome
C . Addison disease
D . Pseudo_hypoparathyroidism
E . Cushing disease
37) All are true about DM type one except ?
A . T_cell mediated B_cell destruction .
B . Anti GAD antibodies are positive .
C . Increased catabolism .
D . Candida infection and skin infection .
E . Associated with obesity .
38) All are signs and symptoms of hypoglycemia except ?
Anorexia
Sweating
Syncope
Tachycardia
Tremor
39) All are causes of congenital hypothyroidism except ?
Thyroid dysgenesis
Pendred syndrome
Hashimoto thyroiditis
Iodine deficiency
Empty sella syndrome
40) All are causes of Hypocalcemia except ?
A .Prematurity
B .Digeorge syndrome
C .Hypomagnesemia
D .Pseudo _ Pseudo_hypoparathyroidism
E .Nutritional rickets
41) All are true about vitamin D dependent rickets type one except ?
A . Plasma calcium decreased .
B . Plasma PO4 decreased .
C . Plasma alkaline phosphatase decreased .
D . 1.25(OH)2 D3 decreased .
E . Plasma PTH increased .
42) All are diagnostic criteria for SIADH except ?
A . Serum Na < 120 mmol/L .
B . Plasma osmolality< 270 mosm/kg
C . Urine NA > 20 mmol/L
D . Normal renal , adrenal , thyroid function .
E . No Hypovolemia or hypervolemia .
43) All are signs and symptoms of congenital hypothyroidism except ?
Prolonged time
Obesity
Constipation
Hypotonia
Dry skin
44) All are causes of short stature except ?
Turner syndrome
Fragile x syndrome
Noonan syndrome
Down syndrome
Celiac disease
45) All are true about congenital adrenal hyperplasia except ?
A . Autosomal dominant inheritance .
B . 21 alpha hydroxylase deficiency is the most common form .
C . Mutation in chromosome 6 In 21 alpha hydroxylase deficiency type .
D . Elevated plasma 17 hydroxy_progestrone level .
E . Hyponatremia , Hyperkalemia , metabolic acidosis .
46) Most common cause of gynecomastia in children ?
Leydig cell tumor
Sertoli cell tumor
Germ cell tumor
Pubertal gynecomastia
Androgen insensitivity syndrome
47) All are true about febrile seizures except ?
A . Occur in infant and small children .
B . Temperature > 39
C . Vast majority of febrile seizures are harmful .
D . 95_98% do not go onto develop epilepsy .
E . Mostly generalized tonic clonic .
48) Child can hop on one leg , go up and down stairs one leg at a time , ride bicycle at ?
2 years old
2.5 years old
3 years old
4 years old
15 months old
49) Child can combine 2 words together by the age ?
1.5 years old
2 years old
1 year old
15 months old
9 months old
50) All are causes of macrocytosis except ?
A . Diamond Blackfan syndrome
B . Fanconi anemia
C . Myelodysplastic syndrome
D . Thalassemia
E . Megaloblastic anemia
51) All are adverse prognostic factors for ALL except ?
A . Age < 1 year old or > 10 years old .
B . Philadelphia chromosome t (9:22)
C . Poor response to induction agents .
D . Female gender
E . High WBC at diagnosis .
52) Koplik spots are pathognomonic for ?
Scarlet fever
Measles
Rubella
Parvovirus
Human herpes virus 6
53) The triad of arthritis , colicky abdominal pain and palpable papular purpuric rash over buttocks and lower legs for ?
Polyarteritis nodosa
Wegener Granulomatosis
Takayasu arteritis
HSP
Scleroderma
54) All are causes of Hyperpigmentation except ?
Peutz_Jeghers syndrome
Mongolian spot
Neurofibromatosis
Phenylketonuria
Hypoadrenalism
55) Typical age for intussusception is ?
A . 0_6 months
B . 6_18 months
C . 18_36 months
D . 36_48 months
E . 48_60 months
56) All are causes of Cholestatic jaundice except ?
A . Caroli disease
B . Cystic fibrosis
C . Cholangitis
D . Budd Chiari syndrome
E . Biliary atresia
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