اسئلة الاطفال 2016 (2)
1 ) In rickets all are true except ?
A . Most case's are due to vitamin D deficiency intake and insufficient sun exposure .
B . The best test to evaluate vitamin D level is to measure 25 hydroxy vitamin D .
C . Decreased alkaline phosphatase .
D . Calcium is usually normal .
E . Most common below 2 years of age .
2 ) A 9 years old girl took fifteen tablets of iron sulfate , the antidote is ?
A . Glucagon .
B . Naloxone .
C . Deferoxamine .
D . N acetyl cysteine .
E . Sodium nitrate .
3 ) Growth hormone is used with proved benefit in all , except ?
A . Small for gestational age
B . Growth hormone deficiency
C . Turner syndrome
D . Achondroplasia
E . Panhypopituitarism
4 ) Most common cause of macroscopic hematuria in children ?
A . UTI .
B . Meatal stenosis .
C . Trauma .
D . IgA nephropathy .
E . Glomerulonephritis .
5 ) How much is the daily maintenance of fluid in a child whose weight 25 kg ?
A . 1600 ml
B . 1800 ml
C . 1900 ml
D . 2200 ml
E . 2500 ml
6 ) The characteristic of the organism that produces the severest form of the disease is ?
A . Infectivity .
B . Resistancy .
C . Virulence .
D . Communicability .
E . Pathogenicity .
7 ) 6 years old boy with bronchial asthma presented to emergency room with cough , wheezes after repetitive ventolin ( Salbutamol ) nebulizer back to back , expected side effect is ?
A . Hyperkalemia .
B . Hyperglycemia .
C . Tremor .
D . Acidosis .
E . Bradycardia .
8 ) 9 years old girl present with UTI , urinary urgency , frequency , smelly urine . The drug of choice is ?
A . Ceftriaxone .
B . Amikacin .
C . Amoxicillin clavulanic acid .
D . Trimethoprim sulfamethoxazole .
E . Clarithromycin .
9 ) A 2 years old child presented to emergency room with high temperature 39.5 , vomiting , neck rigidity . LP was done and CSF analysis WBC 740 cell / ml , CSF glucose one third the level of serum glucose . One is true regarding the treatment ?
A . Initial empirical treatment Ceftriaxone and Vancomycin .
B . Rifampicin is given to close contacts , if the organism is pneumococcus .
C . Dexamethasone is given in case's of meningococcal meningitis .
D . Needs one week isolation .
E . Treatment is usually for 4 weeks .
10 ) One of the following inherited in an autosomal recessive pattern ?
A . G6PD .
B . Galactosemia .
C . Tuberous sclerosis .
D . Hemophilia B .
E . Achondroplasia .
11 ) The most consistent abnormality in Von willebrand disease is a ?
A . Decreased platelet count .
B . Prolonged bleeding time .
C . Prolonged Prothrombin time .
D . Prolonged clotting time .
E . Decreased plasma level of factor 12 .
12 ) The usual presentation of an annular pancreas in childhood is ?
A . Hypoglycemia .
B . Hyperglycemic ketoacidosis .
C . Jaundice .
D . Vomiting .
E . Steatorrhea .
13 ) Among children , Gigantism , omphalocele , neonatal hypoglycemia , Macroglossia are most commonly associated with ?
A . Klinefelter syndrome .
B . Beckwith wiedemann syndrome .
C . Turner syndrome .
D . Marfan syndrome .
E . Pierre Robin sequence .
14 ) Which of the following antibiotics likely will be useful in the treatment infection due to Pseudomonas aeruginosa ?
A . Ceftriaxone .
B . Cefuroxime .
C . Tetracycline .
D . Penicillin .
E . Erythromycin .
15 ) Which agent is indicated in newborns with tricuspid atresia ?
A . Prostaglandin E1 .
B . Prostacyclin .
C . Nitric oxide .
D . Phenylephrine .
E . Norepinephrine .
16 ) A child known to have WPW syndrome presents with pallor , lethargy , HR 250 BPM , patient is in shock , the best treatment ?
A . Digoxin .
B . Bretylium .
C . Adenosine .
D . Propranolol .
E . Synchronized cardioversion 0.5 j/kg .
17 ) Hyperuricemia is seen in which of the following inherited disease ?
A . Gaucher disease .
B . Tay sachs disease .
C . Lesch nyhan syndrome .
D . Galactosemia .
E . Cystic fibrosis .
18 ) Which of the following sequel of Kawasaki disease is most common ?
A . Fulminant hepatitis
B . Coronary artery aneurysm
C . Recurrent pericarditis
D . Cerebral edema
E . Renal failure
19 ) All are causes of aplastic anemia except ?
A . CMV .
B . EBV .
C . Chloramphenicol .
D . Hypersplenism .
E . Leukemia .
20 ) All are causes of hypoglycemia except ?
A . Galactosemia
B . Glycogen storage disease
C . Neonatal sepsis
D . Infant of diabetic mother
E . Mucopolysaccharidosis
21 ) Ordinarily the first dose of MMR vaccine should be administered ?
A . At 2 months of age .
B . At 6 _ 9 months of age .
C . At 12 _ 15 months of age .
D . At 24 months of age .
E . At the time of school entry .
22 ) Of the following infections , which is most likely to present with intestinal obstruction ?
A . Enterobius vermicularis .
B . Necator americanus .
C . Ascaris lumbricoides .
D . Strongyloides stercoralis .
E . Trichuris trichiura .
23 ) Epiglottitis is caused by ?
A . Streptococcus pneumonia .
B . Staphylococcus aureus .
C . Haemophilus influenzae .
D . RSV .
E . Influenza virus type A .
24 ) A 5 years old child comes to the immunization centre without BCG scar on his arm . What would you prefer ?
A . Give BCG vaccine .
B . Chemoprophylaxis .
C . No need of BCG .
D . Perform mantoux if positive then give BCG .
E . Perform mantoux if negative then give BCG .
25 ) 6 years old girl , presented with jaundice , lethargy , abdominal pain and vomiting . Five other girls at her class had similar symptoms . You suspect Hepatitis A infection . The confirmatory test is ?
A . HBs antibody .
B . HBsAg .
C . HAV IgM .
D . HAV IgG .
E . HBe antibody .
26 ) Which of the following valves is commonly affected with acute rheumatic fever ?
A . Aortic valve .
B . Mitral valve .
C . Tricuspid valve .
D . Pulmonary valve .
E . All valves are equally affected .
27 ) Most common cause of anemia in a one year old child is ?
A . Vitamin B12 deficiency .
B . Folic acid deficiency .
C . Thalassemia .
D . Iron deficiency .
E . G6PD .
28 ) One year old girl brought to the hospital for an attack of generalized tonic clonic seizures stopped spontaneously after 7 minutes . Her temperature was found to be 39.3 . Which of the following must be done in regards to management ?
A . LP
B . EEG
C . Valproic acid after second attack
D . Brain CT scan
E . Diazepam IV
29 ) 10 day's old male newborn has a history of recurrent vomiting , not gaining weight dehydration and hypotension . His serum sodium 128 meq/ L , K 6.3 meq / L . The first diagnosis to be considered is ?
A . 21 alpha hydroxylase deficiency .
B . 11 beta hydroxylase deficiency .
C . Addison disease .
D . Renal tubular acidosis .
E . Gastroenteritis .
30 ) A 10 day old boy presented with vomiting , dehydration and hypotension . Na 112 , K 7.5 , glucose 65 g/dL . The best management is to give ?
A . Antibiotics and IV fluids .
B . Hydrocortisone with normal saline .
C . Adrenaline SC .
D . Normal saline .
E . Sodium bicarbonate and calcium gluconate .
31 ) A 10 month old infant has attacks of colicky pain for the last several hours with vomiting . Abdominal exam revealed tender small right upper abdominal mass . PR _ bloody mucus . The most likely diagnosis ?
A . Acute appendicitis .
B . Acute cholecystitis .
C . Acute Fulminant hepatitis .
D . Hirschsprung disease .
E . Intussusception .
32 ) Which of the following is an example of newly emergency disease ?
A . Sudden acute respiratory syndrome .
B . Malaria .
C . Dengue .
D . Tuberculosis .
E . Staphylococcal disease .
33 ) All are potential causes of congenital chronic diarrhea except ?
A . Tufting enteropathy .
B . Celiac disease .
C . Microvillus inclusion .
D . Congenital chloride diarrhea .
E . IPEX syndrome .
34 ) Regarding treatment of diabetic ketoacidosis , one of the following action is true ?
A . Bolus insulin on arrival .
B . Sodium bicarbonate when PH is 7.10 or less .
C . KCL only when potassium level is low in serum .
D . Normal saline at presentation .
E . Mannitol when PH is less than 6.9 .
35 ) All are part of national vaccination program except ?
A . H influenzae .
B . Rotavirus .
C . Polio .
D . Pertussis .
E . Streptococcus pneumonia .
36 ) All are true about DM type one except ?
A . It's autosomal recessive disease .
B . Caused by autoimmune damage of B cells .
C . More common with celiac disease .
D . Treated only with insulin .
E . Associated with absolute deficiency of insulin .
37 ) All are causes of non cyanotic heart disease except ?
A . VSD
B . ASD
C . PDA
D . PFO
E . TAPVR
38 ) All are third generation cephalosporin except ?
A . Cefepime
B . Cefixime
C . Ceftoaxime
D . Ceftazidime
E . Ceftriaxone
39 ) A 6 years old girl presented to the emergency room for history of itching , drowsiness , hypotension and Stridor . The most important step in management ?
A . Give antihistamine .
B . Give hydrocortisone .
C . Give adrenaline .
D . Intubate and give oxygen .
E . Give normal saline 20 cc / kg .
40 ) A one day old normal full term newborn baby will have all of the following except ?
A . Head circumference of almost 35 cm .
B . Length of about 50 cm .
C . Sucking reflex .
D . Parachute reflex .
E . Spontaneous smile .
41 ) Drug of choice for uncomplicated community acquired pneumonia in a child is ?
A . High dose amoxicillin .
B . Clindamycin .
C . Levofloxacin .
D . Ceftriaxone and Vancomycin .
E . Amikacin and Ampicillin .
42 ) Patient with Down syndrome are at increased risk of all of the following except ?
A . Road traffic accidents .
B . Epilepsy .
C . Leukemia .
D . Intestinal atresia .
E . Celiac disease .
43 ) 10 month old boy presented with vomiting and bloody diarrhea associated with high grade fever . The most likely cause is ?
A . Norwalk gastroenteritis .
B . Shigella gastroenteritis .
C . Cryptosporidium gastroenteritis .
D . Staphylococcus aureus food poisoning .
E . Amebiasis .
44 ) Which one of these vaccines is not a live vaccine ?
A . Measles
B . Rubella
C . Mumps
D . Varicella
E . Tetanus
45 ) All are features of hemolytic anemia except ?
A . Direct hyperbilirubinemia .
B . High AST .
C . Low haptoglobin .
D . Low hemoglobin .
E . Increase reticulocyte count in serum .
46 ) 11 years old girl presented with diffuse non tender goiter , TSH was 10 mlu/ L , normal T4 , the first in investigation is to do ?
A . Thyroid ultrasound .
B . Thyroid isotope scan .
C . Antithyroid antibodies .
D . Neck CT scan .
E . Free T3 .
47 ) Average growth parameters for one year old normal male child are ?
A . Height 75 cm , weight 10 kg , head circumference 46 cm .
B . Height 65 cm , weight 10 kg , head circumference 45 cm .
C . Height 75 cm , weight 8 kg , head circumference 47 cm .
D . Height 67 cm , weight 10 kg , head circumference 47 cm .
E . Height 70 cm , weight 12 kg , head circumference 40 cm .
48 ) Regarding urinary tract infection in children . All are risk factors for the disease except ?
A . Stones in the urinary tract .
B . Meningomyelocele .
C . Down syndrome .
D . Pinworm infection .
E . Bladder outlet obstruction .
49 ) The most appropriate antimicrobial therapy for a 5 year old boy with Mycoplasma pneumonia is ?
A . Ceftriaxone .
B . Ciprofloxacin .
C . Meropenem .
D . Doxycycline .
E . Azithromycin .
50 ) All of the following disease can cause HTN in children except ?
A . Renal artery stenosis .
B . Neuroblastoma .
C . Pheochromocytoma .
D . Cystic fibrosis .
E . Coarctation of the aorta .
51 ) A term baby delivered by cesarean section , at one minute had heart rate 120 BPM , breathing regularly , fixed upper and lower limbs , he was sneezing with blue lips and hands . His APGAR score is ?
A . 10
B . 8
C . 7
D . 9
E . 6
52 ) All are features of heart failure in neonate except ?
A . Tachycardia
B . Tachypnea
C . Poor feeding
D . Lower limb edema
E . Sweating during feeding
53 ) All are contraindication to breastfeeding except ?
A . Mother receiving chemotherapy .
B . Maternal drug abuse .
C . Maternal hepatitis B .
D . Maternal active tuberculosis .
E . Infant diagnosed with Galactosemia .
54 ) An 18 month old child is planned for Hypospadias surgery , weight 12 kg . The fluid type that can be used as maintenance is ?
A . Normal saline 0.9% .
B . Ringer lactate .
C . Dextrose 5% .
D . Saline 0.2% .
E . Dextrose 5% saline 0.9% .
55 ) In the management of an attack of neonatal seizure , the first step is ?
A . Valproic acid .
B . Diazepam .
C . Carbamazepine .
D . Phenobarbital .
E . Glucose IV .
56 ) A 9 year old boy with hemophilia B is expected to have ?
A . Prolonged PT .
B . Prolonged PTT .
C . Low level Von willebrand factor .
D . Thrombocytopenia .
E . Moderate reduction in factor 8 level .
57 ) Most common cause of ataxia in children ?
A . Encephalitis
B . Anticonvulsant drug's overdose
C . Hydrocephalus
D . Cerebellar hemorrhage
E . Acute cerebellar ataxia
58 ) The most common complication of mumps in children is ?
A . Orchitis
B . Pneumonia
C . Nephritis
D . Deafness
E . Meningoencephalitis
59 ) All are causes of persistent vomiting in a neonate except ?
A . Meconium ileus
B . Duodenal Artesia
C . Volvulus
D . Severe GERD
E . Cyclic vomiting
60 ) How much is the BMI of a child whose weight is 22 kg and height is 100 cm ?
A . 44
B . 22
C . 25
D . 20
E . 11
61 ) One of the following is the most common cause of Myocarditis in children ?
A . Staphylococcus aureus .
B . Streptococcus infection .
C . Enterovirus .
D . EBV .
E . Influenza A virus .
62 ) Regarding Ascariasis one is true ?
A . It's caused by enterobius vermicularis .
B . Most commonly present with itching .
C . Associated with Eosinopenia .
D . Cough and bloody sputum is a well recognized symptoms .
E . It's treated with metronidazole .
63 ) A 10 month old child will be able to do all the following except ?
A . Sit alone .
B . Walk alone .
C . Pincer grasp .
D . Respond to name .
E . Waves bye bye .
64 ) A 10 day old male newborn brought to you for Hypoactivity , vomiting , diarrhea . The best management is to ?
A . Refer him to the hospital for investigations and treatment .
B . Give Ampicillin at home .
C . Give IV fluids and discharge home .
D . Give oral rehydration solution .
E . Give Cotrimoxazole and ORS at home .
65 ) All are suggestive of primary immunodeficiency except ?
A . Increased susceptibility to infection .
B . Prolonged infection with poor response to antibiotics .
C . Infection with low virulence microorganisms .
D . Syndrome complex .
E . Normal Nitroblue tetrazolium test .
66 ) All are recognized complications of prematurity except ?
A . Necrotizing enterocolitis .
B . Bronchopulmonary dysplasia .
C . Intraventricular hemorrhage .
D . Respiratory distress syndrome .
E . Shoulder dystocia .
67 ) 11 years old boy epileptic , presented to the emergency room with generalized tonic clonic convulsion . Treatment of choice to abort this seizure ?
A . IV diazepam .
B . IV Baclofen .
C . PO Phenobarbital .
D . PO Phenytoin .
E . PO Carbamazepine .
68 ) All are good prognosis features in childhood leukemia except ?
A . Age between 1 _ 9 years .
B . WBCs count > 50000 at diagnosis .
C . Pre_B subtype .
D . Being female .
E . Children with 12 to 21 chromosome translocation .
69 ) 10 month old girl with acute gastroenteritis , her serum Na 122 . Evidence of Extrarenal loss in this patient is ?
A . High serum osmolarity .
B . Peripheral edema .
C . Urine Na concentration of less than 20 meq/L .
D . Tachycardia .
E . Hyperglycemia .
70 ) When a new treatment is developed that delays death's but does not produce recovery from a chronic disease , which of the following will occur ?
A . Prevalence of the disease will decrease .
B . Prevalence of the disease will increase .
C . Incidence of the disease will decrease .
D . Incidence of the disease will increase .
E . Incidence and prevalence will decrease .
71 ) A 3 years old male come to emergency room for purpuric rash at the lower limbs and buttock for the last 2 days . The most likely diagnosis ?
A . Acute lymphoblastic lymphoma .
B . Autoimmune thrombocytopenic purpura .
C . Henoch schonlein purpura .
D . Insect bites .
E . Drug induced eruption .
72 ) All are suggestive of physiological neonatal jaundice except ?
A . Bilirubin < 12 mg/dL .
B . Jaundice started on the first day of life .
C . Unconjugated hyperbilirubinemia .
D . Peaked bilirubin at 3 _ 5 day of life in term .
E . Resolved by age one week of life in term babies .
73 ) 18 years old boy has history of weight loss , fever , night sweats and pruritus . Clinical exam _ painless firm cervical lymphadenopathy , the most valuable test is ?
A . Chest CT scan .
B . PPD and CXR .
C . Lymph node biopsy .
D . CBC and blood film .
E . Bone marrow aspiration .
74 ) A 5 years old boy is brought to the emergency room with history of dog bite . Exam revealed multiple transdermal bites on the left leg . The best management is ?
A . Anti rabies serum , suturing wound , tetanus toxoid .
B . Anti rabies serum , suturing wound , rabies vaccine .
C . Rabies vaccine , leave wound open , tetanus toxoid , anti rabies serum .
D . Rabies vaccine , leave wound open , tetanus toxoid .
E . No treatment if the dog disappears .
A . Most case's are due to vitamin D deficiency intake and insufficient sun exposure .
B . The best test to evaluate vitamin D level is to measure 25 hydroxy vitamin D .
C . Decreased alkaline phosphatase .
D . Calcium is usually normal .
E . Most common below 2 years of age .
2 ) A 9 years old girl took fifteen tablets of iron sulfate , the antidote is ?
A . Glucagon .
B . Naloxone .
C . Deferoxamine .
D . N acetyl cysteine .
E . Sodium nitrate .
3 ) Growth hormone is used with proved benefit in all , except ?
A . Small for gestational age
B . Growth hormone deficiency
C . Turner syndrome
D . Achondroplasia
E . Panhypopituitarism
4 ) Most common cause of macroscopic hematuria in children ?
A . UTI .
B . Meatal stenosis .
C . Trauma .
D . IgA nephropathy .
E . Glomerulonephritis .
5 ) How much is the daily maintenance of fluid in a child whose weight 25 kg ?
A . 1600 ml
B . 1800 ml
C . 1900 ml
D . 2200 ml
E . 2500 ml
6 ) The characteristic of the organism that produces the severest form of the disease is ?
A . Infectivity .
B . Resistancy .
C . Virulence .
D . Communicability .
E . Pathogenicity .
7 ) 6 years old boy with bronchial asthma presented to emergency room with cough , wheezes after repetitive ventolin ( Salbutamol ) nebulizer back to back , expected side effect is ?
A . Hyperkalemia .
B . Hyperglycemia .
C . Tremor .
D . Acidosis .
E . Bradycardia .
8 ) 9 years old girl present with UTI , urinary urgency , frequency , smelly urine . The drug of choice is ?
A . Ceftriaxone .
B . Amikacin .
C . Amoxicillin clavulanic acid .
D . Trimethoprim sulfamethoxazole .
E . Clarithromycin .
9 ) A 2 years old child presented to emergency room with high temperature 39.5 , vomiting , neck rigidity . LP was done and CSF analysis WBC 740 cell / ml , CSF glucose one third the level of serum glucose . One is true regarding the treatment ?
A . Initial empirical treatment Ceftriaxone and Vancomycin .
B . Rifampicin is given to close contacts , if the organism is pneumococcus .
C . Dexamethasone is given in case's of meningococcal meningitis .
D . Needs one week isolation .
E . Treatment is usually for 4 weeks .
10 ) One of the following inherited in an autosomal recessive pattern ?
A . G6PD .
B . Galactosemia .
C . Tuberous sclerosis .
D . Hemophilia B .
E . Achondroplasia .
11 ) The most consistent abnormality in Von willebrand disease is a ?
A . Decreased platelet count .
B . Prolonged bleeding time .
C . Prolonged Prothrombin time .
D . Prolonged clotting time .
E . Decreased plasma level of factor 12 .
12 ) The usual presentation of an annular pancreas in childhood is ?
A . Hypoglycemia .
B . Hyperglycemic ketoacidosis .
C . Jaundice .
D . Vomiting .
E . Steatorrhea .
13 ) Among children , Gigantism , omphalocele , neonatal hypoglycemia , Macroglossia are most commonly associated with ?
A . Klinefelter syndrome .
B . Beckwith wiedemann syndrome .
C . Turner syndrome .
D . Marfan syndrome .
E . Pierre Robin sequence .
14 ) Which of the following antibiotics likely will be useful in the treatment infection due to Pseudomonas aeruginosa ?
A . Ceftriaxone .
B . Cefuroxime .
C . Tetracycline .
D . Penicillin .
E . Erythromycin .
15 ) Which agent is indicated in newborns with tricuspid atresia ?
A . Prostaglandin E1 .
B . Prostacyclin .
C . Nitric oxide .
D . Phenylephrine .
E . Norepinephrine .
16 ) A child known to have WPW syndrome presents with pallor , lethargy , HR 250 BPM , patient is in shock , the best treatment ?
A . Digoxin .
B . Bretylium .
C . Adenosine .
D . Propranolol .
E . Synchronized cardioversion 0.5 j/kg .
17 ) Hyperuricemia is seen in which of the following inherited disease ?
A . Gaucher disease .
B . Tay sachs disease .
C . Lesch nyhan syndrome .
D . Galactosemia .
E . Cystic fibrosis .
18 ) Which of the following sequel of Kawasaki disease is most common ?
A . Fulminant hepatitis
B . Coronary artery aneurysm
C . Recurrent pericarditis
D . Cerebral edema
E . Renal failure
19 ) All are causes of aplastic anemia except ?
A . CMV .
B . EBV .
C . Chloramphenicol .
D . Hypersplenism .
E . Leukemia .
20 ) All are causes of hypoglycemia except ?
A . Galactosemia
B . Glycogen storage disease
C . Neonatal sepsis
D . Infant of diabetic mother
E . Mucopolysaccharidosis
21 ) Ordinarily the first dose of MMR vaccine should be administered ?
A . At 2 months of age .
B . At 6 _ 9 months of age .
C . At 12 _ 15 months of age .
D . At 24 months of age .
E . At the time of school entry .
22 ) Of the following infections , which is most likely to present with intestinal obstruction ?
A . Enterobius vermicularis .
B . Necator americanus .
C . Ascaris lumbricoides .
D . Strongyloides stercoralis .
E . Trichuris trichiura .
23 ) Epiglottitis is caused by ?
A . Streptococcus pneumonia .
B . Staphylococcus aureus .
C . Haemophilus influenzae .
D . RSV .
E . Influenza virus type A .
24 ) A 5 years old child comes to the immunization centre without BCG scar on his arm . What would you prefer ?
A . Give BCG vaccine .
B . Chemoprophylaxis .
C . No need of BCG .
D . Perform mantoux if positive then give BCG .
E . Perform mantoux if negative then give BCG .
25 ) 6 years old girl , presented with jaundice , lethargy , abdominal pain and vomiting . Five other girls at her class had similar symptoms . You suspect Hepatitis A infection . The confirmatory test is ?
A . HBs antibody .
B . HBsAg .
C . HAV IgM .
D . HAV IgG .
E . HBe antibody .
26 ) Which of the following valves is commonly affected with acute rheumatic fever ?
A . Aortic valve .
B . Mitral valve .
C . Tricuspid valve .
D . Pulmonary valve .
E . All valves are equally affected .
27 ) Most common cause of anemia in a one year old child is ?
A . Vitamin B12 deficiency .
B . Folic acid deficiency .
C . Thalassemia .
D . Iron deficiency .
E . G6PD .
28 ) One year old girl brought to the hospital for an attack of generalized tonic clonic seizures stopped spontaneously after 7 minutes . Her temperature was found to be 39.3 . Which of the following must be done in regards to management ?
A . LP
B . EEG
C . Valproic acid after second attack
D . Brain CT scan
E . Diazepam IV
29 ) 10 day's old male newborn has a history of recurrent vomiting , not gaining weight dehydration and hypotension . His serum sodium 128 meq/ L , K 6.3 meq / L . The first diagnosis to be considered is ?
A . 21 alpha hydroxylase deficiency .
B . 11 beta hydroxylase deficiency .
C . Addison disease .
D . Renal tubular acidosis .
E . Gastroenteritis .
30 ) A 10 day old boy presented with vomiting , dehydration and hypotension . Na 112 , K 7.5 , glucose 65 g/dL . The best management is to give ?
A . Antibiotics and IV fluids .
B . Hydrocortisone with normal saline .
C . Adrenaline SC .
D . Normal saline .
E . Sodium bicarbonate and calcium gluconate .
31 ) A 10 month old infant has attacks of colicky pain for the last several hours with vomiting . Abdominal exam revealed tender small right upper abdominal mass . PR _ bloody mucus . The most likely diagnosis ?
A . Acute appendicitis .
B . Acute cholecystitis .
C . Acute Fulminant hepatitis .
D . Hirschsprung disease .
E . Intussusception .
32 ) Which of the following is an example of newly emergency disease ?
A . Sudden acute respiratory syndrome .
B . Malaria .
C . Dengue .
D . Tuberculosis .
E . Staphylococcal disease .
33 ) All are potential causes of congenital chronic diarrhea except ?
A . Tufting enteropathy .
B . Celiac disease .
C . Microvillus inclusion .
D . Congenital chloride diarrhea .
E . IPEX syndrome .
34 ) Regarding treatment of diabetic ketoacidosis , one of the following action is true ?
A . Bolus insulin on arrival .
B . Sodium bicarbonate when PH is 7.10 or less .
C . KCL only when potassium level is low in serum .
D . Normal saline at presentation .
E . Mannitol when PH is less than 6.9 .
35 ) All are part of national vaccination program except ?
A . H influenzae .
B . Rotavirus .
C . Polio .
D . Pertussis .
E . Streptococcus pneumonia .
36 ) All are true about DM type one except ?
A . It's autosomal recessive disease .
B . Caused by autoimmune damage of B cells .
C . More common with celiac disease .
D . Treated only with insulin .
E . Associated with absolute deficiency of insulin .
37 ) All are causes of non cyanotic heart disease except ?
A . VSD
B . ASD
C . PDA
D . PFO
E . TAPVR
38 ) All are third generation cephalosporin except ?
A . Cefepime
B . Cefixime
C . Ceftoaxime
D . Ceftazidime
E . Ceftriaxone
39 ) A 6 years old girl presented to the emergency room for history of itching , drowsiness , hypotension and Stridor . The most important step in management ?
A . Give antihistamine .
B . Give hydrocortisone .
C . Give adrenaline .
D . Intubate and give oxygen .
E . Give normal saline 20 cc / kg .
40 ) A one day old normal full term newborn baby will have all of the following except ?
A . Head circumference of almost 35 cm .
B . Length of about 50 cm .
C . Sucking reflex .
D . Parachute reflex .
E . Spontaneous smile .
41 ) Drug of choice for uncomplicated community acquired pneumonia in a child is ?
A . High dose amoxicillin .
B . Clindamycin .
C . Levofloxacin .
D . Ceftriaxone and Vancomycin .
E . Amikacin and Ampicillin .
42 ) Patient with Down syndrome are at increased risk of all of the following except ?
A . Road traffic accidents .
B . Epilepsy .
C . Leukemia .
D . Intestinal atresia .
E . Celiac disease .
43 ) 10 month old boy presented with vomiting and bloody diarrhea associated with high grade fever . The most likely cause is ?
A . Norwalk gastroenteritis .
B . Shigella gastroenteritis .
C . Cryptosporidium gastroenteritis .
D . Staphylococcus aureus food poisoning .
E . Amebiasis .
44 ) Which one of these vaccines is not a live vaccine ?
A . Measles
B . Rubella
C . Mumps
D . Varicella
E . Tetanus
45 ) All are features of hemolytic anemia except ?
A . Direct hyperbilirubinemia .
B . High AST .
C . Low haptoglobin .
D . Low hemoglobin .
E . Increase reticulocyte count in serum .
46 ) 11 years old girl presented with diffuse non tender goiter , TSH was 10 mlu/ L , normal T4 , the first in investigation is to do ?
A . Thyroid ultrasound .
B . Thyroid isotope scan .
C . Antithyroid antibodies .
D . Neck CT scan .
E . Free T3 .
47 ) Average growth parameters for one year old normal male child are ?
A . Height 75 cm , weight 10 kg , head circumference 46 cm .
B . Height 65 cm , weight 10 kg , head circumference 45 cm .
C . Height 75 cm , weight 8 kg , head circumference 47 cm .
D . Height 67 cm , weight 10 kg , head circumference 47 cm .
E . Height 70 cm , weight 12 kg , head circumference 40 cm .
48 ) Regarding urinary tract infection in children . All are risk factors for the disease except ?
A . Stones in the urinary tract .
B . Meningomyelocele .
C . Down syndrome .
D . Pinworm infection .
E . Bladder outlet obstruction .
49 ) The most appropriate antimicrobial therapy for a 5 year old boy with Mycoplasma pneumonia is ?
A . Ceftriaxone .
B . Ciprofloxacin .
C . Meropenem .
D . Doxycycline .
E . Azithromycin .
50 ) All of the following disease can cause HTN in children except ?
A . Renal artery stenosis .
B . Neuroblastoma .
C . Pheochromocytoma .
D . Cystic fibrosis .
E . Coarctation of the aorta .
51 ) A term baby delivered by cesarean section , at one minute had heart rate 120 BPM , breathing regularly , fixed upper and lower limbs , he was sneezing with blue lips and hands . His APGAR score is ?
A . 10
B . 8
C . 7
D . 9
E . 6
52 ) All are features of heart failure in neonate except ?
A . Tachycardia
B . Tachypnea
C . Poor feeding
D . Lower limb edema
E . Sweating during feeding
53 ) All are contraindication to breastfeeding except ?
A . Mother receiving chemotherapy .
B . Maternal drug abuse .
C . Maternal hepatitis B .
D . Maternal active tuberculosis .
E . Infant diagnosed with Galactosemia .
54 ) An 18 month old child is planned for Hypospadias surgery , weight 12 kg . The fluid type that can be used as maintenance is ?
A . Normal saline 0.9% .
B . Ringer lactate .
C . Dextrose 5% .
D . Saline 0.2% .
E . Dextrose 5% saline 0.9% .
55 ) In the management of an attack of neonatal seizure , the first step is ?
A . Valproic acid .
B . Diazepam .
C . Carbamazepine .
D . Phenobarbital .
E . Glucose IV .
56 ) A 9 year old boy with hemophilia B is expected to have ?
A . Prolonged PT .
B . Prolonged PTT .
C . Low level Von willebrand factor .
D . Thrombocytopenia .
E . Moderate reduction in factor 8 level .
57 ) Most common cause of ataxia in children ?
A . Encephalitis
B . Anticonvulsant drug's overdose
C . Hydrocephalus
D . Cerebellar hemorrhage
E . Acute cerebellar ataxia
58 ) The most common complication of mumps in children is ?
A . Orchitis
B . Pneumonia
C . Nephritis
D . Deafness
E . Meningoencephalitis
59 ) All are causes of persistent vomiting in a neonate except ?
A . Meconium ileus
B . Duodenal Artesia
C . Volvulus
D . Severe GERD
E . Cyclic vomiting
60 ) How much is the BMI of a child whose weight is 22 kg and height is 100 cm ?
A . 44
B . 22
C . 25
D . 20
E . 11
61 ) One of the following is the most common cause of Myocarditis in children ?
A . Staphylococcus aureus .
B . Streptococcus infection .
C . Enterovirus .
D . EBV .
E . Influenza A virus .
62 ) Regarding Ascariasis one is true ?
A . It's caused by enterobius vermicularis .
B . Most commonly present with itching .
C . Associated with Eosinopenia .
D . Cough and bloody sputum is a well recognized symptoms .
E . It's treated with metronidazole .
63 ) A 10 month old child will be able to do all the following except ?
A . Sit alone .
B . Walk alone .
C . Pincer grasp .
D . Respond to name .
E . Waves bye bye .
64 ) A 10 day old male newborn brought to you for Hypoactivity , vomiting , diarrhea . The best management is to ?
A . Refer him to the hospital for investigations and treatment .
B . Give Ampicillin at home .
C . Give IV fluids and discharge home .
D . Give oral rehydration solution .
E . Give Cotrimoxazole and ORS at home .
65 ) All are suggestive of primary immunodeficiency except ?
A . Increased susceptibility to infection .
B . Prolonged infection with poor response to antibiotics .
C . Infection with low virulence microorganisms .
D . Syndrome complex .
E . Normal Nitroblue tetrazolium test .
66 ) All are recognized complications of prematurity except ?
A . Necrotizing enterocolitis .
B . Bronchopulmonary dysplasia .
C . Intraventricular hemorrhage .
D . Respiratory distress syndrome .
E . Shoulder dystocia .
67 ) 11 years old boy epileptic , presented to the emergency room with generalized tonic clonic convulsion . Treatment of choice to abort this seizure ?
A . IV diazepam .
B . IV Baclofen .
C . PO Phenobarbital .
D . PO Phenytoin .
E . PO Carbamazepine .
68 ) All are good prognosis features in childhood leukemia except ?
A . Age between 1 _ 9 years .
B . WBCs count > 50000 at diagnosis .
C . Pre_B subtype .
D . Being female .
E . Children with 12 to 21 chromosome translocation .
69 ) 10 month old girl with acute gastroenteritis , her serum Na 122 . Evidence of Extrarenal loss in this patient is ?
A . High serum osmolarity .
B . Peripheral edema .
C . Urine Na concentration of less than 20 meq/L .
D . Tachycardia .
E . Hyperglycemia .
70 ) When a new treatment is developed that delays death's but does not produce recovery from a chronic disease , which of the following will occur ?
A . Prevalence of the disease will decrease .
B . Prevalence of the disease will increase .
C . Incidence of the disease will decrease .
D . Incidence of the disease will increase .
E . Incidence and prevalence will decrease .
71 ) A 3 years old male come to emergency room for purpuric rash at the lower limbs and buttock for the last 2 days . The most likely diagnosis ?
A . Acute lymphoblastic lymphoma .
B . Autoimmune thrombocytopenic purpura .
C . Henoch schonlein purpura .
D . Insect bites .
E . Drug induced eruption .
72 ) All are suggestive of physiological neonatal jaundice except ?
A . Bilirubin < 12 mg/dL .
B . Jaundice started on the first day of life .
C . Unconjugated hyperbilirubinemia .
D . Peaked bilirubin at 3 _ 5 day of life in term .
E . Resolved by age one week of life in term babies .
73 ) 18 years old boy has history of weight loss , fever , night sweats and pruritus . Clinical exam _ painless firm cervical lymphadenopathy , the most valuable test is ?
A . Chest CT scan .
B . PPD and CXR .
C . Lymph node biopsy .
D . CBC and blood film .
E . Bone marrow aspiration .
74 ) A 5 years old boy is brought to the emergency room with history of dog bite . Exam revealed multiple transdermal bites on the left leg . The best management is ?
A . Anti rabies serum , suturing wound , tetanus toxoid .
B . Anti rabies serum , suturing wound , rabies vaccine .
C . Rabies vaccine , leave wound open , tetanus toxoid , anti rabies serum .
D . Rabies vaccine , leave wound open , tetanus toxoid .
E . No treatment if the dog disappears .
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