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1-Regarding CRETINISM , one is correct

a. dysgenesis is by far the most common cause
b. incidence is 1 / 40,000 live births
c. diarrhea is common presentation
d. appetite is voracious
e. small birth weight
2-Seizures in neonate can present in any of the following type , except :
a. subtle
b. clonic
c. generalized tonic – clonic
d. myoclonic
e. tonic

The drug of choice for neonatal seizure is:
valproic acid

4- For the differential diagnosis of SOMOGYI and DAWN phenomenae, we need to check
blood sugar, At:
a. 3 am and 7 am
b. 6 am and 12 midnight
c. 6 am and 6 pm
d. 12 mid-day and 12 midnight
e. 6 hrs interval
5-All these features can present in KAWASAKI’s disease except:
a. bilateral bulbar conjunctivitis without exudates
b. strawberry tongue
c. desquamation of fingers
d. axillary lymphadenopathy
e. polymorphic skin rash primarily truncal
6-Regarding Enuresis, one is correct :
a. most children achieve bladder control during day and night by the age of 5 yrs
b. organic causes present in more than 50% of cases
c. female predominate
d. no spontaneous resolution
e. secondary enuresis > 90 % of cases
7-Regarding DIABETES MELLITUS , one is correct :
a. improved control decrease complications
b. caloric mixture compromise 55% Fat, 15% carbohydrate and 30% protein
c. insulin requirements increase during Honey- moon period
d. no need for insulin during febrile illness
e. hypersensitivity to human insulin is common
8-Nephritic syndrome includes all the following, except:
a. gross hematuria
b. edema
c. hyperlipidemia
d. hypertension
e. albuminuria (proteinuria)

Which of the following disorders is most likely to produce these findings? a. A physical examination reveals hepatomegaly. subcutaneous nodules e.Major manifestations of rheumatic fever include all the following. drug of choice is long acting penicillin b. onset before 10 yrs in males c. except: a. erythema multiforme d. migratory arthritis b.Regarding rheumatic fever. joint involvement leads to deformity 13. antidepressants e. punishment c. carditis c.9. The eyes show cataract formation in the crystalline lenses.A 7-month-old infant has failure to thrive. metronidazole can be used in case of penicillin sensitivity c.Regarding precocious puberty one is correct : a. Developmental neurological milestones are not being met. onset before 9 yrs in female b.All considered steps in enuresis management. it is a rare cause of acquired heart disease in developing countries c. Homocystinuria e. oral prophylaxis is enough 12. desmopressin 14. star chart b. no association with HLA markers d. peak age is 5-15 yrs b. duration is life long in all cases e. patients need no prophylaxis for dental surgery if there is evidence of rheumatic heart disease d. one is correct: a. with vomiting and diarrhea noted since 1 month of age.Regarding secondary prophylaxis for rheumatic fever. chorea 11. congenital adrenal hyperplasia is a cause of delayed puberty e. Congenital rubella syndrome . Phenylketonuria d. one is correct : a. Hunters disease b. Galactosemia c. complication of streptococcal infection (beta hemolytic group B) w. leads finally to tall stature 10. The baby dies of fulminant Escherichia coli septicemia at 8 months of age. conditioning device d. except: a. most cases in females are idiopathic d.

Neisseria meningitides d. Escherichia coli. ventilate with bag and mask d.A mother brings to you her 5 years old boy for short stature. Serratia. At delivery the baby is covered with thick meconium and is apneic. hepatic cirrhosis c. and Pseudomonas. he has brachycephaly and oblique palpebral fissures with prominent epicanthal folds. aspirate the baby `s gastric content e. Klebsiella pneumoniae c.A 10-year-old male fell while riding his scooter down a steep hill. Which of the following diseases will he most likely develop by the age of 20 years ? a. intubates the trachea and ventilates the baby c. acute leukemia d. Very low serum calcium levels 18. High serum IgM and very low serum IgG d.A 10-year-old boy has a long history of recurrent infections. but able to carry out activities of daily living. Escherichia coli b. A 10-year-old boy is mentally retarded. gives oxygen b. including feeding himself and dressing himself. Upon auscultation of the chest. Very low CD11 on the surface of white blood cells e. suppurative lymphadenitis. and perianal abscesses. the child was normal at birth for height and weight d. which required surgical removal. Involved organisms have included Staphylococcus aureus. except: a. suction trachea under direct vision 19. even though the only species isolated were those noted above. acute myocardial infarction e. but they are now of normal height. his injuries included a fractured wrist and a lacerated spleen. These have included pneumonia. Immunoglobulin levels are higher than normal. Streptococcus pneumoniae e. height and weight below the third centile b. On the palm of each hand is seen a transverse crease. Absent B cells and normal numbers of T cells b. Deficient nitro blue tetrazolium dye reduction in neutrophils c. Both parents had a history of short stature in childhood.An emergency cesarean section is being performed because of fetal distress. The most appropriate management is: a. chronic renal failure b. diarrhea. In the Emergency Department. Which of the following findings would be most helpful in establishing the diagnosis? a. Which of the following bacterial agents is the most likely pathogen for this patient's pneumonia? a. dermatitis.15. Two years later he is diagnosed with bacterial pneumonia. delayed puberty . aortic dissection 16. persistent rhinitis. Features that qualify as criteria for the diagnosis of constitutional growth delay include all the following. On physical examination. there is a loud systolic murmur. Biopsy of skin and lymph nodes have demonstrated granulomatous lesions. normal growth of 5 cm per year c. Staphylococcus aureus 17.

e. failure to thrive 21.After diagnosis and treatment of a urinary tract infection in a 3-year-old female child. dysphagia for liquids c. more common in bottle. immediate management includes all the following. clearance of the airway c. delivery was uneventful.All of the following are features of chronic non specific (Toddler`s) diarrhea of childhood. reduced intake of dietary fat e. renal ultrasound and voiding cystourethrogram c. fetal erythroblastosis c. intravenous pyelogram and voiding cystourethrogram 22. bone age is equal to chronological age 20.All of the following symptoms favor the diagnosis of achalasia except: a. drying the exposed skin b. but the baby shows poor respiratory effort. becomes evident in the first 24 – hrs 26. renal ultrasound only b. Anti Hb e Ag 25. onset at age of 6. painful swallowing d.Oligohydramnios is associated with which one of the following conditions: a.30 months d. except: a. three to six watery stools per day b. has prolonged prothrombin time e. further investigations should include which one of the following? a. intravenous sodium bicarbonate d. intravenous pyelogram d. except: a. requires therapy with fresh frozen plasma d. administration of naloxone e. familial tendency c. more common in females b. which one of the following markers would be the best indicator of acquired immunity: a.Which of the following statements about hemorrhagic disease of the newborn is true:: a.Six months after hepatitis B infection or immunization. Hb e Ag c. renal agenesis b. down syndrome e. regurgitation e. Hb s Ag d. Anti Hb c Ag e. anti – HbsAg b. voiding cystourethrogram e. tracheo-esophageal fistula d. nocturnal regurgitation of undigested food 24. oxygen .fed babies c. anencephaly 23. dysphagia for solids b.A primigravida has been given Pethidine during the last 4 hrs of the labour.

and the child oozes blood at the puncture site for 25 minutes.A 20-month-old presents to the office with a 2-day history of a harsh. The rest of his examination is within normal limits. rifampicin prophylaxis in children only d. rifampicin prophylaxis in adult only c. myalgia and a fever.A 16-month-old is taken to the emergency room after falling while walking. Coarctation of the aorta b. Ventricular septal defect 30. Acute laryngotracheobronchitis b. Peripheral pulmonic stenosis d.Urea nitrogen 50 mg/dL -Serum sodium 170 mEq/L Serum calcium 8. swollen bruise on his forehead. Laryngomalacia e. His mother states states he has not had any fever. Meningitis 29. although he had a runny noseearlier in the week.5 mg/dL Which of the following is the most likely cause of this infant's seizure? a. Aspiration of foreign body in the upper respiratory tract c. Epiglottitis d. The infant is highly irritable with incessant high pitched crying. barking cough. A blood sample is drawn. Hyperhomocysteinemia e.27. cough. immunization of all family members 28.A diagnosis of hemophilus influenzae type B Epiglottitis just been made. He is not drooling and is sitting comfortably. The child has one – year – old unimmunized brother . Hemophilia B d.. The infant's weight is 2. Patent ductus arteriosus c. Subglottic stenosis 31. immunization in children less than 18 month old e. Hypoglycemia c. Hypernatremia e.5 mg/dL -Serum magnesium 1. The toddler has an enlarging.A 5-year-old boy develops a headache. Hemophilia A c. rifampicin prophylaxis in all family members b. which preventive measure among family contacts is appropriate: a. which is now over two inches across.5 kg (250 gm below birth weight). Which of the following is the most likely diagnosis? a. Clotting studies on the blood sample show a prolonged PTT and a normal PT and very low levels of factor VIII. Hypomagnesaemia d. On examination. Hypocalcaemia b. Disseminated intravascular coagulation b.pulse is 145/min and respirations are 50/min. Laboratory results show: Blood glucose 120 mg/dL .A 3-week-old boy is brought to the Emergency Department because of a generalized seizure 2 hours ago. he is notably hoarse with inspiratory stridor. Persistent truncus arteriosus e. Which of the following is the most likely diagnosis? a. He is given a . A continuous murmur was heared at the upper left sternal boarder. Which of the followingis the most likely diagnosis? a. blood pressure is 70 /40 mm Hg. The peripheral pulses in all extremities are full and show widenedpulse pressure. He has been a healthy child with all immunizations up to date. Von Willebrand`s disease 32.A pediatrician examines a 2-month-old infant who had been born at term.

decongestant and an aspirin for his symptoms with some relief. An older sister had similar symptoms and has been repeatedly hospitalized for failure to thrive and recurrent pulmonary infections. apparently healthy child is examined by a pediatrician. he is found to be semi comatose. On physical examination. However. Achlorhydria b. Which of the following levels should be measured to aid in the diagnosis of this patient? a. Serum blood urea nitrogen level c. and poor weight gain. a left ventricular ejection fraction of 20%. ECG shows left ventricular hypertrophy. and a PaO2 of 74 mm Hg.A 4-week-old infant presents with tachycardia. Epinephrine e. He also hears a soft. 4 days later. He has failed to gain weight with multiple formula preparations. he is brought back by his parents because of persistent vomiting and irritability. Transposition of great arteries e. Digoxin d. early diastolic murmur. and mild mitral and tricuspid regurgitation. Corticosteroid c. tachypnea. The pediatrician hears a loud systolic ejection murmur with a prominent systolic ejection click. a PaCO2 of 41 mm Hg. A chest radiograph shows cardiomegaly. Gastric hypersecretion e.34. His stools have been loose and fatty. Serum ammonia level b. Colonic inertia d. Furosemide 36. Tetralogy of Fallot d.A 4-year-old boy presents with severe pains in both of his legs. IV administration of which of the following medications is the best initial step in management of this patient? a. Serum sodium level 33. Atrial septal defect c. Pancreatic exocrine insufficiency 35. On . Serum calcium level d. Bacterial overgrowth c. His arterial blood gas shows a pH of 7. Which of the following is the most likely? diagnosis? a. Echocardiography reveals a structurally normal heart.A 4-year-old. left ventricular dilatation. Serum opiate level e. Aortic valve stenosis b. becoming combative on stimulation.A 4-month-old infant boy has gained only 10 ounces since birth. Both murmurs are heard best at the upper right sternal border. Ventricular septal defect 34. Which of the following is the most likely cause of this patient's? gastrointestinal symptoms? a. Angiotensin-converting enzyme inhibitor b.

Numerous purpura and petechiae are noted on his skin. pulse is 96/min. Erythromycin orally for 5 days e. he has had problem finishing the whole course of antibiotic treatment. and his pulse oximetry is 90%. Underdeveloped (hypoplastic) left ventricle syndrome 38. A chest x-ray film shows a narrow base to the great vessels and the heart resemble an egg on its side. Blood drawn one hour after birth shows metabolic acidosis with respiratory acidosis. his . In the past. Transposition of the great arteries e. blood pressure is 108/68 mm Hg.In the treatment of bronchial asthma. Henoch-Schönlein purpura d.A neonate develops severe cyanosis that begins within minutes of birth. Ethanol poisoning d.physical examination. all are suitable treatment options in acute exacerbation . and platelets. Tetralogy of Fallot d. Which of the following would be consistent with these findings? a. corticosteroids intravenously e.An 11-year-old boy presents with fever and sore throat. metabolic alkalosis. Which of the following diagnoses is most consistent with these findings? a. A rapid-strep test confirms streptococcal pharyngitis. using the accessory muscles for breathing. Laboratory evaluation reveals a white blood cell count of 1600/mm3. Complete atrioventricular canal defect c. Immune thrombocytopenic purpura e. He is leaving for a summer camp in 2 days. A single dose of benzathine penicillin G intramuscularly b. 6. and respirations are 17/min. His spleen is palpable 3 cm below his left costal margin. Diabetes mellitus b. A single dose of ceftriaxone intramuscularly c.If an asthmatic child presented with dyspnea while talking. ventolin nebulizer b. He is noted to have marked pallor on his lips and palpebral conjunctiva.8 F).A vomiting infant is brought to the emergency room.1 g/dL.000/mm3. Cystic fibrosis c. his temperature is 37. ventolin inhaler c. Acute lymphocytic leukemia b. hemoglobin. Aplastic anemia c. but a hyponatremic. theyophilin intravenously d.except: a. Which of the following is the most likely diagnosis? a. hypochloremic. Aortic valve stenosis b. Penicillin V orally for 5 day 40. Isoniazide ingestion 39. iron ingestion e. 36. ECG is normal. Thrombotic thrombocytopenic purpura 37. The blood work results reveal a normal blood count. salmetrol inhaler 41. Which of the following is the best treatment for his streptococcal pharyngitis? a. A single dose of procaine penicillin G intramuscularly d.7 C (99.

epiglottitis -----. DNA Index < 1. mild b.cough 43.widened retropharyngeal space d. the delayed bleeding is usually severe c.Regarding attention deficit hyperkinetic disorder in children all of the following statements are correct except: a. Medical treatment is indicated if there is school failure e. ataxia c. 22) e.Steeple Sign c. superficial ecchymosis is evident e. weight loss e. age between 2 and 10 yrs b. methotrexate 44. ITP is one of the commonest causes in pediatric age group 45. peritonsilar abscess -----. School adaptation is needed d. normal CSF findings is the usual 46. he is not in exacerbation from the start 42. In Duchene disease CPK is high since birth d. Symptoms appear before seven years of age 48-A 5 year old child presented to you with difficulty to stand from sitting position. except: a.CNS leukemia present with all the following except :: a. small. severe d.exacerbation is classified as: a. croup -----. polyphagia d.Which of the following does not match? a. female patients d. Global developmental delay rules out the diagnosis of muscle dystrophy c. involving mucous membrane primarily b. WBC > 50000 at diagnosis c. petechiae present d. except: a. except: a. which one of the following statements is TRUE? a.all the following interfere with hemostasis. All symptoms disappear at adulthood c. Becker disease is inherited in autosomal recessive pattern e.trismus e. Digoxin e.16 47. otitis media -----. Prevalence in children is 3-8% b. headache and vomiting b. alcohol b. aspirin c. retropharyngeal abscess -----. broad spectrum antibiotics d.thumbprint sign b. Calf hypertrophy is pathognomonic for Duchene disease b. mild to moderate e. moderate c. absent of t (9. He has calf hypertrophy. The prognosis for the child described above is good .All carry good prognostic value in ALL.All are characteristics of bleeding due to platelet disorders.

patients cognitive function deteriorate with time c. Phenylalanine restricted diet is mandatory d. One third of patients do not respond to medical treatment c. Positive babinski sign bilaterally d. Dysmorphic features rule out the diagnosis of metabolic disorders b. Syndromic classification permits prediction of prognosis 55. all the children at the time of there first birth date . Leads to mental retardation if not treated 51-A 9 month old male child presented to you with hypotonia . Organomegaly is suggestive of lysosomal storage disorders e. any child with impaired immunity or chronic diarrhea d. antenatal diagnosis is possible for several metabolic disorders 50. It is a lipid storage disorder b. myasthenia gravis c. History of unexplained deaths in siblings raise the possibility of metabolic disorders c. there were also fasciculation in the tongue . all children at age of two months c. There is no acute clinical symptoms c.49-All of the following statements regarding metabolic disorders in children are true except: a. West syndrome carries a good prognosis in most patients e. deafness worsens with time d.All of the following statements regarding Phenylketonuria are true except: a. Exaggerated deep tendon reflexes c. tetraplegic cerebral palsy patients carry the worst prognosis e.Hemophilus influenzae type B vaccine has been recommended for which one of the following groups: a. Absence of cerebellar signs e. cerebral palsy b. Vagal nerve stimulation is a palliative treatment in epilepsy d. Most metabolic disorders are inherited in an autosomal recessive pattern d. siblings and day care contacts of children who develop systemic hemophilus influenzae type B infections regardless of age b. werding Hoffman disease d. the majority of patients have mental retardation 54. all children after the age of five years e. pertussis vaccine is contraindicated b.The most likely diagnosis in this infants is: a. upon examination you found severe hypotonia. congenital muscle dystrophy e. power was 1/5. Autosomal recessive inheritance e. Intact cranial nerves 52-A 6 month old child presented to you because of weakness. Hypotonia in infants is always a sign of upper motor neuron disorder b. which one of the following signs indicates that the hypotonia is due to upper motor neuron disorder(choose one correct) : a. Epilepsy is more common in children than in adults b.Which one of the following statements regarding cerebral palsy in children is true (choose one correct): a. metabolic disorder 53 . and the deep tendon reflexes were absent.All of the following statements regarding epilepsy in children are correct except: a.

hydrocortisone 200 mg intravenously e. anemia 57. septic work up d. On examination his weight 2. oral cefaclor d. closure of VSD d. cirrhosis of the liver d. A stool culture then reported positive for salmonella group b. which one of the following is the best initial management : a. she has poor peripheral circulation and is very lethargic.A 6. Her serum sodium 158 mmol/ l . oral chloramphenicol b. oral sulfamethoxazole / trimethoprim e. except: a. development of aortic stenosis 61. the most likely diagnosis is: a. The birth weight was 3. pale and slightly dehydrated. congenital adrenal hyperplasia b. porphyria c. intravenous 5 % dextrose in water at 80 ml / Kg per 24 hours c. dietary management only c. increase in the lt.A 3 wk old baby is brought to the emergency department with 36 hrs history of progressive vomiting. he appears ill. Hirschsbrung enterocolitis 58. malrotation e. Her systolic blood pressure was 40 mmHg and pulse rate 160/ min.9 % saline 20 ml / Kg over 60 minutes 59. paresis e. His blood work up reveals: pH 7. oral ampicillin . hydronephrosis d.A previously well 8-month. abdominal pain b.8 he is moderately dehydrated and is very irritable but not toxic. Pyloric stenosis e. oral solution containing 50 mEq sodium per liter b. cystic fibrosis c.The disappearance of a ventricular septal defect murmur in a patient known to have a large left to right shunt is most likely due to : a. Obstructive uropathy 60. to rt.A 1 year old child who had gastroenteritis is asymptomatic after 2 days dietary management. which one of the following is the most appropriate: a.2 mmol / L which of the following is the most likely diagnosis ? a. acute intussusception c.month old baby presents with vomiting and diarrhea of acute onset.56 . development of pulmonary stenosis c. development of significant pulmonary arterial hypertension e.E 7 K 3 mmol/ L Na 135 Cl 70 mmol/ L urea 7. Gastroenteritis d. On physical examination there is a questionable right upper quadrant mass.1 Kg.old boy admitted to the hospital with 12-hrs history of intermittent periods of screaming and vomiting. intravenous 0.5 PaCO2 30 mmHg HCO3 31 mmol /L B.Exposure to lead can cause all the following. Shunt b. volvulus b.

He is unable to through an object over his head 66. except: a. Phosphate c.7 Kg now he is 3. Draw a man b.By the age of four months most full term infant should be able to do the following. Skip with alternate feet 67. Sit with support e.An infant of 16 months was referred for assessment of suspected mental retardation. Mama and BaBa are the only words which are clearly recognized d. Identification of respiratory syncytial virus in nasopharyngeal secretions .Compared with human milk cow milk contain more of the following . multifactorial e. except: a. sex linked recessive 63. Sodium 65. Expiratory wheezes and crackles heard on chest auscultation b. pyloric stenosis e.62. one is true : a. Babble and vocalize 68. Copy a circle d. Reach out and grasp object d. gastroesophageal reflux disease 64. Lactose e.7 Kg and physical exam is within normal limits. Vitamin K d. He does not scribble spontaneously b. The most likely diagnosis is: a. Identify four colors c. Widespread patchy opacification of the lung fields on chest radiograph e. which of the following is outside the range of normal: a. He is able to build of four cups e. sex linked dominant d. Fever 38 c c. Hyperinflation of the chest d. He is exclusively breast fed. autosomal dominant c. Protein b. except: a. Have conjugate eye movement c. autosomal recessive b. Can roll over b. milk allergy d.Inheritance in Duchenne muscle dystrophy. otitis media b.A 5 – wk old infant presents with history of vomiting since birth.A five years old child should be able to do all of the following . His birth weight was 2. He does not walk alone c. this occurs shortly after feeding and is often associated with burbing.The following findings are suggestive of bronchiolitis. Count from one hundred and backward e. except: a. urinary tract infection c.

Be given a course of oral clindamycin as prophylaxis of anaerobes 77. congenital hemihypertrophy d. classically presents with acute blood loss c. ataxia telangiectasia b.The following organisms commonly cause community acquired respiratory tract infection except : a.Hazards of blood transfusion include all except: a. intracranial hemorrhage 71. should be confirmed by bone marrow aspiration e. requires urgent treatment to prevent intracranial hemorrhage d.Idiopathic thrombocytopenic purpura. Streptococcus pneumonia c. all are true except: a. commonly presents at stage IV 74. hypokalemia d. CMV infection 76. Have vomiting induced by ipecac c.A child who swallowed an unknown quantity of a strong bleach solution should: a. DIC e. Pneumocystis carinii d.Children with following genetic disorders have an increased risk of malignancy except: a. Respiratory syncytial virus b. in most cases is due to administration of contaminated blood products b. prognosis is determined by age at presentation d.Schonlein purpura . hemosidrosis b. except: . neurofibromatosis type I c.Neuroblastoma. Mycoplasma pneumonia e. Parainfluenza virus 70.In Henoch. thrombocytopenia b. commonly presents with abdominal mass c. may present with neurological signs in absence of immunodeficiency d. is more likely to present with recurrent bacterial infections than in adults e. blood in stool e.Human immunodeficiency virus infection in children. one is correct: a. may be detected by measuring urinary catecholamines e. Be allowed home if there is no ulceration of the lips or tongue b. Be investigated with a barium swallow d. destructive arthropathy d. achondroplasia 73. one is true : a. all are true except: a. increased susceptibility to infection c. may be acquired by breast feeding from an infected mother 72. is preceded by a viral URTI in more than 60 % of cases 75.Lactose intolerance may occur due to all of the following. may present with pneumocystis carinii pneumonia c. may spontaneously regress without treatment b. Be investigated by an early endoscopy e. results from decreased platelet production b. circulatory failure c.69. down syndrome e.

All the following are ECG changes in hyperkalemia. Cavernous hemangioma 80. hypercalcemia e.A prolonged bleeding time is seen in which one of the following : a. May present with acute onset wheezes e. except: a. Heparin subcutaneously 81. except: a. In extreme preterm infants as a result of GI tract immaturity c. uremia 85. hypertension c. Moderate fluid restriction (2/3 rd maintenance )will decrease the severity 83. Paracetamol intravenously for pyrexia e. all are true except: a. Following gastroenteritis d. peaked T wave b. ST segment depression c. As a result of pancreatic insufficiency 78. Dermatitis herpetiformis c. Acute myeloid leukemia d. Characterized by hyperuricemia c.In anaphylactic reaction all are true except: a. Is a recognized complication of IVP 82. hyponatremia b. prolongation of P-R interval d.Indication of dialysis in Acute Renal Failure includes all the following. Hypersplenism c.Tumor lysis syndrome. As a congenital abnormality b. Is an example of type I hypersensitivity reaction b.Seizures in acute renal failure can result from all the following.Celiac disease is associated with all the following except: a. except: a. Increased risk of bowel lymphoma d. cerebral hemorrhage d. Delayed puberty 79.Thrombocytopenia is a recognized complication of the following conditions. Characterized by hyperkalemia b. In celiac disease e. Temporary sensitivity to gluten e. Hemophilia A e. except: . widening of QRS interval 84. Characterized by hyperphosphatemia d. Coumadin orally c. Is reduced in severity by treatment with allopurinol e. Factor 8 deficiency disease b. May cause facial swelling and upper airway obstruction d. appearance of U wave e. Should be treated by subcutaneous atropine c. Von Willebrands`s disease d. HLA-B8 antigen b.a. Meningococcal septicemia b. tall.

Prolonged indirect hyperbilirubinemia occur in all of the following. severe acidosis b. e. hypothyroidism 92. severe hyperkalemia c. baby direct comb`s test is usually negative 93. CSF shows increase lymphocytes d.B.protein 91. choose one correct statement: a. sensitive to tuberculo. Criggler – Najjar syndrome c. peak age is less than 5yrs and within 6 months of the primary infection b. usually it does not occur in the first pregnancy e. headache and subtle personality changes c. except: a. except: a.Which of the following statements regarding the most proper interpretation Of positive reaction to tuberculin (Mantoux) test in a 9 yrs old child is: a. iron deficiency anemia 90. acid fast bacilli are usually detected in CSF 87.In ABO incompatibility all the following are true. is the most common isoimmune hemolytic disease of the newborn b. blood with sputum c.In Failure to thrive. increase weight 88. except: a. except: a. susceptible to invasion by tubercle bacillus d. loss of appetite e. fluid overload d. women of blood group O account for the vast majority of ABO incompatibility c. night sweat d. low total body potassium d. low grade fever. responds to feeding if the cause is organic 89.Signs and symptoms of active T. meningitis one is incorrect: a. Galactosemia b. greater fall in height centile than of head circumference centile b.In T. loss of skin turgor e. microspherocytes are usually seen on the peripheral blood film d.All the following signs may be present in infant with developmental dislocation of the hip. initial presentation with. intravenous alimentation. hypotension e. productive cough > 3 wks duration b. is most commonly due to organic cause b.a. glucose is low with protein is high in CSF e. in need for BCG vaccination e. disease include all the following . except: . is most commonly due to lack of calories c. documentation of caloric intake is not required to rule out underfeeding e. muscle hypotonia c. heart failure 86.B. breast milk jaundice d.A child with moderate malnutrition following a chronic diarrheal illness is likely to have all the following. usually requires a battery of laboratory tests to determine the cause d. suffering from active tuberculosis b. immune to invasion by tubercle bacilli c.

due to enzyme deficiency in the biosynthesis of cortizol from cholesterol e. except: a. cause precocious puberty d. the growth spurt occurs in girls earlier than in males 96. crying due to pain on movement of the limb 94. cardiac arrhythmias d. absent femoral pulses d. hyperthermia d. recurrent chest infection 95. hypoventilation b. ortolani or Barlow maneuver is used clinically to diagnose e. gross electrolyte imbalance c. there is increasing clotting tendency e. the most common cause of ambiguous genitalia 98.normal pubertal development includes all the following except : a. fever. limitation of abduction of the hips b. dehydration e. respiratory distress 97.Foreign body in the respiratory passages can cause all the following. increase of the testicular volume to 4 ml is the first sign of puberty in males e. can be transmitted from one person to person c. mediastinal displacement to the opposite side d.a.In nephrotic syndrome all the following statements are true except : a.Regarding congenital adrenal hyperplasia. in more than 75% of the cases has at least one relapse within 1 year 99. lutinizing hormone stimulates spermatogenesis c. autosomal recessive inheritance b. abdominal pain may be a symptom of hypoalbuminemia c. course of treatment is 4. lutinizing hormone stimulates ovulation in females d. hyperglycemia c. except: a.all the following are true about brucellosis. asymmetrical thighs fold c. unilateral pulmonary hyperinflation c. cows and goats are the common source of infection b. reduced intracranial pressure b. hypothermia e. tinnitus .6 weeks 100. renal biopsy is routinely indicated d. except: a. joint pain is common in children e. atelectasis b. except: a. all the following are true.the following are characteristic of salicylate poisoning. most commonly due to 17 hydroxyprogesterone deficiency c. hyperlipidemia is common b. 95 % of girls will have commenced puberty before the age of 14 yrs b.Following near drowning episode a child may develop all the following except : a. wheezing e. sweating and poor appetite are common features d.