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[ PA E D I AT R I C S ] W R I T T E N Q U E S T I O N

PAEDIATRICS 2014
DECEMBER 11, 2014
TIME ALLOWED: 11:00-1:00
1. Mention the factors affecting growth?
2. What are the warning signs of poor development?
3. Prescribe what to feed for a 4kg baby whose mother was died and how
to explain this for the care giver?
4. Describe the clinical manifestations of 2 sex chromosome
abnormalities?
5. What is the etiology and treatment of shock?
6. What is the definition and treatment of croup syndrome?
7. Describe the differential diagnosis of acute flaccid paralysis?
8. A 5 year old female has multiple bruises on her lower extremities with
oral and nasal bleeding of 3 days duration. Two weeks before these
signs, she had a mild respiratory tract infection. Physical examination
reveals multiple ecchymosis and petechiae. No lymphadenopathy or
hepatosplenomegaly is noted.
a. What is the most likely diagnosis?
b. What is the differential diagnosis?
c. How to confirm diagnosis?
d. What is the treatment?
9. A 16 month old girl is brought to the emergency department for
evaluation of a fever, irritability, and possible seizure. She has been
receiving amoxicillin to treat otitis media for the past 3 days. The child
appears ill, is irritable, and has temperature of 39C. Studies obtained
on the cerebrospinal fluid reveal: glucose 30 mg/dL; protein 80 mg/dL;
and white blood cell count 500/mm3 with 85% polymorph nuclear
leukocytes. Gram stain is negative, and cultures are pending. The
MOST likely diagnosis is:
a. What is the most likely diagnosis?
b. What is the differential diagnosis?
c. What are further investigations?
d. What is the treatment?
10.
A 6 year old girl is brought to your office for evaluation of
swelling of her eyes and legs. Three weeks ago she had a fever, bloody
diarrhea, and abdominal pain that resolved spontaneously. Laboratory
studies reveal anemia, thrombocytopenia, normal electrolyte levels,
elevated blood urea nitrogen and creatinine concentration, and
proteinuria. The MOST likely cause of this is:
a. What is the most likely diagnosis?
b. What is the differential diagnosis?
c. What are further investigations?
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5TH YEAR, MEDIC |

[ PA E D I AT R I C S ] W R I T T E N Q U E S T I O N

d. What is the treatment?

All Rights Reserved PERUBATAN al-Azhar Chapter 2015/2016