1-THE MOST COMMON FORM OF FAMILIAL MENTAL RETARDATION:

1-NEUROFIBROMATOSIS
2-TUBER SCLEROSIS
3-FRAGILE X SYNDROME
4-DOWN SYNDROME

2-AT WHAT AGE CHILD CAN DRINKS FROM CUP

1-6MON
2-9MON
3-12MON
4-15MON

3-THE MOST COMMON CAUSE OF FTT :

1-IFECTIOS DISEASES
2-METABOLIC DISEASE
3-MENTAL RETARDATION
4-ENVIROMENTAL

4-THE ADEQUACY OF MILK INTAKE IN INFANT ASSESSED BY: -

1-TIMES OF FEEDING
2-WEIGHT GAIN
3-STOOLING PATTERN
4-COLOR OF URINE

5-GOAT MILK ASSOSIATED WITH DEF OF

1-IRON
2-CA
3-FOLIC ACID
4-ESSENTIAL FA

6-INDICATIONS FOR NUTRAMIGEN MILK ARE EXCEPT:

1-MALDIGESTION
2-COWS MILK ALLERGY
3-SOY PROTEIN ALLERGY
4-VEGETERIAN DIET

7-ALL ARE CONTRAINDICATION FOR BREAST MILK EXCEPT:

1-herpes-1
2-galactosemia
3-HIV positive
4-HBVSAG

8-HYPERVITAMINOSIS A ASSOSIATED WITH 6 ‫ و‬5 ‫ضيف خيار‬

1-polyuria
2-increase intra cranial pressure
3-hepatotoxicity
4-renal failure
5-2+3
6-1+2

9-hypervitaminosis c associated with:

1-oxalate stone
2-sensory neuropathy
3-motor neuropathy
3-iron def anemia

10- hyperaceusis associated with except:

1-tay sachs
2-krrabe dz
3-vit B6 def
4-causher ds

11-beri beri all tru except:

1-heart failure-
2-thiamine def
3- aphonic cry
4- high pitch crying

12-all cause hypo kalemia except:

1-proximal RTA
2-cystic fibrosis
3-barrter syndrome
4-urinary tract obstruction

13-all cause hyperkalemia except :

1-tumor lysis syndrome
2-renovascular dz
3-thrombocytosis
4-adrenoleukodystrophy

14-match DRUGS WITH ANTIDOTE

1-diazepam b
2-ca chanel bloker f
3-cynide h
4-methemoglubin d
5-opiate a
6-paracetamol e
7- cyclic antidepressant c

a-naloxon
b-flumazenil
c-sodium bicar
d-mythelene blu
e-n acytl cystein
f- glucagone
g- o2
h-nitrates

15-all are features of neurofibromatosis 1 except:

1-axillary freckling
2-lisch nodule
3-café au lait spot ‫أكتر من خمس وحدات بحجم أكبر من نص سم‬
4-brushfeild nodule

16-spina bifida inherited as:

1-AR
2-AD
3-X LINK
4-MULTIFACTORIAL

17-PARDER WILLI SYNDROME ALL EXCEPT:

1- obesity
2-hypotonia
3-hyper gonadotropic hypogonadism-
4-hypogonadotropic hypogonadism

18-all cause cataract except:

1-down
2-rubella
3-tay sachs
4-galactosemia

19-in down all true except

1-endocardial cusion
2-deudenal atresia
3- hypo tonia
4-coloboma
5-cataract

20-charge syndrome all true except

1-cardiac
2-chonal atresia
3-coloboma
4-anal atresia
5-retardation
21-coarctation of aorta all true except:
1-turner association
2- bicusbed aortic valve
3-intracranial aneurysm
4-murmur atRT intrascapular area
5-3 sign at x ray

22-foam cells at bone marrow is pathognomic for:

1-tay sachs
2-nimmin pick dz
3-hurler
4-caucher

23-all cause cherry red spot except:

1-causher
2-tay sacs
3-nimmin pick
4-siliadiosis

24-match odor with dz-

1-musty
2-cabbag ‫الكرنب‬
3-sweety
4-sweaty
5-cat
6-galric ((‫ثوم‬
7-wintergreen

a-Tyrosinemia 2
b-glutaric aciduria ii 4
c-maple syrup 3
d-multiple carboxylase def 5
e- PKU 1
f-organophosphate 6

25-macrocytic anemia +pancreatic insufficiency

1-alpers syndrome
2-pearson syn
3-leigh dz
4-diamond blackfan

26-fetal pulmonary maturity assessed by:

sphingomylin/licithine ratio of 2/1
2-s/l ratio of 1/2
3-s/l 1/1
4-non

27-potter syndrome all true except:

1-oligohydromins
2-lung hypoplasia
3-polyhydrominos
4-renal agenesis

28-Poland syndrome :

1-ambiguous genitalia
2-abcsense of chest muscle pectorilis major
3- absence of back muscle
4-absence spleen

:
29-prune belly syndrome all true except:
1-absence of abdominal muscle
2-aspleenia
3-undesended testes
4-renal abnormality

30-all cause neonatal hypoca except-

1-william syn
2-digeorge synd
3-maternal diabetes
4-maternal hyperparathyroid

31-what antibodes cross placenta in maternal sle:

1-ana
2-anca
3-antiRO anti LA
4-anti smith

32-the teratogenic effect of lithium is :

1-spina bifida-
2-ebstein anomaly
3-aortic stenosis
4-deafness

33-match ds with the most common organism cause sepsis-

1-galactosemia a
2-iron toxicity c
3-Ig M def f
4-nephrotic syn b
5-late hypocomplement d
6-chronic granulomatous dz e

a-E coli
b-s.pneumonia
c-yersenia
d-meningiococcus
e-staph
f-whipple bacteria

34-match ds with radio finding

1-hmd f
2-cystic fibrosis f meconium ilius
3-deudenal atresia k
4-pyloric stenosis g on barium
5-necrotising enterocolitis m
6-bronchopulmonary dysplasia i
7-transpositin of great vessels h
8-ttn e
9-tetralogy of fallot d
10-epiglositis j
11-croup b
12-staph a
13-rt side aortic arch c
14-aortic coarctation l
15-tuber sclerosis o
16struge weber synd n

a-pneumatocele
b-steeple sign
c-vascular ring
d-boot shepe heart
e-fliud in lung fissure
f-ground glass
g-string sign
h-narrow waist heart
i-sponge appearance
j-thumb sign
k-double bubble
l-3 sign
m-pneumatosis intestinalis
n-intercortical calsification
o-periventricular calcification
35-match dz with skin lesion

1-fanconi anemia i cafe au lait spot

2-tuber sclerosis e ash leaf spot
3-sruge weber syndrome f sport win stain
4-lyme dz k erythema migrans
5-coxaci virus typeA d mouth hand fort rash
6-still dz a salamon morbilliform rash
7-mycoplasma pneumonia h steven jonson syndrome
8-rheumatic fever g erythema marginatum
9-seborrheic dermatitis m cradle cap
10-herpes simplex j erythema multiformma minor
11-celiac dz b dermatitis herptiform
12-vit A def c hyperkeratosis
13-zinc def l acrodermatitis enteropathica
a-salamon morbilliform rash
b-dermatitis herptiform
c-hyperkeratosis
d-mouth hand foot rash
e-ash leaf spot
f-port wine stain
g-erythema marginatum
h-steven jonson syndrome
i-café au lait spot
j-erythema multiformma minor
k-erythema migrans
l-acrodermatitis enteropathica
m-cradle cap

36-all are manifestation of diabetic mother on neonates except

1-polycythemia
2-direct hyper bilirubinemia
3-hypocalcemia
4-hpoglycemia

37-the most common type of apnea of prematurity:

1-obstructive
2-mixed
3-central
4-sleep apnea

38-all cause pulmonary hypoplasia except none ‫تعديل السؤال بدل تيرنر‬-

1-hydrops fetalis
2-potter syndrome
3-werdnig-hoffmann syndrome
4-diaphragmatic hernia
5-none

39-all cause anemia in neoborn except:

1-b thalasemia
2-diamond blackfan syndrome
3-osteopetrosis
4-g6pd def

40-all are true for physiological jaundice except:

1-occurs after 24 h of life
2-the level is less than 13-15mg/dl
3-increase more than 5mg/day
4-PE is normal

41 -all are at risk for polycythemia in neoborn except:

1-diabetic mother
2-adrenogenital syndrome
3-neonatal hypothyroidism
4-beck- withweidman syndrome
5-down syndrome

42-the most common cause of neonatal thrombocytopnea is:

1-congenital
2-isoimmune
3-wiskott Aldrich syndrome
4-ITP

43-anemia and thrompcytopnea due to hemangioma is called:

1-men syndrome
2-soto syndrome
3-kasabach merritt syndrome
4-diamond blackfan

44-all are risk factors for NEC except:

1-breast milk
2-prematurity
3-ischemia
4-formula

45-the most common congenital infection :

1-rubella
2-herpes simp
3-CMV
4-varceilla

46-Hutchinson triad (keratitis,8th cn palsy, Hutchinson teeth) in:

1-toxoplasmosis
2-syphlis
3-parvovirus
4-n gonnorhea

47-thrtombocytopnea+eczema+immune def :
1-scwaman-dimoind syndrome
2-wiskot Aldrich syn
3-kartenger
4-folic acid def

48-hypocalcemia+immune def+interrupted aortic arch:

-1-scwaman-dimoind syndrome
2-wiskot Aldrich syn
3-kartenger
4-digeorge syndrome

49-pancreatic def +neutropnia+malabsorption:

1-scwaman-dimoind syndrome
2-wiskot Aldrich syn
3-kartenger
4-digeorge syndrome

50-neutrophil dys +dely separation of umbilical cord:

1-kostman syn
2- scwaman-dimoind syndrome
3-LAD 1
4-LAD 2

51-which cause erosive arthritis:

1-leukemia
2-lyme dz
3-gonococemia
4-kawasaki

52-match dz with eye lesion

1-JRA b
2-SLE a
3-JAS d
4-poststrep arthritis c
5-allagile syn e
a-epescleritis
b-anterior uveitis
c-posterior uveitis
d-iritis
e-empryotoxon

53-match
1-polyarticular JRA
2-pauciarticular JRA
3-still dz

a-most common type 2

b-not involve small joint 2
c-RF positive 1
d-ANA negative 3
e-cause more uveitis 2

54-fever+severe thrombocytosis+strawberry tonge+irritability:

1-JRA
2-kawasaki
3-scarlet fever
4-rosliosa infantum

55-the most serious complication of congenital SLE:

1-renal failure
2-heart block
3-cns manifestation
4-joints manifestation

56--GI manifestation of HSP occurs in about:

1-90%
2-70%
3-50%
4-30%

57-which responsible for about 1/3 of febrile convulsion cases:

1-meningitis
2-encephalitis
3-herpes 6
4-herpes 7

58-match dz with incubation period: -

1-measeles b
2-hepatitis A c
3-varceilla a
a-11-20 days
b-10-12 days
c-15-30 days

59-match organism with dz

1-pseudomonas
2-salmonella
3-staph
4-b.henselae
5-chlamydia trochomatis
6-parainflaunza
7-adenvirus
8-RSV
9-ETEC ETEC TRAVELLAR
10-EHEC EHEC HUS
11-giardia
12-proteus
13-treponoma pallidum
14-parvovirus
15-trypnosoma cruzi
16-strep pneumonia
17-rota virus

a-cat scratch dz 4
b-pneumonia in less than 5yrs 8
c-bronchiolitis obliterance 7
d-hemolytic uremic syndrome 10
e-lactose intolerance 11
f-renal stones 12
g-otitis externa 1
h-osteomyelitis+hemoglobinopathy 2
i-travellar diarrhea 9
j-impetigo 3
k-croup 6
l-hydrops fetalis 14
m-afebrile pneumonia 5
n-chagas dz 15
o-jarisch herxheimer reaction 13

60-the most common type of tracheoesophegeal fistula TEF:

1-H type
2-distal TEF with esophegial atresia
3-proximal TEF with esophegial atresia
4-distal +proximal TEF with esophegial atresia
61-all true in pyloric stenosis except:
1-projuctile vomiting
2-billios vomiting
3-jaundice
4-string sign on barium

62-all true in intussuption except: -

1-the most common type is illiocolic
2- the most common type is illiocecal
3-current jelly stool
4-paraxosym of crying and pallor
5-lethargy

63-all are coombs negative hemolysis except:

1-spherocytosis
2-wilson dz
3-hemolytic uremic syndrome
4-allagile syndrome

64-the most common cause of sudden infant death syndrome:

1-RSV
2-idiopathic
3-sepsis
4-hypoglysemia

65--the most common cause of stridor in infants:

1-croup
2-laryngiomalacia
3-epiglotitis
4-adenoid hypertrophy

66-the most common laryngeal tumor in child hood:

1-rhabdomyoma
2-melanoma
3-hemangioma
4-papilloma
5-squamos cell

67-fever +stridor+drooling+muffeled voice,:

1-croup
2-trachitis
3-epiglototis
4-diphtheria

68-the most common cause of tracheal compression is:

1-vascular ring
2-anomalous innominate artery
3-pulmonary sling
4-cysticf hygroma

69-match
1-cardiac rabdomyoma g
2-hypertrophic cardiomyopathy f
3-pda e
4-libman sacks edocarditis c
5-coronary thrombosis i
6-endocardial cushion h
7-aortic coarctation d
8-interrupted aortic arch b
9-supravalvular aortic stenosis j
10-dextracardia a

a-asplenia syndrome
b-digeorge syndrome
c-SLE
d-turner
e-rubella
f-diabetic mother
g-tuber sclerosis
h-down
i-homocysteinuria
j-william syndrome

70-AT WHAT AGE THE LENGHTH OF CHILD IS DOUBLE

1-1YR
2-2YR
3-3YR
4-4YR

71-21year-old G2P1 woman feels that she is large for dates. She has felt fetal
movement for the past week. She has a screening ultrasound scan performed at
16 weeks gestation. This ultrasound reveals that there is markedly increased
amniotic fluid (polyhydramnios). Which of the following fetal abnormalities is most
likely to cause this finding?
A- Renal agenesis
B -Ventricular septal defect
C- Cytomegalovirus infection
D -Small intestinal atresia
E Anencephaly
F Gastroschisis
72-7-month-old infant has failure to thrive, with vomiting and diarrhea noted since
1 month of age. Developmental neurologic milestones are not being met. A
physical examination reveals hepatomegaly. The eyes show cataract formation in
the crystalline lenses. The baby dies of fulminant Escherichia coli septicemia at 8
months of age. Which of the following congenital abnormalities is most likely to
produce these findings?
A -Von Gierke's disease
B -Marfan's syndrome
C -Galactosemia
D -Congenital rubella
E -Phenylketonuria

73-25-year-old woman has a workup for infertility. She has never experienced
menarche. On physical examination she is short, with a broad chest and a
webbed neck. She has normal intelligence. A blood sample is obtained for
chromosome analysis. Which of the following karyotypes is she most likely to
have?
A -47, XXX
B -45, X
C -46, XX
D -47, XXY
E 46, XX / 47, XXY

74-31-year-old G2 P1 woman has an uncomplicated pregnancy and gives birth at

term. Examination of the newborn reveals aniridia. The external genitalia are
ambiguous. Chromosome analysis reveals a 46, XY karyotype. The infant does
not meet developmental milestones and it is apparent by the age of two that
mental retardation is present. At the age of 3 the child is found to have a left renal
mass. Which of the following conditions is this child most likely to have?
A -WAGR syndrome
B-Edwards syndrome
C -Tay-Sachs disease
D -Amnionic band syndrome
E –Galactosemia

75-25-year-old mother notes that her 18 month old child is not keeping up with
the normal growth curve for the past 5 months. She has noted that her child has
not been feeding well over that time. The baby's abdomen seems larger than it
should be. On physical examination, there is a left upper quadrant mass. Which
of the following is the most likely diagnosis in this child?
A -Recessive polycystic kidney disease
B -Cystic fibrosis
C -Galactosemia
D -Neuroblastoma
E-Cystic hygroma
76--20year-old G2 P1 woman has felt minimal fetal movement by 17 weeks
gestation. On examination the uterine size appears small for dates. An ultrasound
scan shows growth retardation. Amniocentesis is performed and chromosome
analysis on fetal cells reveals a 47 XX, +13 karyotype. Which of the following
ultrasound findings is most likely to be present in this fetus?
A -Oligohydramnios
B -Cystic hygroma of the neck
C -Polydactaly
D -Hepatomegaly
E -Neural tube defect

77-If dietary iron is not provided, infants begin to deplete their iron stores by:

a) 1 month
b) 2 months
c) 4 months
d) 6 months
e) 12 months

78-Patients deficient in late complement are susceptible to:

a) viruses
b) fungus
c) encapsulated bacteria
d) intracellular bacteria
e) protozoa
f) gonococcus and meningococcus

79-A patient presents with recurrent infections with S. aureus and Serratia
marcescens in the form of
cutaneous abscesses, lymphadenitis, pneumonia complicated by empyema, and
peri-rectal abscess. His
defect is in which enzyme:

a) Super-oxide dismutase (SOD)

b) NADPH oxidase
c) catalase
d) G6PD
e) phosphofructokinase (PFK

80-Downs Syndrome is NOT associated with:

A. transposition between chromosome 14 and 21 (t14:21)

B. Epicanthal fold and single palmar crease
C. Increased risk of Leukemia and Alzheimers disease
D. Radial aplasia
E. Trisomy 21 from maternal dysjunction
81-4 yo BM presents with numerous hypopigmented macules of skin, sebaceous
adenomas, mental
retardation, and h/o recurrent seizures. What is the mode of inheritance of this
disorder?

a. aut recessive
b. aut dominant
c. x linked
d. aut co dominant

82-newborn female is noted to have edema of the hands and feet. Which of the
following should be included
in the differential?

a. Turners syndrome
b. neuroblastoma
c. sepsis
d. Developmental Dysplasia of the hip

83-What is the most likely diagnosis of a 9 month old child who drinks excessive
amounts of only whole cow's
milk with blue sclerae and no history of trauma?

a. osteogenesis imperfecta
b. Wilson's disease
c. Fe deficiency anemia
d. Tay-Sach's

84-Which skin lesion is most likely NOT to spontaniously resolve?

A. hemangioma
B. lymphangioma
C. mongolian spot
D. milia

85-two year old black male is admitted to the hospital for his second episode of
bacterial meningitis. His
family history is positive for two other male siblings dying in infancy from sepsis.
He also has a significant
past medical history of recurrent ear infections and skin infections. What is the
most likely diagnosis?
A. Factitious disorder by proxy
B. Severe combined immunodeficiency
C. DiGeorge Syndrome
D. Bruton's Agammaglobulinemia

86-match
1. Ash-leaf spots, intracranial calcifications
2. Erythema chronicum migrans, chronic relapsing arthritis sequela
3. Gower’s sign
4. Café au lait spots, cutaneous tumors
5. Intermittent limp, knee pain, limited internal rotation/abduction at hip
6. Kayser-Fleischer rings, jaundice
7. Fever, skin rash, tender joint swellings
8. Duodenal atresia, simian crease, epicanthal folds
9. Vomiting, palpable abdominal “olive” in neonate
10. Roth Spots, Janeway lesions, Osler nodes

a) Legg-Calve-Perthes disease 5
b) Lyme disease 2
c) Juvenile rheumatoid arthritis 7
d) Endocarditis 10
e) Pyloric stenosis 9
f) Down’s syndrome 8
g) Muscular dystrophy 3
h) Tuberous sclerosis 1
i) Neurofibromatosis 4
j) Wilson’s disease 6

87-Problems not associated with infants of diabetic mothers include

a. macrosomia
b. small for gestational age
c. hypoglycemia
d. hyperbilirubinemia
e. none of the above

88-What is the most frequent cause of GER in infants?

a)Lactose intolerance
b)Overfeeding
c)Pyloric Stenosis
d)Medications
e)Increased LES tone

89-Which of the following is not one of the criteria for diagnosis of Kawasaki
Disease?
a. fever >5 days
b. bilateral conjunctivitis
c. polymorphous rash
d. hepatosplenomegaly
e. cervical lymphadenopath

90-ALL TRUE IN poisinig with BOTULISM EXCEPT:

1-CONSTIPATION
2-MULTIPLE BULBAR PALSYS
3-HYPOTONIA
4-DIARRHEA

91-ALL OCCUR IN REYE SYNDROME EXCEPT:

1-FOLLOW UPPER RES TRACT INFECTION
2-PROLONGE PT
2-HYPERAMMONOMIA
3-SPLENOMEGALY
4-POSITIVE PABINSKI SIGN
5-HEPATOMEGALY

92-the most common type of cerebral palsy:

1-choreoathetosis
2-spastic
3-dyskinetic
4-ataxic

93-all are associated with asthma except_

1-burrel chest
2-harison sulcus
3-milk allergy
4-pulsus alternus
5-acssesory muscle use

94-the most common functional murmur is:

1-veus hum
2-carotid bruit
3-still murmur
4-pulmonary flow murmur

95-all cause ejection systolic murmur except:

1-tetrallogy of fallot
2-aortic coarctation
3-still murmur
4-marfan syndrome

96-the most common symptomatic arrythmias_

1-atrial fibrillation
2-complete heart block
3-supraventricular tachy
4-supraventricular brady

97-all occure in PDA except:

1-rubella associated
2-acomplication of HMD
3-bounding pulse
4-pulsus paradoxus

98-which associated with internus versus:

1-cystic fibrosis
2-a1-antitrypsis def
3-kartenger syndrome
4-immun def

99-squatting position in:

1-transposition of great vessels
2-tetralogy of fal
3-asd
4-hypoplastic left heart

100-the most common congenital heart dz:

1-aortic coarctation
2-membranous vsd
3-muscular vsd
4-asd

101-the most common variable of asd:

1- Septum secundum
2- septum primum
3- septum Venosum

102-Most common cause of non traumatic limp in children

1-JRA
2-SLE
3-toxic synovitis
4- LIPPED CAPTIAL FEMORAL EPIPHYSIS

103 --all cause heart failure in neoborn except:

1-transposition of great vessels
2-viral myocarditis
3-asd
4-hypoplastic left heart
5-complete heart block

104-all cause cardiomyopathy except:

1-doxorubicin
2-amyloid
3-selenium def
4-glycogen storage dz type 3
5-friedreich ataxia
105-match -
1-dic
2-uremia
3-abetalipoproteinemia
4-g6pd def
5-b thalasemia
6-lead boisinig

a-acanthocyte 3
b-schistocyte 1
c-burr cell 2
d-basophilic stippling 6
e-heinz bodies 4
f-target cells 5

106-all cause macrocytic anemia except:

1-fanconi anemia
2-diamond black fan syn
3-TEC
4-down
5-pearson syndrome

107-deafness+optic atrophy +anemia:

1- pearson syndrome
2- fanconi anemia
3-osteopetrosis
4- diamond black fan syn

108-anemia+cleft palate+tripharyngeal thumb+widespread nipple:

1-turner
2- diamond black fan syn
3- fanconi anemia
4- osteopetrosis

109-methylmalonic acid increase in

1-folate def
2-transcobolamin def vit B12 def
3-iron def
4-copper def

110-anemia+leukemia+absent thumb+absent kidney:

1-pearson syndrome
2- fanconi anemia
3-osteopetrosis
4- diamond black fan syn

111-thalasemia B minor is diagnosed by:

1-increase Hb F
2- increase Hb A2
3—increase Hb gower
4- a2g2

112-all true in g6pd def anemia except:

1-extravascular hemolysis
2-intravascular hemolysis
3-x- link
4-neither

113-the most common type of vasoocclusive events in sickle:

1-acute chest syndrome
2-prapism
3-pain crisis
4-hematuria

114-thrombotic microangiopathy occur in except:

1-TTP
2-DIC
3-SLE
4-HUS

115-all cause thrombocytopnea except:

1-fanconi
2-reumatoid arthritis
3-SLE
4-TAR SYNDROME
5-organic academia thrombocytopnea+neutropnea

116-when you have a child with absent radii you expect that he had:
1-thrompocytosis
2-thrombocytopnea
3-lymphopnea
4-non

117-the most common type of vWF dz is:

1-type 1
2-type 2
3-type3
4-type 4

118-all cause DIC except:

1- acute promyelocytic leukemia
2-AML M3
3-AML M1
4-snake bite

119-retinoblastoma associated with wich tumor:

1-wilms
2-osteo sarcoma
3-leukemia
4-astrocytoma

120-which associated with secretory diarrhea:

1-wilms
2-retinoblastoma
3-neuroblastoma
4-nephroblastoma

121-auer rod cell is pathognomic for:

1-ALL
2-AML
3-CML
4-HODGKIN

122-Philadelphia chromosome pathognomic for:

1- ALL
2-AML
3-non hodgkin
4-HODGKIN

123-enolase is atumor marker for :

1-wilms
2-retinoblastoma
3-neuroblastoma
4-astrocytoma

124-opsomyoclonus is a paraneopastic syndrome of:

1-wilms
2-astrocytoma
3-neuroblastoma
4-retinoblastoma

125-all cause secretory diarrhea except:

1-carcinoid
2-neuroblastoma
3-rotavirus
4-cryptospordium

126-all invade the colon except:

1-amebia
2-giardia
3-compylobacter
4-ulcerative colitis

127-GE associated with convulsion:

1-rota
2-salmmonela
3-shagilla
4-compylobacter

128-vaccine that cause intussusption:

1-pertusis
2-rabies
3-mmr
4-rota vaccine

129-antibiotic cause pyloric stenosis:

1-clarythromycin
2-erythromycin
3-vancomycine
4-sulfa

130-contraindication for antibiotics:

1-salmonella
2-EHEC
3-ETEC
4-cryptospordium

131-the most common soft tissue sarcoma in child:

1-osteogenic
2-rhabdomyosarcoma
3-chondrosarcoma
4-chostochondroma

132-all associated with increase a feto protein in amniotic fluid except

1-chromosomal anomaly
2-congenital nephrotic syndrome
3-neural tube def

133-Regarding infantile hypertrophic pyloric stenosis

(a) Usually presents between 6 and 12 months of age
(b) The female : male ratio is 4:1
(c) Has a strong familial predisposition
(d) Pathologically shows hypertrophy of the longitudinal muscle layer of the
pylorus
(e) Presents with bile-stained projectile vomiting

134-Regarding intussusception all true except

(a) It is the commonest cause of intestinal obstruction between 6 and 18 months
(b) Usually iliocolic
(c) The lead point may be a Peyer's patch or Meckel's diverticulum
(d) Usually presents with few clinical signs
(e) Has a characteristic 'doughnut' appearance on ultrasound

135-Regarding exomphalos and gastroschisis

(a) A gastroschisis has a sac
(b) Gastroschisis is associated with major congenital abnormalities
(c) The postoperative mortality of surgery for gastroschisis approaches 50%
(d) Both conditions may be diagnosed prenatally with ultrasound
(e) Both conditions require delivery by caesarian section

136-Congenital diaphragmatic hernia all true except

(a) Usually occur through the foramen of Bochdalek
(b) Are more common on the right than the left
(c) Are associated with other congenital anomalies
(d) Present with respiratory distress in the neonatal period
(e) Neonates usually require sedation, ventilation and intestinal decompression
prior to surgery

137-Regarding Hirschsprung's disease all true except

(a) Often presents with neonatal large bowel obstruction
(b) Results from absence of ganglion cells in both the Meissner's and
Auberbach's plexus
(c) A contrast-study will show dilatation of the aganglionic segment
(d) The diagnosis can be confirmed by histological evdience of increase
acetylcholinesterase in the aganglionic segment
(e) Early treatment may involve rectal irrigation or an emergency colostomy

138-hematuria after one day of URTI:

1-posstrep glomerulonephritis
2-igA nephropathy
3-nephrotic
4-hypersensetivity

139-Noonan Syndrome,
A) is a chromosomal syndrome.
B) is an autosomal recessive disorder.
C) is called “male Turner”, therefore only affect males.
D) Aortic stenosis is the most common cardiac abnormally.
E) Mutation in PTPN11 gene is associated with 50% of the cases.

140-Hypocomplementinemia occur in all except:

1-poststrep
2-sle
3-igA nephropathy
4-membranoproliferative

141-X-linked Agammaglobulinemia (XLA)

A) there is no circulating B cells
B) Associated with enlarge tonsils and lymphadenopathy
c) Affected individual are unwell from birth
d) Affected individual can receive oral Polio vaccine with no increase risk

142-female +sezure+hemolysis+thromboctiopnea+uremia
1-HUS
2-TTP
3-ITP
4-antiphopholipid syn

143-Red Man Syndrome.

A. Is commonly seen after second oral dose of penicillin
B. Is a anaphylactic reaction
C. Is cause by mast cells degranulation
D. Also called “red bottom syndrome” in paediatrics, as the erythematous
rash in children with red man syndrome is seen mainly around the gluteal region.
E. Must be treated immediately with IM adrenaline

144-The most common cause of ARF in child:

1-acute tubular necrosis
2-acute cortical necrosis
3-tumor lysis syn
4-myoglubinuria

145-all in CRF except:

1-anemia
2-hyperk
3-polyuria
4-secondary hypoparathyroid

146-the most common cause of HTN in child

1-essential
2-renal
3-vascular
4-endocrine

147-renal agenasis occur in all except:

1-potter
2-infant of diabetic mother
3-poland syn
4-vactrl syn
5-non

148 -the most common cause of bladder outlet obstruction in male

1-urethral stenosis
2-iatrogenic stricture
3-post urethral valve
4-prostatic hypertrophy

149-portal HTN+systemicHTN:
1-nephrotic
2-AR polycystic kidney kidney cysts+hepatic fibrosis
3-AD polycystic kidney
4-niphritic

150-cerebral aneurysm +kidney enlargement:

1-wilms
2-AR polycystic kidney
3-AD polycystic kidney
4-diabetes

151-all cause renal stone except:

1-cystinuria
2-lesh nyhan syn
3-type 1 RTA
4-VIT C overdose
5-non

152- DKA all true except:

1-ketonuria
2-ph less than 7.25
3-HCO4 less than 18
4-increase urea level

153-all cause hypoglycemia except:

1-reye syn
2-GSD
3-metabolic syndrome x
4-beck withweidman syn

154-cystic hygroma most often occur in

1-noonan syn
2-down
3-soto syn
4-russel silver syn
155-anosmia+delayed puberty:
1-klinfilter
2-turner
3-keshan dz
4-kallman syn

156-Plethoric lung fields are seen in all of the following conditions, except:
A. Atrial septal defect (ASD)
B. TAPVC (Total Anomalous Pulmonary venous connection)
C. Ebstein’s anomaly
D. Ventricular septal defect

157-Cardiomyopathy may be seen in all of the following except:

A. Duchenne muscular dystrophy
B. Friedreich’s ataxia
C. Type II glycogen storage disease
D. Alkaptonuria

158-Hb-6.4 gm/dL; TLC-26,500/mm3 Platelet-35,000/mm3; prathrombin time –20

sec with a control of 13 sec; partial thromboplastin time-50 sec; and Fibrinogen
10 mg/dL. Peripheral smear was suggestive of acute myeloblastic leukernice.
Which of the following is the most likely?

A. Myeloblastic leukemia without maturation

B. Myeloblastic leukemia with maturation
C. Promyelocytic leukemia
D. Myelomonscytic leukemia

159-The defective migration of neural crest cells results in:

A. Congenital megacolon
B. Albinism
C. Adrenogenital hypoplasia
D. Dentinogenesis imperfecta

160-All of the following drugs are used for managing status epilepticus except:
A. Phenytoin
B. Diazepam
C. Thiopentone sodium
D. Carbamazepine
161-The most common cause of congenital hypothyroid
1-digeorge
2-aplasia of thyroid
3-hashimoto
4-dyshormonogenesis

162-all cause adrenal insuffecinsy except:

1-meningiococcus
2-hemochromatosis
3-zelweger syn
4-ketoconazole
5-adrenoleukodystrophy

163-The most common form of adrenogenital syn:

1-11 hydroxylase def
2-15 hydroxylase def
3-21 hydroxylase def
4-20 hydroxylase def

164-which virus cause bloody csf:

1-echo
2-mumps
3-herps
4-rabies

165-the commonest cause of west syn

1-hpoglycemia
2-strug weber syn
3-tuber sclerosis
4-aicardi syn

166-all cause hypotonia except:

1-kinky hair dz
2-RTA
3-marfan
4-wilson
5-lowe syn

167-cushing triad all except:

1-HTN
2-bradycardia
3-hypothermia
4-respiratory variations

168-which inheridited by mitochondrial genetic:

1-soto syn
2-laber heridety retinopathy
3-HNPAC
4-x fragile

169- all in spina bifida occulata except:

1-lipoma
2-hemangioma
3-hyperkeratosis
4-hypertrichosis

170-hydroceph+abcense corpus callosum+enlarge post fossa:

1-arnold chiari syn
2-aicardi syn
3-dandy walker syn
4-soto syn

171-All of the following are true concerning Otitis media EXCEPT:

A. Chronic or recurrent ear infections lead to conductive hearing loss.
B. Bottle feeding can predispose children to ear infections
C. Treatment of choice is clindamycin
D. One of the most common causes of bacterial otitis media is
Strep.pneumonia

172-Select the TRUE statement for HIV positive mothers (positive before and at
the birth of child):
A. 90-100% will infect the child during delivery
B. Must not take zidovudine (AZT) due to its teratogenicity
C. Should not breast feed their children
D. Must insist their HIV positive child be immunized with all vaccines
s cheduled for a non-HIV positive child

173- What characteristically happens if you incorrectly treat a pt with infectious

mono by giving him/her
ampicillin?
a. severe anaphylactic reaction
b. nothing
c. a rash develops
d. excessive nausea/vomiting

174-A 15yr old comes to you for a football physical. which finding below in this
childs history would preclude him from a contact sport?
A. sickle cell disease
B. Asthma
C. A heart mumur
D. patient has one kidney

175-A 2 year old comes in for a well baby check-up. She should be able to do all
of the following except:
a. turn pages one at a time
b. use 2-3 word phrases
c. follow two step commands
d. participate in group play.

176-. A child has recently started to transfer objects, babble and use the raking
grasp. He should also be able to:
a. sit unsupported
b. walk with support
c. say "mama" and "dada
d. build a tower of two blocks

177-A 15 year old white female presents to clinic complaining of numbness in

both legs which started yesterday. She has recently recovered from a URI which
she had about 10 days ago. She also complains of mild weakness in her proximal
muscles. Her condition:

a. may require treatment with IVIG and plasmaphoresis

b. involves degeneration of the anterior horn cells
c. consists of symptoms which wax and wane over time
d. is only viral in origin. She should be sent home and advised to rest and drink
plenty of fluids

178-A ten month old recently had a mild URI. Over the next couple of days, he
develops a "barky cough" with intermittent stridor which is worse at night. He has
a low grade fever. Crying seems to exacerbate the stridor. This history is most
consistent with:

a. epiglottitis
b. aspiration of a foreign body
c. a "thumb print" sign on lateral xray of the neck.
d. a "steeple sign" on AP neck film

179-4 year old child child presents with fever, vomiting, and shortness of breath
on exertion. Physical exam shows muffled heart sounds, fever, a gallop rhythm,
and tachycardia. The best diagnosis for this child is

a. pericarditis
b. costochondritis
c. myocarditis
d. mitral valve prolapse
e. none of the above

180-A 4mo male is brought to you for a well child check. No apparent
abnormalities were noted at birth(APGARS 8 and 9), but you hear a II/VI
holosystolic murmur. The mother denies any episodes of cyanosis
or respiratory distress, but doesn't think hes growing very well (birth wt. 2.7Kg,
currently 5.6Kg). ECG shows evidence of left ventricular hypertrophy which is
also supported by CXR. What is your diagnosis?

a)small VSD
b)PDA
c)Aortic Stenosis
d)large VSD
e)Aortic Coarctation

181- Most infant formulas contain __ kcal/oz. and most infants need __
kcal/kg/day.
a. 30, 150
b. 20, 100
c. 10, 90
d. 50, 200

In children, the most common cause of hearing loss is :

1-snake bite
2-usher syndrome
3-otitis media
4-cholestetoma
5-alport syndrome

the most common cause of deafness with blindness:

1-alport syndrome
2-usher syndrome
3-acoustic neuroma
4-osteopetrosis

the most common cause of hematuria in children:

1-TB
2-UTI
3-IGA NEPHROPATHY
4-POSTSTREP GLOMERIOLONEPHRITIS

the most common cause of GM :

1-posstrep
2-sle
3-igA nephropathy
4-minimal change dz

cerebral palsy with jaundice:

1-spastic
2-ataxic
3-chorioathetosis
4-mixed

the rx of choice for juvenile myoclonus epilepsy:

1-carbamezebine
2-valporate
3-phenobarb
5-phynitoin

posterior cervical +occipital lymphoadenopathy is pathognomic for:

1-measles
2-EBV
3-HODGKIN
4-rubella
5-reseliosa infantum

vit A def associated with all except:

1-measeles
2-hyperkeratosis
3-cheliosis
4-immun def
which cause periosteal hemorrhage:
1-vit K def
2-vit c def
4-copper def
5-zink def

reed strenberg cell pathognomic for:

1-EBV
2-HODGKIN
3-BURKITT B
4-SLE VASCULITIS

which is the poorest stage of ALL:

1-L0
2-L2
3-L3
4-L1

5 yrs child complaining of joint pain +meningeal signs,cbc show pancytopnea

chemical tests show hyperurecemia,hypercreatinine , the most likely dx:
1-gout due to lysh nyhan syndrome
2-meningeococcs
3-ALL tumor lysis syndrome
4-JRA

in pancytopnea the first sign is due to:

1-neutropnea –infection
2-anemia-pallor
3-thrombocytopnea- bleeding

the commonest cause of fever and rash:

1-roseliosa infantum
2-kawasaki
3-meningeococcemia
4-measeles
5-EBV

which cause cardiomyopathy:

1-GSD4
2-carnitine def
3-GSD3
4-pearson syndrome

which type of GSD associated with immune def +thrombocytopnea:

1- 1
2-2
3-3
4-4

the most common type of hypercoagulapility:

1-protein c def
2-protein s def
3-antithrombin III def
4-leiden factor def

the commonest cause of death in hemophilia:

1-liver hemmorage
2-intracranial hemmorage
3-HIV
4-HCV

PNH all true except:

1-extravascular hemolysis
2-thrombosis
3-pancytopnea
4-complement activation hemolysis

hemolytic anemia +retinitis pigmentosoa+malabsorption:

1-causher
2-lowe syndrome
3-shwaman diamond syndrome
4-abetalipoproteinemia

hartnup dz is a defect in transport of:

1-cystein
2-tryptophan
3-Mg
4-tyrosin

all incease ICP except:

1-vit A overdose
2-hydroceph
3-hyperaldosteronism
4-hypoparathyroid
5-DKA

the most common cause of cushing syndrome:

1-pituatry adenoma
2-adrenal adenoma
3-exogenous cortisol
4-paraneoplastic ACTH

in 21 hydroxylase def all true except:

1-increase 17OHP
2- increase testesterone
3- increase cortisol
4-decrease aldosterone

in pseudohypoparathyroid all true except:

1-increase PTH
2-decrease PTH
3-increase phosphate
4-deceased Ca

hypomagnesemia may cause

1-hyperkalemia
2-hypoPTH
3-hyper Ca
4-hypophosphatemia

all cause stridor except:

1-laryngiomalacia
2-hypo Ca
3-hyper Ca
4-vocal cord paralysis

all cause macroglossia except:

1-beck with weid man syn
2-fetal alchol syndrome
3-pomp dz
4-down
5-hypothyroid

in congenital hypothyroid all true except:

1-carotinemia
2-umbilical hernia
3-hypotonia
4-direct jauindice

good luck