PRYSI Tues PEDE, Inst} questions. Wark Seeepspondung oORAY one answer tor each item by shading the box I STRI MULTEPLE cHozce El | 4a 5. | 6. | i ie ECIANS Lice, BOARD OF MEDICINE ngure Examination 2021 lay; November 2 41:00 a.m. - 01:00 p.m TI RICS AND NUTRITION ee HCTION! Select the correct answer for each-of the following etter of your choice on the answer sheet providad. ‘TLY NO ERASURES ALLOWED. . i he recommendegroon) ‘temperature in degress Centigrade for mairtainin: warmth for Sra P * ° : neonates is A. 33-36 c. 29-32 B. 30-34 D. 25-28 ns BYPSERYFOTATEA, in a newborn infant is caused by Gerierency th the mother B. hormone replacement during pregnancy |':., : C. low maternal serum albumin ke D. toxic goiter in the mothe: Which arg, the voimpor: paraneters which help in ascertai the G¥pe..dtsinttlal feedings? A. Weight amd-gestation B. Clinical stability and weight C. Absence of tachypnea and birth asphyxia D, Gestation and hemodynamic stability Which_of the following statements i: NGORRECH) regarding infants with is insuffici Sey syndrome? RGD ABOULT4O perce” Of infants with placéstal insufficiency syndrome are poststern “ i B. In placental tnsufficie fetus: were ineconlum-stained c. In placental “insufficiency syndrome, there ig.abnormal fetal_ heast trate" ee D. GroWEA Ketardationinutero is noted in placental insufficiency. syndrome ania cy..syndrome, the amniotic fluid and A. post-exposure antibiotic B. isolation of infected children C! post-exposure immunoglobulin D. pre-exposure vaccination The single MOST important [eubite healsh measurel to reduce the ingidence IP congenital-rubelte-syndrome is ’ al S7yeae old Boy) had his blood cultuRS which revealed vanc: ite: jomyein si Sboccus. faecalis, the drug of choice is PRR: 7 C. Tetracycline B. Ciprofloxazin D. Linezolid : ngenital-2B.. the|chon lesion|is found in what drgan of the neonate? in Sots ‘cos wer, Liver B,.Long bones D. Lungs Continued on Page 2 7PRYSIGTANS Lice: n neu ‘tion > Mesdiy, Novanber 2, 22t 11:00 aun. - 01:00 p-m. Page 2 EEDIAERICS AND nutRrrion sera | oth Dia ro - y Gnosis of [higellosig]is through | (a. blooa currase oete) c. fecalysis B. complete blood count D. stocl culture lo. qa. 13. 44. ~ Risky behavior for acquiring¢hepatitis C infections are the following situations excepr A. sexual exposure | 3. eating street food dep A + blood ‘transfusion ” D. vertical transmission from mother qhis J-month-o1dCandimantzed Noy was brought to the ER for SGmene Popeketento-hi ghgiade fever bf 6 days duration. The fontanatie-was Shed to be bulging 2 days prior, Posathission..Swo-houxe=ptor to itiseion, HERES) developedimberaliged tanks clonic, sei rizitg. Tf you WOT do a GREED H derelonees Fee Ppietiru sure pretably show | RT WBE. 7 0:lsegmenters, dymphocytes protein’ congg) ans one te 3. WHG70—- sega Apeatein. 4s jc. segmentars“0 = Protein 20ngh RBS. D. whe70. esgmeieers: *"Tymphocytes 0 sugar 60mgé jienseyEse”709l Lena 20ma 6 Broteln 300mg t ponge to a particuiat A. maternal antibodies c. age | B. cough or colds D. fever innsch of the following statenents is ERIE Regarding @nfIGeiEsDin children? —— A. Infants may develop a sepsis like condition and apnea, B. ‘Syndrome of sudden onset of high fever, severe myalota, head aghe and chide. eon eee cad CG. Aciite viral illnessClaste @ w D. May cause Raye eyndronie—— What are the characteristic criteria for Chlamydia‘ pneumonia in ¢hildren? nine associated rhin. 8 bifesnjunceivitie present~ ili-pyoderme Lv-enlargement of regional lymph node, a, 11,111,1¥, Be 1,11, "112 22) and vas treated witn EFipie wa thie, a wnase Seer was, ceeeReaee Gateifications) on both lung fields. How Will Gorprorese: MK. Request for culture studies. | 3! stop treatment. 5 ' ¢. gxtend treatment for 3 more months, i D. Staxt quadruple anti-TB therapy, 15. Reve syndrome is a progressive encephalopathy associated With viral piiection euch ae chacken Pox and influenza, The mechanism in wiciear but have been associated with the intake ae) n° A. Antibiotics C. Paracetamol B. Aspirin D. Ibuprofen Continued on Page 3 q 1 2.1.9Page 3 SETA sin ancothéfwise normP.adolesgent " en pizetary_aigeresyr cyanoels,{ retractions: and aN markedly decrsaged breath, sounse eee ioe SPECIE ee +. By PReumothorax, ne “By..Chylothorax Cor mpyena, D. Aspiration of foreign body 17. Rich gilmonarp)gondition happens when deviation, to the affected part is /\ Ound In~s"eitid with complicate eunghta?—~ ( ‘AenHemethorax, ~— ~ . ectasis B. Lobar emphysema D.—Preumetheran— 18. RTI year-old female was referred to you for your opinion. The Negerd ctor..dnformed you that the patient wad~tachy ear ao, Yegkensives + blood pressure of 28. 1h a [peutE oewal i AL nig 7B. left ventricular hypertrophy Ck eight ventricular | ‘Toit atriel enlar 29. Which of the following sound (82)? TA. Pulmonary hyperte: B. Pulmonary valve s' ae £ pudidsdgWnwards. towards the, diapttaom (dtrial-enlargement ¢lo.., ot iY Wsested blood pressure, the arm should be the same as in the leg. et. radiogzay he garatad oF hypertrophy mo _ -gement. conditions results in 508 serum @lucospk[, tC. PMN sredominancei ‘ple pressive DY protein 100-500 ing/dl. | 40. One of the following is{{GP\indicated for neuroimaging in a child with headaches: ~ 5 "Ae Abnormal neurologic examination i Vy B, Absence of seizures 1 GChildren younger than 6 years old or any child! who cannot : adequately describe his or her headache | o..Worst upon awakening or that awakens the child| from sleep 12°" particularly if with vomiting s-weninade s composed of the following symptoms EXCEPT : “1 Be nna he co "phoespnopiay SSR? — Rr |B, nuchal rigidity D. Seizure vy i Continued on page 6 | re 21.9! Naue ee: FEDIATIZCS ay wutnreree a“ ABAICS AND wunazeron “anagement of patients with\Diliary atresig is. A. antibiots® C. exchange transfusion B. phototherapy D. Kasai operation rocpmggigaltreatnapt. cor patients with pistel harnie is. this is Fecpisitiided then puetents donot reanang <9 RGIS ant oaaRt. ah gastric bypass oC. ROUX=85 WESEOHOE TE“ + Kasai procedure D. fundoplication disease (GERD) imtitiantgie differentiated from by the voLISuig apMBEORE peeeeee SACGERD EXCEPT 44. Gastznesophagea Seseeessgebasre sata es A. chronic cough in children \ B| distressed behavior (excessive crying) cf faltering growth DL over-feeding 45. whieh of the following An,NOEND usual presentation of an infant wita + ‘fzacheqesophages). fistula —— a i? pl cyanosis witht Sige of feeding { 2} Copious salivation with choking Cc} maternal polyhydramnios<;** d| egaphaia, Ssaémea a 46. ne § form of ngGinie i patients with SilTarrarre : Al kernicterts= Grspake=stool Byvdarkunine Dr“jaundiees~ a . y which of the following ig@Nog) common in ig|is common in children with _, hygiene practices B! drinking clean water : Cy improved immunity Di better access to soap and water 48. The leottowin are possible complication of¢pylerieatenderd}excuDl . ‘ Al secondacy hypexaldosteronism from coche a encase ~ 7) — B. metabolic alkalosis " . C1] ByBseventilacion as 2 result of mecanolic atkalasig “Mit D.| Tow 'blood levels of chloride resulting in Sit | excretion of bicarbonate 49. B tvo-week old baby is brought in for.consultation, : The mother complaiae of progressive worsening olf “broject iia Svoniiting which is oi-bile Stained after feedings,” Abdottinad amination revealed an Qliverthaped ‘ness “Ei"the “abdomen. Ultrasound done will reveal", “~:| omphalecele —__ C. biliary atresia | !) pyloric stenosis D. diaphragmatic heraia B 50. Ip al patient with d@strosi¥SFTETs, oral rehydration ‘solution is the best "therapy. Which of the following iS can be eee in ameliorating ‘ odeminal pain? 2 oop ondanbetron Cv omeprazole butylscopolamine D. metoclopramide nonwinfectian.jcauses of gastroenteritis are the following conditions 51. On 2 . ) SEADEPT actone c. gluten Bo Crohn's disease D. rotavirus Continued on Page 7 ver 2.1.9luesday. . ~-Censur, i : ‘Tue; ure Examination Needey, November 3, Agni ee oy aims - 02700 come fae ERDIATRICS AND NUTRITION a 54. 59. MEETS i ion £UGTD thon after was given cotrinoxazale, suspension £d<\ 2: Ques tte iaveloped urtiZe HLrestes Gndepo uEing OUFEE. Mis serun Patignze increased. Which classification of Temat ‘failure did this Patient haa? ~BaoChronic ckidney ad Br peeenle akidney..diseans A fr¥ear-old giri suddent. hag shyla: due togbée” sting: GEGUELE WIEN nassdve ucelcante ener TER eee Beee Sena igvatCincreageay such pre ¥énal cause of RRF-caTbe™die"te A. cardiac failure *s< cr"denyaration P+ decreased blood voiune 5. acclerctbovar necrosis Bich of the following statements is CORRECT) regarding Post-streptococcal glomerulonephritis? ~~ A. Tt is the most common cause of post-infectious lp glomerulonephritis . 1g) gheTe will be elevated antistreptolysin 0 titer" 5, Th8,clinical presentation is gross henaturiae My ere.scey) D. It involves a recent hist ry SE“Yfoup B beta-hemolytic Streptococcal infection + ton in children is reduced jA: Rephrolithiasis + G. Bette glomerulonephritis 1B. diarrhea D. acute tubular necrosis Wich of the following tigtngna, adrenal hyperplasia? |B. high hydvoxyprogesterone Cc. hypoclycenia (BL hyperkalemia D. hyponatremia SvEProccur in patients with congenital tae f 59,2 adorrese ne a [4-year old female who complain of, ich xight™ovaity was removed and final hiSeopation aig [Sextoli=Leydig tumor} which of the following findings concur with the 'biopsy"tesules7” |A. hirsutism +" C. carcinoid 'B. liver failure D. hyperthyroidism Risk sector forlatinary tract infection in children jate the following CEP v i waelte lA. diarrhea | i iB. density of bacterial colonization of digtal urethra €. instrumentation of the urinary tract pee UTE D. uncircumcised boys Which of the following antinypertensive.drugs results more wi Sites techycardia as a side offer a Eneg : taCzet Tex, th. ACE inhibitors C. Diureticn : B. Vasodilators DoBetecbicckens | Which of the following hormonal levels occur in patients with congenital adrenal hyperplasia? . ia. hyperkalemia C. high hydroxyprogesterone : hypoglycemia D. hyponatremia ng the condittioas \Bost-renai] cause of renal failure is ‘fx: re — Bea PEE se conaivicn, fenal vein thrombosis. ena) | fiypovolemic sbOck. Burgy cf Continued on Page 8 w 2.1.9day. ne tcensux Tuesday, Novembee "2 Examination 2, 2021 = Page 8 TION . set & 62: a 4s ~Year-old te h 1 \d_ weight los ~ wale adolescent presented with exophthalmos and weight O88. Which Tllikely cause cop~exophthalwosyin such craves disease? 63. A histo: ) 4 : SELEPEY. Off GORD de ficiency) should be elicited when you are goinc to Prpscr foe Sno gery efdgiency] shoura EPR * A. Penicillin Cu. SA EORAG Bs, Chdoroaus : “ee, witk(¥pocalcemi@) the body's response will eeu Cc. vitamin K D. thyroid hormone and aldosteronen, Swe el@vited. baseling sexumzacrh levels” gecreased urinary free cortisol,.<-* - D. intravenous administration off@kii Swill seppresult in inerease plasma cortisol and sitiosterona, > Ee 7 ; ie Av Antravenous acy willgnot Posuleyin ingresse plasma cortisa) B ¢ 66. Which ‘deneiic “Ayndrome is usually associated withtsirio-ventricifar septal “deféet,, ventricular septal defect, andctatralogy oF Falters 4 A. ‘Down . C. NoGhan syndrome issn weet ty B. William syndrome D. Turner 67. Which of the following conditions.chat~presents.with supraclavicular lymph node adenopathy ¢” | D. lymph node greater than 2 cm \ StTUArronaL Situation AS*day mais néwnors.wasmarkedly jeundige and noted to have OtsrHisCbilirubin levels ware newest elevate 92. To establish the diagnosis whether bitiary atresia or neonatal hepatitis, which of the following investigations needs to be done? A. Percutaneous liver biopsy B. Abdominal ultrasound Su-Hepatobittary “scintigraphy . Ti--Bxploratery-daparotomy 93. Which of the following conditions caCygD vause hyperbilizubinemia ? A. Hyaline membrane disease Cc. Septicemia Tas B. ABO incompatibility D. Necnatel hepatitis 94. In which of the following ‘conditions inCHeBRAD do Ggholic stoo%p* occur? T. biliary atresia ~~” MEI. galactosemia IZ. sepsis IV. breastmilk jaundice err Sec cig B. I, II, IIT Dt, rrr Situakion 2 — A deleek Gld male neonate is noted of having (Gnbiltous vomiting immediately after Feeding. vomiting is usually progtess venande follows every after feeding. He developed hyperchloremic etabolic alkalosis. on PE of the abdomen, there was an olive haped hard mass best palpated from the left side and located bove and to the right of the umbilicus in the mid-épigastrium eneath the liver edge. 95. hich of the following is the MOST lixely diagnosit? | A. Gastric volvulus B! Hypertrophic gastropathy C. Hypertrophic pyloric stenosi. t D. Gastric duplication | 96. Select the condition which does¢or Present with’ feqtures similar to Ryperchloremic metabolic elkalceve* 7 IVR. Post hypercapnic alkalosis 3b, Primary hyperparathyroidism eee | | Ol primary mineralocorticoid excess (yn¥t Syprobte nme | D. Bartter syndrome a jdnioride- resistant cause of metabolic alkalosis may be seon in 97. en Chauiretic use “Chloride losing diarrhea | é from emesis agtric losses : S: fonovascular disease | Continued on Page 12 : :PHYSICIANS Licen sure Examination Tuesday, November 2, 2021 = 11:00 a.m. - 0 pem. Page 12 cee Bee SUERETION SETA agtive male consulted the OPD because of Penis that did not hurt; abozt 4 weeks prior to the Greatgence of symptoms. He has been Sexually active for the past yeats,“hes had a steady. girlfriend for tre Cast 6 months? but ae to occasional, sexual activi th other girts during this me poetry 90 hich of the following is your diagnosis in this case? “PomGonerrhea C. AIDS Be -Lee D. Syphilis 99. | identity the pathogenic organism. ya |_.AncHexpes simplex: Virusetype: 2: B. Treponema pallidum Gr-Neisseria.gonorrhea. | Dv-Chiamydiastrachomatis 100, Which is your BEST treatment option in this case? A. Benzathine penicillin, 2.4m units, given IM, single dose B. Notify the local health department Centetttiaxands snag! ta stags D. Counselling and testing for Human Immunodeficiency virus