‫اختبار دفعة أولى دور أكتوبر‬

1) An infant of pre-eclampsia of mother 20 years old is suspected to be:

A. Post-term
B. Large for gestational age
C. Small gestational age
D. Average for gestational age
2) A preterm neonate developed hypoglycemia In nursery. He is also infant of
diabetic mother He is 32 weeks& his body weight is 5 kg. Developed
hypoglycemia discovered by chance. The treatment is:
A. 10 ml DW 10% IV bolus
B. 25 ml DW 10% IV bolus
C. 10 ml DW 5% IV bolus
D. 5 ml DW 5% V bolus
3) An obstetrician calls you for an elective cesarean section due to eclampsia
mother. The fetus is preterm. You suspect the following findings:
A Wrinkled skin
B Active alert newborn
C Long meconium stained nails
D. Lungo hair or red shiny skin
4) The long term complication that is suspected in a preterm neonate remains
in NICU for 1 month for mechanical ventilation is:
A Bronchopulmonary dysplasia
B. Hyaline membrane disease
C. Hypoglycemia-
D. Apnea
5) A preterm neonate of 3 days old neonate, developed apnea in nursery. He
admitted due to premature rupture of membrane > 18 hours before labor. The
first treatment that you can give him not include:
A Phenobarbitone
B. Aminophylline,
C. Propranolol
D. Phenytoin
6) While you are preparing your NRP bag for delivery of a postdate
pregnancy, obstetrician told you that he is meconium stained. You observe
that he is inactive, lethargic& apneic. You first step in resuscitation is:
A. Cardiac massage
B. Adrenaline injection
C. Ambu bag ventilation
D. Endotracheal intubation & suction
7) Hyaline membrane disease can occur in the following neonates except:
A. Preterm
6. Precipitated labor
C. Infant of diabetic mother
D. Infant of pre-eclampsia mother
8) A primi-gravida mother developed obstructed labor due to contracted
pelvis. Her neonate develops birth asphyxia. The suspected complications
not include:
A Necrotizing enterocolitis
B Myocardial ischemia
C Liver Cirrhosis.
D. Seizures
9) A father brings his neonate to clinic due to Jaundice. You advise him to
admit his son to nursery for phototherapy. The father afraid of
complications of phototherapy. You told him that it not includes:
a Diarrhea
b-Dementia
c-Dermatitis
d-Damage of eyes
10) The most common time of hemorrhagic disease of the newborn is:
A. First day
B. First week
C. First month
D. First year
11) A 7 days old neonate in NICU due to severe sepsis. He developed oozing of
back puncture site. He received vitamin K in labor room. He appears ill&
lethargic& Start to have petechia.The most probable diagnosis
A. Disseminated intravascular coagulopathy
B. Hemorrhagic disease of the newborn
C. Autoimmune anemia
D. Hemophilia
12) While you are in labor room doing resuscitation of full term newborn, you
notice that his moro reflex is asymmetric In his arm. Your conclusion would be:
A. Sedated newborn due to maternal sedation
B. Intracranial hemorrhage
C. Erb's palsy
D. Premature
13) While you are in E/R, a father brought his 2 days old son due to pustules in his
skin& poor feeding. He mention that the mother has premature rupture of
membrane. You told him that he should be admitted due to:
A. Late onset sepsis.
B. Early onset sepsis
C. Nosocomial infection.
D. Pseudomonas aeruginosa infection
14) While doing round of fellowship, you notice a neonate in Incubator passes
blood per rectum. The possible causes of necrotizing enterocolitis Include:
A. Full term
B. Breast-feeding
C. Slow scheduled feeding
D. Umbilical catheterization
15) While you are in E/R, a mother of 1 month old male brought him due lethargy.
He has small head, jaundice, petechial& hepato-splenomegaly. He may got :
A Congenital rubella syndrome
B. Congenital herpes simplex
C. Cytomegalovirus
D. Toxoplasmosis
16) A 3 days newborn brought by his family due to deep yellowish
discoloration of his eyes& skin. O/E: he is Irritable, no pallor, orange yellow
color. His weight is 2 kg and total bilirubin is 12 g/dl& direct bilirubin is
2g/dl . Your advice is:
A Exchange transfusion
B. Observation only
C. Phenobarbitone
D. Phototherapy
17) A pregnant mother of O-ve blood group came for delivery.The single
blood test from cord blood to know the possibility of neonatal hemolysis :
A. Blood group
B. Coombs test
C. Hemoglobin
D. Bilirubin
18) The blood amount that is needed for exchange transfusion of a
lethargic 6 days old infant, body weight 3 Kg, total bilirubin 22 mg/dl&
direct bilirubin 5 mg/dl is:
A. 50 ml
B. 100 ml
C. 250 ml
D. 500 ml
19) The abdominal parasite that can lead to anemia due to absorption of
blood from the small intestinal wall by its hooks is:
A Ascaris
B. Strongyloids
C. Anchylostoma
D. Enterobius vermicularis
20) A 12-year-old male child came from Ibb due to Intermittent terminal
hematuria for months. The drug of choice to treat him Is:
A Niclosamide
B. Praziquantel
C. Tertracyclin
D. Ciprofloxacin
21) A 4-year-old male child presented with paroxysmal cough followed by
cyanosis vomiting. You advise him to give erythromycin for older children
and do vaccination to younger children by:
A BCG vaccine
B. DPT vaccine
C. Rota vaccine
D. Influenza vaccine
22) A 4-month-old female developed watery diarrhea after Rota vaccine.
You told her mother that she may develop :
A. Meningitis
B. Myocarditis
C. Dehydration
D. Pneumothorax
23) At Eid time, most of the families want to travel to Alhodidah for vacation
time. Your advice for Malaria prophylaxis is:
A. Quinine
B. Proguanil
C. Primaquine
D. Mefloquine
24) It is contraindicated to give Immune-compromised patient
live attenuated vaccines .The following vaccines are live attenuated except:
A. BCG
B. Measles
C. Rota virus
D. Salk vaccine
25) Assessment of child's weight more than 1 year old depending the
following formula:
A. 80+ 5x age in years
B. 8+ 2x age in years
C. 9. age in months/2
D. 90 2x age in years
26) A mother asks what is the normal body height of 3 years old male?
A 50 cm
B. 95 cm
C. 120 cm
D. 150 cm
27) While you measure the head circumference of an Infant, you notice that
it is small for his age. The cause of small anterior fontanel Include:
A. Craniosynostosis
B Down syndrome
C Achondroplasia
D. Hypothyroidism
28) While you take a history from a mother of 1-year-old male, you notice
that he has mental& Language delay but good in motor milestones. He can
do:
A. Stand alone
B. Dress himself
C Draw a triangle
D. Cut with scissors
29) The breast milk is a complete nutritious formula that is compatible to
infant's age. It starts to be deficient in Iran, zinc & iodine at the age of:
A. 1 month
B. 6 months
C 12 months
D 18 months
30) A seven-month-old male from a poor family. He came with signs of
acute severe malnutrition. Kwashiorkor is characterized by the following:
A. Senile face
B. Miserable mood.
C. Loss of subcutaneous fat.
D. Bilateral lower limb edema.
31) A 2-month-old male infant diagnosed as pneumonia. He appears to
have absent eyelashes, eyebrows& alopecia. In addition to signs of rickets.
The most probable diagnosis is:
A Congenital rickets
C Vitamin D resistant rickets
D Vitamin D dependent rickets
32) The best treatment for your younger brother who has secondary
nocturnal enuresis:
A. Enuresis alarms
B. Desmopressin
C. Tofranil
D Miniril
33) A father is concerned about his child feature who has abnormal or
absent language, seems to be alone most of the time, no interaction with
people & an ordinary movement that was started before the age of 3 years.
Your diagnosis is:
A. Attention deficit
B. Hyperactivity
C. Tourette
D. Autism
34) A 7-year-old female child came due to fitness for her right eye cataract
operation. You notice that she has arthritis of her right elbow& knee joints
that lasts for 1 year. Your diagnosis is:
A. Polyarticular juvenile rheumatoid arthritis
B. Pauciarticular juvenile rheumatoid arthritis
C. Systemic lupus erythematosus
D. Henoch schonleen purpura
35) A male neonate has lungo hair, soft ear, breast-tissue is 1 cm, testis in
scrotum, skim wrinkles in anterior third. His gestational age is:
A. 30 weeks
B. 32 weeks
C. 34 weeks
D.37 weeks