FINAL- MCQ

Males #35
PED

1-Breast milk is exclusive diet for ?

First 6 months

2- which of the following is live attenuated?

MMR

3- Lymphadenopathy characterized by ?

Mediastinal mass carry high risk of malignancy

4-perinatal cause of acute heart failure is ?

Erythroplastosis featalis

5- Brucellosis characterized by ?

fever lethargy artharitis

6- typhoid fever is present with ?

diarrhea

7-Diphtheria characterized by?

Tachycardia that is disproportionate with temperature.

8-Acrodermatitis enteropathica ?

Zinc deficiency .

9-Regarding tetny?

Oral Ca maintaing after ttt

10- physiological jaundice?

not more than 5 per 24 h

11- Mental reterdation prevented by early diagnosis and treatment of ?

FINAL- MCQ
Males #35
PED

hypothyroidism

12- hemorrhagic disease of newborn due deficiency coagulation factor ?

vitamin K-dependent coagulation factors II, VII, IX, X

13-The following is CSF finding in acute bacterial meningitis ?

Decrease in glucose

14 - the following is correct as regard werdning -hoffman syndrome?

Affection in AHC

15-Cranial nerve responsible for tongue movement ?

Hypoglossal N

16- Microcytic hypochromic anemia ?

Lead poisoning

17 - Laboratory test of Ricket ?

Increase of phosphoruria.

18- G6PD ?

Administration of acetylsalicylic acid lead to hemolysis.

19 - 20

21-22

23-24

25-non-obstruction hydrocephalus caused by ?

Toxoplasmosis

26-toilet training characterized by ?

FINAL- MCQ
Males #35
PED

2.5 to 4 years

27- myoclonic seizure?

Consciousness not impaired

28- Aplastic anemia?

Reteculocytopenia

29-Acute renal failure presents with?

metabolic acidosis

30-Hemophilia A ?

sex-linked recessive trait

31-diagnosis of DM?

Random blood sugar >200.

32-regarding wilms tumor?

Radiotherapy post partial section.

33- megaloblastic anemia shows?

MCV>100

34-clinical manifestation of pleural effusion?

bronchial breathing in upper border of effusion

35-Galactosaemia is characterized by ?

diarrhea

36-In management of poisoning?

place child on left lateral position/head down

FINAL- MCQ
Males #35
PED

37- Hepatitis A virus characterized ?

Asymptomatic

38-

39-In Neonatal anemia ?

Blood loss is most common cause

40-Which one of organism cause Late onset sepsis ?

Klepsilla

41-Erb,s palsy?

Injury C5 and C6

42-an acquired microcephaly?

Perinatal asphyxia

43-

44- vit A deficiency leads to ?

night blindness

45-most common tumor in posterior cranial fossa?

Cerebellar astrocytoma

46-bacterial pneumonia characterized by ?

Wbc>130000

47- bronchiolitis grade 2 is ?

SaO2 >86 moderately irritable 2-4 retraction and nasal flaring

48- Best treatment for Kawasaki in acute stage ?

FINAL- MCQ
Males #35
PED

IVIG

49-pseudomembranous colitis treatment ?

Metronidazol

50-child 7 yrs old open eye by pain disoriented and withdraw to pain GCS?

10

51- Cystic fibrosis consider as ?

Autosomal-Recessive

52-Obesity in childer consider ?

more 95 percentile

53-Infection with this organism can cause cholestasis ?

Rubella

54-Poor perfusion time is when?

more than 3 sec

55 - red sternberg cell in?

Hodgkin lymphoma

56 - indication of Adrenaline in neonatal resuscitation?

heart rate less than 60

57-

58-

59-about thalassemia major ?

Electropherisis more than 70% HbF

FINAL- MCQ
Males #35
PED

60- baby runs stiffy ascends stairs play in company with other children ?

Age is 18 months

61- Cratira of hypersplenism ?

Pancytopnia and reticulocytosis

62-acute diarrhea complicated by ?

hypokalemia

63-regarding congenital hypothyroidism?

Treatment is for life

64-Drug of choice in neonatal seizures ?

phenobarbitole

65-VSD murmur ?

harsh holosystolic or pansystolic murmur at left 3rd,4th intercostal spaces

at parasternal area propagated all over the precordium

66-preterm character?

head and leg drop

67-hypoglycemia of infant diabetic mother expected result of glucose is ?

(Less than 35 md/dl at 1-3 h )

68-indication of chest compressions in neonatal resuscitation?

(HR less than 60 bpm despite adequate vent with 100% O2 for 30 seconds )

69-Daytime asthma symptoms are Persistent, which limit normal activity+

Nighttime awakenings are daily ?

Severe persistent asthma

FINAL- MCQ
Males #35
PED

70-Case : associated with fever, weight loss, and an enlarged spleen and liver
+ Lymphadenopathy may be present + living in area where sand flies are
common ?

Visceral Leishmaniasis

71- 13y boy present with recurrent attack of generalized edema and
refractory hypertension . Lab: serum albumin = 1.5 gm/dL , proteinuria = 70
gm/m2/hor , hypercholesterolemia . What the next step ?

Renal biopsy

72 - ABG : PH : 7.15 , CO2 : 15 , HCO3 : 5 , Na : 140 , Cl : 110 ?

DKA with metabolic acidosis and partially compansated respiratory alkalosis

73- 2 weeks female came to hospital , the mother had history

of cuph rhinorrhea , the child complained of apnea ,
persistence irritative cough and post tassive emisis , best Treatment?

Erythromycin

74- child complaining of palpable purpura painful

arthritis thrombocytopenia and renal affected most probable diagnosis ?

- anaphylactoid purpura

75-6year old girl have IDA ,the dose ?

3-6mg

76-child go to the ICU have history of GIT infectious.

the Compline flaccid,ascending paralysis, symmetrical pattern ,the diagnosis ?

Guillain-Barré syndrome.

77-kwasaki , the important manifestation ?

cardiac manifestation
FINAL- MCQ
Males #35
PED

78-neonatal with tacpneya grunting, severe retraction

, cynosis disappeared with O2 ,slight decrease air entry , down score?

6 with RDS

79- Case of red blotchy rash spread on extremities then whole body , fever
and circumoral pallor is present what is the diagnosis?

scarlet fever

80- case of 3 weeks newborn with non- bilious vomiting , weight loss and

olive shaped mass to the right epigastrium. what is the diagnosis ?

hypertrophic pyloric stenosis

81- 3 years old boy with fever 39.5c , anorexia, irritability,abdominal pain,
then symptoms subsides and develop a rash spread on extremities,face, scalp
and neck, what’s the causative agent?

Human herpesvirus 6

82- in the delivery room you examined a new-born with IUGR and
microcephaly and on examination: Rocker-bottom feet and clenched fist
what’s the disease?

Trisomy 18

83- 10 years old boy with cough,fever , nights sweat And

positive tuberculin skin test , drug are negative for drug resistant ???

RIP treatment

84- baby delivery with microcephaly ,CT scan

show periventricular calcification. what’s your diagnosis ???

CMV
FINAL- MCQ
Males #35
PED

85: diagnosed boy with sinusitis otherwise normal , which of the following
drug is recommended as first treatment in serious pinecillen drugs allergy
? clarithromycine

86 : child comes with bilious vomiting , barium swallow show spiral

appearance of the distal duodenum and proximal jejunum . What is the name
of this sign ?

corkscrew sign

87-In consideration of Diabetic insipidus ?

specific gravity less than 1,015 and urine osmolarity less than 300

88-Case of T.B diseased patient , resistant to pyrznimide?

INH+rifam for 9 months

89. 1 day old infant with tachypenia and retraction. What

does tachypenia in neonate mean?

Respiratory rate >60 per minute.

90. 1 day old infant with signs/ symptoms when introduced to food
contain gluten. It associate with?

IgA anti - transglutaminase antibody.

91-juvenile rheumatoid arthritis, +ve antinuclear antibody?

iridocyclitis

92-bulids tour of 3 cubes plays in company with other children ?

18 months

93: 15 y patient came with abdominal distension , on examination you found

huge splenomegaly , most probable cause ?

- bilharziasis
FINAL- MCQ
Males #35
PED

94-Case have oliguria and buffled eye and red Urine and hematuria
and proturia ( more than 15) .what is your diagnosis ?

APSGN

95-Child he is Restless, irritable with Sunken eyes tears Absent and Dry

mouth ?

the type is Some dehydration and Plan B treatment

96- child present with abdominal distention and bloody diarrhea,

Hb:6 Thrombocyte : 60,000 Reticulocyte 5% , most probable diagnosis ?

NEC

97-

98-neonatal preterm IDM with jitterness and convulsion and, serum value ?

Ca <7

99-Persistence thrombocytopenia with management steroid

and splenectomy which type ?

chronic refractory ITP

100-Light colored skin and eye (Blond ,yellow hair, blue eyes; tyrosine
deficiency so melanin deficiency) bad odor ?

Phenylketonuria (PKU)

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