Final pedia

Male #36

SEQ :
1- 5 indications and 2 side effects for growth hormone use ?
2- 5 causes of refractory heart failure?
3- 5 laboratory investigations for hyperbillirubenima that appeared in first day ?
4- 5 pathological causes of bronchial breathing?
5- treatment of Kawasaki disease?

Pedia final MCQ

1- acute phase of KD best treatment is ?

( IVIG )

2- 3 year old child with contacts to TB patient, NO sign of TB and NO CXR finding and TST was 4 ml what
is the treatment for him ?
( no treatment and do another test after 10- 12 weeks )

3- drug may cause HUS ?

( cyclosporine)

4- patient came to ER after falling from stairs on examination you found that the eyes open to pain ,
inappropriate words , withdraw to pain... what his score in GCS ?
(9)

5-Triad of congenital toxoplasmosis ?

( chorioretinitis and hydrocephalous and intracranial calcifications )

6- what is the size of baby Stomach at 1 weak ?

(Apricot)

7- Investigation for diagnosis of ALL ?

( bone marrow examination)

8- Gold standard for treatment of ITP ?

( oral predisolone )

9- 9 year child live in farm walked barefoot came to clinical with anema and abdomanl pain .which of
the following is parasitic suspected causes ?
(Ancylostoma duodenale)

10- tumor that show calcification on abdominal x ray ?

( neuroblastoma )
11 - Non supportive complication of scarlet fever ?
( Rheumatic fever )

12- Diaper rash due to?

( Candid infection )

13- Neuronopathy mean?

( Anterior horn disease )

14- Infective endocarditis characterized by?

( prolong 4-6 week therapy )

15- Which of the following correct according to vaccination?

( hepatitis A given at 18 month )

16- Child come with midline defect and micropenis what most possible cause?
( GH deficiency )

17- Aplasia cutis associated with which syndrome?

( Trisomy 13 )

18- Sick cell patient come with hemiparesis and whose diagnosed with stroke what is best to do for
prevention?
( Annual Transcarinial doppler ultrasound )

19- Osmotic fragility test normal happen when?

( Began 0.5 nacl and completed in 0.3 NaCl )

20- Hypothyroid Child have with growth retardation and muscular dysplasia and no permanent mental
retardation. Which time usually hypothyroidism began?
( After 3 years )

21 - child came to hospital by his mother,,, the mother said that he take some medication,,,, PH 7,57 ,
Co2 25 , Hco3 18 ,,, what is the cause ?
( Respiratory alkalosis, salicylate toxicity )

22- child on formula milk presented with abdominal distended and bloody diarrhea.... metabolic
acidosis, hyponatremia , low platelet,,, what is the diagnosis?
( NEC )

23- seizures present in premature , intracranial hemorrhage, HIE with poor prgnosis ?
( Tonic seizure )

24- Case of fever and sore throat and drooling first step in management of this case is?
Airway management (intubation)
25 - Delta agent ?
( Incomplete RNA virus )

26- Pathognomic signs of kwashiorkor?

( Apathy, flaky paint dermatitis, flag sign )

27- tetany occurs if ?

( ionized calcium < 3 )

28 - Primary problem in Transient tachypnea of newborns?

( Retained lung fluid )

29- Risk factor for malignant disease in patient with lymphadenopathy?

( Hepatospleenomegaly )

30- Type of inheritance in CF ?

( autosomal recessive )

31- Full thickness defect of abdominal wall exposing intestinal content without covering sac ?
( Gastroschisis )

32 - child with flexion of the trunk and neck very frequent more than 100/day with no loss of
consciousness ?
( infantile spasm )

33- In infantile beriberi ?

( heart failure, aphonia , absent deep tendon reflexes )

34- Normal glucose level in CSF ?

( 75% of blood glucose )

35- for diagnosis of Diabetes mellitus ?

( fasting blood glucose > 126 )

36 - long case about sickle cell anemia ?

( sickle cell trait )

37 - to differentiate between chylothorax and empyema ?

( add ethylether the milky appearance disappears)

38- in spastic quadriplegic cerebral palsy ?

( high association with mental retardation )

39 - in Mentzer index ?
( > 13 indicate iron deficiency anemia)

40- on examination of patient with meningitis the CSF shows H, influenza ... drug of choice for it ?
( third generation cephalosporins)
41- premature closure of coronal sutures , sagittal and to lesser extent the lambdoid sutures ,, seen in ?
( oxycephaly )

42 - to confirm the diagnosis of celiac disease?

( endoscopic guided duodenal biopsy )

43- pancytopenia with absent radius and thumb seen in ?

( fanconi anemia )

44- MCV > 105 fl seen in ?

( megaloblastic anemia )

45- microcytic hypochromic anemia seen in ?

( lead poisoning )

46- in hemophilia A transmitted as ?

( sex linked recessive trait )

47- patient with painless , non tender and elastic character on palpation ( rubbery ) lymph node
enlargement ... best for diagnosis is ?
( LN FNAC / biopsy )

48- child came to you by his parent ,,,, complains that he look short ,,,, on examination you found that
there is normal growth velocity, puberty normal , bone age = height age ,,,, otherwise normal ,,,most
probable cause is ?
( familial short stature )

49- sibilant Ronchi caused by ?

( obstruction of small bronchioles and bronchi )

50- in asthmatic status ?

( systemic; hydrocortisone IV )

51- classic triad of brucellosis?

( fever , arthritis and hepatosplenomegaly )

52- patient with involuntary movement, cry and laugh without reason ,,, history of pharyngitis few
months ago ,,,, cause ?
( sydenham chorea )

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