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Pediatric Smle > 50 Q Part 1 > Flashcards

50 Q Part 1 Flashcards

1
Q

2-day old infant came to hospital with complaints of seizure and decreased feeding since yesterday. Inactive child with generalized increased muscle tone. CSF analysis is normal. What is the most likely diagnosis :
A. Hypoxic ischemic encephalopathy
B. Neonatal sepsis
C. Neonatal tetanus
D. Pyogenic meningitis

A

A

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2
Q

Most important ttt of (active rheumatic fever )

A
  • long acting peniciilin monthly.
  • daily dose steroid.
  • high dose aspirin.
  • ampicillin every 6 hrs.
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3
Q

2) Case of child with fever and subcutaneous nodule and artherlagia you suspect acute rheumatic fever, what is the most appropriate next step
A- IV penicillin every 6 h
B- high dose oral acetylsalicylic acid
C- high dose prednisolone

A

B

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4
Q

When does bedwetting becomes alarming?
A. 5 years
B. 6 years
C. 7 years
D. 8 years

A

C

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5
Q

Few Months old pt with vomiting blah blah including sign of moderate dehydration ( dry mucus , lethargic ) . Glucose 2.9 and sodium 149 what to give :
A - ORT with 1:1 glucose Na ration
B - NS 20 ml / kg / hr
C - Dextrose 10% 2ml/kg
D - pedialyte solution

A

C

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6
Q

A 2 years old boy who took BCG vaccine came with his mother becuase of his grandfather had open TB and they live in the same house, the boy asymptomatic but the mother worried what should you do?
A- nothing since he took BCG vaccine
B- PPD, X-ray and wait for the result
C- IGRA, X-ray and give INH
D- IGRA, X-ray and give 4 TB drug

A

B

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7
Q

Most common complication for meningitis WITHOUT papilledema ?
A. Hearing loss
B. Vision loss
C. Cerebral palsy
D. Heart failure

A

A

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8
Q

4 months old girl, during Pneumatic otoscope unilateral non- purulent effusion and decrease tympanic membrane motility , no fever or other symptoms, and no hx of previous infectious diseases, breast feeding very well and no use of pacifier , What’s the best next step?
A - use amoxicillin tx
B - use of amoxicillin and clavulanate
C - Observe and F/U for 48hrs
D - Refer for ENT to evaluation for tympanostomy tube

A

D

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9
Q

What is the age in month of child talk 6-10 words, point to 2 body parts, immature pencil grasp?
A-17
B-19
C-12
D-24

A

B

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10
Q

child with pica, hepatosplenomegally and failure to thrive. Coming from a low socioeconomic economic status family. HGB low Lead - 2 high PT normal PTT normal INR normal Iron normal What’s the most appropriate treatment?
A. Vitamin K
B. D-pinicillamine
C. Iron supplements

A

B

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11
Q

Child with face swelling and sacral edam and LL edema with ubnormal liver test and proteinuria Dx?
A-CHF
B-Chronic liver disease
C-Nephrotic syndrome

A

C

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12
Q

Child presenting with croup and received the usual treatment with no improvement. What is the important investigation to be done?
A- Lateral neck X- ray
B- Chest inspiration and expiration X-ray
C- Visualisation by laryngoscopy
D- Chest CT

A

C

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13
Q

Toxic child with drooling of saliva , stridor, SOB , what is the best next step:
A- Lateral neck x ray
B- Laryngoscope in OR

A

A

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14
Q

12 yrs old will the Varicella vaccine, because he is never vaccinated before but also never had chickenpox . how many doses she will have?
A- 2 doses separated by 4weeks in between
B- 1 dose
C- 3 doses in 1st, 2nd and 4th months

A

A

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15
Q

Adolescent missed his varicella vaccination. His last varicella vaccine was 1 year ago. What is the most appropriate action to ensure his immunity to varicella?
A- Give double dose vaccine
B- Give second dose
C- Assess immunity prior to give vaccination
D- Repeat vaccine series

A

B

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16
Q

Child is treated for eczema with topical steroid, comes to clinic with itching and vesiculopustular lesions on top of his eczema, arranged in grape like pattern What is the most likely organism that causes his superimposed infection?
A-Herpes simplex
B-Staphylococcus aureus
C-Group A streptococcus
D-Nesseria

A

A

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17
Q

child had meningitis, and he contacted his brother & sister, what will give as prophylaxis ?
A- penicillin + rifampicin 2 times
B– penicillin
C- Ciprofloxacin one dose
D- Ceftriaxone 3 doses IM

A

C

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18
Q

pediatric taking chemotherapy, contacted a child with chickenpox and now he has it, how to treat?
A- Acyclovir
B- stop chemo sessions
C- varicella immunoglovlin

A

A

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19
Q

5-year-old boy k/c of leukemia, on chemotherapy and steroids for 6 weeks, presented to the clinic with his parents as he had contact with a child who has chickenpox, what to do?
A- Administer Varicella-zoster immunoglobulin.
B- Admit him and administer Acyclovir.
C- Give him Varicella vaccine.
D- Stop chemotherapy.

A

A

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20
Q

4 months year old boy sore throat decreased oral intake can’t swallow solid food has enlarged lymph node. vaccinated up to date. What is the most likely organism ?
A- Hib
B- streptococcus pyrogens
C- Staphylococcus arues
D- pneumococcus

A

B

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21
Q

6 m/o infant present to ER with sudden apnea & color change. Mother gave history of recurrent vomiting and multiple chest infections. On exam he looks failing to thrive with dystonic neck posturing while crying. Which of the following considers as high risk case for the above disease?
A- Obese baby
B- Preterm infant
C- Post pertussis infection
D- Following inguinal hernia repair

A

B

22
Q

A doctor used the Foceps, place it in wrong position and injured the stylomastoid bone, what is th result?
A. Baby cannot close his eyes.
B. Loss of taste in anterior ⅔.

A

A

23
Q

Case ( classical symptoms and signs of Pertusis ) the mother started Abx 2 day before What’s the gold stander Investigation ?
A) Blood culture
B) serology testing
C) Respiratory culture
D) nasopharyngeal PCR

A

C

24
Q

Child pt with decreased IQ, pica (eat dirt) < they wrote it :) With Hepatosplenomegaly ! Labs showed *Hypochromic microcytic anemias. What is the highest diagnostic labs ]
A- blood lead levels
B- CBC with blood smear
C- Iron studies

A

A.

25
Q

An 8 years old girl ingested 2 pack of paracetamol after a fight with her mother come after a 24 of ingestion with RUQ pain in which stage of toxicity she is
A. Stage 1
B. Stage 2
C. Stage 3
D. Stage 4

A

B

26
Q

Milestones case, Child came at clinic carry a ball and release or kick it to the doctor. Also when the doctor go away the child draw a stight line. Age:
A- 12M
B- 15M
C- 18 M
D- 9M

A

C

27
Q

Child sits in tripod position, reaches out to things, flips from prone to supine and vice versa, cannot hold cereal properly between two fingers how old is he?
A- 3 months
B- 6 months
C- 9 months

A

B

28
Q

2 month old baby at the clinic what to do?
A. BMI
B. Head circumference

A

B

29
Q

Child , weight loss , atrophy of buttox , most appropriate invest
A. Duodenal biobsy
B. Anti endomysial

A

B

30
Q

A child with typical celiac disease symptoms (weight loss, abdominal bloating, flattening of buttocks) , what is the most appropriate step?
A- anti endomysial antibody
B- duedenal biopsy
C- other irrelevant

A

A

31
Q

3 months boy circumcised presented with febrile UTI … what the most appropriate management?
A - Renal US
B - MCUG

A

A

32
Q

5 year old male presented with a history of URTI 2 weeks ago, now he complains of RUQ abdominal pain, no rebound tenderness. There is splenomegaly. HB: 7 Retics: High WBC: 16 Blood film: Normocytic normochromic anemia with target cells and inclusion bodies What is the most likely diagnosis?
A- IDA
B- Lead poisoning
C- Acute appendicitis
D- SCD

A

D

33
Q

Child with croup recevied epniphrnie and he improved. What next?
A. Antibotic
B. Steroid

A

B

34
Q

Croup case, with Sx of respiratory distress .. diagnosis is mentioned. Management:
A- Antibiotics
B- Epinephrine
C- Steroid and Epinephrine

A

C

35
Q

10 year old boy with a 3 day history of jaundice and abdominal pain. No mention of recent infections. Labs show High indirect bilirubin High AST High ALT What’s the most likely diagnosis?
A. Gilbert syndrome
B. Obstructive Jaundice
C. Infective Hepatitis

A

C

36
Q

A newborn who is following objects 180 degrees, no head lag when pulled to sitting position, social smiling. Age by weeks?
A) 4
B) 8
C) 12
D) 16

A

D

37
Q

Infant or newborn with small skin lesions red round patch one on leg and other on lower back and big one on the eyelid
A -reassure
B -refer to ophthalmologist
C -forget other choices

A

B

38
Q

Pediatric patient had a fall from 1 story high and direct trauma to the head, presents with hemotympanium No loss of consciousness, no vomiting , neuro exam Normal Ear : Ruptured tympanic membrane with intact external auditory canal Most likely bone fracture:
A- Mastoid
B- Maxillary
C- Basal skull

A

C

39
Q

2 days old baby, mother report poor feeding, jaundice, sleepy. What to do:
A- Fetal TSH& T4
B- Mother tsh t4
C- Mother antibody screening
D- Metabolic screening for fetus

A

A

40
Q

5 y complain of bleeding from nose mouth and easy brusing before this he had viral infection whats Dx
A) ITP
B) Heamoplilia A
C) HSP
D) meningococcemia

A

A

41
Q

Case about post streptococcal glumeronephritis what is the responsible organism:
A) Streptococcus pyogen
B) Staphylococcus aureus

A

A (( Group A beta hemolytic🌟 ))

42
Q

Pediatrics age 11 or 12 and Multiple joint swelling and pain and painless subcutanous nodules what is the most diagnostic:
A -Esr
B -Crp
C -Blood culture
D -Anti streptolysin

A

D

43
Q

15-year-old girl has sparse pubic hair not reaching the mons pubis, breast budding with areolar enlargement, but with no clear distinction between breast and areola. No contour of breast was seen. What Tanner stage is she?
a. Tanner I
b. Tanner II
c. Tanner III
d. Tanner IV

A

B

44
Q

Mother came with her child he can walk with one hand held had good pincer grip cant put cubes in a bottle, He says few words besides mama and dada. Age?
A - 9
B - 12
C- 15
D- 18

A

B
6 months > raking (palmar) grasp
9 months > immature pincer grasp
12 months > mature pincer grasp

45
Q

Pt with ascites and edema, severe muscle wasting, hyperkeratosis, lab show: slightly decreased glucose, significantly decreased albumin,
A. severe protein deficiency (kwashiorkor)
B. severe carbs deficiency (marasmus)
C-Rickets
D-Mild malnutrition

A

A

46
Q

Child presented with rash that that disappeared after 3 days, lymphadenopathy?
A- Rubella
B- Measels
C- Erythema infectiosum

A

A

47
Q

Child complaing from coryza and conjunctivitis , macuopaplar rash started in face then the body , what is the cause?
A ⁃ Gonccocal bactermia
B ⁃ Rubella
C ⁃ Toxic shouck sydrome
D ⁃ Rotair syndrome

A

B

“No measals in answer 100% sure.. and it is rubella not rubeola”

48
Q

Child had URTI 2 days ago, presented with erythematous rash that covers the jaw and extends to the shoulder and back , without desquamation and occipital posterior cervical post auricular lymphadenopathy (written in case like this)
A - Rubella
B - Adenovirus
C - Measels
D - Erythema infectiosum

A

A

49
Q

11 year old a sickle cell disease patient had a blood transfusion, when to recieve hepatitis A vaccine;
A - on schedule
B - delay 3 months
C - delay 6 months

A

A

50
Q

Child recurrent sinupulmonary infections; had repeated gardiasis 4 times; brother died young;
A-omenn syndrome
B- X-linked agammaglubemia
C- SCID

A

B

51
Q

Case of neonate after ventouse there was bulging in head under periosteum within line of head sutures?
A. Cephalohematoma
B- caput hematoma

A

A

52
Q

Child with DKA with Glucose 32 mmol What is the appropriate management
A- glucose decrease 3mmol/hr
B- decreases glucose 6 mmmol/hr
C- rabid decrease in glucose
D-Aim to keep glucose not more than 18mmol

A

A

Pediatric Smle (3 decks)

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