50 Q Part 2

Question 1

A 4-month-old child who has had failure to thrive, chronic diarrhea, a variety of rashes, and recurrent serious bacterial, fungal, and viral infections
A. Bruton’s agammaglobulinemia
B. Severe combined immune deficiency
C. Common variable immunodeficiency
D. DiGeorge syndrome

Answer 1

B

Question 2

Child presents with fever, vomiting and diarrhea on exam of chest there is reduced air entry to right side and murmur was heard , the child CVS and chest exams were previously normal (prior visits) what is the management of murmur?
A. Urgent echo
B. Reexamine after these symptoms subsides
C. Refer to cardio pediatrician
D. ECG

Answer 2

B

Question 3

5 weeks child came with non bilious vomting., found to have metabolic alkalosis , hypokalemia. Best initial fluid
A-ORS
B-Ringer lactate
C-Normal saline
D-D5 water

Answer 3

C

Question 4

5 year old child presents with drowsiness, abdominal pain , nausea and bloody diarrhea after ingesting an unknown number of iron tablets many hours ago. Iron more than 90 ( very high ).

Answer 4

IV deferoxamine.

Question 5

4month old baby, presented with signs of UTI, stable not dehydrated. Alert and feeding well. Urinalysis: Positive nitrite. , Positive leukocytes.,Fever: 39.1 What’s the appropriate empirical antibiotic to be started
A- Oral azithromycin.
B- oral amoxicillin.
C- Oral cephalexin.
D- IV Cefepime

Answer 5

C

Question 6

Child 6yrs old presented with history of 6month left knee and wrist pain with limitations of movement and especially morning difficulty movement Otherwise no systemic symptoms What is the most likely diagnosis?
A. rheumatic fever
B. reactive arthritis
C. septic arthritis
D. juvenile idiopathic arthritis

Answer 6

D

Question 7

5th month boy how to insure development milestone ?

Answer 7

Try to reach for objects✅