PART 1

Question 1

Vaccine given to preschoolers

Answer 1

Opv, dtap, mmr, varicella

Question 2

Infection of 3 yo indicates sexual abuse

Answer 2

Syphilis and gonorrhea

Question 3

Preterm with high ALP low phosphate

Answer 3

Osteopenia of prematurity

Question 4

Newborn with respiratory distress immediately after birth+scaphoid abdomen. No breath sounds on left chest, initial management?

Answer 4

Intubate>NGT>resuscitation>surgery

Question 5

Hazy cornea

Answer 5

Glaucoma

Question 6

Rocker foot, single nostril, hypertelorism, small for GA, polydactyly, microcephaly. Syndrome?

Answer 6

Patau

Question 7

Duchenne inheritance

Answer 7

X linked

Question 8

Child with hepatosplenomegaly, coarse facial features, corneal clouding amd retinal degeneration. Syndrome?

Answer 8

Hurler

Question 9

Five months old with respiratory symptoms high ammonia, hypoglycemia, negative ketone bodies. Dx?

Answer 9

Fatty acid oxidation defect

Question 10

9 MO recurrent infections, eczema, thrombocytopenia. Lab to order?

Answer 10

Immunoglobulin level with specific antibody

Question 11

Complement deficiency causes what kind of infection?

Answer 11

Extracellular (encapsulated) bacteria

Question 12

In Rheumatic fever, major criteria include erythema marginatum or nodosum?

Answer 12

Marginatum

Question 13

C difficile prevention?

Answer 13

Hand wash

Question 14

Conjunctivitis and tonsillar exudate?

Answer 14

Adenovirus

Question 15

Vaccine to give nephrotic syndrome?

Answer 15

PSV23

Question 16

Epigastric pain and stool antigen +ve H pylori

Answer 16

Refer to GI for scope

Question 17

What’s true in DKA

Answer 17

Bicarb 10

Question 18

Vomiting, dehydration, high Na. Dx ?

Answer 18

Primary hyperaldosteronism

Question 19

Commom between rheumatic fever and infective endocarditis?

Answer 19

Gallop rhythm

Question 20

CF sudden right chest pain and tachypnea?

Answer 20

Pneumothorax

Question 21

Deep joint swelling and bruises, PT and BT normal, PTT prolonged

Answer 21

Factor 8

Question 22

Tumor lysis labs

Answer 22

High phosphorus, uric acid, and potassium. Low calcium

Question 23

SCD with hemiperisis, tx

Answer 23

Exchange transfusion

Question 24

Child took bactrim and became jaundiced

Answer 24

G6PD

Question 25

Generalized lymphadenopathy + mediastinal mass

Answer 25

Lymphoma

Question 26

12 hr fever, decreased concentration and vomiting, non blanchable petechae, hypotension. Organism?

Answer 26

Meningiococcemia

Question 27

HCO reabsorption?

Answer 27

Proximal tubules

Question 28

Girl uses Isotronion has blindness, investigation?

Answer 28

LP

Question 29

Sickler with slapped cheeks, crisis ?

Answer 29

Aplastic

Question 30

12 yr, intermittent fever, anorexia, weight loss. Imaging aortic insufficiency. Dx?

Answer 30

Brucellosis

Question 31

Primary adrenal insufficiency labs

Answer 31

Low Na High K High renin

Question 32

How long to treat pharyngitis to prevent rheumatic fever?

Answer 32

2 weeks

Question 33

Periventricular calcification, organism?

Answer 33

CMV

Question 34

Complication after intesusseption?

Answer 34

Mickels diverticulum

Question 35

Absence seizure tx

Answer 35

Ethusuxemide

Question 36

Normal coagulation profile, factor abnormal?

Answer 36

13

Question 37

11 years, vaccine to give

Answer 37

Tdap

Question 38

NEC with abdominal distension

Answer 38

RO colonic stricture

Question 39

Best treatment for allergic rhinitis?

Answer 39

Loratidine

Question 40

FTT, diarrhea, recurrent infection, skeletal abnormal, lab shows pancytopenia

Answer 40

Swachman diamond syndrome

Question 41

PSGN lab

Answer 41

Low C3

Question 42

Abdominal mass and periorbital ecchymosis

Answer 42

Neuroblastoma

Question 43

Blue stippling sign

Answer 43

Lead poisoning

Question 44

Dehydration associated with central pontine myelonosis

Answer 44

Hypernatremic dehydration

Question 45

Difficulty swallowing, unilateral neck swelling, febrile, no palpable lymph nodes

Answer 45

Retro pharyngeal abscess

Question 46

Infant was on mechanical ventilation suddenly he had acute deserting tachycardia and hypertension chest x-ray shows a shift of mediastinum to the other side and no lung marking on the affected side next to urgent step

Answer 46

Needle decompression

Question 47

Infant with swelling overscan extending to orbital margin on low hemoglobin

Answer 47

Subglial hemorrhage

Question 48

Infant has apnea runny nose paroxysm of cough dx Tx

Answer 48

Azithromycin

Question 49

First symptom of salicylate toxicity

Answer 49

Hyperventilation

Question 50

Severe menorrhagia Dx

Answer 50

vWF

Question 51

Epistaxis BT prolonged

Answer 51

VWF

Question 52

Hemophilia A test

Answer 52

PTT

Question 53

Right upper quadrant pain and fever and visiting a farm Dx

Answer 53

Leishmaniasis

Question 54

ET equation

Answer 54

Non cuffed

Question 55

How to choose tube size?

Answer 55

Uncuffed: (Age/4)+4 Cuffed: (Age/4)+4-0.5

Question 56

How many days after the onset of tonsillitis will amoxicillin be effective to prevent rheumatic frver

Answer 56

9 days

Question 57

An infant was brought to you with history of severe bouts of cough and episodes of apnea, what is the best treatment to give to this patient?

Answer 57

Azithromycin

Question 58

Patient exposed to organophosphorus compound (cholinirgie) what is antidote:

Answer 58

Atropine

Question 59

UTI +ve nitrite PH 8 Organism?

Answer 59

Proteus

Question 60

blood transfusion for b thalassemia how to test for overload ?

Answer 60

Screening: Ferritin Best: liver and heart MRI

Question 61

ADHD on Methylphenidate. SE?

Answer 61

Tics

Question 62

Most common abdominal cause

Answer 62

Renal anomalies ( hydronephrosis as example)

Question 63

Most common abdominal tumor

Answer 63

Teratoma

Question 64

Most common malignant tumor

Answer 64

Neuroblastoma

Question 65

Second Most common malignant tumor

Answer 65

Wilm’s tumor