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Pedia Flashcards

1
Q
  1. a 15 month old boy came to the ER complaining of abdominal discomfort,
    emesis, stool with blood and mucus on physical examination he has
    increased abdominal sound. X-ray report shows obstructive bowel (
    written like this )
    A- give antibiotic
    B- Go to OR and do surgery
    C- Barium enema
    D- bowel rest, IV hydration and wait until symptoms gone
A

C- Barium enema

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2
Q
  1. Child 5 months, nurse said he has developmental delay in milestones,
    what would you do to reassure the mother ?
    A. Pincer grasp
    B. wave bye bye
    C. Reach things
    C. Sit without supp
A

C. Reach things

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3
Q
  1. A 6 months old baby known case of G6PD came to hospital , on
    examination there is pallor conjunctive No mention of jaundice In labs
    HGb was only low There was no mention of reticulocyte No mention of
    iron profile Others labs was normal Diagnosis:
    A- physiological anemia of newborn
    B- thalasemia trait
    C - G6PD hemolysis
A

B- thalasemia trait

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4
Q
  1. 1 year old girl with lesions on face scalp trunk and extensors. That are
    itchy. She also has them on her cheeks, her parents say that it’s crusty,
    cracky and weepy.
    A. infantile eczema
    B. idiopathic urticaria
    C. drug induced allergy
    D. early childhood eczema
A

A. infantile eczema

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5
Q
  1. 7 years old girl came with Vascular malformation on her cheek. What is
    the most likely diagnosis.
    A- Venous malformation.
    B- Lymphatic malformation.
    C- AV malformation.
    D- Hemangioma.
A

D- Hemangioma.

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6
Q
  1. A Term baby presented with respiratory distress symptoms. His body is
    covered with meconium secretion. Which of the following is the most
    beneficial intervention.
    A- Intravenous fluid.
    B- Inhaled nitrous oxide.
A

B- Inhaled nitrous oxide.

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7
Q
  1. 2 years old. Sore throat. Fever. On examination there is Tonsillitis and
    exudates with purulent discharge.
    Which of the following is the causative organism:
    A- Measles
    B- Haemohpilaus influenza B
    C- Ebstien bar Virus
    D- Coxackie virus
A

C- Ebstien bar Virus

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8
Q
  1. A child came with signs of moderate dehydration. You start him on
    ORS. Which of following is the best step?
    A-Lactose free formula
    B-ORS for 1 day and then normal formula
    C-ORS for 5 days then, normal formula
    D-IV fluid
A

B-ORS for 1 day and then normal formula

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9
Q
  1. A full term born came with respiratory distress and chest X ray showed
    fluid in the fissures. He is born by cesarean section. Most likely diagnosis
    A-Transient tachypnea of newborn
    B-Sepsis
    C- Meconium aspiration
    D-Hyaline membrane disease
A

A-Transient tachypnea of newborn

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10
Q
  1. 4 years old boy and known nephrotic syndrome. He came with fever
    and abdominal pain Most likely cause
    A-Pancreatitis
    B-Peritonitis
    C-Hepatitis
    D-Appendicitis
A

B-Peritonitis

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11
Q
  1. 13 year came from Africa Sign & symptom of upper resp flu like
    symptoms , developed meningitis> CSF viral infection what is the
    organism
    A- polio
    B- EPV
    C- CMV
A

B- EPV

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12
Q
  1. At which year the bedwetting consider alarm?
    A- 5 Years
    B- 6 years
    C- 7 Years
    D- 8 years
A

C- 7 Years

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13
Q
  1. 6 y old Child he did tympanostomy 12 months ago for drainage. He
    came complaining of purulent discharge coming out from the
    tympanostomy With bad smell. He like to swim. What is the causative
    organism suspected?
    A- staph. Aureus
    B- streptococcus pyogenes
    C- S. Pneumoniae
    D-Pseudomonas aeruginosa
A

D-Pseudomonas aeruginosa

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14
Q
  1. Child came to with his mother to your clinic. He said to you ( hi ) and
    then he said to his mother something , then his mother touch his head
    and he said ( no ) Then his mom ask him what is this he said lip then she
    touch his body ( I think ) and ask who this he said ( me )What is his age in
    year ?
    A-15m
    B-18m
    C-1 y
    D-2 y
A

D-2 y

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15
Q
  1. 6 years old child presents with pallor and organomegaly investigations
    shows pancytopenia ( this is the hole case )
    A- acute myeloid
    B-acute lymphoblastic
    C- chronic myeloid
A

B-acute lymphoblastic

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16
Q
  1. Mom come to clinic for nutrition advice for her completely BREAST
    FEED baby doctor advice iron supplemnt next month what is the age of
    baby :
    A-3 month
    B-6 month
A

A-3 month

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17
Q
  1. A child knows the colors and can articulate words properly, what is the
    age of the child?
    A-3
    B-4
    C-5
    D-6
A

B-4

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18
Q
  1. child with unilateral gynecomastia
    A-tell him this is present in all men in some degree
    B-reassure as it will resolve in years
    C-cold comprss bandage
A

B-reassure as it will resolve in years

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19
Q
  1. Neoborn with tachypnea , tachycardia and difficulty feeding , on
    oscultation there was parasternal heave and single S1 heart sound , what is
    the essential part of the initial management?
    A-NSAID
    B-Diuretics
    C-Dopamine
    D-Prostaglandine
A

D-Prostaglandine

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20
Q
  1. picture of stepping reflex and ask what time this reflex well disappear
    A- 2 m
    B- 4 m
    C- 6 m
A

A- 2 m

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21
Q
  1. Child had type 1 diabetes and consulting the family regarding celiac
    screening , which of the following is true
    A- Screen at diagnosis then every 5 years
    B- Screen at diagnosis then every 2 years
    C- Screen annually
    D- Screen at diagnosis then annually for 5 years
A

B- Screen at diagnosis then every 2 years

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22
Q
  1. Case of female child who lives in poor family with distended abdomen
    and pitting edema there are lab results but I don’t remember them:
    A - marasmus
    B - Kwashiorkor
A

B - Kwashiorkor

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23
Q
  1. What is the age of a child who can walk with one hand held, says
    mama/baba and other words, holds seeds by pincer grip but doesn’t place
    them in the container?
    A- 9 months
    B- 12 months
    C- 15 months
A

A- 9 months

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24
Q
  1. 12-year-old complain of recurrent epigastric pain with occasional
    vomiting since 1 year stool analysis is positive for blood and mucus and
    positive blood occult test what is the dx:
    A- Abdominal migraine
    B- Irritable bowel syndrome
    C- Inflammatory bowel disease
    D- Gastritis with peptic ulcer
A

D- Gastritis with peptic ulcer

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25
Q
  1. 9 month old child presented with rash noticed by parents , both parents
    had eczema before What is the typical site according the child age ?
    A- upper back
    B- diaper area
    C- scalp , cheeks, forehead
    D - dorsum of feet
A

C- scalp , cheeks, forehead

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26
Q
  1. Young asthma pt has symptoms after exertion but now present at the
    clinic asymptomatic. Spirometry was done and was inconclusive. What’s the
    next step?
    A- repeat spirometry
    B- methacholine challenge test
    D. Give corticosteriods
A

B- methacholine challenge test

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27
Q
  1. What is the age in month of child talk 6-10 words, know 2 body parts,
    immature pencil grasp?
    A-17
    B-19
    C-12
    D-24
A

A-17

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28
Q
  1. Baby came with clear picture of UTI and urine analysis showed UTI.
    Mum said she had these symptoms multiple times. What to do?
    A-Renal US
    B-Voiding cystourethrogram
    C-Renal US and cystourethrogram
    D-Reassurance
A

C-Renal US and cystourethrogram

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29
Q
  1. Typical case of hemolytic anemia and blood film show
    spherocytosis,Hb:8, MCV MCHC normal range, WBC: 3, PLT: 500, LDH
    AST ALT high, low haptoglobin most appropriate treatment?
    A-blood transfusion
    B-corticosteroids
    C-hydroxyurea
A

B-corticosteroids مصححة

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30
Q
  1. 6 m boy presented with abnormal movement and yellowish
    discoloration for 1 week. He is exclusively breast feeding 2 week ago his
    mother started to introduce fruit and fruit juice,
    since that, pt started vomiting, irritable, On examination:
    Hepatosplenomegaly, Distended abdomen Generalized jaundice * Urine:
    positive reducing substances (normal is negative). Dx?
    A Tyrosinemia
    B galactosemia
    C Alpha 1 anti trypsin def
    D congenital fructose intolerance
A

D congenital fructose intolerance

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31
Q
  1. Newborn/infant with stridor worse when prone
    improves when supine, mother is concerned, what todo?
    A Start laser treatment
    B tell her it will resolve on its own by first
    birthday
    C Tell her it will get worse
    D-Do Laryngoscope
A

B tell her it will resolve on its own by first
birthday

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32
Q
  1. 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
A

D) juvenile idiopathic arthritis

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33
Q
  1. Child 2 yrs old with fever and reduced feeding and crying excessivly for
    1 day no focus of infection mother denies any vomiting or diarrhoea on
    examination there was redness and no light reflex on ear tympanic
    membrane which of the following is the most appropriate intial
    management?
    A) steroids
    B) Amoxicillin
    C) refer to surgery
    D) other very un relvant option
A

B) Amoxicillin

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34
Q
  1. child presented with URTI symptoms two days ago, now has SOB what
    is the most common organism?
    A- RSV
    B- influenza
    C- parainfluenza
    D- adeno
A

A- RSV

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35
Q
  1. scenarios about a child 2 years old with SOB and Expiratory wheeze
    and other respiratory symptoms he had a viral illness 2 days ago
    A.Respiratory monitoring for hypoxia
    B. Inhaled epinephrine and steroids
    C. Intubation and antibiotics
    D. SABA
A

A.Respiratory monitoring for hypoxia

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36
Q
  1. months old child came to clinic with his mother for taking hepatitis A
    vaccine, The mother tells you that he is a know sickle cell disease patient
    and that he received blood transfusion 1 week ago, what to do?
    A. Give vaccine as per schedule
    B. Check his hep A serology first
    C. Delay for one month
    D. Delay vaccine for 6 months
A

A. Give vaccine as per schedule

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37
Q
  1. Mother came with her child for preschool Vaccination
    Which of the following is important Vaccine to give :
    A-RV
    B-OPV
    C-Meningococcal ( MCP4 )
    D-Hib
A

B-OPV

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38
Q
  1. Child hypoglycemia & seizure & metabolic acidosis & characteristics
    smell & positive ketone Diagnosis?
    A. Phenylketonuria
    B. maple syrup urine disease
    C. Galactosemia
A

B. maple syrup urine disease

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39
Q
  1. Recommendation that at which age if you present A peanut and
    eggs to the Child will decrease production of allergy? Age in month
    A. 10
    B. 14
    C. 20
    D. 24
A

A. 10

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40
Q
  1. 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- PPD, X-ray and wait for the result

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41
Q
  1. Child with Sx of tracheomalacia. How to confirm the diagnosis?
    A) chest XR
    B) bronchoscopy
    C) Fluoroscopy
A

B) bronchoscopy

42
Q
  1. six year old girl presenting to the pediatric emergency department
    with unstable gait and progressive difficulty climbing the stairs over the last
    10 days the parents reported that the child has been “choking on her own
    saliva” the symptoms began was prickly sensation in the fingers and toes
    that developed to ascending and symmetrical there is a history of viral
    gastroenteritis three weeks before physical examination confirms the
    absence of the knee-jerk reflex CSF analysis of weighted protein
    concentration with normal cell count.
    Nerve conduction test reduced velocity
    which off the following is most appropriate treatment:
    A- plasma exchange
    B- IVIG
    C- MTX
    D- steroids
A

B- IVIG

43
Q
  1. case mentioning that a child has “certain amount of” cafe au lait
    spots and axillary freckling and many other features and his cousin has this
    as well, what type of inheritance is that condition?
    A- autosomal dominant
    B- autosomal recessive
    C- x linked
A

A- autosomal dominant

44
Q
  1. Infant sit in tripod position,role from prone to supine, reach object
    A-4mo
    B-6mo
    C-12 mo
    D-24mo
A

B-6mo

45
Q
  1. child came with pallor and jaundice. His father and grandfather are both
    known to have chronic hemolysis and underwent gallbladder removal.
    What is the best test for diagnosis?
    A. Hb electrophoresis,
    B. Sickle cell test,
    C. Coombs test,
    D. Osmotic fragility test.
A

D. Osmotic fragility test

46
Q
  1. Child AOM WITH HIGH GRADE FEVER what is the organsim:
    A-fungal
    B- bactrial
    C vira
A

B- bactrial

47
Q
  1. Scenario of Pediatric with history of 2 episode of pneumonia , FTT, rectal
    prolapse . FH negative. What is the most approbate management ?
    A⁃ sweat chloride test
    B⁃ CFTR gene for sibling
A

B⁃ CFTR gene for sibling

48
Q
  1. Child diagnosed with epilepsy on medication, what is true regarding his
    vaccination?
    A- Give all.
    B- Don’t give live vaccination.
    C- Hold Dtap.
A

A- Give all

49
Q
  1. 9-month Hx of MI came to the clinic for smoking cessation. He was in
    respiratory distress and raised JVP nicotine tear in his hand. What is the most
    appropriate drug?
    A. Nicotine replacement therapy
    B. Varenicline
    C. Bupropion
    D. Advice and behavioral
A

A. Nicotine replacement therapy

50
Q
  1. 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. Ciprofloxacin one dose

51
Q
  1. 15 month child with fever and ear discharge .common organism??
    A.viral
    B.bacterial
    C.fungal
A

B.bacterial

52
Q
  1. A case of pertussis presenting with whooping cough , post tussive vomiting …
    definitive diagnosis ?
    A- Culture
    B- Serology
    C- Nasopharyngeal PCR
A

C- Nasopharyngeal PCR

53
Q
  1. 11 year old girl with exercise intolerance and weight (did not mention loss or
    gain) Hx is unremarkable and PE is normal Bp:160/100 HR:130 T:36.6 O2: 95
    ECHO shows normal heart function and anatomy. What is the most appropriate ?
    management?
    1- ABG
    2-electrolyte level
    3-CBC (anemia )
    4-TFT
A

4-TFT

54
Q
  1. 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

C. Neonatal tetanus

55
Q
  1. child born 5 hour ago presented with central cyanosis and there is different
    between oxygen saturation in upper and lower extremities what is the initial Mx
    A- IV prostaglandin infusion
    B- oxygen therapy
    C- surgery referral
A

A- IV prostaglandin infusion

56
Q
  1. Scenario chid with bloody diarrhea doctor prescribed ( i remember say
    consultant) acetaminophen and probiotic Child not improved , now present ill with
    convulsion and petechic rash on extremities Labrotary ( low HB , low plateat,
    decrease potassium )
    A- heamolytic ureamic syndrome
    B- idiopathic thrombothytopenic purpura
    C-thrombotic thrombocytopenia purpura
    D- not remember
A

A- heamolytic ureamic syndrome

57
Q
  1. Baby born in 38 week ( not preterm ) via C/S and after that develoe tachycardia
    and tachypnea and grunting
    A- Hyaline membrane disease
    B- pulmonary “something”
    C- Meconium Aspiration syndrome
    D-Transient Tachypnea of the New born
A

D-Transient Tachypnea of the New born

58
Q
  1. Pediatric known of having febrile seizures , had fever ( and maybe vomiting ??
    )and mother started giving him paracetamol every 4 hours because she was scared
    of him having seizures, on examination he was jaundiced and had hepatomegaly
    A- hemolytic uremic synderome
    B- acute viral hepatitis
    C- paracetamol toxicity
    D- viral induced hemolysis ( something like this )
A

C- paracetamol toxicity

59
Q
  1. A 15 months old child is brought to the emergency department after having a
    generalized tonic-clonic seizure that lasted approximately 5 minutes. The parents
    say that the child had been previously well but developed cough and rhinorrhea
    earlier that day with a temperature of 39.2 C. Which of the following is the most
    appropriate management?
    A. Diazepam.
    B. Phenytoin.
    C. Head CT scan.
    D. Control of the fever
A

D. Control of the fever

60
Q
  1. Case scenario about asthmatic child with resp distress with ABG before&after
    ttt The ph was 7.6 then become 7.3 I can’t remember other reading what’s ur
    management
    A-intubate in ER
    B-refer to PICU
A

A-intubate in ER

61
Q
  1. Child develop spleen laceration and perisplenic fluid , what is the appropriate
    management?
    A-Laparotomy and splenectomy
    B-Laparoscopic splenorrhaphy
A

B-Laparoscopic splenorrhaphy

62
Q
  1. Child exclusively drink cow milk and refuse to eat meat and the mother afraid
    about him ? What to give ?
A

A-Multivitame and iron

63
Q
  1. Calculte Apgar score: Pink body, blue extermities
    Heart rate : less than 100
    Respiration: weak cry
    Some movement in flexion
    Reflux: some muscle ( cant remember this part well)
    Apgar score is:
    A- 3
    B- 5
    C- 7
    D- 9
A

B- 5

64
Q
  1. Child will do surgery, weight 12 kg, calculate the amount of fluid he will need
    A-1000
    B-1200
    C-1300
A

B-1200

65
Q
  1. 18m old mother said that the baby had smelly diarrhea and irritability in the
    last two days. His birth weight was 2.8 kg, he was on breast feeding until 9m then
    started on cow milk 1l per day along with solid food. Labs provided only HG (9)
    and RBC (3) both was low. No fever, no vomiting. What is the cause?
    A- GI infection
    B- Bone marrow disease
    C- Cow milk consumption
    D- Weight at birth
A

C- Cow milk consumption

66
Q
  1. A child presented with sinusitis and recurrent lower respiratory tract
    infections.Mcs of bronchial aspirate had pseudomonas aeruginosa.Whats the
    diagnosis?
    A.Cystic Fibrosis
    B.Primary ciliary dyskinesia.
    C.Kartagener’s syndrome
A

A.Cystic Fibrosis

67
Q
  1. Boy short stature with webbed neck, what’s the diagnosis?
    A- Noonan
    B- Soto
    C- Marfan
    D- Turner
A

A- Noonan

68
Q
  1. milstone of 6month?
A

Sit without support and

69
Q
  1. Child with pneumonia and vomiting can’t tolerate oral intake, he look well no
    distress but the vital showing hypotension
    You will admite because he:
    -Vital signs (hypotension)
    -can’t tolerate oral
A

-can’t tolerate oral

70
Q
  1. Precocious puberty initial diagnosis or screening ?
A

Depends?

71
Q
  1. Milestones of three years old
A

……

72
Q
  1. Pyloric stenosis type of fluid resuscitation?
    A normal saline
    B ringer lactate
A

A normal saline

73
Q
  1. Delivery at home ?
A

A. vitamin k deficiency

74
Q
  1. Case about x fragile syndrome
    Better recall: A pt with large ears, long face, macroorchidism, joint laxity, mitral valve prolapse,
    dx?
    A. Fragile X syndrome
    B. hurler syndrome
    C. hunter syndrome
A

A. Fragile X syndrome

75
Q
  1. Case about x fragile syndrome
    Better recall: A pt with large ears, long face, macroorchidism, joint laxity, mitral valve prolapse,
    dx?
    A. Fragile X syndrome
    B. hurler syndrome
    C. hunter syndrome
A

A. Fragile X syndrome

76
Q
  1. baby with syndromatic features heart abnormality, club foot, overlapping
    fingers….
    A-patau
    B-turner
    C-edward
A

C-edward

77
Q
  1. newborn with umbilical hernia, asymptomatic, treatment
    A- observation
    B- surgery
    C- surgical repair at 6 months
A

A- observation

78
Q
  1. child with whooping cough, vomiting after coughing ( i think scenario of
    pertussis)
    Most common complication
    A-pneumonia
    B-otitis media
    C-dehydration
    D-pneumothorax
A

A-pneumonia

79
Q
  1. child received dtap before and mother said he had complication of the
    vaccine, which one is contraindication for dtap
    A- seizure
    B- encephalopathy for 7 days of the previous dose
A

B- encephalopathy for 7 days of the previous dose

80
Q
  1. neonate 4 hours old with erythematous macules on red base, management
    A- call dermatologist for biopsy
    B- reassure
    C- antibiotic
A

B- reassure

81
Q
  1. child with febrile seizure and massive watery diarrhea, organism?
    A- rota virus
    B- salmonella
    C- shiglla
    D- i think combylobacter
A

A- rota virus

82
Q
  1. most common viral organism for otitis media
    A- rhinovirus
    B-adenovirus
    C-ebv
A

A- rhinovirus

83
Q
  1. Iron deficiency anemia has more peak in childrens. At which age you would
    screen childrens with high risk of iron deficiency anemia?
    A. At birth
    B. 2 months
    C. 4 months
    D. 12 months
A

D. 12 months

84
Q
  1. 2 years old with 2 weeks orbital puffiness. Which of the following is diagnostic
    for Nephrotic Syndrome?
    A. Low serum albumin
    B. Hypertension
A

A. Low serum albumin

85
Q
  1. 5 years old with testicular enlargement and pubic hair, bone age 7 years What
    should you do first
    A-MRI brain
    B-Ultrasound ovary
    C-GnRH stimulation test
    D-DHEAS
A

C-GnRH stimulation test

86
Q
  1. 6 years old boy with pubic hair , bone age 6 years , normal testicular size 2 cm
    , Serum DEAS slightly high * Most likely cause
    * A-Brain tumor
    * B-Premature benign pubarche
    * C-Congenital adrenal hyperplasia
    * D-Testicular tumor
A
  • B-Premature benign pubarche
87
Q
  1. A child with pica, hepatosplenomegally and failure to thrive. Coming from a
    low socioeconomic economic status family. (Hgb normal, Lead high, PT normal, PTT
    normal, INR normal, iron normal) What’s the most appropriate treatment?
    A-Iron supplement
    B- Penicillamine
    C-Folic acid
    D- Vitamin K
A

B- Penicillamine

88
Q
  1. 3y.o Child brought by his mother bc she noticed he is pale, he is peaky eater
    drink a lot of milk , same problem with his older siblings. CBC microcytic anemia.
    Iron profile: only TIBC was provided and it was very high 700, Dx?:
    A- IDA
    B- A Thalssemia
    C- B12 def (not sure this one was in the choices)
    D- Anemia of Chronic disease
A

A- IDA

89
Q
  1. Female, p6, feel heaviness and discomfort on her pelvic region, exam showed
    mass coming from introitus , dx?
    A- Rectocle
    B- Cystocele
    C- Uterine prolapse
    D- Enterocoele
A

C- Uterine prolapse

90
Q
  1. 8 years old with diahrea , picky eater and drinking goat mild, Hb 8 , MCV low ,
    MCHC high. Most likely cause
    A-Hypothyroidism
    B-Aplastic anaemia
    C-Physiological deprivation
    D-Giardiasis
A

C-Physiological deprivation

91
Q
  1. case of whooping cough (croup) and ask what u will find on auscultation ?
    A- prolonged inspiration
    B- prolonged expiration
A

A- prolonged inspiration

92
Q
  1. immunocompromised baby, what of the following is contraindicated vaccine :
    A-Varicella
    B-hib B
    C-dtap
A

A-Varicella

93
Q
  1. 13 Y/O female brought by her mother who was concern about her daughter’s
    height. Upon examination there were know signs of pubic hair or breast
    development. Hight was 152 and weight was 37. No family hx of similar problem:
    A- hermonal delay
    B- familial delay
    C- constitutional delay
    D- psychosocial delay
A

C- constitutional delay

94
Q
  1. 2 years old baby, before 3 weeks had blood transfusion after acute sickle cell
    attack. His mother bring him for hib A vaccination:
    A- Give vaccine ber schedule
    B- wait 3 months
    C- wait 6 months
A

A- Give vaccine ber schedule

95
Q
  1. Heart block and patent ductus arteriosus in neonate 24 hours age. What is the
    maternal factor?
    A- Rubella
    B- SLE
A

most likely B

96
Q
  1. Long scenario with Cynaotic baby with harsh ejection systolic murmur at left
    sternal border and many other findings poor feeding what is your next mx?
    IV diuretic
    iv abx
    sedation
    pain mx
    BETTER RECALL
    An 18 months old child diagnosed with congenital heart disease, presented to the
    ER with severe cyanosis and hypercyanotic spells. The mother mentioned that he
    was irritable and crying inconsolable for the past 1 hour and the cyanosis is getting
    worse. On examination, he looks cyanotic centrally with loud harsh ejection systolic
    murmur at the left sternal border. BP 100/60, HR 95, RR 28, Temp 37.8, So2 85%.
    Chest xray showing small heart with decreased pulmonary vascular marking. WHich
    of the following is the most appropriate management?
    A. Sedation and pain relief.
    B. IV diuretics bo;us.
    C. Immediate cardiac catheterization,
    D. IV antibiotics and total parenteral nutrition.
A

A. Sedation and pain relief.

97
Q
  1. Uncurmcised boy uti 3 months abx?
    better recall
    Childe 4 months male uncircumscribed have uti what is the amiprical treatmen?
    A. Oral cephalexin
    B. Iv ceftriaxone
A

A. Oral cephalexin

98
Q
  1. 4 months old girl, during Pneumatic otoscope unilateral non-purulent effusion
    and decrease tympanic membrane motility , no fever pr 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

C- Observe and F/U for 48hrs

99
Q
  1. Infant boy US show bilateral hydronephrosis and thickened bladder wall .
    What’s the highly diagnostic
    investigation ?
    A-IV pyelogram
    B-MCUG
    C-DMSA
A

B-MCUG

100
Q
  1. New born what to examin?
    A-Hearing
    B-Vision
    C-Hearing and vision
A

A-Hearing

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