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4. SMLE (difficult Qs) > Pedia > Flashcards

Pedia Flashcards

1
Q

Pediatric doctor ask her to stand in front the wall and bending with unsupported hands. Test what?

A

A) Scoliosis ✅

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2
Q

Newborn came with single umbilical Artery, what caused this:

A

A) diabetic mother

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3
Q 
Child presented with 2 days history of fever on physical exam perforated tympanic member and pus in the external canal dx?
A. acute OT
B. otitis media with effusion
C. chronic OM
D. acute supportive otitis medica
A

D. acute supportive otitis medica

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4
Q

14 yr had fever, pharyngeal exudate, enlarged LN, most common complication =

A

scarlet fever

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5
Q

Patient with inflammation of the external ear with hx of swimming management:
A. oral amoxicillin
B. topical neomycin

A

B. topical neomycin

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6
Q

mother while showering her sone noticed abdominal mass ?

A

if central = neuroblastoma

If flank = Wilms tumor

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7
Q

A girl with ear pain on examination there is bulging tympanic membrane diagnosis?

A

Acute otitis media

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8
Q

PDA associated with which infection?

A

Rubella

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9
Q

female with 7 YO child, had UTI before 1 week, and now have bleeding from her gum & have petechial rash (labs only low platelet) what associated with this case?
A. Megaloblastic
B. Megakaryocytes

A

B. Megakaryocytes

The answer is: B , this is mostly ITP

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10
Q

A child with kawasaki diseases, which is clinical sign: ⁃

A

Bilateral conjunctivitis

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11
Q

child has SOB, recurrent infection, LFT (failure to thrive), vomiting. What dose he have?
A. Hypertrophy of pyloric muscles
B. Hypertrophy of esophagus sphincter
C: relaxation of the LOWER esophagal sphincter
D: relaxation of the UPPER esophagal sphincter

A

C: relaxation of the LOWER esophagal sphincter

syndrome name is sandifer = if neruological symptoms is present

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12
Q

pediatric SLE + UTI asking about wIich drug will worsen symptoms:
A- nitrofurantoin
B- sulfasalazine
C- cephalexin

A

B- sulfasalazine

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13
Q 
3 months child diagnosed with pertussis, pt has 2 siblings up to date vaccinated. What you should do to siblings?
A- close observe to S&S of pertussis
B- give them Chemo prophylaxis macrolide
C- booster vaccine to them
D- vaccine only to high risk
A

B- give them Chemo prophylaxis macrolide

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14
Q

Patient with pharyngitis then after DAYS developed proteinuria and hematuria. Diagnosis?

A

IgA Nephropathy ✅

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15
Q

2 months old baby with congestive heart failure and the mother asking about nutrition requirement ?

A

Greater than requirement for healthy baby

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16
Q

17 yrs female, no menstruation , high testosterone , Normal breast development coarse pubic hair
A. Mayer Rokitansky Kuster Hauser syndrome
B. complete androgen insensitivity
C. congenital hypothyroidism

A

A. Mayer Rokitansky Kuster Hauser syndrome

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17
Q

About tool used for developmental screening used by parents?
A. Age and stage questionnaire
B. Brignance II
C. Bayley scales of infant development
D. Safety words inventory and literacy scree

A

A. Age and stage questionnaire ✅

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18
Q

child with multiple stairy looking (day dreaming)at school and decline in his grades ECG show 3 spiks and wave, what is the treatment?

A

Ethosuximide (absence seizure)

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19
Q 
Mother coming to clinic with her baby. As she put him on examination bed he stared to laugh. And as the doctor started to examine him he started ....... and trIo reach mother. What is developmental age of the baby ?
A- 2mo
B- 4mo 
C- 6mo 
D- 8mo
A

B- 4mo

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20
Q

Child fall from hight presented to you in ER crying, Bleeding from the ear, tympanic membrane bulging and bleed , imaging confirmed basal skull fracture, The nerve which pass through foramen ovalea injured whatʼs the function which will be affected ?

A

Mandible nerve , mastication

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21
Q

Child in poor area with central edema Muscle wasting ?

A

Kwashiorkor

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22
Q

A child has kernicterus sign what you have expect that you tell his parents ?
A. Retina detachment
B.Blindness
C.Hearing loss

A

C.Hearing loss

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23
Q

Juvenile idiopathic arthritis with 2 knee joints pain and +ve ANA dx?
A. Oligoarthritic
B. Polyarthritis
C. Systemic arthriti

A

A. Oligoarthritic

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24
Q

case of neonate after venous there bulging in head under periosteum within line of head suture?

A

A- cephalohematoma

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25
Q

Patient had URTI then after 2 weeks developed back pain, ascending lower limbs bilateral flaccid paralysis spreads from the lower to the upper limbs in a “stocking‐glove” distribution and reduced or absent reflexes. What’s the diagnosis and treatment?

A

Diagnosis: Guillain-Barré syndrome

Treatment: Plasma exchange or IVIG

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26
Q

child with above knee mass ?
A- chondrosarcoma
B- Osteosarcoma

A

B- Osteosarcoma

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27
Q

Girl with wrist pain and knee pain increase in the morning , decrease of motion ?

A

juvenile idiopathic arthritis

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28
Q

month years old? Present with paroxysmal cough with deep inspiration between the cough, conjunctivitis, diarrhea, he is up to datI with his vacciIation. whIt is the causative organism?
A. chlamydia
B. adenovirus
C. pertussis

A 
Depends on age
- 1-3 months > Chlamydia.
- later > Pertussis
- 3 years goes with adenovirus
Especially if there is drooling of saliva and diarrhea
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29
Q

2 weeks old presents with a hx of vomiting after 1 hr from feeding and passes stool 3x per day. Upon examination, a small upper abdominal mass was felt. Asking about the diagnosis?

A

Pyloric stenosis

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30
Q

Pediatric patient came with fever and sore throat, the tonsils were congested and he had papular lesion with erythematous base on his mouth and gingivitis:
A. HSV
B. EBV
C. Coxsackie

A

A. HSV

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31
Q

3months boy came wi rowth g Hx of circumcision you take a urine culture and it was 80,000 E coli and sensitive to TMX/sulfa you gave him AbX for 10 days and discharged after 2 days the mother said his fever improved.
A: do renal US
B: VCUG

A

A: do renal US

  • One febrile UTI < 2 years = US
  • Two febrile UTI < 2 years = VCUG)
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32
Q

Baby with x ray show ( TTN ) + symptoms of pneumonia + Lap high Neutrophils Ttt=

A

Oral amoxicillin 7 days

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33
Q

Case of child studies given microcytic anemia he has high Hba2 on electrophoresis what type of anemia ?

A

Beta thalassemia minor

✴ Hg A2 higher in minor b thalassemia
✴ HgF in major thalassemia

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34
Q

Sickle cell anemia child hb 3 severe pallor and respiratory symptoms what mostly causes this:

A

Parvovirus B19

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35
Q

Infants who have abdominal pain, pull their knees to their chests when they cry, “currant jelly” stool, Dx?“

A

intussusception

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36
Q

Abdominal exam sausage shaped mass?

A

Intussusception

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37
Q

Mother of Down syndrome ask about risk of having other children down?

A

Depend in mother age

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38
Q

5 month child with bilateral femoral hernia:
A. Herniotomy
B. Lab with mesh

A

A. Herniotomy

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39
Q

2 year old boy with pain over anterior tibial tubercle, diagnosis?

A

Osgood Schlatter Syndrome

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40
Q

child with down syndrome, What is the most striking feature? (they used “striking”)

A

hypotonia

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41
Q

which 2nd trimester screening results suggest increased risk for down syndrome?

A

A. High hCG and High inhibin A

Low AFP, Low estriol

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42
Q

A 5 month old is brought to the well baby clinic and the mother is concerned because he didn’t pass his development milestones when the nurse checked him. What developmental milestone are you looking for to reassure the mother?
A. waves goodbye
B. Pincer grasp
C. Reaches for objects

A

C. Reaches for objects

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43
Q

-2 months baby presented by 2 week Hx of poor feeding , pauses during feeding to breath (dyspnea ) signs and symptoms of acute heart failure (Lung crepitations +palpable liver below costal margin)
X-ray cardiac enlargement; increase lung vasculature and marking with patch consolidation. What will you do?
A. Urgent surgery
B. ICU and cardiac catheterization
C. Medical tx with furosemide
D. IV abx and re-evaluate later

A

C. Medical tx with furosemide

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44
Q 
SCA child with hepatomegaly and splenomegaly 6cm below costal margin with pallor and fatigue for 10 days. Hb was 50( normal was more than 100 i think) direct and indirect bilirubin were high, Normal platelets ?
A) regular blood transfusion 
B) splenectomy
C) hydroxyurea
D) fluids and analgesia
A

D) fluids and analgesia

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45
Q

A baby (forgot how old but it was in months) presented to ER with his mother complaining of poor feeding, fever and wheezing exam: bilateral wheezing, and hepatomegaly x-ray showed cardiomegaly
V and increased pulmonary vascular markings what the tx:
“Was stable”
A. complete a course of iv abx then reevaluate
B. diuretics
C. ICU

A

B. diuretics

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46
Q 
baby with Ejection systolic murmur with click heard in the left second intercostal and left parasternal heave distended JVP and ejection systolic murmur increase with inspiration:
A. AS
B. coarctation of aorta
C. VSD
D. congenital pulmonary stenosis
A

D. congenital pulmonary stenosis

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47
Q

10 years old pediatric has diarrhea “sometimes bloody” and has 3 months history weight loss, labs show iron deficiency anemia + high ESR or CRP forgot, what is the dx?

a) celiac disease
b) crohn’s
c) ulcerative colitis

A

b) crohn’s

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48
Q

Case of hematuria after an infection pediatrics ,( labs show low c3)
A- psgn
B- IgA nephro

A

A-psgn (after 2weeks)

B-Iga nephro (after days)

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49
Q

Baby with projectile vomitting?
A- Pyloric sentosis
B- GERD

A

A- Pyloric sentosis ✅

NOTE: Pyloric srowth projectile vomiting + hunger after vomiting + weight loss

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50
Q

Case of croup barking cough what he will be presenting with:
A-Wheezing
B- Stridor

A

B- Stridor

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51
Q 
Obvious Q about hemolytic anemia, what indicate hemolysis in neonate 
A. Increase conjugated
B. Increase unconjugated 
C. Negative coombs test
D. Decrease reticulocyte
A

B. Increase unconjugated ✅

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52
Q

What is the complication of childhood obesity?

A

Hypertension

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53
Q

a 2year okd with anemia, treated with iron supplement but not improving, best diagnostic test?

A

HGB electrophoresis

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54
Q

Child with abdomnal bloating distention and diarrhea. What is the highest diagnostic value for his diagnosis?
A - Anti endomysial antibodies.
B - Complete –lood count.
C - Duodenal biopsy

A

C - Duodenal biopsy– ✅ (definitive diagnosis) –(NOTE= This is celiac disease)

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55
Q

Child with a long history of watery diarrhoea abdominal bloating and pain, what’s the Dx ?

A

chronic giardiasis

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56
Q

Child brought by his mother 1.5 years for delay walking, left hand xray showed wide epiphysis. Lab results normal PTH, high calcium, very high alkaline phosphatase. Diagnosis?

A

hypophsoatasia

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57
Q 
child 6 months cyanosis when he cry + Murmur on Ex what is the Dx? 
A- AS
B- TOF
C-VSD
D- TGA
A

B- TOF✅

(NOTE= Cyanosis in newborn > TGA
In infancy > TOF)

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58
Q

Clear case of congenital prolonged QT syndrome Jervell and Larged-Neilson Syndrome associated with :

A

sensorineural hearing loss

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59
Q

treatment of dengue fever?

A

Supportive and avoid NSAIDs

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60
Q

Pediatrics Patient with signs and symptoms of intussception, what is the hieghst diagnostic test ?

A

A-Enema

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61
Q

prominence occipital, rocker bottom feet , cardiac =

A

Edward’s syndrome

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62
Q 
neonate presenting after 2 days of delivery with history of seizure and hypertonic extremities, most likely diagnosis “CSF normal glucose normal protein no cell clear ?
A- Hypoxic ischemic encephalopathy 
B-Neonatal Sepsis 
C-Neonatal tetanus 
D-pyrogen meningitis
A

A- Hypoxic ischemic encephalopathy

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63
Q 
-23 day old presented with 2 days history lethargy and decrease feeding and jaundice he was diagnosed at day 3 as physiological jaundice and treated with photo therapy and improved - no CBC
Bilirubin T 150, D–rect 98, Diagnosis?
A- ABO Incompatibility 
B- Rh incompatibility 
C- biliary atresia
D milk jaundice
A

C- biliary atresia

Breast milk jaundice and biliary atresia are on the same track. However, since the direct bilirubin is elevated we will go with biliary atresia)


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64
Q

Fracture of femure and angulation in 6 year old what is the management?

A

Open reduction & plate ✅

If nail mentioned wasrowthe then it is the correct answer. (NOTE: Femur fracture summary

  • less than 6 month >pavlik harness ✅
  • 6month to 5 years > hip spica
  • 5 to 1rowthrs > flexible titanium nail or plates
  • more than 11 years > rigid nail.
65
Q

child with eczema… had a veslculopustular rash grape like what is most likely organism cause this lesion ?

A

Staph

66
Q

A 3 month old child has food regurgitation, he had this problem since birth but it has increased after the mother increased the formula volume. What is the cause?
A. Hypertrophy of pyloric muscle
B. Decreased lower esophageal pressure

A

B. Decreased lower esophageal pressure

67
Q

Initial management of pyloric stenosis?
A-NPO + IVF
B-NGT with gravity to release compression

A

A-NPO + IVF ✅

68
Q 
Child with Sx of varicella . Has immunodeficient brother .
Action with the immunodeficient child? 
A. Avoid skin contact
B. Immunoglobulins 
C. antiviral meds
A

B. Immunoglobulins

69
Q

child with transposition of great vessels. Further evaluation of his mother could reveal ?

A

Elevated fasting blood glucose

70
Q

-the most common congenital anomaly of male genitalia’s ?

A

Cryptorchidism

71
Q

Patient with recurrent infection and wheeze and FTT he’s cystic fibrosis. What indicate cystic fibrosis ?
a) FTT
B) recurrent infection
c) recurent wheeze

A

a) FTT

72
Q

unilateral moro’s reflex =

A

Erb’s palsy

73
Q 
Baby babbles, crawls, rolls around, reaches for objects, radial grip, transfer from hand to hand, sits briefly, and no pincer grip
A. 3 months
B. 5 months
C. 7 months 
D. 9 months
A

C. 7 months ✅

74
Q

Young woman developed vomiting 4 hours after eating at a restaurant ?

A

Staph A.

75
Q

girl child with attacks of severe midline abdominal pain with facial pallor and headache with poor appetite. she has a family history of mom & 2 brothers having severe headache. Dx:

A

Abdominal migraine

76
Q

What is the most important cause of necrotizing enterocolitis?

A

Prematurity

77
Q 
Child patient came with gum bleeding no past history of infection , everything was normal in the case except the platelets were very low and mekagyrocyte what is the dignosis ?
A- ITP 
B- TTP
C- HUS
D- HIT
A

A- ITP

78
Q

-Pediatric patient with coryza, conjunctivitis, and white spots in the mouth, what is the diagnosis?

A

A-Measles

79
Q

A 2 year old child came with fever and abdominal pain. Labs: high reticulocytes, and low Hb. What’s the highest protective method?
A - Blood’transfusion
B - Penicillin and immunzation
C – Corticoseroids

A

B - Penicillin and immunzation

80
Q

Heart failure due to left ventricular hypertrophy ?

A

Diastolic dysfunction

81
Q

mother has a daughter form the scenario she is turner syndrome, and asking you what the simple investigation to confirm the diagnosis?
A-Estrogen level
B- LH /FSH level
(If no Karyotyping then B)

A

B- LH /FSH level

If no Karyotyping then B

82
Q

oung patient presented with history of fatigue and jaundice and splenomegaly 6 cm below costal margin. He has history of 2 previous episodes similar to this. Which of the following is the most appropriate management?
A- Exchange
B- Hydroxyurea
C- Splenectomy

A

C- Splenectomy

83
Q

Neonate in first routen visit had low hemoglobin 10.5 and give ora ferrous sulfate, in this visit also Iow hg 10.3, what next investigation to reach dx?
A. level of serum iron and serum ferritin
B. bone marrow
C. give it oral ferrous sulfate.

A

A. level of serum iron and serum ferritin

84
Q

Malnutrition of african boy with Atrophy everywhere ?

A

marasmus

NO EDEMA

85
Q

Classic ring-shaped/headphone-shaped trophozoites are seen in case of Malaria ?

A

Plasmodium falciparum infection

86
Q

Pt after viral infection presented with jaundice - indirect bilirubin was high, other labs normal
A- hemolysis
B- Gilbert syndrome

A

B- Gilbert syndrome

87
Q

child with petechiae and perpura and bleeding from gum which of the following is highly Dx test :
A- BM aspiration
B- coagulation profile
C- Liver CT

A

A- BM aspiration.

NOTE: Since he is child ruling out leukemia is critical

88
Q

8 yr boy wet his bed at night, the cause is?
A. detrusor muscle
B. Pelvic muscles

A

A. detrusor muscle

89
Q 
-18 months asymmetric breast enlargement and pubic hair and oder smell what to order next?
A- DHADS
B- MRI brain
C- testosterone
D- FSH
A

D- FSH

90
Q

Concerning symptom in croup?
• Blue lips
• Tachypnea.
• Expiratory stridor

A

• Blue lips

91
Q

most important study to do in cases of enuresis in child:

A

a.Urine analysis

92
Q

Place of eczema in a 8 month old baby. What the most common palce? - Dorsum of foot

  • Lower back
  • Scalpe, cheeck, …..
  • Near the ankle
A
  • Scalpe, cheeck, …..

children flexers

93
Q

Most common disorder of sexual differentiation in males A. Hydropoiasis
B. Micro-penis
C. Crypto-orchidism

A

C. Crypto-orchidism

94
Q

UTI>14 day, most probably cause pylonphritis ?

A

0,5%

95
Q

Child comes with edema; labs were provided he had low albumin. The question asked what is the cause of the edema?

A

Low protein (Kwashiorkor presentation)

96
Q

14 years old male patient with s&s of eczema asking about commonest site for eczema
A- anticubital fossa
B- popliteal fossa
C- scalp and cheeks

A

A- anticubital fossa ✅

97
Q

13 month old with Abdominal tenderness, vomiting, bloody stool, leukocytosis and US doughnut shape ?

A

intussusception

98
Q

child presents with generalised Peervicetioly on the legs has always been helthy the parents report that he had an upper respire tree infection two weeks before His sx appearance
Plt was low 15?? Of the following is the most appropriate management ?
A-splenectomy
B-platelets-transfusion
C-factor Vlll transfusion
D-IVIG

A

D-IVIG

99
Q 
Fever throat pain tonisls coverd with whaite membrane lymphoadenopathy organism ? 
A-Corona
B-Rsv
C-EBV 
D-Influnza
A

C-EBV

NOTE= If there is no strept choose EBV)

100
Q

Months boy Uncircumcised with fever , labs showed UTI =

A

IV Ceftriaxone

Oral if mild

101
Q 
After URTI with abdominal pain and petechiae over the limbs and buttocks , what is the diagnosis ?
A- Drug induced hypersensitive
B- Hypersensitivity vasculitis 
C- vit c deficiency
D- Factor v11 deficiency
A

B- Hypersensitivity vasculitis ✅

102
Q

Baby born 27 weeks after 30 mins started having tachypnea and grunting, most common cause?

A

Respiratory distress syndrome.

Respiratory distress syndrome (RDS) is when the neonate has difficulty breathing faced by preterm
infants and is directly related to structurally immature and surfactant deficient lungs

103
Q

Epiglottis on X-ray ?

A

thumb sign

Aslo thumb sign for bowel ischemia for abd.

104
Q

Most common virus cause of acute otitis media in pedia ?

A

Rhinovirus

105
Q

Hirschsprung disease treatment?

A

Surgical

106
Q 
4 months on breastfeeding, This is her first baby came with 2 days hx of lethargy constipation, fever, response weak when light directed to his eyes , cause ?
A. Hypothyroidism
B. Infantile botulism 
C. Guillain barre syndrome 
D. Poliomyelitis
A

B. Infantile botulism ✅

107
Q 
A mother compaling that her baby was having non billous vomiting and you noticed an olive shaped mass on the epigastric region , whats the best mx ?
A. Pyloromyotomy
B. Gastrojejunostomy 
C. Balloon dilatation 
D. Anastomosis
A

A. Pyloromyotomy

108
Q

A 1 year old boy is brought to the clinic for failure to thrive, recurrent oral thrust and hepatosplenomegaly, he had a brother who died at the age of 3 years old with sever infection and septic shock, which of the following vaccine must be avoided until a diagnosis is made?

A

Varicella

109
Q

7 year old Child ingested 20 tablet baby aspirin ,what you expect regarding acid base balance ?

A

Respiratory alkalosis > metabolic acidosis

110
Q

Child presents with tonic clonic seizure, has bloody diarrhea What is the most causative organism?

A

Shigella

111
Q

Pt came with HCOM What tx =

A

Metoprolol

112
Q 
Pyloric stenosis what will he have?
A) Hypochloremic metabolic alkalosis 
B) Hypochloremic metabolic acidosis
C) Hyperchloremic metabolic alkalosis 
D) Hyperchloremic metabolic acidosis
A

A) Hypochloremic metabolic alkalosis ✅

113
Q

Case of pediatric patient known to have seizure , come with syndromic feature hypotonia large head asking for vaccinations?

A

stop Dtab

114
Q

4 months old smiles socially and reaches for objects and supports himself on his elbows when on his tummy. What else you expect?

A

supports his head without help

115
Q 
An adult with celiac disease not responding to gluten free diet , you suspect non compliance of the patient how will you confirm your suspicion?
A-Food diary
B-Biopsy
C-Tissue transglutaminase antibody
B-Anti-endomysial antibody
A

C-Tissue transglutaminase antibody

116
Q

Absent red reflex associated with which infection during pregnancy?

A

Rubella

then Immediately refer to ophthalmologist

117
Q

Horizontal line in x ray of infant ?

A

Transient tachypnea of newborn

118
Q

Croup on X-ray ?

A

steeple sign

119
Q

-Boy bleeds out after tooth extraction Then after develop bruises they mention factors Vlll= +ve , Plat=
, normal Only slight increase in p What is the dx ?

A

von Will brand disease

120
Q

Pediatric patient presented with limping. On examination knee is swollen with reduced passive movement. Patient has fever
Which of the following is the most important to obtain:
A- Blood culture
B- Xray of the knee
D-Aspiration of the joint

A

D-Aspiration of the joint

121
Q

Child with chronic diarrhea, lab show high MCV ،high MCH, normal Hb, what’s your diagnosis :

A

C- Gardia

122
Q

Pt have macroorchidism , joint laxity , ear larg , cognitive disability ?

A

Fragile X syndrome

123
Q

The most common cardiac anomaly in Down syndrome A. ASD
B.VSD
C.Cushion defect

A

C.Cushion defect

Atrioventricular Septal Defect

124
Q

Child after brain trauma developed polyuria. Investigations shows elevated serum osmolality and decreased urine osmolality.

A

A. Central DI

125
Q

Patient with pharyngitis then after WEEKS developed proteinuria and hematuria. Diagnosis?

A

Post streptococcal glomerulonephritis ✅

126
Q

DKA in neonate needs of glucose is?

A

A: 2ml/kg D10

127
Q 
classic case of DiGeorge syndrome asking about the heart abnormality : 
A.TOF 
B.PDA 
C. TGA 
D. Endocardium cushion defect
A

A.TOF

128
Q 
Baby term born via CS and developed TTN’ Management? 
A) O2 therapy 
B)Surfactant.
C)mechanical ventilation. 
D)Tube insertion.
A

A) O2 therapy

129
Q

Conjunctivitis, nasal discharge fever cough, after several days rash started from the head and spreads to the body ?

A

Rubella

130
Q

Child with fever and vomiting and rash on 2nd day rash become over All body ?

A

B. Rocky mountain fever

131
Q 
pt with rigors and chills after CBD exploration RR: 18 pulse: 80 WBC: 9 T: 38 ... what is the most likely diagnosis?
A. Bacteremia 
B. Sepsis
C. Sever sepsis 
D. SIRS
A

A. Bacteremia

132
Q

dengue mosquito time of activity?

A

early morning

133
Q

Child with bloody diarrhea and mucus No other information:
A- amebiacesis
B- Intestinal ascaris

A

A- amebiacesis ✅

134
Q

Preterm baby at 27 week delivered by c/s due to maternal cause and he is tachypnea and low O2 saturation 88 and they ( describe the chest wall I didn’t understand it ) what is diagnosis :
A- Transient tachypnea of newborn
B- respiratory distress syndrome

A

B- respiratory distress syndrome ✅

135
Q

Dka patient come to ER the initial step is?

A

A- iv fluid

136
Q

Fever of unknown origin duration in pediatric?

A

14 d

137
Q 
Left stylomastoid foramen injury by forceps blade during delivery: 
A. Cannot open left eye
B. decrease blood supply to ear
C. loss ant 2/3 tongue sensation 
D. loss half face sensation
A

C. loss ant 2/3 tongue sensation

NOTE:(before or at and after style-mastoids
Before:
The taste is affected
At or after:
Facial muscles will be paralyzed so he will not able to close the eye)

138
Q

Child develops petechia in the legs, he has history of URTI. Labs showed: normal CBC except platelet count was : low. What is the next step in management?

A. Platelet transfusion.
B. Immunoglobulin ( if sever bleeding like untracranial haemorrhage.
C. Steroid ( if mild bleeding ).
D. Supportive ( if platelet more than 30.000 and there is no bleeding ).

A

D. Supportive ( if platelet more than 30.000 and there is no bleeding ).

only low platelet (thrombocytopenia) & rash = ITP

139
Q

Coffee bean sign and want the diagnosis?

A

Sigmoid vulvulus

140
Q

Case of boy came microcytic hypoch anemia and he was treated for IDA and he didn’t improve 2 of his brothers have the same condition what investigation ur going to do?

A

A-HG ELECTROPHORESIS

141
Q 
Boy with cystic fibrosis (stating that) also he has all the symptoms and complications his parents and siblings are healthy what to do?
A- Genetic study to the sibling
B- Genetic study to the parents 
C- Sweat test sibling 
D- Sweat test parents
A

they say b

i think C

142
Q

target sign by US ?

A

Intussusception

143
Q

Wilms tumor finds accidentally by mother during bathing. Etc: best next diagnostic tool
A-US + X-ray
B-US
C-CT

A

C-CT

NOTE:

  • Next step: US
  • Best Diagnostic: CT or MRI - For chest imaging: CT)
144
Q

A child (i think 5 or less age) was complaining of diarrhea and gastroenteritis and treated with oral rehydration solution but symptoms back again after stopping ORS and beginning of normal diet. Pt looks slightly dehydrated but vitally stable and active, what’s your management?
A- start gluten free diet
B- start ORS for 5 days than normal diet
C- start ORS for 24hr then normal diet

A

C- start ORS for 24hr then normal diet

145
Q

Pregnant women has clamydia, what organ would be affected in her child ?

A

Eye

146
Q

2 week child brought by the mother with poor oral intake for 2 days; on examination, there’s mouth thrush and diaper dermatitis tx
A. Oral antifungal for 7 days
B. Topical antifungal for 5 days
C. Systemic antifungal for 5 days
D. Oral and topical antifungal for 5 days

A

D. Oral and topical antifungal for 5 days

147
Q 
Child presented with ulcers on mouth and gingiva erythematous based and pale in the center. Dx?
A. Coxaci
B. EBV
C. Herpes 
D. varicella zoster
A

C. Herpes

148
Q

A child was brought by his parents after he refused to walk and insisted on being carried always, the parents reported this happened after he was playing and
stepped on a toy and his leg was twisted and fell down = Toddlers ?

A

spiral fracture of distal tibia.

149
Q

child present with central obesity + moon face + striat investigation?

A

ACTH stimulations test

if there is 24 h urine cortisol its best initial and more specific choose it

150
Q

12y urine incontinence TTT?
A. nasal desmopressin
B. bed alarm

A

B. bed alarm

151
Q

Baby in resporatory distress imigaing shows hylerlucent loop and adjacent compression of the loop, what is the best thing to do
A. Intubation
B. Thoracostomy
C. Thoracotomy

A

B. ThoracoStomy

152
Q

Child preschool age has VSD 2mm, asymptotic, what will you do ?

A

Watchful and waiting

if more than 5 mm, operate

153
Q

Newborn with nasal flaring and subcostal retraction?

A

respiratory distress syndrome

154
Q

child with conjunctivitis, rash, cervical lymph nodes, fever what to give as a treatment?
A. aspirin
B. NSAID

A

A. aspirin

NOTE: no IVIG in the choices

155
Q

5 days neonate born at home with thigh bruises only, investigations show high aPTT, high PT what is the Dx?
A- hemorrhagic disease of newborn
B- Factor X deficiency

A

A- hemorrhagic disease of newborn

156
Q

A female patient that with ambiguous genitalia at birth and had a siginificanty high 17- hydroxyprogesterone?

A

A. 21 hydroxylase deficiency ✅

157
Q 
2 year old child presented with rash over the dorsal surfaces of hands, fingers, foot and toes. (have vesicular rash)
A - Mumps virus IgM
B - HSV-1 IgM
C - HSV- Ig–
D - VZV IgM
A

D - VZV IgM

158
Q

child can Know the color when you point at them, ride tricycle, knows age and gender but cannot copy
square what is his age ?

A

4 y

159
Q

12M fatigue, failure to thrive, stunt growth, large forehead or something?

A. beta-thalassemia
B. alpha-thalassemia
C. SCA
D. IDA

A

A. beta-thalassemia

4. SMLE (difficult Qs) (6 decks)

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