drfjm
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Peadiactrics-Not Sure
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06.08.08 (4 months ago)
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1. A baby was born with his head circumference on the 3rd percentile at 2 weeks of age,30th percentile at 2 months of age, 50th percentile at 6 months of age,90th percentile at 1 year of age. what is true concerning the development of this child?
a. it is variation of normal
b. The period of observation is too short to say anything
c. allowance has to be made for parental factors
d. Further investigation is warranted
e. the development of permanent damage is likely.
2. A 4 yr old child is presented to you whose bone age is 18 months and his weight is that of a 2 yr old. What is the most likely reason for this is:
a. adrenogenital syndrome
*b. hypothyroidism
c. constitutional
d. panhypopituitarism
e. corticosteroid treatment
f. acholdroplasia
g. maternal deprivation
3. In a 1 yr old child with an inhaled foreign body who ha a 1 week history of wheezing , what would be the first step of your management?
*a. bronchodilators
b. take x-rays in inspiration and expiration
c. fluoroscopy
d. bronchoscopy
e. ABGs
4. A 4 day old baby is presented by her mother because of three day's history of irritability, not feeding well, vomiting, no fever and jaundice after each breast-feeding which seems to be deepening. What should you do next?
a. stop breast-feeding the baby
b. do Liver function test
c. Check U/E + FBC + LP
d. Blood culture/ thyroid function tests
*e. Coomb's test for Rhesus incompatibility
5. In sudden infant death syndrome, what is true?
a. is commoner in summer
b. is commoner in 6-9 months old babies
c. due to negligence of mothers
*d. diagnosed at autopsy
e. occurs between 8 pm and 12 pm
6. A 6 month old child with signs of mild upper respiratory tract infection. On examination rhonchi present bilaterally vesicular breath sounds heard but diminished on left upper back. child is not distressed. There is family history of asthma and allergy.
a. give salbutamol inhalation
b. give steroids tablets
c. Take X-ray on inspiration
d. give humidified O2 30 %
e. admit the baby and O2 therapy
7. In petit mal:
a. rarely conducts to grand mal
b. is associated with mental retardation
c. the treatment of choice is a benzodiazepine
d. hyperventilation can provoke it
e. occur between 2-4 yrs.
8. The most sensitive indicator in an Rh-ve patient to assess the severity of disease in the fetus is:
a. antibody titre inn mother's serum
b. antibody titre in cord blood
c. antibody titre in the amniotic fluid
*d. bilirubin level in the amniotic fluid
e. Rh typing in the father
9. What is true of atopic dermatitis?
*a. It is a self limiting disease
b. Associated with an increase in IgM
c. associated with Staphylococcal scalded syndrome
d. associated with herpes simples
e. hypothyroid
10. Down syndrome is characterized by all except:
a. duodenal atresia
*b. cleft palate
c. brachycephalic skull
d. wide epicanthic folds
e. hydrocephaly
11. WOF is true of cow's milk compared to human milk?
a. high lactose content
b. low sodium
c. low protein
*d. more phosphorus
e. low Ca
13. A child who presented with vomiting was diagnosed to have pyloric stenosis. The initial fluid replacement prior to surgery is?
*a. 0.9 NaCl
*b. Hartman's solution
*c. 0.45 NaCl solution
14. A child has got an upper respiratory tract infection which is confirmed to be due to Streptococcus beta hemolytic. He was on Penicillin V for one week and develops puffy face and edema of ankles. All are true EXCEPT:
a. low urine sediment diagnosed as glomerulonephirits
b. ASO titre if low excludes diagnosis of Post strep glomerulonephritis
c. bed rest antihypertensives and diuretics are the best alternative
d. he may develop heart failure and pulmonary edema
e. screening for carrier state for all members of family
15. A 4 months old baby suffer from congestive cardiac failure . WOF signs is the most accurate to make a diagnosis?
a. tachycardia
b. increased JVP
c. edema of legs
*d. hepatomegaly
e. sweating
16. An infant with congestive cardiac failure. How do you diagnose on inspection?
a. respiratory rate more than 40
b. pulse more than 120
c. oedema
*d. enlarged liver
e. JVP
17. The commonest cause of meningitis in neonatal period is:
a. E Coli
*b. Streptococci
c. Meningococcal pneumoniae
d. Mycoplasma
e. Haemophylus influenza
18. A child who is in good health brought by his parents and they stated that the child has an attack of complete loss of movement especially when he watches TV at night. the attack lasts few seconds and during this attack, his eyes are open and he can hear voices. There is history of similar attack in one of his distant relatives. What is your diagnosis?
a. sleep paralysis
b. grand mal epilepsy
c. myoclonic epilepsy
d. temporal lobe epilepsy
e. familial periodic paralysis
19. A mother presents with her 6 1/2 month old child whom you have given a DPT two weeks ago. She complains that he is fussy at daytime especially when she leaves him alone and he awakens at night. Examination is normal. What is your action?
a. urine examination & blood culture
*b. reassure her that this is a normal behaviour after vaccination
c. reassure her that this is a normal behavior for his age and will settle with time
d. prescribe a full course of antibiotics
e. Investigate for peptic oesophagitis
20. Regarding neuroblastoma, all are true EXCEPT:
*a. The younger the child, the worse the prognosis
b. Increased urinary vannilyl mandelic acid
c. Most commonly abdominal
d. If it occurs in the chest, it is most commonly in the post mediastinum
21. Regarding neuroblastoma, all are true EXCEPT:
*a. The younger the child, the worse the prognosis
b. Increased urinary vannilyl mandelic acid
c. Most commonly abdominal
d. If it occurs in the chest, it is most commonly in the post mediastinum
e. metastasizes early
22. In a child who developed acute parotitis:
*a. meningo encephalitis may occur before, during or after parotitis
b. Parotids are the salivary glands that are infected
c. Incubation period is 7- 10 days
d. Sterility is common
23. Which reflex do you expect to find in a 5 month old full term normal infant?
a. Moro reflex
b. grasp reflex
c. walking reflex
*d. babinski reflex
e. tonic neck reflex
24. Milestone in the development of a 7 month old child. What is true?
*a. can transfer a cube from one hand to another
b. weight is double that at birth
c. can say 4 words with meaning
d. drinks from a cup
e. walk
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