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Q1. a child is brought to the ER by parents with history of diarrhea and vomiting for 3 days. Last episode of vomiting was 12 hours ago. Loose stools 4 times in last 24 hours. PE- pulse 100/min, BP 100/60 oral mucosa mildly dry and eyes mildly sunken. No other abnormalities. What is the management? He was tolerating oral clear fluids.(part B Q)- choose 2
a.oral electrolye solution
b. oral clear fluids
c. admit
d. send him home
e. IV normal saline
f. D5W

Q2. a child has ingested cleaning liquid with lye. Which of the following is not done.
a. iv fluids
b. NG tube
c. chest X ray
d. endoscopy
e. ETT

Q3.a man conducted a cohort study about social support on health out come. Here social support is
a. determinant
b. commodity
c. confounding factor.

Q4. amniocentesis and chromosomal analysis shows XYY. Which of the following is most likely seen in XYY syndrome?
a. mental retardation
b. dysmorphic features
c. aggressive behaviour

Q5. autism
a. high incidence is seen in siblings
b. autosomal recessive
c. separation anxiety when send with strangers

Q6. A 58-year old patient was admitted to the hospital for appendicectomy. During the surgery his condition deteriorated and he passed into coma. You started tube feeding. The patient has no family member or friends around and no advanced directive. When can you stop the tube feeding?
A. You can not stop it except by the court order
B. You stop it according to the need of his bed for another patient
C. appoint legal guardian to take decision
D. You can stop it according to the opinion of another physician
E. You consult CEO of the hospital to take a legal action.

Q7. a 5 year old girl is diagnosed to have inoperable brain tumor. Parents request you not to tell her. The next day morning the girl asks you about her disease. What will be your action
a. tell her everything
b. do according to parents wish
c. involve ethicist of the hospital

bebica · Credits: 25995 My Scrapbook

ieva · Credits: 3579 My Scrapbook

Q1 a.oral electrolye solution
d. send him home
Q2

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Acute management:stabilizing the airway and maintaining the circulatory system (ABC's). After a complete head and neck examination, a chest radiograph should be obtained to view the mediastinum and subdiaphragmatic regions (free air).
The majority of clinical experts recommend esophagoscopy within the first 24 to 48 hours after caustic ingestion. It is generally held that after two days esophagoscopy has an increased risk of iatrogenic injury (perforation) because the esophagus is weakest at this point.
For children that present beyond 48 hours after caustic ingestion, a barium swallow should be obtained to evaluate esophageal injury.
Emetics and gastric lavage are not indicated as they only increase the exposure of caustic substance or risk of perforation.
My ans: e. ETT
Q4 c. aggressive behaviour
Q5 - if to choose from these 3, then probably a.high incidence is seen in siblings
Q6

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after reading those - i would choose: C. appoint legal guardian to take decision
Q7: a. tell her everything

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