Slide examination Fifth year

May. 2013By Prof. HAMIDA ESAHLI

ELKHADRA HOSPITAL

1

The Normal Fluid Requirements per day in child with 15 kg is:

A. 1000ml

B. 1500ml

C. 1250ml

D. 980ml

2

The followings are reliable signs of severe dehydration in 20 months old child ,except:

A. Sunken eyes

B. Sunken anterior fontanel

C. Decrease urine output

D. Dry mouth

3

The most common cause of this rash is:

A. Staphylococcaus

B. Herpes simplex virus

C. Coxsackie virus

D. Varicella-Zoster virus

4

This 6-month –old infant developed widespread rash , lip swelling and wheeze immediately after first formula feed , The management of this

infant is/ are:

• A. Adrenaline IM if no response nebulised salbutamol

• B.Intubation

• C. Antihistamine IM

• D. Hydrocortisone IV

5

This sign is present in the following conditions except:

A. Chronic pulmonary disease

B. Cyanotic congenital heart disease

C. Celiac disease

D. Nephrotic syndrome

6

The DDX of the following blood picture is/are except:

A. Iron deficiency anaemia

B. Thalasmia major

C. Sideroblastic anaemia

D. B12 deficiency anaemia

7

One year old baby , who had been brought by his parents to ER with persisting vomiting and diarrhea for 3days , he was dehydrated his arterial blood gas is:

A. Compensated metabolic acidosis

B. Compensated respiratory alkalosis

C. Uncompensated metabolic acidosis

D. Respiratory acidosis

• ABG:

• — pH : 7.2

• — Po2 : 90 mmHg

• — PCo2 : 23 mmHg

• — HCO3 : 15 mmol/L

• — BE : -10 mmol/L

8

This a pedigree showing inheritance pattern: what is the inheritance ? Give two examples?

A. X-linked recessive G6PD &Haemophilia.

B. X- linked dominant vit D resistant rickets &Incontinenta pigmenta

C. Autosomal recessive cystic fibrosis&PKU

D. Autosomal dominant Hereditary spherocystosis

&chondrodoplasia

9

In the initial assessment of coma, fixed dilated pupil's indicate:

A. Ponitine lesion

B. Severe hypoxia

C. Unilateral third nerve lesion

D. All of the above

10

The clinical features of sever brochiolites in un infant are the following, except:

11

A. Cyanosis or pallor

B. Hyperinflation of chest

C. Apnoea in infants < 4 months

D. Stridor

What is the most Likely Diagnosis ?

A. MCU : showed bilateral vesciouretric reflux grade V

B. DMSA scan

C. IVP

D. Non of the above

12

T his is an 18 month child came to the well baby clinic, What are absolute contraindications to this vaccine?

A. patient with immunodeficiency, leukemia, lymphoma, HIV

B. Breast feeding

C. Patient with infectious mononucleosis.

D. Down syndrome

13

Assessment of nutritional status can be determined by:

A. Low plasma albumin

B. Low lymphocyte count

C. Skin fold thickness

D. All the above

14

what is the most likely diagnosis?

A. Neurofibromatosis type 1

B. Hyper pigmantation

C. Tuberous sclerosis

D. Sturge-weber syndrome

15

What is the most likely diagnosis?

A. Lung consolidation

B. Pleural effusion

C. Lung collapse

D. Empyema

16

The developmental age is :

A. One year

B. 2 years

C. 15-18 months

D. 9 months

17

The cause of birth injuries in this neonate is/are:

A. Caput succedaneum

B. Bilateral cephalhaematoma

C. Subaponeurotic haemorrhage

D. Oedema from forceps blades delivery

18

Regarding nasogastric tube(NGT)

A. Indicated in patients with fracture base of skull

B. Uses: for oral agents and suction

C. Can cause pulmonary aspiration

D. B &C

19

This infant has a grossly distended abdomen from ascites, the most likely cause is:

A. Liver cirrhosis with portal hypertension

B. Heart failure

C. Nephritic syndrome

D. Celiac disease

20

What is the most likely diagnosis?

A. Pericardial effusion

B. Cardiomegaly with increased pulmonary vascular markings

C. Bronchopneumonia

D. Non of the above

21

Good luck22