اسئلة..

1- Advantages of breast milk include all of the following except:

A- Economic and cheaper than artificial milk.

B- Sterile & free from contamination.

C- Contains antibodies.

D- Contains protein higher than artificial milk. @

E- Has psychological advantages.

2- Factors affecting physical growth include all of the following except:

A- Genetic & hereditary.

B- Sex.

C- Nutrition.

D- Chronic illness.

E- Going to school at early age. @

3- The following are recognised complications of whooping cough:

A- apnea.

B- subconjunctival haemorrhage.

C- weight loss.

D- cyanotic attacks.

E- All of the above. @

4- Stridor is characteristic of:

A- bronchiolitis

B- laryngo-

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Iman Khader: 4- Stridor is characteristic of:

A- bronchiolitis

B- laryngo-tracheo-bronchitis (croup). @

C- asthma.

D- bronchopneumonia.

E- Non of the above.

5- Characteristics of hypernatremic dehydration with Na in serum 170mEq/L

and 10 percent loss of body weight are all the following except:

A- Low blood pressure @

B- Convulsions

C- Thirst

D- Lethargy

E- Hyperirritability

6- Physiological jaundice of the newborn is characterized by all of the

following except:

A- Clinical jaundice on the second postnatal day.

B- Low glucuronyl-transferase activity.

C- Serum bilirubin levels in excess of 8mg/dl on the third day.

D- Positive test for bile in the urine on day 2. @

E- Increased

B- Low glucuronyl-transferase activity.

C- Serum bilirubin levels in excess of 8mg/dl on the third day.

D- Positive test for bile in the urine on day 2. @

E- Increased

Iman Khader: 7- A well baby has difficulty sucking. Causes for this could be:

A- Micrognathia

B- cleft palate

C- Prader-Willi syndrome.

D- Bulber palsy.


8- All of the following are associated with proptosis except:

A- Neuroblastoma.

B- Periorbital cellulitis. @

C- Retinoblastoma.

D- craniosynostosis.

E- Ethmoiditis.

9- Ataxia may be associated with all of the following except:

A- Folic acid deficiency. @

B- Sedative drugs.

C- Spinal cord dorsal column disease.

D- Cerebellar disease.

E- Marked muscle weakness.

Iman Khader: 10- Causes of an acute hemiplegia in a child with congenital heart disease

include:

A- Polycythaemia

B- Vascular thrombosis

C- Brain abscess.

D- migraine

E- All of the above @

11- Cerebral palsy is :

A- Caused by intrapartum asphyxia in most cases.

B- Characterized by both motor and sensory abnormalities.

C- A condition for life – one does not 'outgrow' cerebral palsy.

D- Associated with progressive dementia.

E- Associated with an increased risk of fits. @

12- Constipation is common in:

A- hypothyroidism.

B- lead poisoning.

C- hypercalcemia.

D- non of the above.

E- all of the above. @

12- Constipation is common in:

A- hypothyroidism.

B- lead poisoning.

C- hypercalcemia.

D- non of the above.


Iman Khader: 13- Weaning means:

A- Stop breast feeding completely and start normal food.

B- Stop breast feeding completely and start formula feeding like Nan or Materna milk.

C- Introduction of foods other than milk in the infant’s diet without stopping milk. @

D- Usually started at the age of 10-12 months.

E- None of the above.

14- the following genetic disorders are inherited as X-linked recessive:

A- Hemophilia A. @

B- achondroplasia

C- myotonic dystrophy.

D- congenital spherocytosis.

E- cystic fibrosis.

15- Jaundice and pale stools would be compatible with a diagnosis of all of the

following Except:

A- breast-feeding jaundice. @

B- biliary atresia.

C- choledochal cyst.

D- cystic fibrosis.

E- acute infectiou

Iman Khader: 16- Contraindication to the vaccines include:

A- Severe illness with fever. @

B- Mild upper respiratory tract infection.

C- Feeding.

D- Two vaccines given together.

E- Prematurity.

17- Early clinical signs of respiratory distress syndrome include all of the following

Except:

A- A respiratory rate greater than 60 breaths/ minute.

B- Expiratory grunting.

C- Central cyanosis of breathing air.

D- Intercostal recession.

E- Pyrexia. @

18- causes of neonatal convulsions include all of the following except:

A- Asphyxia

B- Hypoglycemia

C- Hypomagnesemia

D- Inherited metabolic disorders

E- Hyperkalemia. @

Iman Khader: 19- Increased susceptibility to bacterial infection is associated with :

A- Sickle cell disease

B- Hypogammaglobulinemia.

C- Splenectomy.

D- Chronic granulomatous disease.

E- All of the above.

20- Baby delivered with birth weight 3000gm. Average weight of the baby at the

age of 1 year becomes:

A- 7000 gm.

B- 12000 gm.

C- 13000 gm.

D- 9000 gm. @

E- 8000 gm.

21- Causes of pleural effusion include all of the following except:

A- Inflammatory causes like pneumonia.

B- Cardiac causes like heart failure.

C- Mediastinal tumor.

D- Bronchial asthma. @

E- Hypoproteinemia.

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22- Complications of bacterial meningitis include all of the following except:

A- Pleural effusion. @

B- Convulsions.

C- Cerebral abscess.

D- Hydrocephalus.

E- Mental retardation.

23- Causes of death in kwashiorkor include:

A- Intercurrent infection.

B- Water and electrolyte disturbances.

C- Hypoglycemia.

D- Hypothermia.


24- A baby is jaundiced at 12 hours old.The causes to consider include all of the

following except:

A-Congenital infection.

B-Haemolytic diseases.

C-Congenital spherocytosis.

D-Biliary atresia. @

E-ABO incompatibility

Iman Khader: 25- Complications of gastro-oesophageal reflux include all of the following Except:

A- apnea.

B- hypoglycaemia. @

C- recurrent pneumonia.

D- haematemesis.

E- failure to thrive.

26- Typical findings in the nephrotic syndrome in children include:

A- haematuria.

B- hypoalbuminuria.

C- hypertension.

D- raised levels of triglyceride and cholesterol. @

E- neutropenia.

27- The following vaccines contain live strains:

A- oral polio.

B- BCG.

C- mumps.

D- all of the above. @

E- non of the above.

28- Simple febrile convulsions:

A- frequently recur during a 24-hour period.

B- may occur at any age between 6 months and 5 years. @

C- may be focal.

D- may sometimes occur without fever.

E- should always be investigated by lumber puncter to exclude meningitis.

29- Causes of splenomegaly include all of the following Except:

A- EB virus infection.

B- CMV infection.

C- portal hypertension.

D- ventricular septal defect. @

E- congenital spherocytosis.

30- Reflexes present in a newborn baby include all of the following except:

A- Moro reflex.

B- Grasp reflex.

C- Babinski reflex. @

D- Tonic neck reflex.

E- Stepping reflex.

31- Recognized causes of mental retardation include all of the following except:

A- Congenital infection.

B- Birth asphyxia.

C- Neonatal jaundice.

D- Congenital heart disease. @

E- Chromosomal disorders.

32- Clinical findings in a child with newly diagnosed leukemia include:

A- bruising.

B- anemia.

C- splenomegaly.

D- bone pain.


33- Causes of heart failure include all of the following except:

A- Congenital heart disease.

B- Rheumatic fever.

C- Anemia.

D- Acidosis.

E- Acute bronchitis. @

34- Teething is a recognized cause of:

A- febrile convulsions.

B- diarrhea.

C- persistent pyrexia.

D- irritability. @

E- hematemesis.

35- Contraindications of breast feeding include all of the following except:

A- Active Tuberculosis.

B- Severely undernourished mother.

C- HIV infection.

D- Premature infant. @

E- Abnormalities of the mouth of the newborn.

36- Recognized etiological factors of premature labor include:

A- low social class.

B- Unmarried mother.

C- Multiple pregnancy.

D- Maternal hydramnios.

E- All of the above.

Iman Khader: 37- Recognized causes of respiratory distress in the newborn include all of the following except:

A- Infection with group B β- hemolytic streptococci.

B- aspiration of meconium.

C- hyperviscosity syndrome.

D- acute hydrocephalus. @

E- heart failure.

38- The presence of an endocardial cushion defect is associated with:

A- Turner's syndrome

B- Noonan's syndrome

C- Down's syndrome @

D- Marfan's syndrome

E- Hunter-Hurler syndrome

39- Apgar score assesses all of the following except:

A- The moro reflex. @

B- The heart rate.

C- The color of the baby.

D- Muscle tone.

E- Response to stimulus.

Iman Khader: 40- Viral pneumonias are characteristically :

A- more common than bacterial pneumonias in children. @

B- associated with the production of rusty sputum.

C- more toxic clinically than would be expected from the degree of chest x-ray

involvement in older children.

D- associated with the appearance of pneumatoceles on chest x-ray.

E- caused by aspiration.

41- Auscultatory features characteristic of a benign murmur include :

A- audible in a restricted area of the precordium only.

B- a quiet musical quality.

C- short duration

D- All of the above. @

E- none of the above.

42- Major manifestations (Jones criteria) of rheumatic fever include

a

Iman Khader: 42- Major manifestations (Jones criteria) of rheumatic fever include

all of the following except :

A- Arthritis.

B- Carditis.

C- Chorea.

D- Detection of C-reactive protein. @

E- Subcutaneous nodules.

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Iman Khader: 43- The presence of drug-induced nephrotic syndrome should be most highly suspected in a proteinuric patient who has received which of the following drugs

A- Tetracycline

B- Streptomycin

C- Trimethadione @

D- Diazepam

E- Chloramucil

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Iman Khader: 44- A blood pressure of 120/80 mm Hg is elevated for children aged

A- 4 years @

B- 7 years

C- 10 years

D- 12 years

E- 15 years

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Iman Khader: 45- A previously well 1-year-old infant has had a runny nose and had been sneezing and coughing for 2 days. Two other members of the family had similar symptoms. Four hours ago his cough became much worse. On physical examination he is in moderate respiratory distress with nasal flaring, hyperexpansion of the chest, and easily audible wheezing without rales. The most likely diagnosis is

A- Bronchiolitis @

B- Viral group

C- Asthma

D- epiglottitis

E- Diphtheri

Iman Khader: 46- Recognized side effects of phenytoin include all of the following except :

A- ataxia.

B- hyperkinesis. @

C- dementia.

D- acne.

E- hirsutism.

47- Splenectomy should be carried out immediately following the diagnosis of :

A- Hypersplenism.

B- Hodgkin's disease. @

C- Idiopathic thrombocytopenic purpura.

D- Congenital spherocytosis.

E- β thalassaemia major.

Iman Khader: 48- Myasthenia gravis in childhood :

A- is more common in girls than boys. @

B- is caused by a biochemical defect.

C- is characteristically associated with muscle wasting.

D- is diagnosed by response to cholinesterases.

E- is characteristically associated with thymoma

49- A 3-year-old child can be expected to do all the following except

A- Undress

B- Copy a square @

C- Alternate feet when climbing stairs

D- Name one color

E- Speak in short sentences

50- The most common location in children for tumors of the nervous system is

A- Subtentorial @

B- Supratentorial

C- Intraventricular

D- In the spinal canal

E- None of the above

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