5th Year Pediatric Exam 2016

8/16/2019 5th Year Pediatric Exam 2016

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5th Year Pediatric Exam 2016

1. One of the following can cause thrombocytopenia not due to increased peripheral

platelet destruction :

a) DIC

b) Acute Leukemia

c) Hypersplenism

d) ITP

e) HUS

2. Aggressive treatment of Hypothyroidism is to prevent :

a) Growth Failure

b) FTT

c) Mental Retardation

d) Hypoglycemia

3. Soccer female player , 12 y old , presented with left tibial tuberosity swelling and pain

for 3 months , What is the most probable Dx :

a) Osgood Shlutter Dis

b) Patellar Tendenitis

c) ACL Tear

d) Medial meniscus tear

e) Patellofemoral syndrome


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4. Typical case of Wilson Dis , what is the main laboratory finding to be seen :

Ans : Decreased Ceruloplasmin

5. MCC of Shock in pediatric age group :

a) Septic Shock

b) Hypovolemic Shock

6. Not caused By viral infection :

Ans : Impetigo

7. Regarding Posterior Urethral Valve , all are true except :

Ans : Renal Damage is mild or there may be mild hydronephrosis

8. Child presents with Bilateral Renal mass with suprapubic mass , Dx :

Ans : Bladder neck obstruction

9. Which of the following contributes for SIDS :

a) Maternal Smooking during Pregnancy

b) Hard Mattress

10. In SVT which of the following is not true :

a) gradual onset and gradual termination

b) response to adenosine


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c) HR more than 220 in infants

d) response to vagal stimulation

11. All of the following are causes of Spleenomegally , except :

a) Hereditary Spheocytosis

b) Sickle cell disease

c) CMV Infection

d) EBV Infection

12. MCC of malignancy in children is :

Ans : Leukemia

13. All are true for nephrotic syndrome , except :

a) Steroids are given for children with age between 1 to 10 years without biopsy

b) Hyperlipidemia is not a feature of minimal change disease

14. Peekaboo and Waving Bye Bye at any age :

a) 2-4 months

b) 7-8 months

c) 10-12 months

d) 15-18 months


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15. Drowing a circle is achieved by which age :

Ans : 3 years

16. A child with 2 years of age , what he/she is not able to do :

a) Group playing

b) 2-3 Words Phrases

c) 2 Step Command

d) Turns a Page at a time

17. HIE ( Hypoxic Ischemic Encephalopathy ) can cause which type of CP :

a) Dyskinetic CP

b) Diplegia

c) Quadreplagia

d) Hemiplegia

e) ataxic CP

18. Typical case of Autism ( Poor Social interaction , Language problem )

19. All of the Following can be seen in children with Down Syndrome , except :

Ans : Undescended Testis

20. In the Case of Cerebral Palsy , which of the following is not seen :

Ans : Diarrhea


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21. The first step of management in a Comatosed child is :

Ans : ABC

22. The most common cause of status epilipticus in children is :

a) Hypoglycemia

b) Unknown cause

23. All of the following presents with shock , except :

a) Hypotension

b) Hypertension

c) Cold Extremities

d) Hot Extremities

e) Metabolic Alkalosis

24. Which of the following is not a measure to be done in order to prevent SIDS :

Ans : Apnea monitor during sleep

25. Regarding Organophosphate Poisoning what is true :

a) It can cause Mydriasis

b) IV Atropine is the 1st line Treatment

c) Naloxane is the antidote


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26. All are indications of admission due to Burn in children :

a) Significant Inhalational Injury

b) Suspected neglect or child abuse

c) Burn involving 10% of BSA

d) CO Poisoning

27. All of the following are features of autososmal recessive disorders , except :

a) the number of affected children is more than in dominant disorder

b) The risk to have affected child is 25 %

28. Matching :

- Is associated with streak ovaries ( Turner synd )

- Aneuploidy ( Turner synd )

- Lymphedema in hands and feet ( Turner synd )

29. In SGA children , all of the following are possible problems to occur except :

a) Hypothermia

b) Hypoglycemia

c) Polycythemia

d) All of the above

e) None of the above

30. Matching : ( Coronal Craniocynostosis , Sagital Craniocynostosis ) :


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- Repaired for cosmotic purposes ( )

- Can be Primary or Secondary ( )

- Can present as an isolated lesion or as a part of syndrome ( )

31. All of the following are Gram –ve bacteria except :

a) Bacillus Anthracis

b) haemophilus Influenzae

c) Nisseria Meningitides

32. Newborn presented with ( Cataract , Heart Disease , Otitis Media ) , what is the most

probable Congenital infections is the most probable cause :

Ans : Congenital Rubella infection

33. Absolute contraindication for breast feading :

Ans : maternal active TB

34. Matching : ( HSP , Mangolian Spot , Molluscum Contagiosum , Strawberry naevus ) :

- Resolves Spontaneously ( ).

- Presents in the distal sacrum and buttocks ( Mangolian Spot ).

- Rash over Thighs and Buttocks ( HSP ).

35. All of the Following are possible causes of renal failure , except :

a) Hyperkalemia


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b) Hypoalbumenemia

c) Glomerulonephritis

36. In a child on mechanical ventilation , sudden drop of O2 Sat into 50 % , all are

possible causes except :

Ans : Duct dependant CHD

37. Early discharge from neonatal ward is defined as discharge before 48 hours in a term

child or before 96 hours in a preterm child , the MCC of Readmission during the first 7

days after discharge :

a) Sepsis

b) Hyperbilirubinemia

c) GI malformations

38. The best advice for a mother regarding breast feeding :

a) Increase protein and calories intake

b) To breast feed immediately after 3 hours of birth

39. The most common presentation of Mickels diverticulum in children is :

Ans : asymptomatic

40. A 4 year old child presents with GI Bleeding , the most likely cause is :

a) Mickels diverriculum

b) Juvenile Polyposis


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41. Which of the following is true regarding Phototherapy :

a) Bronzage discoloration in conjugated hyperbilirubenenmia

b) Temp Instability

42. In consanguinity , the risk for congenital diseases is :

Ans : 6-8 %

43. What is true regarding growth :

Ans : The child duplicate his/her weight 7 times by the age of 7 years

44. A child is sick and his mother was sick from 4 days before and I week after the onset

of his/her child’s illness where she complained of post-tussive vomiting , what antibiotic

is the best to be used :

a) Azithromycin

b) Ceftriaxone

c) Amoxicillin

45. Water Volume in 3 Kg child is :

Ans : 240 ml ( 80 ml/kg )

46. Normal energy requirement in a full term child :

Ans : 100 Kcal/Kg

47. All of the following are abnormal findings , except :


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Ans : Sinus Arrythmia

48. Which of the following pairing is false :

a) Iodine def and Mental retardation

b) Vitamin A def and Infection

c) Iron and Delayed motor development

49. Vaccine is allowed to be given in which of the following :

Ans : if the child’s age is beyond the age at which the vaccine must be given

50. In an 18 mo age child , which of the following is true :

Ans : weight : 11 Kg , Height : 82 cm , HC : 47.5

51. Which of the following is known to cause : ( Conjunctivitis , Hemorrhagic Cystitis ,

Pneumonia ) :

Ans : Adenovirus

52. Clear CSF , Normal CSF prot and glu , Lymphocytes 90 % :

Ans : Enterovirus

53. Intermittent diarrhea in a 2.5 y old child with normal abdominal exam , and free PR ,

the most likely cause is :

Ans : Toddler’s diarrhea


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54. All of the following can cause UTI , except :

a) Constipation

b) Polycytic Kidney disease

c) Pinworm infestation

d) VUR

55. In a 6 mo old child with feature of meningitis , broad spectrum antibiotics are given

to cover :

Ans : Strep Pneumonia

56. The most common finding seen in Upper Respiratory Tract obstruction :

Ans : Inspiratory Stridor

57. Regarding HSP , what you expect to find :

a) Thrombocytopenia

b) Normal Clotting

c) Low complement level

d) Increased BUN and Creatinine

58. The most appropriate approach to prevent Infection in nursery :

a) washing hands between babies

b) the use of 70% Alcohol to sterilize hands and Stethoscope

c) Ordering all who is in the ward to wear a Gown


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59. Regarding T-lymphocyte , which of the following is true :

a) T-cell lymphoma has a better prognosis

b) T-cells are the predominant lymphocytes in the blood

60. High Reticulocyte count is seen in :

Ans : Hereditary Sphrecytosis

61. Regarding otitis media , what of the following is wrong :

Ans : Clindamycin is the drug of choice

62. All of the following are components of TOF , except :

Ans : ASD

63. Regarding Reye syndrome all are true , except :

a) Chicken Box is a cause

b) related after Aspirin consumption

c) fatty liver infiltration

d) ( The wrong answer ).

64. Regarding Biliary atresia , all are true except :

a) Proliferation of the Bile ducts

b) Polysplenia


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c) Kasai procedure carries good prognosis if performed after 2 months of age.

65. The most common cause of convulsions in a 5 y old child is :

a) Hypoglycemia

b) Head Trauma

c) Fever

d)

66. Regarding Werding – Hoffman disease , all of the following are wrong , except :

Ans : Fasciculation of tounge

67. In a child presenting with Hypernatremic dehydration + 10 % Total body weight loss ,

all are true except :

a) Lethargy

b) Thirst

c) Intravascular volume is less than excepted in dehydration

68. All of the following are indications for urgent admission in a child , except :

Ans : Chest Pain

69. The most common presentation in Enterobius vermicularis :

a) Appendicitis


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b) Perianal itching

c) intussusception

70. Regarding Post-infectious Glomerulonephritis , all are true except :

Ans : Complement level remains low for several months or years

Best of luck

5th Year Pediatric Exam 2016

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