إختبار الأطفال نهائي-الدفعة 20-2022
1-Clinical manifestations, investigations, management and prophylaxis of bacterial meningitis.
2-Visceral leishmaniasis.
3-Febrile seizures.
4-Complications of exchange transfusion in neonates.
5-Clinical features of Down syndrome.
6-Precipitating factors of sickle cell crisis in patients with sickle cell disease.
7-Clinical features, investigation and treatment of congenital hypothyroidism.
8-Classification of bronchial asthma in child.
9-Mechanism, diagnosis and treatment of sugar intolerance diarrhea.
10-Definition and constant clinical features of Kwashiorkor.
11-Complications of nephrotic syndrome.
12- Treatment of acute Rhuematic fever.
1)About fever in children which is correct:
a-Antipyretic is acting by decreasing Prostaglandin
b-Paracetamol is contraindicated in fever with severely malnutritioned baby
c-A child is considered febrile if axillary temperature is 37.5C° or more
d-High fever during pregnancy may be teratogenic
e-All of the above.
2)Regarding infection with Diphtheria in children, all of the following are correct Except:
a-Primary focus of infection is pharynx
b-Toxic neuropathy occurs 2-3 weeks after onset of oropharyngeal inflammation
c-The tonsillar membrane is limited to the tonsils
d-Bull neck appearance occurs due to soft tissue edema and enlarged lymph nodes in the neck.
3)What is the recommended antibiotic for treatment and prophylaxis of Bordetella pertussis in a 2 week old infant?
a-Erythromycin
b-Azithromycin
c-Clarithromycin
d-TMP/SMX
4)The protocol of treatment of severe falciparum malaria in Yemen includes:
a-Artemether IV
b-Oral artesunate plus fansidar
c-Artesunate IV
d-oral artemether plus lumifantrine.
5)Important causes of wheezing in infancy include all of the following EXCEPT:
a-Bronchiolitis
b-Asthma
c- Gastroesophageal reflux
d- Foreign body aspiration
e-Hypocalcemia.
6)8 years old boy has been in close contact with his aunt that has open pulmonary tuberculosis and she is treated for TB and the boy is healthy and has a positive TST of 8 mm with normal chest x-ray, what is the next step in management of the child?
a-Send Culture of sputum
b-Culture of gastric contents obtained by gastric aspiration
c-Assurance as the TST doesn't exceed 10mm
d-Start treatment with Isoniazid, rifampin, and pyrazinamide
e-Start Isoniazid.
7)All of the following are contraindications to lumbar puncture is seven month old infant with suspected meningitis Except:
a-Uncorrected blood diathesis
b-Infection at site of puncture
c-Bluging fintanelles
d-Unequal pupils
e-Critically ill patient.
8)An 12 yr old adolescent presents to the emergency department with a nail puncture wound of his foot. The injury occurred 1 hr ago in a school play yard. His wound is cleansed and debrided. His last tetanus mmunization was completed according to Yemeni protocol, as confirmed in his medical records. Which of the following measures is recommended?
a-Immunoglobulin alone
b-Tetanus vaccination plus tetanus immune globulin.
c-Td alone
d-DTaP
e-None of the above; no immunization is necessary.
9)All of the following are caused by Streptococcus Except:
a-Impetigo
b-Hand, foot, and mouth disease
c-Perinatal Vaginitis
d-Dermatitis
e-Scarlet fever.
10)A 6-year old boy is brought to Emergency room with a few hours' history of high grade fever and drooling. He appears alert but anxious with mild inspiratory stridor. You should immediately:
a-Examine the throat
b-Insert IV line
c-Order a lateral chest x-ray
d-Prepare to establish an airway.
11)All of the following are done in neurological examination Except:
a-Level of consciousness
b-Body Movements
c-Eye assessment
d-Muscle tone
e-Skin.
12)All of the following are done to evaluate the circulation Except:
a-Respiratory effort
b-Capillary refill
c-Blood pressure
d-Urine output.
Essay Questions:(5 marks for each question)1-Clinical manifestations, investigations, management and prophylaxis of bacterial meningitis.
2-Visceral leishmaniasis.
3-Febrile seizures.
4-Complications of exchange transfusion in neonates.
5-Clinical features of Down syndrome.
6-Precipitating factors of sickle cell crisis in patients with sickle cell disease.
7-Clinical features, investigation and treatment of congenital hypothyroidism.
8-Classification of bronchial asthma in child.
9-Mechanism, diagnosis and treatment of sugar intolerance diarrhea.
10-Definition and constant clinical features of Kwashiorkor.
11-Complications of nephrotic syndrome.
12- Treatment of acute Rhuematic fever.
MCQ:(One mark for each question) 1)About fever in children which is correct:
a-Antipyretic is acting by decreasing Prostaglandin
b-Paracetamol is contraindicated in fever with severely malnutritioned baby
c-A child is considered febrile if axillary temperature is 37.5C° or more
d-High fever during pregnancy may be teratogenic
e-All of the above.
2)Regarding infection with Diphtheria in children, all of the following are correct Except:
a-Primary focus of infection is pharynx
b-Toxic neuropathy occurs 2-3 weeks after onset of oropharyngeal inflammation
c-The tonsillar membrane is limited to the tonsils
d-Bull neck appearance occurs due to soft tissue edema and enlarged lymph nodes in the neck.
3)What is the recommended antibiotic for treatment and prophylaxis of Bordetella pertussis in a 2 week old infant?
a-Erythromycin
b-Azithromycin
c-Clarithromycin
d-TMP/SMX
4)The protocol of treatment of severe falciparum malaria in Yemen includes:
a-Artemether IV
b-Oral artesunate plus fansidar
c-Artesunate IV
d-oral artemether plus lumifantrine.
5)Important causes of wheezing in infancy include all of the following EXCEPT:
a-Bronchiolitis
b-Asthma
c- Gastroesophageal reflux
d- Foreign body aspiration
e-Hypocalcemia.
6)8 years old boy has been in close contact with his aunt that has open pulmonary tuberculosis and she is treated for TB and the boy is healthy and has a positive TST of 8 mm with normal chest x-ray, what is the next step in management of the child?
a-Send Culture of sputum
b-Culture of gastric contents obtained by gastric aspiration
c-Assurance as the TST doesn't exceed 10mm
d-Start treatment with Isoniazid, rifampin, and pyrazinamide
e-Start Isoniazid.
7)All of the following are contraindications to lumbar puncture is seven month old infant with suspected meningitis Except:
a-Uncorrected blood diathesis
b-Infection at site of puncture
c-Bluging fintanelles
d-Unequal pupils
e-Critically ill patient.
8)An 12 yr old adolescent presents to the emergency department with a nail puncture wound of his foot. The injury occurred 1 hr ago in a school play yard. His wound is cleansed and debrided. His last tetanus mmunization was completed according to Yemeni protocol, as confirmed in his medical records. Which of the following measures is recommended?
a-Immunoglobulin alone
b-Tetanus vaccination plus tetanus immune globulin.
c-Td alone
d-DTaP
e-None of the above; no immunization is necessary.
9)All of the following are caused by Streptococcus Except:
a-Impetigo
b-Hand, foot, and mouth disease
c-Perinatal Vaginitis
d-Dermatitis
e-Scarlet fever.
10)A 6-year old boy is brought to Emergency room with a few hours' history of high grade fever and drooling. He appears alert but anxious with mild inspiratory stridor. You should immediately:
a-Examine the throat
b-Insert IV line
c-Order a lateral chest x-ray
d-Prepare to establish an airway.
11)All of the following are done in neurological examination Except:
a-Level of consciousness
b-Body Movements
c-Eye assessment
d-Muscle tone
e-Skin.
12)All of the following are done to evaluate the circulation Except:
a-Respiratory effort
b-Capillary refill
c-Blood pressure
d-Urine output.
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13)In Neonate with birth asphyxia all of the following are true EXCEPT:
a-Metabolic acidosis (pH<7.0).
b-Apgar score 0-3 for 5 minutes.
c- Neurological manifestations.
d-Multiorgan dysfunction.
e- Hypothermia in axilla less than 36.5C°.
14)Investigations in evaluation of Hemorrhagic disease of newborn include all of the following Except:
a-Prothrombin time (PT)
b-Hemoglobin to assess severity of hemorrhage
c-Platelet counts
d-Fibrogen degradation products
e-Blood culture.
15)All of the following are correct regarding G6PD deficiency Except:
a-It's X linked recessive
b-Occur mainly in male but may occur in females
c-Occur after intake of fava beans
d-Antimalarial and sulpha drugs are contraindicated
e-May not occur in neonatal period.
16)The newborn has special requirements for temperature maintenance due all of the following Except:
a-Larger body surface area
b-Less subcutaneous fat
c-Periodic breathing and frequent apneic spells
d-Underdeveloped sweating and shivering mechanisms.
17)All of the following are Microcytic
anemia Except:
a-Iron deficiency anemia
b-Lead poisoning
c-Pancytopenia
d-Copper deficiency
Anemia of chronic disease.
18)All of the following are causes of late neonatal sepsis Except:
a-Gram-negative bacilli
b-Coagulative-negative Staphylococcus
c-Staphylococcus aureus
d-Enterococcus, Listeria monocytogenes
e-Group B streptococci.
19)All of the following are fetal factors for IUGR Except:
a-Genetic factors
b-Congenital malformation e.g., anencephaly, gastrointestinal atresia and potter syndrome
c-Congenital infections such as Rubella and CMV
d-Chromosomal disorders such as Trisomy 21,18,13
e-Eclampsia and pre-eclampsia.
20)Pathological jaundice is suspected in all of the following Except:
a-Onset of Jaundice before 36 hours of age
b-A rise in serum bilirubin levels over 0.5mg/dl/hour
c-Total serum bilirubin >15 mg /dl in full term formula-fed infants
d-Total serum bilirubin of 17 mg/dl, in full term breast-fed infants
e-A rise in serum bilirubin levels over 5mg/dl/day.
a-Metabolic acidosis (pH<7.0).
b-Apgar score 0-3 for 5 minutes.
c- Neurological manifestations.
d-Multiorgan dysfunction.
e- Hypothermia in axilla less than 36.5C°.
14)Investigations in evaluation of Hemorrhagic disease of newborn include all of the following Except:
a-Prothrombin time (PT)
b-Hemoglobin to assess severity of hemorrhage
c-Platelet counts
d-Fibrogen degradation products
e-Blood culture.
15)All of the following are correct regarding G6PD deficiency Except:
a-It's X linked recessive
b-Occur mainly in male but may occur in females
c-Occur after intake of fava beans
d-Antimalarial and sulpha drugs are contraindicated
e-May not occur in neonatal period.
16)The newborn has special requirements for temperature maintenance due all of the following Except:
a-Larger body surface area
b-Less subcutaneous fat
c-Periodic breathing and frequent apneic spells
d-Underdeveloped sweating and shivering mechanisms.
17)All of the following are Microcytic
anemia Except:
a-Iron deficiency anemia
b-Lead poisoning
c-Pancytopenia
d-Copper deficiency
Anemia of chronic disease.
18)All of the following are causes of late neonatal sepsis Except:
a-Gram-negative bacilli
b-Coagulative-negative Staphylococcus
c-Staphylococcus aureus
d-Enterococcus, Listeria monocytogenes
e-Group B streptococci.
19)All of the following are fetal factors for IUGR Except:
a-Genetic factors
b-Congenital malformation e.g., anencephaly, gastrointestinal atresia and potter syndrome
c-Congenital infections such as Rubella and CMV
d-Chromosomal disorders such as Trisomy 21,18,13
e-Eclampsia and pre-eclampsia.
20)Pathological jaundice is suspected in all of the following Except:
a-Onset of Jaundice before 36 hours of age
b-A rise in serum bilirubin levels over 0.5mg/dl/hour
c-Total serum bilirubin >15 mg /dl in full term formula-fed infants
d-Total serum bilirubin of 17 mg/dl, in full term breast-fed infants
e-A rise in serum bilirubin levels over 5mg/dl/day.
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21)Early signs of Kwashiorkor include all of the following EXCEPT:
a-Oedema.
b- Thin hairs.
c-Ascites.
d-Immunodeficiency.
e- Ketonuria.
22)All of the following are features of Kwashiorkor EXCEPT:
a- Glucose intolerance my be diabetic in type.
b-Aminoaciduria.
c- Serum cholesterol is increased.
d- Serum transanaminase is decreased.
23)Recognized causes of glomerulonephritis include:
a-Hepatitis B
b-Coagulase positive staphylococci
c-Coagulase negative staphylococci
d-Streptococcus pneumoniae
e-All of the above.
24)Management of Rhuematic fever includes all of the following Except:
a-Treating all patients with antibiotics against streptococci
b-Anti-inflammatory (Salicylates and steroids)
c-Pneummococcal vaccine
d-Preventive antibiotics against recurrence of streptococci
e-Symptomatic treatment of CHF.
25)In post-streptococcal glomerulonephritis:
a-Children between the age of 3 years are commonly affected
b-Kidneys are of small size
c-Lumpy-bumpy immunoglobulin deposits in the mesangium
d-Group B streptococci are the likely causative agents
e-ASO titer is usually higher after both streptococcal throat and skin infections.
26)Craniotabes is noted in the following Except:
a-Hydrocephalus
b-Syphilis
c-Infants with rickets
d-Normal in some infants
e-Never associated with vit. D hypervitaminosis.
27)True statements about Rhuematic fever carditis include all of the following Except:
a-It occurs in 50٪ of intial attacks
b-There are usually no symptoms referable to the heart
c-The aortic valve is the most commonly affected
d-It should be suspected if there's tachypnea disproportionate to the fever
e-The duration of carditis is usually 6weeks to 6 months.
28)The daily requirement for vitamin D is:
a-100iu
b-400iu
c-600iu
d-1000iu
e-50iu
29)All of the following are features of marasmus Except:
a-No oedema
b-Loss of subcutaneous tissue
c-No loss of appetite
d-Loss of subcutaneous adipose tissue
e-Loss of weight.
a-Oedema.
b- Thin hairs.
c-Ascites.
d-Immunodeficiency.
e- Ketonuria.
22)All of the following are features of Kwashiorkor EXCEPT:
a- Glucose intolerance my be diabetic in type.
b-Aminoaciduria.
c- Serum cholesterol is increased.
d- Serum transanaminase is decreased.
23)Recognized causes of glomerulonephritis include:
a-Hepatitis B
b-Coagulase positive staphylococci
c-Coagulase negative staphylococci
d-Streptococcus pneumoniae
e-All of the above.
24)Management of Rhuematic fever includes all of the following Except:
a-Treating all patients with antibiotics against streptococci
b-Anti-inflammatory (Salicylates and steroids)
c-Pneummococcal vaccine
d-Preventive antibiotics against recurrence of streptococci
e-Symptomatic treatment of CHF.
25)In post-streptococcal glomerulonephritis:
a-Children between the age of 3 years are commonly affected
b-Kidneys are of small size
c-Lumpy-bumpy immunoglobulin deposits in the mesangium
d-Group B streptococci are the likely causative agents
e-ASO titer is usually higher after both streptococcal throat and skin infections.
26)Craniotabes is noted in the following Except:
a-Hydrocephalus
b-Syphilis
c-Infants with rickets
d-Normal in some infants
e-Never associated with vit. D hypervitaminosis.
27)True statements about Rhuematic fever carditis include all of the following Except:
a-It occurs in 50٪ of intial attacks
b-There are usually no symptoms referable to the heart
c-The aortic valve is the most commonly affected
d-It should be suspected if there's tachypnea disproportionate to the fever
e-The duration of carditis is usually 6weeks to 6 months.
28)The daily requirement for vitamin D is:
a-100iu
b-400iu
c-600iu
d-1000iu
e-50iu
29)All of the following are features of marasmus Except:
a-No oedema
b-Loss of subcutaneous tissue
c-No loss of appetite
d-Loss of subcutaneous adipose tissue
e-Loss of weight.
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30)Children with nephrotic syndrome have increased risk of infection due to which of the following:
a-Complement activation abnormalities
b-T-cell dysfunction
c-Loss of immunoglobulin in urine
d-All of the above
e-None of the above.
31)The normal head circumference of 2 years old healthy child is:
a-37cm
b-43cm
c-47cm
d-49cm
e-50cm.
32)In response to vaccine administration, what type of immunity the body produces:
a-Natural passive immunity
b-Artificial passive immunity
c-Artificial active immunity
d-Natural active immunity
e-None of the above.
33)(About formula feeding) daily requirement of Kcal. for 5 m. infant:
a-100Kcal./day
b-150Kcal./day
c-400Kcal./day
d-550Kcal./day
e-600Kcal./day.
34)All of the following are causes of congenital hypothyroidism Except:
a-Thyroid gland Aplasia
b-Thyroid galnd agenesis
c-Hashimoto's disease
d-Dyshormonogenesis
e-Maternal ingestion of goitrogens.
35)In which stepwise do you put the asthmatic child with daily symptoms, daily use of short acting B2 agonist, exacerbations affect activity, night time symptoms is one time or more /week,lung function PEFR >60 ٪,<80٪ predicted, PEFR variability is >30٪.
a-Step 1
b-Step 2
c-Step 3
d-Step 4
e-Step 5
36)Normal height for healthy child 7 years old is:
a-100
b-107cm
c-117cm
d-120cm
e-125cm
37)All of the following can be related with type 1 Diabetes mellitus Except:
a-Genetic susceptibility
b-Coxsackie virus
c-Breast feeding
d-TB infection
e-Cow's milk
38)Regarding measles vaccine, all of the following are true Except:
a-It's given between 9-18 months
b-It's a live attenuated bacterium!
c-Protects for limited time!
d-Produce artificial active immunity.
39)A child who sits without support, hands close symmetrically, reaches for ball with one-hand and responds to his name, says mama, dada and a boo:
a-5months
b-6months
c-10months
d-12-months.
40)In breast feeding, all of the following about Oxytocin hormone are true Except:
a-It's a principle hormone for successful breastfeeding
b-It's secreted from posterior pituitary gland
c-It's responsible of production of milk
d-It's responsible of contraction of uterus.
Best wishes.✨
✒️-Mohammad Aldailami
a-Complement activation abnormalities
b-T-cell dysfunction
c-Loss of immunoglobulin in urine
d-All of the above
e-None of the above.
31)The normal head circumference of 2 years old healthy child is:
a-37cm
b-43cm
c-47cm
d-49cm
e-50cm.
32)In response to vaccine administration, what type of immunity the body produces:
a-Natural passive immunity
b-Artificial passive immunity
c-Artificial active immunity
d-Natural active immunity
e-None of the above.
33)(About formula feeding) daily requirement of Kcal. for 5 m. infant:
a-100Kcal./day
b-150Kcal./day
c-400Kcal./day
d-550Kcal./day
e-600Kcal./day.
34)All of the following are causes of congenital hypothyroidism Except:
a-Thyroid gland Aplasia
b-Thyroid galnd agenesis
c-Hashimoto's disease
d-Dyshormonogenesis
e-Maternal ingestion of goitrogens.
35)In which stepwise do you put the asthmatic child with daily symptoms, daily use of short acting B2 agonist, exacerbations affect activity, night time symptoms is one time or more /week,lung function PEFR >60 ٪,<80٪ predicted, PEFR variability is >30٪.
a-Step 1
b-Step 2
c-Step 3
d-Step 4
e-Step 5
36)Normal height for healthy child 7 years old is:
a-100
b-107cm
c-117cm
d-120cm
e-125cm
37)All of the following can be related with type 1 Diabetes mellitus Except:
a-Genetic susceptibility
b-Coxsackie virus
c-Breast feeding
d-TB infection
e-Cow's milk
38)Regarding measles vaccine, all of the following are true Except:
a-It's given between 9-18 months
b-It's a live attenuated bacterium!
c-Protects for limited time!
d-Produce artificial active immunity.
39)A child who sits without support, hands close symmetrically, reaches for ball with one-hand and responds to his name, says mama, dada and a boo:
a-5months
b-6months
c-10months
d-12-months.
40)In breast feeding, all of the following about Oxytocin hormone are true Except:
a-It's a principle hormone for successful breastfeeding
b-It's secreted from posterior pituitary gland
c-It's responsible of production of milk
d-It's responsible of contraction of uterus.
Best wishes.✨
✒️-Mohammad Aldailami
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Irritant contact dermatitis
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Paronychia
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Immunoflurecence
Phytophotodermatitis
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Nikolsky sign
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Raynaud phenomena
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Albinism
Atopic dermatitis
Telangiectasia
Dermographism
Chancer
Lichen simplex chronicus
Paronychia
MOHs surgery
Immunoflurecence
Phytophotodermatitis
Pentostam
Photodermatitis
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Chancroid
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