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.

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

Basal cell carcinoma
Squamous cell carcinoma
Rosacea
Erythroderma
Pityriasis Rosea
Malignant melanoma
Leprosy
Psoriasis
Steven johnson syndrome
Seborrhic dermatitis
Herpes zoster
Cellulitis
Erythrasma
Acne
Tuberous sclerosis
Irritant contact dermatitis
Neurofibromatosis
Dermatitis herpatiformis
Leishmania
Impetigo
Erythrasma
Molluscum contagiosum
Human papiloma virus
Herpes simplex
Herpes zoster
Chikenpox
Gonorrhea
Pityriasis versicolor

KOH
Tinea capitis
Kerion
Tinea corpories
Tinea incogonito
Griseofulvin
Ketoconazol

Scabies
Pediculosis
Pemphigus vulgaries
Bullous pemphigoid
Corticosteroid
Methotrexate
Isotretinoin
Urticaria
Alopecia areata
Lichen plants
Fixed drug eruption
Vitiligo
Onychomycosis
Generalized pustular psoriasis

Porphyria
SSSS
Nikolsky sign
Topical steroid
Koebner phenomena
Raynaud phenomena
Dermatitis herpaticum

Toxic epidermal necrolysis
Erythema multiforme
Intralesional triamcinolone
Albinism
Atopic dermatitis
Telangiectasia
Dermographism
Chancer
Lichen simplex chronicus

Paronychia
MOHs surgery
Immunoflurecence
Phytophotodermatitis
Pentostam
Photodermatitis
Pityriasis alba
Chancroid
Doxycycline