Most common cause of acute osteomyelitis in children:
Anonymous Quiz
8%
E. coli
76%
Staphylococcus aureus
4%
Salmonella
13%
Streptococcus pneumoniae
👍2❤1
Most common cause of childhood obesity:
Anonymous Quiz
18%
Endocrine disorder
15%
Genetic syndrome
54%
Excess caloric intake
13%
Hypothyroidism
❤4
Forwarded from Surgery Questions Channel
A patient develops a rising creatinine after starting an ACE inhibitor. Most likely cause?
Anonymous Quiz
25%
Acute interstitial nephritis
29%
Renal artery stenosis
15%
Glomerulonephritis
31%
Acute tubular necrosis
❤2
Please open Telegram to view this post
VIEW IN TELEGRAM
👍2❤1
6-year-old, fever, refuses to bear weight, very painful hip movement.
Anonymous Quiz
16%
Transient synovitis
56%
Septic arthritis
12%
Perthes disease
15%
Reactive arthritis
An 8-month-old with fever, coryza, and a bulging red tympanic membrane. Most appropriate initial management?
Anonymous Quiz
38%
Oral antibiotics
30%
Oral antipyretic/analgesic
25%
Immediate ENT referral
7%
Topical ear drops
Which child with suspected acute otitis media should receive immediate antibiotics?
Anonymous Quiz
9%
8-month-old, mild symptoms
5%
10-month-old, improving symptoms
80%
1-year-old with bilateral AOM and fever
6%
2-year-old, mild unilateral pain
❤3
Which is a recognized complication of untreated AOM?
Anonymous Quiz
2%
Asthma
86%
Mastoiditis
3%
Appendicitis
10%
Nephrotic syndrome
❤3👍1
A 3-month-old presents with severe hypoglycemia, lactic acidosis, doll-like facies, and hepatomegaly. Most likely diagnosis?
Anonymous Quiz
22%
Pompe disease
14%
McArdle disease
58%
Von Gierke disease
6%
Cori disease
Protuberant abdomen in von Gierke disease is due to:
Anonymous Quiz
6%
Ascites
73%
Hepatomegaly
14%
Splenomegaly
7%
Bowel obstruction
❤2
Boy with advanced bone age, pubic hair, acne, low LH, normal testes. Most likely diagnosis?
Anonymous Quiz
56%
Central precocious puberty
9%
Testicular tumor
18%
Non-classic CAH
17%
Klinefelter syndrome
A young girl with precocious puberty, advanced bone age, high FSH/LH, and normal MRI. Most likely diagnosis?
Anonymous Quiz
15%
Peripheral precocious puberty
49%
Idiopathic central precocious puberty
19%
McCune-Albright syndrome
17%
Congenital adrenal hyperplasia
Recommended treatment for idiopathic precocious puberty:
Anonymous Quiz
4%
Surgical removal of pituitary gland
47%
Continuous GnRH agonist therapy
16%
Estrogen replacement therapy
33%
No treatment is ever required
👍2
Why is MRI brain recommended in central precocious puberty?
Anonymous Quiz
24%
To differentiate GnRH-dependent from peripheral androgen excess
64%
To exclude hypothalamic/pituitary lesions affecting the HPG axis
8%
To assess epiphyseal closure status and growth velocity
4%
To evaluate adrenal cortical hyperplasia
A patient has Na 136, glucose 90, BUN 21. What is serum osmolality?
Anonymous Quiz
16%
270
18%
280
39%
284
20%
300
7%
310
❤1
All are features of diabetic ketoacidosis EXCEPT:
Anonymous Quiz
1%
Glucose >300 mg/dL
8%
Ketonemia
1%
pH <7.30
6%
Bicarbonate <15 mEq/L
84%
Absence of urinary ketones
Pancreatic beta cells are infected by all EXCEPT:
Anonymous Quiz
7%
Coxsackievirus
71%
Group B streptococcus
5%
CMV
9%
Mumps
8%
Rubella
First abnormality in iron deficiency anemia:
Anonymous Quiz
22%
Reduced iron stores
28%
Reduced serum ferritin
34%
Reduced serum iron + increased TIBC
17%
Low MCV & MCH
A newborn with severe cyanosis, narrow mediastinum, minimal response to O₂, improved with PGE1. Next step?
Anonymous Quiz
15%
Fontan procedure
22%
Blalock-Taussig shunt
52%
Rashkind balloon atrial septostomy
11%
Norwood operation
Which is associated with later type 1 diabetes?
Anonymous Quiz
29%
Coxsackie B3
18%
Coxsackie B4
21%
CMV
32%
Rubella
Most common organism causing purulent discharge through tympanostomy tube:
Anonymous Quiz
30%
Staphylococcus aureus
38%
Streptococcus pneumoniae
10%
Staphylococcus epidermidis
22%
Pseudomonas aeruginosa