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6-year-old, fever, refuses to bear weight, very painful hip movement.
Anonymous Quiz
16%
Transient synovitis
56%
Septic arthritis
12%
Perthes disease
16%
Reactive arthritis
An 8-month-old with fever, coryza, and a bulging red tympanic membrane. Most appropriate initial management?
Anonymous Quiz
37%
Oral antibiotics
31%
Oral antipyretic/analgesic
24%
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
79%
1-year-old with bilateral AOM and fever
7%
2-year-old, mild unilateral pain
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Which is a recognized complication of untreated AOM?
Anonymous Quiz
2%
Asthma
85%
Mastoiditis
3%
Appendicitis
10%
Nephrotic syndrome
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A 3-month-old presents with severe hypoglycemia, lactic acidosis, doll-like facies, and hepatomegaly. Most likely diagnosis?
Anonymous Quiz
21%
Pompe disease
15%
McArdle disease
58%
Von Gierke disease
6%
Cori disease
Protuberant abdomen in von Gierke disease is due to:
Anonymous Quiz
6%
Ascites
72%
Hepatomegaly
14%
Splenomegaly
8%
Bowel obstruction
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Boy with advanced bone age, pubic hair, acne, low LH, normal testes. Most likely diagnosis?
Anonymous Quiz
55%
Central precocious puberty
9%
Testicular tumor
19%
Non-classic CAH
16%
Klinefelter syndrome
A young girl with precocious puberty, advanced bone age, high FSH/LH, and normal MRI. Most likely diagnosis?
Anonymous Quiz
16%
Peripheral precocious puberty
48%
Idiopathic central precocious puberty
20%
McCune-Albright syndrome
16%
Congenital adrenal hyperplasia
Recommended treatment for idiopathic precocious puberty:
Anonymous Quiz
4%
Surgical removal of pituitary gland
47%
Continuous GnRH agonist therapy
14%
Estrogen replacement therapy
35%
No treatment is ever required
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Why is MRI brain recommended in central precocious puberty?
Anonymous Quiz
23%
To differentiate GnRH-dependent from peripheral androgen excess
64%
To exclude hypothalamic/pituitary lesions affecting the HPG axis
9%
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
19%
280
40%
284
19%
300
7%
310
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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
70%
Group B streptococcus
5%
CMV
10%
Mumps
8%
Rubella
First abnormality in iron deficiency anemia:
Anonymous Quiz
20%
Reduced iron stores
29%
Reduced serum ferritin
33%
Reduced serum iron + increased TIBC
18%
Low MCV & MCH
A newborn with severe cyanosis, narrow mediastinum, minimal response to O₂, improved with PGE1. Next step?
Anonymous Quiz
16%
Fontan procedure
22%
Blalock-Taussig shunt
51%
Rashkind balloon atrial septostomy
11%
Norwood operation
Which is associated with later type 1 diabetes?
Anonymous Quiz
29%
Coxsackie B3
18%
Coxsackie B4
22%
CMV
31%
Rubella
Most common organism causing purulent discharge through tympanostomy tube:
Anonymous Quiz
29%
Staphylococcus aureus
38%
Streptococcus pneumoniae
10%
Staphylococcus epidermidis
22%
Pseudomonas aeruginosa
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A term newborn with transient tachypnea (TTN). Lung fluid is mainly cleared after birth via:
Anonymous Quiz
33%
Lymphatics
5%
Aortic circulation
9%
Superior vena cava
53%
Pulmonary circulation
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Family history shows affected mother, affected daughters, unaffected sons of affected males, and multiple generations affected. Mode of inheritance?
Anonymous Quiz
25%
X-linked recessive
37%
X-linked dominant
16%
Autosomal dominant
23%
Autosomal recessive