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
👍2
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
❤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
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
👍2❤1
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
36%
X-linked dominant
16%
Autosomal dominant
23%
Autosomal recessive
A newborn with polycythemia undergoes partial exchange transfusion. Which complication is NOT reduced?
Anonymous Quiz
11%
Speech deficits
25%
Low IQ
19%
Fine motor delay
44%
Necrotizing enterocolitis
❤2
A newborn develops shunt infection 3 days after VP shunt placement. Most likely cause?
Anonymous Quiz
11%
Preoperative infection
39%
Intraoperative contamination
33%
Postoperative wound contamination
18%
Secondary systemic infection
A child diagnosed with seborrheic dermatitis does not respond to steroids. Most likely diagnosis?
Anonymous Quiz
11%
Eczema
27%
Psoriasis
25%
Pityriasis rosea
37%
Histiocytosis X
Sarnat staging of HIE includes all EXCEPT:
Anonymous Quiz
6%
Muscle tone
11%
Reflexes
17%
Level of consciousness
67%
CT/MRI
Most common mixed acid-base disorder:
Anonymous Quiz
60%
Metabolic acidosis + respiratory alkalosis
21%
Metabolic acidosis + respiratory acidosis
15%
Metabolic alkalosis + respiratory acidosis
5%
Metabolic alkalosis + respiratory alkalosis
👍2
Suck-swallow coordination develops at:
Anonymous Quiz
32%
28 weeks
6%
30 weeks
38%
32 weeks
24%
34 weeks
👍2
True about gastroschisis:
Anonymous Quiz
10%
Intestinal atresia in 90%
32%
Cord attached right of defect
32%
Small intestine foreshortened
25%
Covering sac present
❤2
TE fistula associations - EXCEPT:
Anonymous Quiz
9%
Cardiac
25%
Gastrointestinal
22%
Musculoskeletal
45%
Neurologic
Teen with intellectual disability + macroorchidism. Best test?
Anonymous Quiz
27%
Hormonal studies
12%
Testicular US
6%
MRI
55%
DNA analysis
❤2