Pediatrics
Today's Task:
Sources
1️⃣ Dr. Mohamed Esmail
Down syndrome 1
Down syndrome 2
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2️⃣ DR. KZAZ
Down syndrome
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Today's Task:
Down syndrome
Sources
1️⃣ Dr. Mohamed Esmail
Down syndrome 1
Down syndrome 2
ــــــــــــــــــــــــــــــــــــــــــــــــــــ
2️⃣ DR. KZAZ
Down syndrome
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Which of the following statements concerning VSD is false
Anonymous Quiz
4%
It causes left to right shut
4%
Spontaneous closure may occur
89%
Prophylaxis against infective endocarditis is not needed if asymptomatic and small lesion
4%
Heart failure is a known complication
Regarding patent ductus arteriosus PDA which is the correct statement
Anonymous Quiz
13%
Allows right to left shunting of blood
9%
Associate with narrow pulse pressure
65%
May due to maternal rubella during early pregnancy
13%
The chest X-ray shows pulmonary oligemia
Regarding coarction of aorta it is characterized by
Anonymous Quiz
5%
Big volume femoral pulse
50%
It is the commenst cardiac lesion in patients with turner syndrome
25%
Pulmonary hypertension
20%
Systemic hypotension
Which is not true regarding coarctation of aorta
Anonymous Quiz
20%
Dorsalis pedis pulsation are weak or not palpable
10%
Is associated with hypertension
55%
Is a common finding in klinefelter syndrome
15%
Systolic murmur can be heard
Rhumatic fever may be complication following
Anonymous Quiz
35%
Acute glomerlonephritis
0%
Measles
10%
Otits media
55%
Scarlet fever
❤1
Which of the following is not a major criterion of acute rheumatic fever
Anonymous Quiz
6%
Carditis
29%
Erythema nodosum
0%
Polyartheritis
65%
Subacute nodules
Which presentation suggest the diagnosis of rheumatic fever
Anonymous Quiz
12%
Arthralgia with fever
76%
Carditits with Arthralgia with fever
6%
Chronic recurrent tonsillitis with high ESR
6%
Arthralgia with prolonged PR interval
Which of the following is a feature of acute rheumatic fever
Anonymous Quiz
7%
Accentuated heart sounds
0%
Bradycardia
57%
Arthralgia must present
36%
Chest pain due to pericarditis
Regarding fallout tetralogy which is the correct statement
Anonymous Quiz
42%
Anemia is a common complication
42%
Blalock taussing operation connect the subclavian artery to the left pulmonary artery
17%
Left ventricular hypertrophy is common
0%
Systolic thrill at the apex can be detected
Regarding childhood hypertension which is the correct statement
Anonymous Quiz
0%
Drug therapy is not indicated
21%
Essential type is the major etiology
7%
Hypothyroidism may be the cause
71%
It may be complicated by encephalopathy
Treatment of choice to prevent recurrence of rheumatic fever
Anonymous Quiz
9%
Digoxin
5%
Haloperidol
77%
Long acting penicillin
9%
Salicylates
Complications of fallout tetralogy do not include
Anonymous Quiz
22%
Brain abscess
11%
Bacterial endocarditis
17%
Cerebral thrombosis
50%
Congestive heart failure
TVS shows marked free pelvic fluid and non-visualized gestational sac, and the patient has severe abdominal pain and mild vaginal bleeding. Your recommended management is:
Anonymous Quiz
14%
Rest, antibiotics and conserve for 1 week.
8%
Oral and vaginal misoprostol
10%
Suction evacuation
20%
Methotrexate.
47%
Laparoscopy
A P1+0 presented by pelvic heaviness, frequency of micturition and delayed period for 3 days. HCG level was 400 mIU/ml. After 2 days, HCG was 780 mIU/ ml. Your diagnosis is:
Anonymous Quiz
9%
Data are not conclusive.
0%
Disturbed ectopic pregnancy.
2%
Missed abortion
9%
Molar pregnancy.
80%
Normal early pregnancy
❤1
A 19-year-old girl with pelvic pain, +ve pregnancy test and a 3cm living ectopic pregnancy in Rt fallopian tube, she had Lt salpingectomy for a previous ectopic. best management is:
Anonymous Quiz
4%
Laparoscopic salpingectomy.
70%
Laparoscopic salpingostomy.
4%
Conservative management with serial B-HCG.
2%
Laparotomy.
20%
Methotrexate.
Regarding disturbed tubal ectopic pregnancy, which of the following is correct?
Anonymous Quiz
11%
a. Commonly disturbs during 2nd trimester.
82%
b. Vaginal bleeding is usually mild.
0%
c. Absent pelvic pain is characteristic.
7%
d. Snow storm appearance on ultrasound is a diagnostic feature.
0%
e. Serum hCG is usually negative.
Which of the following increases the risk for ectopic pregnancy?
Anonymous Quiz
5%
a. Pregnancy on top of irregular use of combined contraceptive pills.
0%
b. Pregnancy after artificial insemination.
82%
c. Previous history of pelvic inflammatory disease.
0%
d. Previous history of polycystic ovarian disease.
14%
e. Previous caesarean section.
A 40-year-old multipara attends for antenatal care as she had a delayed menstruation for 1 week. She did serum hCG twice, 1st reading was 3000 mIU/ml and the 2nd, two days later, was 5500 mIU/ml. How can you interpret these levels?
Anonymous Quiz
4%
Not conclusive
73%
Normal pregnancy.
0%
Missed abortion.
11%
Ectopic pregnancy.
11%
Molar pregnancy