During a routine screening, complete blood count of a 5-year-old child is noted to have pronounced eosinophilia . Which of the following is the most likely explanation?
Anonymous Quiz
0%
Bacterial infections
40%
Chronic allergic disease
20%
Fungal infections
40%
Helminth infection
You are evaluating a 7-year-old male child with cervical lymphadenopathy. Which of the following is the most likely finding that raises your suspicion of malignancy?
Anonymous Quiz
75%
Fixed nodes
0%
Fluctuating nodes
25%
No regression in the size of the nodes to its normal within 2 weeks
0%
Presence of systemic symptoms
A 3-year-old boy present with fever, pallor, anorexia, joint pain, petechia, and hepatospiromygaly. Which of the following investigations is the most important to reach the diagnosis?
Anonymous Quiz
0%
Abdominal ultrasound
75%
Bone marrow examination
25%
Complete blood count
0%
ECR,CRP
An anxious father who is having G6PD deficiency asked you, Can I feed my 9 months old son beans? Which should be your answer?
Anonymous Quiz
17%
Do not give him it is a male dominant disease
17%
Feed him one spoon only and check urine color
17%
Test for hemoglobin electrophoresis if it’s normal feed him
50%
Test his mother enzyme levels if it’s normal feed him
Which of the following statement is true regarding children with sickle cell anemia disease?
Anonymous Quiz
0%
Acute chest syndrome requires only supportive care.
0%
Gall stones typically develop before the age of 3 years.
100%
Hydroxyurea maintenance therapy decreases the number and severity of the vascular occlusion crisis.
0%
Vaccinations are not required because they receive benzaline prophylaxis.
The first laboratory marker in iron deficiency anemia is
Anonymous Quiz
0%
decrease hemoglobin synthesis
60%
decrease of serum iron and increase of iron binding capacity
0%
depletion of bone marrow hemosiderin
40%
falling of serum ferritin
Which of the following causeshemolysis in G6PD deficiency?
Anonymous Quiz
0%
Amoxicillin
0%
Gentamicin
0%
Steroids
100%
Aspirin
Which of the following is NOT a cause of sickle cell anemia complications
Anonymous Quiz
100%
E.coli urinary tract infection
0%
Hemophilus influenza meningitis
0%
Pneumococcus sepsis
0%
Meningitis infection
Vitamin K-dependent clotting factor don't include.
Anonymous Quiz
63%
Factor l
13%
Factor ll
25%
Factor Vll
0%
Factor lX
Hemolytic anemia are characterized by
Anonymous Quiz
67%
Anemia unresponsive to iron therapy
0%
Presence of red blood cells
0%
Decreased reticulocytic count
33%
Direct hyperbilirubinrmia
Beta-thalassemia major is not characterized
Anonymous Quiz
0%
bone marrow hyperplasia
0%
hemosiderosis
0%
mild jaundice
100%
vaso-occlusive crises
In beta-thalassemia major, what is the false statement.
Anonymous Quiz
20%
Hepatosplenomegaly is usually present
0%
It results from a defect in beta-globin chain production.
0%
Splenectomy may be needed later
80%
The newborn girl is clinically and hematologically normal.
A 15-month-old boy presents with seizures associated with fever. He has been in good health, except for a high fever that developed today (39.9°C). He has a slight cough and mild nasal congestion. Just before the seizures, he was playing with some toys. Past medical history is unremarkable. During the examination, convulsions completely stopped.
Which of the following is the most appropriate next step?
Anonymous Quiz
60%
Lower the body temperature
0%
Perform an EEG
20%
Perform CSF examination
20%
Start IV diazepam
A 4-yr-old boy for his first generalized tonic-clonic seizure, which lasted more than 10 min. There is no history of illness or fever. Examination an hour after the seizure was completely normal. Which of the following is the most appropriate management?
Anonymous Quiz
25%
Begin therapy with carbamazepine
50%
Order an EEG
25%
Order a CT scan of the brain
0%
Order an MRI study of the brain
A 5-yr-old child is referred with a 6 weeks history of morning headaches, often associated with vomiting. His parents have noted that during this period he has become irritable and moody. Which of the following would be during the physical examination?
Anonymous Quiz
0%
Marked elevation of blood pressure
100%
Papilledema
0%
Significant refractive error
0%
Tenderness on percussion of frontal sinuses
A 5-yr-old child has a 6-mo history of increasing difficulty in walking associated with urinary incontinence. Physical examination shows an alert child with increased deep tendon reflexes, clonus and bilateral Babinski reflexes in the lower extremities with grade 3/5 weakness symmetrically in all extremities
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A 5-yr-old child has a 6-mo history of increasing difficulty in walking associated with urinary incontinence. Physical examination shows an alert child with increased deep tendon reflexes, clonus and bilateral Babinski reflexes in the lower extremities with…
Which of the following is the most likely diagnosis?
Anonymous Quiz
25%
Guillain-Barré syndrome
0%
Medulloblastoma
0%
Myasthenia gravis
75%
Spinal cord tumor
7-month-old girl is presented to the emergency department with gradual onset of fever, lethargy, and irritability. Her immunizations are up to date. Examination reveals a febrile infant who does not interact with the examiner and cries inconsolably. A lumbar puncture is performed, and the cerebrospinal fluid shows increase lymphocyte, normal sugar and mild elevation of protein
Study Partner 196👨🏻⚕️👩🏻⚕️
7-month-old girl is presented to the emergency department with gradual onset of fever, lethargy, and irritability. Her immunizations are up to date. Examination reveals a febrile infant who does not interact with the examiner and cries inconsolably. A lumbar…
What is the most likely etiologic agent for this condition?
Anonymous Quiz
33%
Enterovirus infection
0%
Group B streptococci
33%
Haemophilus influenzae type b
33%
Neisseria meningitides
A mother brings in her otherwise healthy 4-year-old son because he was unable to walk since this morning. He had an upper respiratory tract illness with a fever 1 week ago. On physical examination, the boy appears well, but he complains of leg pains bilaterally. Examination reveals bilateral weakness in the lower limbs