4 y old child vaccinated
Presented with sore throat and lymphadenopathy
What is causative organism?
A.pneumococcal
B.streptococcus pyogen
C.hemophilus influenza type B
D. staph epidermis

1 month old Neonate with hirschs sprung disease
What is the highest diagnostic value?
A.Rectal biopsy
B.abdomibal US
C.abdominal X ray

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New recall:

boy brought for a follow up
Couple of days ( I think after he got stung by a bee )

he was seen in the ER because of hives, hoarseness, and light-headedness. His symptoms started 15 minutes after he was stung by a bee then lasted one or 2 hours then resolved before treated

Last year stung by bees more times. each reaction has been more severe. O/E shows no abnormalities.

What is most appropriate recommendation to prevent future morbidity and mortality for same case???

1- I think Carrying self injectable epinephrine or something like that

2- Be careful & Avoid wearing colorful clothing outside.

3- Avoid areas known to have bees

4- Carrying diphenhydramine tablets

A patient came with unusual ocular movements and apparent eye abnormalities. The parents reported that the patient missed the 13-month and 18-month vaccines. What is the likely diagnosis?

A) Orbital myositis
B) Orbital cellulitis
C) Periorbital cellulitis
D) Eye candida

Child with a sudden convergence squint. What is the initial management?

A) Refer to neurosurgery
B) Take a detailed history about the case; he might have a history of trauma
C) CT for suspected space-occupying lesion
D) Refer to ophthalmology the next day

A 9-year-old patient's mother is complaining that he has been wetting his bed for one month. He used to be dry since 7 years. The urine is foul-smelling. His lab results show high white blood cells (WBCs), turbidity in color, and positive nitrate. Diagnosis?

A) Nocturnal eneuresis
B) UTI
C) SIADH
D) Pyelonephritis

A mother complained her 8 year old boy had poor bathroom training. Which muscles are targeted in therapy?

A) Perianal
B) Pelvic floor
C) Rectus
D) Detrusor

Q.24 y old male presented with per rectal bleeding
Guaiac test positive
Mother and brother diagnosed with similar condition
What is the diagnosis?
A.familial adenomatous polyposis
B.Peutz-Jeghers syndrom

Child with inhalation of alkaline fluid 3 hours ago presented with oropharyngeal pain with drooling saliva, difficulty swallowing. Vitally stable, O/E oropharyngeal redness, mild tenderness. What is the most appropriate management?

A) Admission for conservative and antibiotic
B) Emergency bronchoscopy
C) Exploration of the area in OR
D) Discharge and F/U OPD

Q.child with liver cirrhosis due to autoimmune hepatitis what food he should avoid?
A. Protein
B.Carbohydrates

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Sep question:

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*قروبات Sep *

ارسلوا روابط قروبات الواتس هنا وبالتوفيق للجميع

amount of fresh frozen plasma used in massive bleeding
a-2 unit
b-4unit
c-6unit
d-10_15 ml

Pt pediatric with recurrent infection and sweat clorid test 77 what is complication ass
A. Pulmonary empyema b. Hypothyroidism c. Bronchiectasis
What cause bone age more than chronological age a. Short hamiliar stiture b. Adrenal hyperplasia

1_ months year old boy sore throat decreased oral intake can’t
swallow solid food has enlarged lymph node. vaccinated up to date.
What is the most likely organism ?
A- Hib
B- streptococcus pyrogens
C- Staphylococcus arues
D- pneumococcus
2_Child complaing from coryza and conjunctivitis , macuopaplar
rash started in face then the body , what is the cause?
⁃ Gonccocal bactermia
⁃ Rubella
3_ Child 6yrs old presented with history of 6month left knee and
wrist pain with limitations of movement and especially morning
difficulty movement Otherwise no systemic symptoms What is the
most likely diagnosis?
A. rheumatic fever
B. reactive arthritis
C. septic arthritis
D. juvenile idiopathic arthritis
4_ 4 y.o his went to doctor because parents recognize blood in stool this
the only symptoms Then the doctor examined him and said it’s common
and can be preventable:
A- anal fissure
B- hemorrhoids
C- juvenile poly
D- Intusseption
5_94) A 15 months old child is brought to the emergency department
after having a generalized tonic-clonic seizure that lasted
approximately 5 minutes. The parents say that the child had been
previously well but developed cough and rhinorrhea earlier that day
with a temperature of 39.2 C. Which of the following is the most
appropriate management?
A. Diazepam.
B. Phenytoin.
C. Head CT scan.
D. Control of the fever
6_Child can tell story and undressed him self draw his sister head
,hand leg?
4yr
7_Child came with a coca-cola urine, he also has a history of fever for
1 week, his throat is congested and cervical
lymph nodes are palpable,
what is the likely cause?
IgA nephropathy
Acute glomerulonephritis
Alport syndrome
8_1-year-old child came with fever and cough for 4 days. URTI
presented with increased hypoxia and severe respiratory symptoms,
in auscultation, there were fine crackles in the bilateral lungs and
Puffy infiltrates in both lungs what Dx?
A) Bronchopneumonia
B) Cystic fibrosis
C) Tuberculosis
D) Bronchiolitis
9_11 month old child, brought by his parents they reported a 1 day
history of fresh blood in
stool associated with foul smell and dark brown stool on examination
the child was pale (they
didn’t mention pain or any abdominal examination), What’s the best
diagnostic tool:
A- barium enema
B- barium meal
C- radioisotope scan
D- US abdomen
10_9 m/o with eczema and has positive family history for eczema what
is the most common site:
A: upper back
B: dorsalis of foot
C: scalp, checks and forhead
11_Infant 4 month medically free came with subcostal retraction
dyspnea fever cough sneezing ,they gave O2 and saturation still 80
peripheral pulses weak and pale + pt had diffuse bilateral crackles and
bailateral decreased air enetry+ his Bp is 110/70. Cyanosis and sacral
edema Not mentioned, what’s the management ??
A-Diuretic
B- IV fluid
Bronchiolitis; supportive treatment.
Amboss:
Consider NG/IV fluids for any of the following: [1]
12_8 years old boy. Mother complained of poor training to bathroom
which muscles is targeted in therapy?
A- Perianal
B- Pelvic floor
C- Rectus muscle
D- Detrusor
12_

1_Batterd syndrome
2_Child ingest coin in xray at stomach

Tumor lysis syndrome dx

Methotrexate tx

Bronchitis dx

Health promotion model

choledocholithiasis tx

Splinter hemorrhage with pan systolic murmur what causative organism( streptococcus spice's)

6yo boy with Lower gi painless bleeding (Meckel's divirtculm )

19yo pt with Grade 4
gynecomastia tx

2yo girl with large breasts there is no adult odor or bubic hair or
any other futures dx

Endometriosis dx and
diagnostic test (laporoscopy) and tx

Liomyoma pic with dx

Batterd child syndrome dx

Stanford syndrome dx

Pt with GERD what is the most appropriate wight reduction method (Roux-en-Y gastric bypass)

Lower gi bleeding in unstable pt tx( angiography)

Pt still loos iron despite the iron he take what tx

Iron deficiency anemia dx one with pic and one without and
asked about tx

mycoplasma pneumoniae dx

Febrile neutropenia with post chemotherapy shock tx (meropenem)

phyllode 3×3 tx (WLE)

prophylaxis for pt who's admitted to hospital for ... from venous thromboembolism

igA nephropathy dx

Child say hi to the doctor (18month milestone )

Take her consent and inform
her to tell husband

Breast Cancer tx

Papillary thyroid cancer tx

Lower abdominal pain after RTA 
(ct abdomen)

Thretned abortion dx

dilated cervix and vaginal bleeding tx

Placenta accrrta dx

Consent take from phone

Hypoxic ischemic
encephalopathy dx

Cardiognic shock (low cardiac
output)

Sptic shock dx

Mgso4 toxic management
(calcium gluconate)

Acteomenaphen high dose with abdominal tenderness what
stage (stage 2)

Pt with Red urine what investigation (cystoscopy)

Painless hematuria what investigation (cystoscopy)

Asthma pt with exertional dysapnea tx (inheald steroid )

pelurtic chest pain and artharlgia (SlE)

Pt with fishy smill vaginal discharge with pic dx

Pt with respiratory distress
syndrome tx

Pt with negative heptits b whis of the following will describe
this ?

Chlamydia trachomatis dx

Abndcappendiculr mass
management (colonoscopy)
UC dx

Child with mild fever vesical rash in trunk, hands, legs what will you found in lab
( VZV IgM )

Wish of the following is Preschool vaccination (oral poilo )

Which of the following is Preschool vaccines?

Pt came with vaginal spotting then had spontaneously abortion what is the possible cause?(i choose truma)

Pt with fever and brown vaginal discharge what possible causative organism?

The most important Cancer screening (Colorectal cancer)

Child came with multiple fractures her mother denied any physical abuse (aske his father first then treat him )

Newborn with respiratory distress syndrome what to give?

Pt with COBD tx (intubation and mechanical ventilation)

Pt with hemoptysis dx (TB)

Pt with epstaxis which of the following postion is recommended for him (set and Laine his head back )

Pt with polycystic ovaries syndrome dx

Pt with premenstrual syndrome tx (NSID)