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MCQ in pediatrics
1. HIV infection in children: A. caused by DNA virus B. ip=100days C. always with jaundice D. childreen almost recovers E. no vaccine available 2. The package of nephrotic syndrome with minimal change morphology: A. first year B. 2-5year C. 8-10year D. 10 -15years E. >15year 3. Which come first in infant? A. social smile B. Stranger anxiety C. Hand to hand object turn D. Gender identification E. Sitting with out support 4. At the 5 min assessment of Apgar score is continue when child Apgar score below: A. 8 B. 7 C. 10 D. 6 E. 5 5. At birth the Child breath + excessively crying Apgar score at least? A. 10 B. 7 C. 8 D. None of the above 6. Least presentation of ALL: A. Testicular cancer B. Bruising C. hepatomegaly D. spleenomegaly 7. 5y old boy referred to cardiologist with Systolic murmer+change with sitting+low intensty+vibrating+heard over left sternal area? A. ASD B. INCCENCENT MURMER C. VSD D. ECD

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8. 8 years girl has hx. of fever +sore throat+drooling. The most appropriate to do? A. Blood culture B. Radiology C. CBC D. Visualization of epiglottis in operation room 9. 8months infant has 2 days hx of diarrhea +poor fluid intake. What is the most appropriate fluid to begin to add is? A. D 1/2 NS B. D 1/4 NS C. D NS D. NON OF THE ABOVE 10. Which is incorrect in DKA? A. Blood glucose above 300 mg\dl B. Respiratory acidosis C. Ketonemia D. Normal serum k E. Ketonurea 11. Cause of acute renal failure in children? A. NSAID B. AMINIGLYCOSIDES C. INAPPRPRIATE FLUID replacement (gastroenteritis). 12. Bloody diarrhea may present with all except? A. Shigellosis B. Salmonella C. E.histolytica D. Viral GE E. E.coli 13. Nursery, neonate infant not passed meconium for 72h no evidence of heart or lung involvement on EX anus is opened u suspect meconium ileus most common genetic disorder is????? A. Cystic fibrosis B. Tay sach C. Phenyl ketonurea D. Wilson dis 14. In pnemococcal pneumonia: A. blood culture +ve 10-30% B. pnematocele common C. fatal in 30-50% D. More in male 15. Pt with thalasemia +spleenectomy the risk duration to develop septicemia is ? A. 6 months B. 1 year C. 5 year D. 5- 10 year E. >10 years

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16. Hepatitis A: A. almost universally cured B. No vaccine C. Always present with jaundice D. DNA virus 17. Endocadial Cushing defect seen in: A. DOWN syndrome. 18. Which is compatible with B-thalasemia major? A. HbF 96% HbA2 4% B. Hb A1 40%, Hb F 58%, Hb A2 2% C. Hb A1 85%, Hb F 10%, HbA2 5% 19. months infant with systolic left sterna murmur, Most answer is unlikely: A. hyperthyrodism B. Tricuspid stenosis C. Pulmonary stenosis D. Patent foramen ovale E. Sever hemolytic anemia 20. Which is true about post strep GN? A. Follow skin infection only B. It is immune complex dis C. cause gross protineurea D. Only in children E. Commonly progress to CRD 21. Maternal infant bonding: A. With in 1-2 h after birth B. during 1st week of life C. during neonatal period D. in the end if the 4th month E. during infancy 22. All use to manage malignant HTN ex? A. Na nitruprusside B. labetalol C. diazoxide D. clondine E. hydralazine 23. Least symptom or sign in CHF in children? A. lower limb edema

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24. Pt with acute renal failure with K 7-8 ., ECG show tall QRS wave after admission???? A. insulin +glucose B. Na Hco3 C. Ca gluconate D. Ca E. all of the above 25. The following features are common found in newborn term infant with Down syndrome ex: A. hypotonia B. poor suckling and feeding C. asymmetrical growth retardation D. brachycephale E. upward slanting palperal fissure 26. All are true regarding child with cerebral palsy: A. Are usually borne premature B. Their physical sing are not change with time C. Often FTT D. Always handicapped E. can never walk 27. 5 day old tachypnoea +tachycardia, aortic coarctation, The most important step inECHO management: A. surgery B. sedation C. perform cardic cauterization D. decongestive therapy E. prostaglandine E infusion 28. 2 year old girl, BP 125\90 on 3 seq. measures HTN is caused by all ex: A. neuorblastoma B. coarctation of aorta C. reflex nephropathy D. AR polycystic kidney disease E. VSD 29. 5month old pt. come to ER with fever+ generalized tonic clonic seizures what is the most helpful information to ask the mother: A. the pt is breast feed B. Has sibling with fever C. has had birth asphyxia D. Has congested throat with out fever for the past 3 days E. Whether the mother is a house wife 30. H.INFLUENZA type B can cause all ex: A. Uvulitis B. meningitis C. occult bacterimia

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31. The commonest presentation in child with iron def anemia: A. amnemia B. Palpitation C. usually asymptomatic D. poor concentration E. heart failure 32. H.INFL type B associated with the entire following ex: A. is frequent cause of sinusitis B. cause 30%of meningitis C. often cause occult bactremia D. may cause uvulitis in infant E. colonize upper respiratory tract of 40%of children 33. Regarding diarrhea in children which is true: A. girardia infect colon B. salmoneal food poisoning is infectious C. Shegallea not associated with bloody diarrhea D. Rota virus Cause diarrhea greenish 34. Child can walk and claim the stairs up +down how old is he: A. 12 month B. 18month C. 24month D. 10month 35. Commonest cause of ottitis media: A. strep.pneuonia B. maracell cataralis C. H.inf D. staph 36. IgE increase in the entire following ex: A. Ataxic telengectasia 37. About nephritic syn: A. age 2-5 y 38. Hemophilia: A. Incidence 1-100000 B. hip hemoarthrosis is common C. CNS complication is common 39. a boy with mid shaft tumor +wt. loss+fever for one month..????? A. 1ry beningng bone tumor B. sarcoma C. metastasis D. chronic osteomylitis

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40. What is the immediate investigation for patient with scarlet fever? A. ASO titer B. throat swab C. cest x ray 41. All have spleenomegally except: A. alpha thalssmeia silent carrier B. -------------intermediate C. ------------major 42. Mumps can cause all ex: A. pneumonia B. skin rash C. pancreatitis D. orchitis, epididymitis 43. All these things occur in intrauterine fetal age ex: A. passing muconium B. breathing movements C. thumb sucking 44. When baby pass muconium: A. 24h B. 48h C. 72h 45. Pulmonary vascular disease caused by: A. ASD B. TOF 46. 12year old boy with mild pneumonia what is the best treatment: A. penicillin B. amoxeycillin C. erythromycin 47. Child 6 y came with moderate dehydration what is the water lost: A. 3-6% B. 6-9% C. >9% D. 5% E. 10% 48. Prostaglandin E1 given immediately to a child with: A. ASD B. great vessels translocation 49. Duration of ttt of pyelonephritis: A. 4w B. 3w C. 2w D. 5d E. 5w

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50. Milestones (25th, 75th) centile all correct ex:??? A. social smile 0-6 w 51. Live attenuated vaccines ex: A. pertusis B. measels C. mumps D. BCG 52. Febrile convulsions which is false: A. Duration>30 m 53. Ttt of status epileptics: A. diazepam 54. Indication of blood transfusion in SCA: A. Osteomylitis B. acute pharangitis 55. Cow vs. human milk: A. low P B. high Na C. high Ca D. high protein 56. Inborn error of metabolismWhich is true? A. AR B. Present with neonatal life C. poor prognosis D. usually associated with metabolic alkalosis. 57. Patient came with 10-15% dehydration, the fluid to be given: A. 0.4NS B. 1/2NS C. 0.9NS D. Water E. None **************************************