ppt in general pediatrics for fifeth year student

1. Slide examination
Fifth year
May. 2013
By Prof. HAMIDA ESAHLI
ELKHADRA HOSPITAL
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2. The Normal Fluid Requirements per day in child with
15 kg is:
A. 1000ml
B. 1500ml
C. 1250ml
D. 980ml
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3. The followings are reliable signs of severe dehydration
in 20 months old child ,except:
A. Sunken eyes
B. Sunken anterior fontanel
C. Decrease urine output
D. Dry mouth
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4. The most common cause of this rash is:
A. Staphylococcaus
B. Herpes simplex virus
C. Coxsackie virus
D. Varicella-Zoster virus
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5. This 6-month –old infant developed widespread rash , lip swelling and
wheeze immediately after first formula feed , The management of this
infant is/ are:
• A. Adrenaline IM if no
response nebulised
salbutamol
• B.Intubation
• C. Antihistamine IM
• D. Hydrocortisone IV
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6. This sign is present in the following conditions except:
A. Chronic pulmonary disease
B. Cyanotic congenital heart
disease
C. Celiac disease
D. Nephrotic syndrome
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7. The DDX of the following blood picture is/are except:
A. Iron deficiency anaemia
B. Thalasmia major
C. Sideroblastic anaemia
D. B12 deficiency anaemia
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8. One year old baby , who had been brought by his
parents to ER with persisting vomiting and diarrhea for
3days , he was dehydrated his arterial blood gas is:
A. Compensated metabolic
acidosis
B. Compensated respiratory
alkalosis
C. Uncompensated metabolic
acidosis
D. Respiratory acidosis
• ABG:
• —pH : 7.2
• —Po2 : 90 mmHg
• —PCo2 : 23 mmHg
• —HCO3 : 15 mmol/L
• —BE : -10 mmol/L
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9. This a pedigree showing inheritance pattern: what is
the inheritance ? Give two examples?
A. X-linked recessive G6PD
&Haemophilia.
B. X- linked dominant vit D
resistant rickets &Incontinenta
pigmenta
C. Autosomal recessive cystic
fibrosis&PKU
D. Autosomal dominant Hereditary
spherocystosis
&chondrodoplasia
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10. In the initial assessment of coma, fixed dilated pupil's
indicate:
A. Ponitine lesion
B. Severe hypoxia
C. Unilateral third nerve
lesion
D. All of the above
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11. The clinical features of sever brochiolites in un infant
are the following, except:
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A. Cyanosis or pallor
B. Hyperinflation of chest
C. Apnoea in infants < 4 months
D. Stridor

12. What is the most Likely Diagnosis ?
A. MCU : showed bilateral
vesciouretric reflux grade V
B. DMSA scan
C. IVP
D. Non of the above
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13. T his is an 18 month child came to the well baby clinic,
What are absolute contraindications to this vaccine?
A. patient with
immunodeficiency,
leukemia, lymphoma, HIV
B. Breast feeding
C. Patient with infectious
mononucleosis.
D. Down syndrome
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14. Assessment of nutritional status can be determined by:
A. Low plasma albumin
B. Low lymphocyte count
C. Skin fold thickness
D. All the above
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15. what is the most likely diagnosis?
A. Neurofibromatosis type 1
B. Hyper pigmantation
C. Tuberous sclerosis
D. Sturge-weber syndrome
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16. What is the most likely diagnosis?
A. Lung consolidation
B. Pleural effusion
C. Lung collapse
D. Empyema
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17. The developmental age is :
A. One year
B. 2 years
C. 15-18 months
D. 9 months
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18. The cause of birth injuries in this neonate is/are:
A. Caput succedaneum
B. Bilateral cephalhaematoma
C. Subaponeurotic haemorrhage
D. Oedema from forceps blades
delivery
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19. Regarding nasogastric tube(NGT)
A. Indicated in patients with
fracture base of skull
B. Uses: for oral agents and
suction
C. Can cause pulmonary
aspiration
D. B &C
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20. This infant has a grossly distended abdomen from ascites,
the most likely cause is:
A. Liver cirrhosis with portal
hypertension
B. Heart failure
C. Nephritic syndrome
D. Celiac disease
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21. What is the most likely diagnosis?
A. Pericardial effusion
B. Cardiomegaly with
increased pulmonary
vascular markings
C. Bronchopneumonia
D. Non of the above
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22. Good luck
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