Examination 4th stage 2010
Part I circle the correct answer:Q1about military TB
Occur 2-6 wk of 1ry infection.
HSM occur in 70% of cases
Radiologically <2-3cm
Common in adult
Ass. with high fever
Q2. CRF occur as a result (except)
Proteinurea
HT
Anemia
Hyperlipidemia
Q3. Indication of biopsy in nephritic syndrome except
Renal insufficiency
Microscopic Hematuria
<1mth - >8 year
HT
Hypo-complement
Q4. Breast feeding all true except
Prolactin responsible for letdown
Supplementation at 6-12mth
High energy food at 6-12mth
Can be Refrigerate for 24 hr
Freezing for 1mth
Q5. Croup (except)
Peak at 2 y
+ve(present)radiological finding
Exclusive viral infection
Q6. UTI
Ass. with pyuria
Virtually all are ascending
Type I fimbrate have no role
M/O =104 considered UTI
Q7.C/P of meningitis except
Seizure
Brain edema
Herniation
MR
Subdural effusion.
Q8. CP cause
VLBW
Jaundice
Congenital brain anomaly
Ischemic hypoxia in utro
Q9. Infantile Seizure
The mixed type is commonest
Good px
Rx by Hormonal Therapy
Las for few min
Common in late infancy
Q10. Fungal meningitis all true except
Its common
Occur in ass with HI
Post op. in head $
Q11. SMA all true except
Type I occur 1/1000
Normal DTR
Q12. MR except
Mild (+ def)
Moderate (+ def)
Severe (+ def)
Profound (+ def)
Borderline (+ def)
Q13. VSD
Risk of IE in large>small VSD
HF are common
Loud S2 + LS heave
Q14. In all these blood flow except
TOF d. TA
TGA
VSD
Q15. ECG changes in OP
QRS changes
LAD
V1, V6 (I don’t remember)
Q16. Glomerularnephritis all T except
Ass. with HT
= = hematuria
= = azotemia
Proteinuria
Urine > 700 ml
Q17. Celiac dz
Ht < 25 centile
Wt > 25 centile
Edema
Bruising
Loss of iron
Q18. Kwashiorkor
Occur on sun exposed area
Hypopigmentation
Radical damage
Deep organ edema
Decrease (type___ ) of protein
Q19. Aseptic meningitis
A/b can lead to it
+ve culture
Occur as a result of Ig
High WBC (monocyte)
Q20. Large VSD
Ass. with HF
Part II T or F
Q1. About epidemiology of asthma
50% of it is sx before 5 y
Its familial on CH 6
Most common cause of hospitalization in children
Now decrease incidence
Maternal smoking is risk F.
Q2. P. pneumonia ass. with
Arthritis
Delirium
Pain (-___)
Petechial rash
Q3. About CP
Seizure is common
Brisk tendon reflex occur
Cavitary in cortical white matter
Neck rigidity in<8mth infant +ve (tonic)
Q4. About HC
Congenital & acquired
Congenital occur in late infancy
Acquired occur at late birth
Communicable type occur only in children
Q5. SMA
AD
One of the common MND
Infant = wediling
Adolescence = kurgbel
Good px
Q6. In 1st attack of seizure we do
Should do LP
ABC
Abd. Examination
Q7. SPS
Duration is 10 min
Abscency is typical type of it
No aura
Postictal sleep occur
Versize seizure
Q8. TOF
Cardinal Sx is HF
Overriding aorta in 20%
CM
VSD
Mitral stenosis
Q9. About MR
Impairment of intellectual fnc
== of self care & safety
== of communication
IQ <50
Sub-average academic skill fnc
Q10. PDA
Wide pulse
Rarely close in late infancy
Transpatch closure surgery
Q11.COA
Common type is post ductal
Shock & cardiogenic problem may occur
BP lower L. > upper L.
Q12. About absence type of seizure
Common in girls
Common in infancy
No aura
No postictal phase
Type of SPS
Q13. HF sx in infancy
Loud heart sound
Effect perception
Tachypnea
Peripheral edema
Q14. Rh fever
Immune sys. involvement is the main role in pathogenesis
Chorea is chronic Sx
Reoccurrence is rare
SC. Nodule ass, with mild Sx
Arthritia
Q15. Hypernatremia
E. coli is most common cause
Initial Rx by hypotonic
No K loss
No Na loss
Preserve of IC water
Q16. Epiglottises
Racemic epinephrine + corticosteroid are ineffective
Dx by visualization by tongue depressor
Invx done before Rx
X-ray see thumb printing sign
Hib is only cause known
Q17. Pleural effusion in TB
Yellow in color
High glucose
Mostly AFB +ve
+ve culture in 75% of cases
Q18. Proteinuria
False +ve test in alkaline urine
Salysalate is most quantitative test known
Only detect alb. in urine
Q19. Non glomerular hematuria cause
IgA
SLE
HUS
Alport syndrome
Benign persistent hematuria
Q20. Marasmus
Early loss of skin pud
Mucous diarrhea is a c/p
Difficult in calculating dehydration
Distended abdomen
Part III Assay:
Write about Rx of Hyper K+ in RF
Duke in IE
Define & classify myoclonus
Write about steroid therapy role in meningitis
Write about persistent asthma
قيل
الرحمن
"لا تسئم من الوقوف على بابه ولو طردت"
"ولا تقطع الاعتذار ولو رددت"
"فان فتح الباب للمقبولين فادخل دخول المتطفلين ومد إليه يدك وقل له مسكين فتصدق عليه فإنما الصدقات للفقراء والمساكين"
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