Answer:

question: High risk of acute lymphoblastic leukemia occurs in all congenital disorders except.

Costmann syndrome
Poland syndrome
Monosomy 7
Cystic fibrosis
Ataxia telangiectasia

note:
Answer:

question: Predisposing factors of all in children include all except

Siblings with diagnosis of leukemia

Ionizing radiation
Immunofluorescence
Contact with chemicals such as chloramphenicol
Lower socioeconomic groups

note:
Answer:

question: Meningeal signs and symptoms of cns leukemia all except

Morning headache
Papilla edema
Focal neurological signs
Vomiting
All can be the signs of cns leukemia

note:
Answer:

question: Mikulicz syndrome is described as

Infiltration of retinal vessels with bleeding

Infiltration of salivary glands or lacrimal glands
Prolonged menstrual bleeding
Cranial nerve palsy
Purplish color of skin

note:
Answer:

question: Enlargement of mediastinum with life threatening superior vena cava occurs most typically in

B-cell All
T-cell ALL
AML
Pre B-all
CML

note:
Answer:

question: Bone and joint involvement in acute lymphoblastic leukemia

Occurs in 5% of patients
Includes swelling and tenderness due to leukemic infiltration
Can mimic rheumatic fever or rheumatoid arthritis
D, b, c
All are correct

note:
Answer:

question: All sentences describing laboratory finding in all children with ALL are correct except

The number of white blood cells are always normal or high

The number of reticulocytes is low
The level of hemoglobin is usually moderate or markedly low
The platelet count is usually low
In children with high white blood cells, leukemic blasts may be present

note:
Answer:

question: The most common chromosomal abnormalities in T-ALL include except

TAL1 deletion
t(8;14)
11q23 rearrangement
t(11;14)
t(9;22)

note:
Answer:

question: Current favorable prognostic factors in ALL do not include

Lack of t9;22/BCR/ABL
Negative MRD
Number of chromosomes >50
Number of chromosomes <45
Good response to steroids in T-ALL

note:
Answer:

question: To standard risk group (SR) cannot be classified child

Without KMT2A
With remission on 33rd day of treatment
With high potassium level
<1 year of age
With low number of white blood cells at diagnosis

note:
Answer:

question: Typical characteristics of leukemic cells include all except

Basophilic cytoplasm
Lack of differentiation
Smaller cells sice than in myeloblasts
Nucleus with diffuse chromatin structure
One or more nucleoli

note:
Answer:

question: All describing induction of remission are correct except

Main point is rapid reduction of leukemic blasts

Main point is achieving complete remission, which occurs more than 95% of patients
The number of WBC and plt is not taken into consideration at this point of treatment
MTX is administered intrathecal
All are correct

note:
Answer:

question: Choose the correct sentences about CNS leukemia

Occurs up to 10% OF CHILDREN

More than 10 leukemic cells/ul are detected
Occurs more frequently in B ALL
A,c
All are correct

note:
Answer:

question: Which describing acute myeloid leukemia is not correct

Frequency remains stable throughout childhood

Occurs more often in males
AML cases are 15-20% of all leukemias in children
The differential diagnosis includes CML and ALL
All are correct

note:
Answer:

question: Choose incorrect sentences about subtypes of AML

Gingival bleeding and epistaxis are tuypical for APL (M3)

Symptoms of APL resembles other leukemias especially with prominent hepatosplenomegaly and
lymphadenopathy
Erythroleukemia (M6) is treated as other subtypes of AML
DIC may occur in M4 and M5 due to release of tissue factors during lysis of monocytes
All are correct

note:
Answer:

question:

note:
Answer:

question: A 15-year-old girl presents with her third episode of severe epigastric pain in the past 8 months. In
between episodes, she is completely healthy…. Of the following, the most appropriate next test to
identify the cause of the illness is:

Mumps antibody titer

Esophagogastroduodenoscopy
Sweat test for cystic fibrosis
Genetic testing for celiac disease
Sphincter of oddi mannometry

note:
Answer:

question: The most frequently observed anomaly in infants is:

Subglottic cyst
Subglottic hemangioma
Laryngomalacia
Vocal cord paralysis
Subglottic stenosis

note:
Answer:

question: A 4-year-old boy presents with a 16-months history of loud snoring, muffled voice, and nasal
obstruction. The physical examination will most likely reveal;

Enlarged tonsils and adenoid

Kartagener syndrome
Cystic fibrosis
Deviated nasal septum
Lingual tonsil hyperplasia

note:
Answer:

question: The base of the appendix lies in the right iliac fossa, close to McBurney’s point:

Mcburney point is half of the way along a line drawn from the umbilicus to the left anterior superior
iliac spine

Mcburney point is two thirds the way along a line drawn from the umbilicus to the right
anterior superior iliac spine

Mcburney point is half of the way along a line drawn from the umbilicus to the right anterior inferior
iliac spine

Mcburney point is two thirds of the way along a line drawn from the umbilicus to the right anterior
inferior iliac spine

None is true

note:
Answer:

question: 3 year old girl suffering chronic diarrhea, underwent gastroduodenoscopy. In histopathological
evaluation of duodenal biopsies total intestinal villi atrophy and crypts hyperplasia were stated.
EmAIgA antibodies were negative. The diagnosis is.

Parasites infection

Viral infection

Food allergy

Malabsorption syndrome

Celiac disease

note:
Answer:

question: The usual treatment for pediatric obstructive sleep apnea is:

Functional endoscopic sinus surgery

Uvulopalatoplasty

Tracheotomy

Adenotonsillectomy

Nasal continuous positive airway pressure

note:
Answer:

question: A 4-year-old boy with mucopurulent nasal discharge for 2 weeks, exacerbation of reactive airway
disease, and periorbital edema for the past 5 days is most likely to have acute suppurative sinusitis
involving which sinus

Frontal

Maxillary

Ethmoid

Sphenoid

‘A, c

note:
Answer:

question: Subglottic laryngitis occurs the most frequently:

In boys from 6 m.- 3 years

During night

In autumn, winter, spring season

In a viral infection

In all above

note:
Answer:

question: Treatment of ALL in children:

Is based on chemotherapy

Protocols are the same, despite the risk group

Includes 6 phases

A, c

All are correct

note:
Answer:

question: Differential diagnosis in patient with chronic diarrhea should include all except

Chronic pancreatitis

Lactose intolerance

Esophageal achalasia

Inflammatory bowel disease

Cystic fibrosis

note:
Answer:

question: While bathing her 2 year old son, a mother feels a mass in her abdomen. A thorough medical
evaluation of the child reveals aniridia, hypospadia, horseshoe kidney, hemihypertrophy. The most
likely diagnosis for this child is:

Wilms tumor

Rhabdomyosarcoma

Neuroblastoma

Testicular cancer

hepatoblastoma

note:
Answer:

question: 15 year old boy that smokes 10 cigarettes per day was diagnosed with peptic ulcer disease and
helicobacter pylori infection 6 months ago. He underwent the treatment twice with no success - he
is still h. Pylori positive. A doctor should:

Perform gastroduodenoscopy and rapid urease test

Perform gastroduodenoscopy and take biopsies for microbiological culture and the
assessment of bacterial drug resistance

Perform gastroduodenoscopy and take biopsies for microbiological culture

Give only probiotics

Prescribe the treatment for the third time

note:
Answer:

question: On a routine newborn screen, a 2 week old child in your clinic is noted to have sickle cell disease.
As you discuss treatment options with this family you recommend:

Tetracycline prophylaxis

Monthly injection of vitamin b12

Education of parents regarding abdominal palpation and temperature taking

Infusion of immunoglobulin every 6 weeks

Meningococcal vaccine at 2, 4 and 6 months of age

note:
Answer:

question: Subglottic laryngitis is mainly caused by:

Viruses

Fungi

Chlamydiae

Moulds

bacteria

note:
Answer:

question: Typical clinical symptoms in 4 week newborn with phenylketonuria are

Cardiomyopathy (usually hypertrophic)

Jaundice, disturbances of liver function, hyperammonaemia, hypoglycemia

Eczema, musty odor, blonde hair and blue eyes

All listed above

None of them

note:
Answer:

question: Fecal fat excretion on cystic fibrosis is

Not possible to determine

Always abnormal

Always normal

Normal in pancreatic sufficient and abnormal in pancreatic insufficient patient

Normal in pancreatic insufficient and abnormal in pancreatic sufficient patient

note:
Answer:

question: Bacteria commonly associated with adenotonsillar disease include all of the following except:

Str. pneumonia

Str. pyogenes

M. catarrhalis

H. influenzae

E. coli

note:
Answer:

question: Leukemoid reaction

May occur in bacterial infection or acute hemolysis

Is characterized by increased WBC with peripheral immature granulocyte precursors

Is more frequent in neonates

Occurs more frequently in children with trisomy 21

All are correct

note:
Answer:

question: Definite indications for adenoidectomy are:

Adenoid hypertrophy with the upper airway obstruction, constant mouth breathing

The symptoms of obstructive sleep apnea syndrome

Hypertrophy resulting in secretory otitis media

All of the above

None of the above

note:
Answer:

question: Which from below heart defect are duct dependent

Critical coarctation of aorta

Critical aortic stenosis

Transposition of great arteries

None of them

All listed above

note:
Answer:

question: Classic and characteristic features of acute appendicitis are:

The pain, tenderness, guarding and rebound tenderness localised around the umbilicus

The pain localised in the upper abdomen

The pain, tenderness, guarding and rebound tenderness localised around the iliac fossa

No pain at all

Colicky pain in the right lumbar region

note:
Answer:

question: 5 year old boy developed fever, facial oedema, conjunctivitis and generalized maculopapular rash.
Skin changes were present first on the face and spread towards the trunk. White spots were
present in the oral cavity at the level of the molars. The boy was suffering from:

Chicken pox

Infectious mononucleosis

Exanthem subitum

Rubella

measles

note:
Answer:

question: 5 year old boy with sore throat, developed fever and delicate macular rash on the trunk and limbs.
The most intense skin changes are present in the axillae and groin, area around the mouth is pale,
the throat is red and tonsils are enlarged with exudates, tongue red with protruding papillae. The
boy is probably infected with:

Measles virus

VZV

Rubella virus

EBV

Group A strep--scarlet fever

note:
Answer:

question: All below mentioned medications for asthma are controllers except of one:

A short acting beta 2 agonist

An inhaled corticosteroid

A long acting beta 2 agonist

A leukotriene receptor antagonist

Sustained release theophylline

note:
Answer:

question: Incorrect sentence about juvenile idiopathic arthritis JIA is:

Symptoms of inflammation persist at least 6 weeks-

Age of onset less than 16 years-

Most common paediatric connective tissue disease-

May be mild or more persistent condition leading to joint and tissue damage-

Nephritis affects 75-80% of children with juvenile idiopathic arthritis

note:
Answer:

question: The differential diagnosis in the purpose to establish the diagnosis of asthma in young children
should comprise:

Gastroesophageal reflux

Cystic fibrosis

Foreign body aspiration

Structural abnormalities of the tracheobroncial tree

All above mentioned

note:
Answer:

question: Characteristic autoantibodies in systemic lupus erythematosus are:

Anti TG- -hypothyroidism

Jo 1--polymyositis

P ANCA--ulcerative colitis

Scl 70--systemic scleroderma

Ds DNA

note:
Answer:

question: The most common cause of otitis media with effusion is poor ventilation of the middle ear as an
effect of the obstruction of the pharyngeal opening of the eustachean tube caused by:

Enlarged adenoid

Deviated nasal septum

Nasal polyps

Allergy

All listed above

note:
Answer:

question: It is the most common type of juvenile idiopathic arthritis (JIA)

Enthesitis related arthritis

Psoriatic arthritis

Oligoarticular JIA

Systemic onset JIA

Poliarticular JIA

note:
Answer:

question: Following are true for systemic onset juvenile idiopathic arthritis (JIA) except:

Hectic fever

Hip joint involvement seen in 50% of patients

Mid foot commonly involved

More common in females

Axillary lymph node involvement is a typical feature

note:
Answer:

question: The treatment of the patient described above should be:----JIA

Oral penicillin

Acyclovir

Klarithromycin

Symptomatic

doxycycline

note: *not sure on this one - i’d assume its symptomatic? Usually its corticosteroids
Answer: EBV

question: 15 year old boy is suffering from pharyngitis. Physical findings include: temperature 39C enlarged
cervical and submandibular LN sore throat petichiae on soft palate enlarged liver and spleen the
boy is probably infected with:

Group A sterp

VZV
Measles virus
Rubella v
EBV

note:
Answer:

question:

note:
Answer:

question: It is not classificatition criteria for systemic lupus erythematosus

Gastric ulcer

Nephritis

Photosensitivity

Arthritis

Malar rash

note:
Answer:

question: The treatment of choice for acute asthmatic episode in children is:

An inhaled short acting beta2 agonist

An inhaled long acting beta 2 agonist

An oral leukotriene modifier

An inhaled corticosteroid

An oral slow release theophylline

note:
Answer:

question: Symptoms such as: hearing loss, permanent perforation of the tympanic membrane and foul
smelling discharge are present in:

Chronic otitis media

Otitis media with effusion

External otitis

Acute mastoiditis

Acute otitis media

note:
Answer:

question:

note:
Answer:

question: 3 month old male infant was diagnosed due to microcephaly. His current weight is 3400g.
Following abnormalities were found after diagnostic procedure: intracranial periventricular
calcification, chorioretinitis, deafness, hepatosplenomegaly. The most probable diagnosis is
infection with:

EBV

CMV

Toxoplasma gondii

HSV

Rubella virus

note:
Answer:

question: 7 year old boy was brought to emergency department with high fever, listless and in distress. He
had petichiae on the skin of lower and upper limbs. The most probable infection is:

E. coli

Strep pneumo

Strep agalactiae

Nis meningitidis

S. aureus

note:
Answer:

question: Which of these is not the indication for septoplasty (surgery of deviated nasal septum)

To gain access to a bleeding point in case of epistaxis

Cystic middle concha

As part of another surgical procedure eg. transseptal hypophysectomy

Total or subtotal obstruction of one or both nasal cavities

Obstruction to the drainage of one of the paranasal sinuses

note:
Answer:

question: 6 year old girl presented with rash on her right upper limb. Skin lesions was in the form of erythema
with pale center and active red borders. The girl remembers being bitten by tick several days ago.
The rash appeared at the site of the bite. The girl should be treated with:

Ciprofloxacin

Amoxicillin

Penicillin

Clindamycin

doxycycline

note:
Answer:

question: The most frequent symptoms of acute systemic anaphylactic reaction are the following:

Tachycardia and hypotension

Dyspnea and hoarseness

Urticaria and pruritus

Wheezing and cough

Vomiting and cramps

note:
Answer:

question: A significant increase in pulmonary function after the inhalation of a bronchodilator, indicating
reactive airway disease is:

An increase in FEV1 or VC >12% related to the predicted

An increase in FEV1 or VC >20% related to the predicted

An increase in FEV1% or VCmax >10% related to the predicted

An increase in PEF >5% related to the predicted

An increase in MEF75, MEF50 or MEF25 >75% related to the predicted

note:
Answer:

question: An exercise test is indicated in:

Recent myocardial infarction

Hemoptysis

History of effort intolerance

Chest pain

dyspnea

note:
Answer:

question: Spirometry is contraindicated in children suffering from:

Bronchial asthma

Chronic cough

Pneumothorax

Primary ciliary dyskinesia

Cystic fibrosis

note:
Answer:

question: In a 7 year old child with pneumonia coexisting with steven johnson syndrome the most common
causative agent is:

Mycoplasma pneumonia

RSV

T. Gondii

Strep pneumo

All of the above

note:
Answer:

question: The differential diagnosis of chronic interstitial pneumonia in children should comprise the following
diseases:

Allergic alveolitis

Connective tissue diseases

Primary immunodeficiencies

Congenital defects of surfactant biosynthesis

All above mentioned

note:
Answer:

question: The most common causative agent of acute bronchiolitis in infants is:

Pneumocystis carinii

Pseudomonas aeruginosa

EBV

RSV

C. trachomatis

note:
Answer:

question: Antibiotics active against mycoplasma pneumonia are the following:

Vancomycin, teikoplanin, linezolid

Clindamycin, lincomycin

Clarithromycin, roxithromycin, azithromycin

Amikacin, netylmycin

Ampicillin, amoxicillin

note:
Answer:

question: Which of the following antibiotics should be used in the treatment of methicillin resistant S. aureus
(MRSA) infection:

Clarithromycin

Cefuroxime

Amikacin

Vancomycin

penicillin

note:
Answer:

question: Which of the below mentioned diseases should be taken into account in differential diagnosis of
recurrent bacterial pneumonias:

Cystic fibrosis

Immunodeficiency

Congenital anomaly of the tracheobronchial tree

Aspiration syndrome

All above mentioned

note:
Answer:

question: The most common complication of staphylococcal pneumonia in children is the following:

Bronchial asthma

Pulmonary hemosiderosis

Bronchiectasis

Obliterative bronchiolitis

Lung abscess and empyema

note:
Answer:

question: The most common reason of chest pain in pediatric patients is

Pericarditis

Kawasaki disease

Arrhythmias

Pulmonary and muscular reasons

endocarditis

note:
Answer:

question: Heart failure in children is treated with:

Diuretics

B blockers

ACE inhibitors

Catecholamines

All of the above

note:
Answer:

question: In order to diagnose kawasaki disease a child should present with fever of >5 days duration
associated with:

Bilateral nonsuppurative conjunctivitis

Strawberry tongue

Erythema of extremities, polymorphous rash

Cervical lymphadenopathy >1.5cm in diameter

All of the above

note:
Answer:

question: Low blood oxygen saturation with or without cyanosis from birth or developing in the first year of
life, systolic heart murmur at the left sternal border, difficulty feeding, failure to gain weight, retarded
growth and physical development, dyspnea on exertion, clubbing of the fingers and toes,
polycythemia, ‘tet spells’ are all characteristic for:

ASD type II

Coarctation of aorta

TOF

VSD

PDA

note:
Answer:

question: Chest x-ray of 5 year old girl shows signs of increased pulmonary flow. Which defect should not be
considered as a cause of it:

PDA

ASD II

Pulmonary valve stenosis

VSD

All of the above

note:
Answer:

question: Life saving procedure in neonate with transposition of the great arteries is:

Closure of ASD II with Amplatz implant

Rashkind procedure (tearing of interatrial wall with balloon)

Balloon valvuloplasy of aortic valve

Balloon valvuloplasty of pulmonary valve

Closure of PDA with coil

note:
Answer:

question: Chest X-ray of 5 year old girl shows signs of increased pulmonary flow. Which defect should not be
considered as a cause of it:

PDA

ASD II

Stenosis of the pulmonary valve

VSD

All of the above

note:
Answer:

question: Life-saving procedure in neonata with transposition of the great arteries is:

Closure of ASD II with amplatz implant

Rashkind procedure (Tearing of interatrial wall with balloon)

Balloon valvuloplasty of aortic valve

Balloon valvuloplasty of pulmonary valve

Closure of PDA with coil

note:
Answer:

question: Signs of heart failure in children include:

Distended neck veins

Pulmonary rales

Peripheral edema

Tachycardia, hypotension

All of the above

note:
Answer:

question: In coarctation of aorta:

Continuous murmur in right 2nd intercostals space is present

In neonates, infants and young children cardiosurgery is preferred method of treatment

Femoral pulses are easily palpable

Arterial hypertension is very uncommon

Carotid pulse is diminished

note:
Answer:

question: Characteristic clinical findings in myocarditis are:

Systolic murmur in right 2nd intercostal space

Bradycardia is present in majority of patients

Murmurs of mitral of tricuspid regurgitation

S3 and S4 gallops may also be heard

C and D are correct

note:
Answer:

question: Boot shape cardiac silhouette in X-ray chest occurs in

Hypoplastic left heart syndrome

VSD

Aortic valve stenosis

Coarctation of aorta

Fallot’s tetraology

note:
Answer:

question: Constant absolute contraindication for vaccination of live vaccines are:

Down syndrome

Diabetes

The immunosuppressive therapy

Splenectomy

All listed above

note:
Answer:

question: In infants, supraventricular tachycardia

Is always self correcting if left untreated

Presents with a heart rate over 220/min

Should always be treated with electric shock

Unlike adults, does never results in circulatory shock

Due to the constant high vagal tone cannot be treated with vagal maneuvers

note:
Answer: Ulcerative colitis

question: A 15 year old girl was admitted to the ward due to chronic diarrhea, occasionally with blood, loss of
body weight, stool culture normal, elevated CRP, positive ASCA antibodies, the most probably
diagnosis is:

Rotavirus infection

Ulcerative colitis

Chrohn disease

Proctitis

Celiac disease

note:
Answer:

question: Antibiotic prophylaxis of bacterial endocarditis for dental procedure is recommended:

Single dose, 30-60 min before procedure

2 weeks before and 2 weeks after procedure

2 weeks before procedure, last dose 1 hour after procedure

2 days before procedure

None is correct

note:
Answer:

question: Please indicated the syndrome that is NOT characteristic for heart failure:

Oedema

Hepatomegaly

Tachycardia

Cyanosis

All are characteristic

note:
Answer:

question: Ewing sarcoma:

Occurs more often in boys

Usually does not occur in teenagers

Occurs more often in preschool

Is a highly differentiated tumor

Spread slowly

note:
Answer:

question: SVT can be interrupted by

Valsalva maneuver

Adenosine

Amiodarone

Cardioversion

All listed above

note:
Answer:

question: A 6 month old infant suffers from severe constipation. In differential diagnosis should be
considered:

Cystic fibrosis

Infection with Y. Enteroclitica

Hirschsprung disease

A+C

A+B+C

note:
Answer: Coarctation of the aorta

question: Which of followed are most common in turner syndrome:

Fallot’s tetralogy

Hypoplastic left heart syndrome

Coarctation of the aorta

Aortic stenosis

All can occur equally often

note:
Answer:

question: 8 month old baby was brought to the hospital because of severe laryngospasms. Medical hx
revealed inappropriate administration of VITAMIN D3. PE shows anterior fontanelle was 3.5CM
wide, the baby presented with NO TEETH, occipital part of the head was FLAT. Which DX is
correct?

Tetany due to vitamin D3 deficiency

RIckets connect with Vitamin D3 deficiency

Anaphylactic shock

Laryngospasms due to food allergy

Rickets connected with Vitamin D3 deficiency

note:
Answer:

question: Retinoblastoma

Usually develops in teenagers - develops in children

Is the most common tumor of the orbit - cavernou hemangioma is MC

Calcifications are rarely seen in the imaging studies - is commonly seen

Is a disease of the groups leukocoria

All listed above

note:
Answer:

question: Fallot’s tetralogy not combines

Overriding aorta -

RV hypertrophy -

Pulmonary stenosis -

VSD-

Aortic stenosis

note:
Answer:

question: Insulin is used in the treatment of ketoacidosis

With IM injections of short acting insulin ONLY

With IV injections of the different types of insulin

As IV infusion of short acting insulin with temporary modified rate

With SC injections of rapidly or short acting formula

With SC injections of long acting formula only

note:
Answer:

question: Patent ductus arteriosus can be closed by:

Indomethacin

Oxygen (02)

Prostaglandin - maintains patency

A+B

A+C

note:
Answer:

question: SYSTOLIC murmur occurs in

Aortic valve inufficiency

Pulmonary valve insufficiency

Mitral valve insufficiency

Mitral valve stenosis

Tricuspid valve stenosis

note:
Answer:

question: Signs of rheumatic heart disease are:

Temperature over 39 degrees for 2 weeks

Swelling of the knees

Rash on face

Bradycardia

All listed above

note:
Answer:

question: In grading of murmurs (Levin scale) Thrill occurs in grade

III

II,IV

II

IV--- 4,5,6

note:
Answer:

question: Insulin resistance appears in:

Type 2 Diabetes

Type 1 diabetes therapy

Acceleration of growth

Sexual maturation

All listed above

note:
Answer:

question: Foramen ovale

a. Closes itself immediately

b. Allows blood to enter from the right atrium from the left-- right to left
c. Is sealed by 18 months--3 to 6 months
d. Endocarditis prevention is needed--not needed
e. All listed above

note:
Answer:

question: An obese child may develop type 1 diabetes

A. it is improssible because body mass indicate on insulin excess
B. obese adults not children develop diabetes
C. obesity doesn’t protect against type 1 diabetes
D. obesity delays beginning of diabetes
E. there will be not insulin resistance in such case

note:
Answer:

question: The diet for patient with type 1 diabetes

A. Should be rich of fat to avoid rising a blood sugar
B. Is dominated by greater amounts of fat and proteins
C. Is based on proteins which are slowly converted into the carbohydrate
D. Should be miscellaneous with about 50-60% carbohydrate
E. Should omit the breakfast because high morning glycemia

note:
Answer:

question: Fat-protein exchange unit diabetic diet is

A. The amount of fat and protein in the received meal, which are of 100 kcal
value
B. The amount of fat and protein in the meal which should be replaced by
carbohydrate exchange unit
C. The amount of fat which should be replaced by proteins in diabetic diet
D. Stable amount of fat and protein which should be delivered in daily diet
E. Necessary amount of diet protein and fat to restage their excessive
catabolism in course of diabetes

note:
Answer:

question: Carbohydrate exchange unit in diabetic diet is

a. The amount of carbohydrate in the received meal, which are 100 kcal value
b. The amount of carbohydrate in the received meal, which supplement glucose
in organism because its daily lost with urine in course of diabetes
c. The amount of carbohydrate which should be replaced by protein or fat in the
diabetic diet
d. The amount of meal carbohydrates which is always metabolized due to 1 IV of
insulin
e. The amount of carbohydrate in the received meal, which contains approx 10 g
of glucose or other sugars easily converted into the glucose in organism

note:
Answer:

question:
Hypoglycemia in course of type 1 diabetes in children
Is especially risky outside of the home

note:
Answer:

question:
Which of the disease is not proven or claimed to be
related to obesity
a. Hyperlipidemia
b. Grave’s disease
c. Hypertension
d. Gallbladder disease
e. Type 2 diabetes

note:
Answer:

question:
To central obesity and peripheral obesity
a. BMI
b. RBMI
c. Hip circum forehea
d. Waist to hip ratio
e. WLI

note:
Answer:

question: 8. 16y male,81 kg,180 cm,求 BMI

25 weight/height squared

note:
Answer:

question: 10. Juvenile idiopathic arthritis except

a. common in female no
b. below 16 years no
c. systemic onset presents the most sever course of the dit no
d. etiology JIA is well known
e. it is one of the most frequent chronic illiness in children no

note:
Answer:

question:
9. not criteria for SLE

a) discoid rash
b) arthritis
*c) chronic uveitis
d) hematologic disturbance (anemia and so on)
e) ANA

note:
Answer:

question: Scarlet fever 表現

i) koplik spot
ii) strawberry tongue
iii)vascular rash
iv Pastia lines
vi. pharyngitis
STRAWBERRY TONGUE, PASTIA LINES, PHARYNGITIS 2, 4, 6

note:
Answer:

question: cerebral ataxia most common complication due to

a) chicken pox

note:
Answer:

question: splenomegaly caused by

a). Infecious mononucleousis
b). CMV
c). Hep A
d).all of above

note:
Answer:

question: Gregg triad

a)CMV
b) acquired rubella
c) mesals
d)..congenital rubella

note:
Answer:

question: HUS etiology

E.coli

mump most common complication

Orchitis and epididymitis

patient with conjunctivitis, cervical lymphoma , rash

Kawasaki

hand foot mouth disease etiology

Virus Cox A

note:
Answer:

question:
common congenital laryngeal anormaly and frequent cause of stridor in children:
a. laryngomalacia
b. laryngocele
c. congenital bilateral vocal cord paralysis
d. congenital laryngeal web
e. epiglottitis

Eustachian tubes tube in infant

a. longer and more horizontal
b. shorter and more vertical
c. shorter and more S shape
d. shorter and more horizontal
e. it is widened

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Answer:

question: triad of hyponasality, snoring and mouth breath indicate:

a. allergic rhinitis
b. acute maxillar sinusitis
c. peritonsillar abscess
d. enlarged, obstructing adenoids
e. epiglotitis

tympanostomy tube use for:

a. treatment of congenital hearing loss
b. treatment of chronic otitis media with effeusion
c. treatment of viral labyrinithis
d. treatment of cholesteatoma
e. treatment of sinusitis

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Answer:

question: 10 years old boy right nasal obstructive middle turbinate through the mid meatus and into the
posterior inferior nasal cavity:

a. ethmoid polyposis
b. nasopharyngeal carcinoma
c. antrochoanal polyp
d. maxillary sinusitis
e. intranasal foreign body

common cause persistent unilateral rhinorrhea in young child

a. acute rhirosinusitis
b. chronic rhirosinusitis
c. nasal polyposis
d. intranasal foreign body

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Answer:

question: 2.5 years old boy: inspiratory stridor, croupy cough, hoarse voice, rhinorrhea
a. epiglotitis
b. subglottic stenosis
c. subglottic laryngitis (pseduocroup)
d. subglottic cyst
e. Sinusitis

second sinusitis of dental origin occur mainly with

a. sphenoid sinus
b. ethmoid sinus
c. frontal sinus
d. maxillary sinus
e. all sinus are involved

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Answer:

question: normal physiology of parnasal sinuses depend on

a. patency of ostia
b. normal function of cilia
c. normal viscosity of secretions
A. a,b,c
B. a,c
C. a,b
D. b,c

ethmoid sinuses
a. precent at birth and develop at 3 years old
b. precent at 8 years and develop at 12 years old
c. precent at 3 years and develop at 12 years old
d. precent at 5 years and develop at 12 years old
e. present and develop at birth

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Answer:

question: inguinal hernias in boys:

a. inguinal hernias arise because the processus vaginalis fails to close after
testicular descent
b. true congenital abnormalies
c. anatomically they are indirect inguinal hernias- the hernial sac leaves the
abdomen via the deep (internal) inguinal ring to follow the oblique course
along the inguinal canal toward scrotum
d. all above is true?
e. only a is true

indirect hernia can also ocurs in girls. If the processus vaginalis persists in
females, it forms a small peritoneal pouch in the inguinal canal that may
enter the labium majus. This peritoneal pouch is called:
a. the canal of Nuck
b. the canal of McKinley
c. the canal of McBurney
d. the canal of Anderson
e. there is no indirect hernia in girls
Answer:

question: treatment of inguinal hernia in babies and children is:

a. hernioplasty of inguinal canal with mesh repair m. Lichteustein
b. inguinal herniotomy
c. hernioplasty of inguinal canal m. Bassini
d. hernioplasty of inguinal canal m. Halstead
e. Observation

in the diagnosis of vesico-urethral reflux (VUR) the most important

investigation is:
a. intravenous urography
b. renalscintigraphy
c. ascending ureterography
d. mictional cystourethrography
E. ultrasound

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Answer:

question: indication for pyeloplasty in pyeloureteral junctional obstruction

(hydronephrosis) is kidney function on renal scintigraphy investigation:
a. >70%
b. <60%
c. <40%
d. =50%
e. <90%

which type of hypospadia is connected with urine incontinence

a. glandular
b. peno-scrotal
c. perineal
d. any
e. a & c

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Answer:

question: varicocele of III degree is mainly treated by

a. open surgery
b. laparoscopy
c. coiling of testicular vein
d. observation
e. a & c

60. polycystic dysplastic kidney is:

a. unilateral
b. mainly disappear in 5yrs
c. found on prenatal ultrasound investigation
d. all of above are ture
e. none of above are ture

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Answer:

question: which of the following manifestations is associated with IBD?

1. gastrointestinal bleeding
2. dermatological lesions
3. Symptoms of uveitis
4. oral ulcerations
5. growth failure
a.1,2,3,4
b. 1,2,4
c.1,2,3
d. 1,3,5
e. All

Differential diagnosis of IBD involves:

1. Salmonella, Shigella, Yersinia infection
2. Parasitic infection
3. Meckel’s diverticulum
4. Acute pancreatitis
5. Liver cirrhosis
a. 1,2,4
b. 3,4
c. 1,2,3
d. 1,4
e. 1,3,5

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Answer:

question: In which of the following diseases bleeding from GI tract is common?

1. ulcerative colitis
2. food allergy
3. rectal polyp
4. achalasia
5. ulceration of the duodenum
a. 1,2,5
b. 1,3,5
c. 1,3,4
d. 1,2,3,5
e. 1,3
Pharmacological treatment of Crohn’s disease includes:
1. 5-ASA
2. Corticosteroids
3. Immunosuppressants
4. Biological treatment with anti-TNFa antibodies
5. Proton pump inhibitors
a. 1,2
b. 1,2,3
c. 1,2,3,5
d. 1,2,3,4
e. 1,5

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Answer:

question: A 13 year old body with a history of Crohn’s disease that has affected his ..and
.. for 4 years presented with blinded vision and eye pain. The patient has
…symptom o abdominal pain and diarrhea. …had no fever… His weight is
stable….He has also…migratory joint pained to his right knee and both….
The physical exam reveal a boy in moderate diarrhea. His right knee reveal
swelling with an effusion. His skin reveal tender, raised nodule over the
anterior surface of tibia. The abdominal is soft but tender in right lower
quadrant. No masses or organomegaly are palpable, there are no peritoneal
sign. The rectal exam reveals guaiac-negative stools. Which of the following
statements is true about extraintestinal manifestation of inflammatory bowel
disease?
a. Topical corticasteroides are contraindicated in the treatment of the
ocular complication
b. Treatment of the underlying bowel disease will probably improve symptom of
colitic arthritis
c. Arthritis is the most common extraintestinal manifestation of IBD
d. Both b and c are correct?
e. Arthritis never coexist with IBD

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Answer:

question: A child is admitted to the hospital. His test shows negative EmA antibody. The
symptom include chronic diarrhea.
a. Malabsorption syndrome
b. Celiac disease
c. Food allergy
d. …
e. …

Deficiency of EmA antibody means it is lack of

a. IgA
b. IgG
c. IgM
d. IgE
e. Fibrous…

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Answer:

question: differential diagnosis of recurrent bacterial pneumonia consider:

a. cystic fibrosis
b. immunodeficiency
c. congenital anormaly of tracheobronchial tree
d. aspiration sydrome
e. all

most common complication of staphylococcal pneumonia in child

a. obliterative bronchiolitis
b. pulmonary hemosiderosis
c. lung abscess & empyema
d. bronchial asthma
e. bronchiectasis

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Answer:

question: most common seen agent cause of acute bronchiolitis in infants:

a. pneumocystis carinii
b. RSV
c. EBV
d. pseudomonas
e. chlamydia trachomatis

the differential diagnosis of chronic interstitial pneumonia:

a. allergic alveolitis
b. connective tissue disease
c. primary immunodeficiency
d. congenital defects of surfactant biosynthesis
e. all of above

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Answer:

question: Pneumonia with Steven-Jhonson’ s syndrome, which is the most common

causative agent:
a. Mycoplasma pneumonia
b. RSV
c. toxoplasma
d. streptococcus pneumonia
e. all of above

treatment for acute asthmatic episode:

a. inhalated short acting beta 2 agonist
b. inhalated long acting beta 2 agonist
c. oral slow release theophylline
d. oral leukotriene modifier
e. inhalated corticosteroid

note:
Answer:

question: definition of hypertension in children

a. >140/90 in boys
b. >130/80 in girls
c. >80th percentile for age, gender and height
d.sys/and or diastolic >95th percentile for age, gender and height
e. a & b

the most common cause of hypertension in children is:

a. unknown cause
b. diseases of the heart
c. diseases of the kidney
d. metabolic diseases
e. disease of the endocrine system

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Answer:

question: what is the proper position for blood pressure measurement of the children
a. stating with arm fallen
b. sitting with arm placed on a table
c. laying with arm placed along the trunk
d. a + b
e. all of the above

the drug to treat hypertension in children:

a. diuretic
b. beta blocker
c. alfa blocker
d. ACE inhibitor
e. vasodilator

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Answer:

question: chief complain: 5 yr old boy with facial puffness, “a bad cold” 2 wks ago,
proteinuria 4+, pitting edema of the dorsal side of hand foot and sacrum
diagnosis
a. nephrotic syndrome
b. PSGN
c. alport syndrome
d. allergic nephritis

kidney biopsy
a. no kidney biopsy
b. no kidney biopsy because of diagnosis PSGN
c. kidney biopsy because of diagnosis alport syndrome
d. kidney biopsy because of diagnosis allergic nephritis
e. kidney biopsy because of steroid resistance and steroid independent

What is the first choice of treatment?

a . Antibodies and steroids
b. Steroids
c. Cyclophosphamide
d. cyclosporine A
e. Hypoallergic medice
Answer:

question: 4 month girl, fever, vomiting, loose stools. tactile fever 3 days, breast feeding less
well. No cough, no rash. Is alert, smiling, active, not toxic. Anterior fontanelle
(crown) is soft and flat oral mucosa is moist.
Diagnosis:
a. Acute gostroenterocolitis
b. Acute appendicitis
c. Acute otitis
d. Acute UTI
e. Acute pharyngitis
What pathogen is found in the microbiological test of this infant?
a. Klebsiella
b. Staphylococcus
c. enterobacter
d. Escherichia
e. Pseudomonas
The frequency of UTI in girls is approximately to?
a. 4.5%
b. 1.5%
c. 13%
d. 7%
e. 10%
Answer:

question: The complication of high grade vesicoureteral reflux could be?

a. Renal atrophy
b. Renal parenchymal injury
c. Decreased renal function
d. Hypertension
e. All

A child with known neurofibromatosis present with unilateral decrease in visual

acuity, pallor of the disc, and exophthalmoses. Which diagnosis is the most likely in
this child?
a. Craniopharyngioma
b. Optic nerve glioma
c. medulloblastome
d. cevrnous sinus thrombosis
e. cerebellar astrocytoma

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Answer:

question: On a routine NB screen, a 2 week old child in your clinic is noted to have sickle
cell disease. As you discuss treatment options with this family you recommend?
a. Monthly injection of Vit B12
b. Tetracycline prophylaxis
c. Meningococcal vaccine at 2, 4, and 6 months of age
d. Education of parents regarding abdominal palpation and temperature taking
e. Infusion of immunoglobulin every 6 weeks

While bathing her 2 year-old son, a mother feels a mass in his abdomen. A
though medical evaluation of the child reveals aniridia, hypospadia, horseshoe
kidney, and hemihypertrophy. The most likely diagnosis for this child is:
a. Neuroblastoma
b. Wilms tumor
c. Hepatoblastoma
d. Rhabdomyosarcoma
e. Testicular cancer

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Answer:

question: Of these chromosomal abnormalities, which are seen in the initial phase of
chronic myelocytic leukemia (CML)?
a. Supernumerary chromosome
b. Trisomy 21
c. Translocation 9;22
d. Translocation 8;14
e. Hyperdiploidy

Which of the following is the most common cause of wilm’s tumor?

1.hypoplastic kidney
2. UTI
3. Bechwith wiedeman syndrome
4. Polycystic kidney
5. Down syndrome

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Answer:

question: A patient with petechial rash, Platelet 20,000, hemoglobin and WBC normal:
1. Idiopathic thrombocytopenic purpura
2. Henoch–Schönlein purpura
3. DIC
4. ALL
5. SLE

A patient with bloody vaginal discharge, grapelike mass:

1. Clear cell adenocarcinoma
2. Embryonal rhabdomyosarcoma
3. leiomyosarcoma
4. granular cell myoblastoma
5. squamous cell carcinoma

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Answer:

question: A 14-year-old boy was admitted to the hospital because of syncope. He has history of
fatigue and chest pains. On physical examination there is systolic heart murmur along
the left sternal border. An ECG shows left ventricular hypertrophy and T-wave
inversion. Chest X-ray shows cardiomegaly. Echocardiography reveals asymmetric
interventricular septum hypertrophy and systolic anterior motion of the anterior mitral
leaflet. Which of the following is the most likely diagnosis?
A. endocarditis
B. myxoma
C. cardiomyopathy
D. pulmonary hypertension
E. mitral valve prolapse

A 4-day-old boy is full-term neonate with body weight 4 kg and Apgar score 10p. he
has presented central cyanosis form 2 day of life with depression of pO2 and oxygen
saturation. An ECG is normal. Chest X-ray shows narrow cardiac waist and increased
pulmonary vascularity. With prostaglandin infusion there is elevation of oxygen
saturation. What is the most likely diagnosis?
F. atrioventricular septal defect
G. transposition of the great arteries
H. mitral valve prolapse
I. pulmonary hypertension
J. tetralogy of Fallot

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Answer:

question: A 3 month-old girl heart murmur with in 3-4th intercostals space. She has history of
recurrent pulmonary infections. Chest x-ray shows enlarged heart and increased
pulmonary vascularity. Which of the following is the most likely diagnosis?
K. ventricular septal defect
L. tetralogy of Fallot
M. mitral valve prolapse
N. patent ductus arteriosus
O. aortic stenosis

A 3-day-old newborn is in very bad clinical state. He presents central cyanosis,

tachypnea with 60 breath/min, and tachycardia with 200 beats/min. Echocardiography
revealed critical aortic stenosis and infusion of prostaglandin was started. Which if the
following is the most appropriated next step of management?
P. cardiosurgery operation with cardiopulmonary hypass
Q. cardiosurgery operation withut cardiopulmonary bypass
R. ballon valvuloplasty of aortic valve
S. implantaion of valve prosthesis
e. ballon atrial septostomy (Rashkind’s procedure

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Answer:

question: Cardiac disease not regard to cause death in young athletes?

a. aortic stenosis
b. hypertrophy
c. VSD
d. Right ventricular arrhythmogenic dysplasia
e. Long QT syndrome

A 4-year-old girl was referred to pediatric cardiologist due to arterial

hypertension. Blood pressure on right arm is 140/90 mmHg. Which of the
following blood pressure is the most likely in a case of simple coarctation of the
aorta?
A. 190/110 mmHg on lower extremities
B. 110/50 mmHg on lower extremities
C. 170/90 mmHg on left arm
D. 190/100 mmHg on left arm
E. 170/90 mmHg on lower extremities

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Answer:

question: On physical examination an 8-year-old boy presents harsh systolic heart murmur
in right 2 intercostal space with thrill in suprasternal notch. He has history of chest
pains and syncopes. What is the most likely diagnosis?
A. pulmonary stenosis
B. tetralogy of Fallot
C. mitral valve prolapse
D. aortic stenosis

note:
Answer:

question: 9. Which not SLE?

a. Discoid rash
b. Arthritis
c. Chronic uveitis
d. Hematologic disorder
e. Antinuclear antibody

note:
Answer:

question: A 10-year-old girl, 15 minutes after she ate shelfish, develops diffuse urticaria

c. administer intramuscular epinephrine

Lung abscess, pneumatocele, pneumothorax and brochopleural fistula are complications of

infection

d. staph aureus

treatment of choice for mycoplasma pneumoniae rti

b Macrolide

the most frequent causative agent of acute brochiolitis in infant is

b RSV
Answer:

question: rashkind procedure is indicated in

c. d-TGA with restrictive interatrial communication

which of the following statements is true regarding neonatal ECG

c. right axis deviation is a result of increased pulmonary vascular resistance

which of the following does not require PGE1 continuous infusion in newborn

e. AVSD

which of the following is true regarding risk factors related with congenital heart defects

c. AVSD- advanced maternal age

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Answer:

question: a 12-year old girl with a family history of diabetes and coeliac disease presents with four month
history of weight gain, cold intolerance and poor concentration, symmetrical goiter

what is the diagnosis

c. hashimoto disease

what lab test

c. TSH, fT4, TPO ab, TG ab

in growth hormone deficiency due to hypopituitarism there is not observed

c. disproportionate body build

in primary adrenocortical insufficiency is not observed

d. hypokalemia
Answer:

question: major classification criteria of rheumatic fever do not consist of

a. joint pain

which sentence about sydenham’s chorea is incorrect

d. ASO levels are very high

bird like face of a child caused by jaw hypoplasia can be seen in case of children

b. who suffer from juvenile idiopathic arthritis (polyarticular with temporomadibular)

which abnormality is typical for nephrotic syndrome

e. proteinuria (>50mg/kg/day) hypoalbuminemia, hyperlipidemia edema, hemorrhage predisposition

proteinuria ( 50mg/kg/day), hypoalbuminemia, hyperlipidemia, edema, thrombotic tendency

Answer:

question: 7-year old boy was admitted to hospital with petichiae macroscopic hematuria hypertension
jaundice. Leukocytosis anemia with schistocytes

b hemolytic uremic syndrome

which abnormality/ies of the urinary tract predisposes to bacterial infection

1,2,3,4,5-vesicoureteral reflux, urethral valves, renal calculi, prune belly syndrome, narrow
pelvirueteric junction

what clinical outcomes can result from persistent hypertension in children

d. all—left vent hypert, retinopathy, nephropathy

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Answer:

question: what are typical abnormalities in laboratory test in patient with chronic renal failiure

1,3,4,5 hyperkalemia, hypocalcemia, anemia, acidosis

3-year-old boy is suffering from fever for the last 7 days. The child is treated with antibiotics without
response. Physical examination revealed rash on the trunk and limbs, enlarged cervical, auxiliary
and inguinal lymph nodes, conjunctivitis without purulent discharge. The most frequent diagnosis is:

c. kawasaki disease

cerebellar ataxia is a common complication of:

a. chicken pox

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Answer:

question: splenomegaly may be present in the course of :

e. all—infectious mononucleosis, CMV, viral hepatitis

Gregg triad is caused by:

e. congenital rubella

contraindication to the lumbar puncture includes

b. increased intracranial pressure

lumbar puncture is usually performed by inserting needle between

the 4th and 5th lumbar vertebrae

hemolytic uremic syndrome may be a consequence of the infection with

e. E. Coli
Answer:

question: 6-month child was admitted to the hospital with the high fever and nausea. During physical exam,
positive neck stiffness, lumbar csf 10000/uL prot 75mg/dl glu 40mg/dl what is the diagnosis

a. bacterial meningitis

the 5 years old girl was tested for hbv after the contact with the grandmother who had developed
jaundiceserologic markers: Hbe antigen, Ab negative, what is the diagnosis

d. status after hepatitis b vaccine

the following diseases spread by IV drug users sharing needles

d. Hepatitis B, Hepatitis C, AIDS

the differential diagnosis of epilepsy doesn’t include

e. pertussis
Answer:

question: the congenital hydrocephaluswith small calcification disseminated in brain

a. toxoplasma gondii

some of infectious diseases have been shown to increase the risk of certain cancers

c. HPV-cervical CA

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Answer:

question: a previously healthy 5 year old male presents to your office with facial puffiness, previously bad
cold, pitting edema 4+ protein on urinalysis, >cholesterol

what is diagnosis

d. nephrotic syndrome

in what clinical situation cencerning this boy do you have to perform kidney biopsy

b. there is no need to do kidney biopsy because of acute poststreptococcal glomerulonephritis

first choice of treatment

b. steroids

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Answer:

question: appropriate antibiotic therapy based on urine culture for pyelonephritis is

d. 14 day course

the indication for starting renal replacement therapy is NOT

e. hyperkalemia >5.5 mmol/L

typical complication for chronic renal failure may be

B. a,c,d,f,g—anemia, hyperkalemia, hypocalcemia, osteoporosis, hyperphosphatemia

mother of the 15 year old boy suffers from polycystic kidney disease PKD, what is the likelihood her
son will have it

a. 100%
Answer:

question: polycystic kidney disease PKD exists

c. autosomal sominant PKD or autosomal recessive PKD

ARPKD is

a,b,c—less common than ADPK, mainly infants, associated with hepatic fibrosis

a 4 day neonate presents with vomiting abdominal distention, pallor, fever,gross hematuria

a. urosepsis

neonates are increased risk group of renal vein thrombosis because of

a, b-- small vessel size, high renal blood flow

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Answer:

question: renal vein thrombosis tends to occur in neonates who suffer from

a,b,c hypovolemic shock, hemoconcentration, polycythemia

16 year old boy weights 81kg and is 180cm, estimate bmi

B. 25

Prader willi syndrome etiology is deletion in chr 15 what is not characteristic to this synd.
D. weight loss

Which of the following are characteristics for cushing

1,3,4,5 acne, moon face, HPN, impaired glucose tolerance

Complication of childhood obesity are following except

D. delayed puberty

14 year old reveals central obesity NMI 32,9 waist circ 96 acanthosis nigricans is connected with
B. insulin resistance

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Answer:

question: Noniatrogenic hypercortisolism is characteristic to

C. cushing syndrome or disease

A 10 year old boy presents with right sided nasal obstruction with pale mass
C. antrochoanal polyp

Kiesselbachs plexus major contributing vessels

a,b,c,d - anterior ethmoid, superior labial, greater palatine, sphenopalatine a

5 year old boy has been treated for 4 weeks for acute bronchitis without effect, inspiratory stridor
a. Foreign body

Acute abdominal clinical presentation typically presents in cases except

C. Pyloric stenosis

What is true in infantile pyloric stenosis

D. complete clinical presentation usually in second and third week of life

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Answer:

question: In the first day of life newborn patient presents with nonbilous vomiting
E. pyloric stenosis

Intraabdominal calcification in vomiting constipated neonate

C. meconium ileus

Acute epidural hematoma with mass effect is indication for

a. Craniotomy

Spina bifida is a congenital malformation connected with

a. Failure of neural tube closing

The main occupant of inguinal canal is

D all of above--spermatic cord in males, round ligament in f, ilioinguinal n

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Answer:

question: 8 year old girl history of middle ear infection and lymphedema in neonatal period
What is the diagnosis
B turner

What is necessary to establish diagnosis

E. karyotype

12 year old girl with family hx of diabetes pernicious anemia, heat intolerance weigh loss poor conc
E. graves

What laboratory test will you make

C. TSH, fT4, TPO Ab TSH rec Ab

A baby presents on 10 day of life dehydrated, pigment on genitalia, hypospadias, bifid scrotum
D. addison disease

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Answer:

question: 1 month old girl constipated jaundice large posterior fontanel umbilical hernia
C. congenital hypothyroidism

A 7 year old girl has breast development long dark hair over labia, what is management
a. CT of head

10 year old boy firm grade ii goiter hypoechogenic normal t4 levels, next diagnostic step
a. Diagnostic fine needle aspiration

A 9 month old infant with bloody vaginal discharge grape like necrotic mass in the vaginal vault
b. Embryonal rhabdomyosarcoma

The family of a child just diagnosed with ALL what is a poor prognostic sign
A. Presence of mediastinal mass

A 14 year old boy was admitted because of abdominal pain, bloody diarrhea, subcutaneous
nodules, anemia >CRP, iron deficiency +cANCA
B. ulcerative colitis

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Answer:

question: Which of the following statements concerning ulcerative colitis is true

B. the process usually begins in the rectum and spreads proximally

15 year old girl with crohns treated with infliximab for 3 months, what is diagnosis
e. differential diagnosis of parasitic infection is necessary

On the course of diagnostic process in this girl CMV infection was detected an responsible for
exacerbating crohn what is your therapeutic approach
a. You start treatment of CMV with gancyclovir

Which of the following is not a classification criterion for SLE

C. chronic uveitis

A three year old child with petechial rash, plt 20,000 what is the diagnosis
a. Immune thrombocytopenic purpura ITP

Lung abscess

note:
Answer:

question: Campylobacter jejuni except GI manifestation can cause

1,2,5 arthritis, guillain barre, hemolytic anemia

2 month old baby girl with dehydration and bloody stools fever
1,2,5 give water and electrolyte, take blood, administer cephalosporin iv

A 1.5 month old problems with defecation, cries 20 min before, strains then defecates
C. infant dyschezia

note: