PEDIATRICS Mcq Of The Day November,2008

Dr.Kamel Youssef Hassan Pediatrician Consultant C.E.S de Pdiatrie C.P.B in Pediatrics MRCBCH Gaza-Palestine

Pediatrics Mcq of the day Dr. Kamel Youssef Hassan MD

PEDIATRICS Mcq Of The Day November,2008

Pediatrics Mcq of the day Dr. Kamel Youssef Hassan MD

01-11-2008
Question :1
a)-A three years old boy presents with poor urinary steam. Most likely cause is? A-Stricture urethra. B-Neurogenic bladder. C-Urethral calculus. D-Posterior urethral valves. THE CORRECT ANSWER is D b)-The first one to ossify in the foetal life is A-Rib. B-Sternum. C-Vertebra. D-Non of the above THE CORRECT ANSWER is D c)-All of the following are features of neonatal necrotizing enterocolitis except?

A-Abdominal Distention. B-Metabolic acidosis. C-Pneumoperitonium. D-Increased peristaltic sounds

02-11-2008
Question : 2
A 11 months old boy, weighing 3 kg has polyuria, polydipsia and delayed motor milestones. Investigations show blood levels of creatinine 0.5mg/dL, potassium 3mEq/L, sodium 125mEq/L, chloride 88mEq/L, calcium 8.8mg/dL,pH -7.46, and bicarbonate 26mEq/L. ultrasonography shows medullary nephrocalcinosis. The most likely diagnosis is? A-Renal tubular acidosis. B-Diabetes insipidus. C-Bartter syndrome. D-Pseudohypoaldosternism. THE CORRECT ANSWER is C

Pediatrics Mcq of the day Dr. Kamel Youssef Hassan MD

03-11-2008
Question : 3
The treatment of choice for primary grade V Vesicoureteric reflux involving both kidneys in a 6 months old boy is? A-Antibiotic prophylaxis. B-Ureteric reimplantation. C-Cystoscopy followed by subureteric injection of Teflon. D-Bilateral ureterostomies. THE CORRECT ANSWER is B

04-11-2008
Question : 4
The most common leukocytoclastic vasculitis affecting children is? A-Takayasu disease. B-Mucocutaneous lymph node syndrome (Kawasaki disease). C-Henoch schonlein purpura. D-Polyarteritis nodosa. THE CORRECT ANSWER is C

05-11-2008
Question : 5
Common ocular manifestation in trisomy 13 is? A-Capillary hemangioma. B-Bilateral microphthalmos. C-Neurofibroma. D-Dermoid cyst THE CORRECT ANSWER is B

06-11-2008
Question : 6
Blood specimen for neonatal thyroid screening is obtained on? A-cord blood. B-24 hours after birth. C-48 hours after birth. D-72 hours after birth. THE CORRECT ANSWER is A

Pediatrics Mcq of the day Dr. Kamel Youssef Hassan MD

07-11-2008
Question : 7
If the birth weight of each of the 10 babies born in a hospital in a day is found to be 2.8 kg, then the standard deviation of this sample will be? A-2.8 B-0. C-1 D-0.28 THE CORRECT ANSWER is B

08-10-2008
Question : 8
The appropriate approach to a neonate presenting with vaginal bleeding on day 4 of life is ? A-Administration of Vit K. B-Investigation for bleeding disorder. C-No specific therapy. D-Administration of 10 ml/kg of fresh frozen plasma over 4 hours. THE CORRECT ANSWER is C

09-10-2008
Question : 9
Which one of the following drugs is used for fetal therapy of congenital adrenal hyperplasia ? A-Hydrocortisone. B-Prednisone. C-Fludrocortisone. D-Dexamethasone. THE CORRECT ANSWER is D

Pediatrics Mcq of the day Dr. Kamel Youssef Hassan MD

10-10-2008
Question : 10
The coagulation profile in a 13 years old girl with menorrhagia having Von Willebrand disease is ? A-Isolated prolonged PTT with a normal PT. B- Isolated prolonged PT with a normal PT. C-Prolongation of both PT and PTT. D-Prolongation of thrombin time. THE CORRECT ANSWER is A

11-10-2008
Question : 11
All of the following are true about manifestations of vitamin E deficiency except? A-Hemolytic anemia. B-Posterior column abnormalities. C-Cerebellar ataxia. D-Autonomic dysfunction. THE CORRECT ANSWER is D

12-10-2008
Question : 12
All of the following therapies may be required in a 1-hour old infant with severe birth asphyxia except? A-Glucose. B-Dexamethasone. C-Calcium gluconate. D-Normal saline. THE CORRECT ANSWER is B

Pediatrics Mcq of the day Dr. Kamel Youssef Hassan MD

13-10-2008
Question : 13
The most common cause of renal scaring in a 3 years old child is? A-Trauma. B-Tuberculosis. C-Vesicoureteral reflux induced pyelonephritis. D-Interstitial nephritis THE CORRECT ANSWER is C

14-10-2008
Question : 14
Which one of the following is the common cause of congenital hydrocephalus? A-Cranisynostosis. B-Intra uterine meningitis. C-Aqueductal stenosis. D-Malformations of great vein of Galen THE CORRECT ANSWER is C

15-10-2008
Question : 15
In a child, non-functioning kidney is best diagnosed by? A-Ultrasonography. B-IVU. C-DTPA renogram. D-Creatinine clearance. THE CORRECT ANSWER is C

16-10-2008
Question : 16
The most common malignant neoplasm of infancy is? A-Malignant teratoma. B-Neuroblastoma. C-Wilms tumor. D-Hepatoblastoma. THE CORRECT ANSWER is B

Pediatrics Mcq of the day Dr. Kamel Youssef Hassan MD

17-10-2008
Question : 17
The most common presentation of a child with Wilms tumor is? A-An asymptomatic abdominal mass.\ B-Haematuria. C-Hypertension. D-Hemoptysis due to pulmonary secondary. THE CORRECT ANSWER is A

18-10-2008
Question : 18
Eisenmenger syndrome is characterised by all except? A-Return of left ventricle & right ventricle to normal size. B-Pulmonary veins not distended. C-Pruning of peripheral pulmonary arteries. D-Dilatation of central pulmonary arteries. THE CORRECT ANSWER is A

19-10-2008
Question : 19
The most common site of leak in CSF rhinorrhea is ? A-Sphenoid sinus. B-Frontal sinus. C-Cribriform plate. D-Tegmen tympani. THE CORRECT ANSWER is C

20-10-2008
Question : 20
Which of the following is the mst common renal cystic disease in infants is? A-Polycystic kidney. B-Simple renal cyst. C-Unilateral renal dysplasia. D-Calyceal cyst. THE CORRECT ANSWER is C
Pediatrics Mcq of the day Dr. Kamel Youssef Hassan MD 9

21-10-2008
Question : 21
The most common type of total anomalous pulmonary venous connection is? A-Supracardiac. B-Infracardiac. C-Mixed. D-Cardiac. THE CORRECT ANSWER is A

Question : 22

22-10-2008

Diagnosis of beta Thalassemia is established by? A-Nnestroft test. B-HbA1 C estimation. C-Hb electrophoresis. D-Target cells in peripheral smear. THE CORRECT ANSWER is

Question : 23

23-10-2008

A child having status epilepticus should not be given? A-Clonazepam. B-Diazepam. C-Lamotrigine. D-Phosphenytoin. THE CORRECT ANSWER is C

Question : 24

24-10-2008
solution for

The sodium content of ReSoMal(rehydration malnourished children) is? A-90mmol/L B-60mmol/L C-45mmol/L D-30mmol/L THE CORRECT ANSWER is C

Pediatrics Mcq of the day Dr. Kamel Youssef Hassan MD

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Question : 25

25-10-2008

Which of the following statements is true of primary grade IV-V Vesicoureteric reflux in young children? A-Renal scaring usually begins in the midpolar region. B-Postnatal scaring may occur even in the absence of urinary tract infections. C-Long term outcome is comparable in patients treated with either antibiotic prophylaxis or surgery. D-Oral amoxicillin is the choice antibiotic for prophylaxis. THE CORRECT ANSWER is B

Question : 26

26-10-2008

A 3 years old boy presents with fever, dysuria and gross hematuria, physical examination shows a prominent suprapubic area which is dull to percussion. Urinalysis reveals red blood cells but no Proteinuria. Which of the following is the most likely diagnosis? A-Acute glomerulonephritis. B-Urinary tract infection. C-Posterior urethral valves. D-Teratoma. THE CORRECT ANSWER is B

Question : 27

27-10-2008

Transient synovitis (toxic synovitis) of the hip is characterized by all of the following, except ? A-May follow upper respiratory infection. B-ESR and white blood cell counts are usually normal. C-Ultrasound of the joint reveals widening of the joint space. D-The hip is typically held in adduction and internal rotation. THE CORRECT ANSWER is D

Pediatrics Mcq of the day Dr. Kamel Youssef Hassan MD

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28-10-2008
Question : 28
Enzyme replacement therapy is available for which of the folowing disorders ? A-Gauchers disease. B-Niemann Pick disease. C-Mucolipidosis. D-Metachromatic leukodystrophy. THE CORRECT ANSWER is A

Question : 29

29-10-2008

Cardiomyopathy may be seen in all of the following except ? A-Duchenne muscular dystrophy. B-Friedreichas ataxia. C-Type II glycogen storage disease. D-Alkaptonuria. THE CORRECT ANSWER is D

30-10-2008
Question : 30
All of the following are true of beta thalassemia major except? A-Splenomegaly. B-Target cells on peripheral smear. C-Microcyic hypochromic anemia. D-Increased osmotic fragility. THE CORRECT ANSWER is D

Pediatrics Mcq of the day Dr. Kamel Youssef Hassan MD

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Good luck
With My Best Wishes

Pediatrics Mcq of the day Dr. Kamel Youssef Hassan MD

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