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Cardiology:
65. Which of the following presentation suggest the diagnosis of Rheumatic Fever?
a. Arthralgia with fever
b. Carditis with arthralgia and fever.
c. Chronic recurrent tonsillitis with high ESR.
d. Arthralgia with prolonged PR interval.
86. Infective endocarditis is characterized by all the following, Except: .
a. Hematuria.
b. Pericardial effusion.
c. Splenomegaly.
d. Cerebral stroke .
93. Congenital cyanotic heart disease includes
a. VSD .
b. Patent Ductus Arteriosus.
c. Fallot tetralogy.
d. ASD
106. Fallot tetralogy include:
a. Pulmonary stenosis
b. Ventricular septal defect
c. Over riding aorta
d. All of the above
107. drugs used in treatment of cyanotic spells in Fallot tetralogy include all ,Ex.cept:
a.Oxygen
b.Lanoxine.
c.Propnalol.
d.Morphine.
126. Infective endocarditis is a serious complication of
a. Fallot tetralogy .
b. Ventricular septal defect
c. Rheumatic mitral valve disease.
d. All of the above
146. Serious complications of Fallot tetra logy includes
a. Eisenminger syndrome
b. Recurrent pneumonia
c. Brain abscess
d. Pulmonary hypertension
147. Major manifestations of Rheumatic fever include all the following, Except:
a. Carditis
b. Arthralgia
c. Chorea
d. Erthema nodosa
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157. Therapy of blue spell in Fallot tetralogy includes all the following, Except:
a. Knee chest position
b. Oxygen
c. Morphine
d. Dopamine
19. The most common major criterion of rheumatic fever is:
a) Carditis
b) Throat pain
c) Arthritis
d) Arthralgia
6. The murmer denoting active carditis:
a. Carey comb murmer
b. Early systolic murmer
c. Pan systolic murmer
d. Machinary murmer
6. The Carey Coomb murmur is due to :
a) Inflammation of the mitral valve
b) Increased diastolic flow across the mitral valve
c) Cardiac decompression
d) Defibrillation
36. Which of the following is true about Eisenmenger syndrome?
a) Usually a primary congenital cyanotic heart disease
b) Considered a high indication for surgery in a baby with congenital heart disease
c) Represents a serious complication of non cyanotic heart disease
d) Pulmonary hypertension is not always present
37. Prevention of rheumatic fever includes all the following Except :
a) Accurate treatment of acute tonsillitis in children
b) Antistreptococcal vaccine
c) Intramuscular penicillin for children with rheumatic heart disease every 3 weeks
d) community eardication of sterptococcal infections
Respiratory:
75. All the following are true about acute bronchiolitis, Except:
a. Most cases are under two years old.
b. Most cases are caused by respiratory syncytial virus .
c. Antibiotics are recommended in infants below three months age.
d. Steroids maybe helpful in some cases.
85. Bronchial asthma is characterized by all the following, Except:
a. Hyper active air way
b. Clubbing
c. Spasmodic cough
d. Bilateral chest wheezes
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105. All of the following cause acute wheezing, Except:
a. Bronchitis
b. Bronchiolitis
c. Bronchiaectasis
d. Bronchial asthma
125. All of the following are common causes of bacterial pneumonia, Except:
a. Staphylococci.
b. Hemophillus influenza.
c. Pseudomonas.
d. Klepsiella.
145. All of the fo llowing are common causes of empyema, Except:
a. Staphylococcal pneumonia
b. Lung abscess
c. Measles
d. Chest injury
7. The organ of gas exchange in the fetus is the
a) Amniotic fluid
b) Umbilical cord
c) Placenta
d) Lungs
5. Commonest cause of bacterial pneumonia in infancy:
a. H.. influenza
b. Streptococcus
c. Staphylococcus
d. Pneumococcus
5. serious complications of staphylococcal pneumonia include all the
following Except :
a) Lung abscess
b) Bronchitis
c) Empyema
d) Lung collapse
23. Suppurative lung diseases include all of the following Except
a) Bronchiectasis
b) Lung abscess
c) Tuberculosis
d) Empyema
24. Asthma triggers include all the following Except :
a) Viral respiratory infections
b) Tobacco smoke
c) House dust mite
d) Steroids
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39. all the following statements abot Tuberculosis in children are true Except
a) Chest TB is more common than other types.
b) tuberculin test is always positive in any tuberculous child
c) Should be included in differential diagnosis of all chronic chest problems
d) BCG does not give full protection against Tb
14. Gohn's focus is
a) Primary complex
b) Military TB
c) TB cavitation
d) TB lymphadenitis
Rheumatology:
22. Juvenile rheumatoid arthritis is characterized by one of the following :
a) Commonly affects large joints
b) Rheumatoid factor is always positive
c) Excellent response to steroids in all cases
d) Commonly affects small joints
Nutrition:
77. Which of the following statement is not true about Breast milk
a. It contains carbohydrates 7.0 gm % .
b. It contains proteins 4.0 gm %.
c. It contains water 87.5 %.
d. It contains less calcium than cow milk.
90. Non nutritional marasmus may be caused by.
a. Acute gastroenteritis .
b. Staphylococcal pneumonia.
c. V.S.D.
d. Urinary tract infections
91. All the following are causes vitamin D deficiency rickets, Except:
a. Low calcium in diet.
b. prolonged breast feeding
c. Lack of sun exposure .
d. Non response of bone receptors to vitamin D
92. Colostrum is privileged by having.
a. High iron .
b. High antibodies.
c. High vitamin D .
d. High calcium
101. The important reflex necessary for breast feeding:
a. Moro reflex
b. Grasp reflex
c. Rooting reflex
d. Cough reflex
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110. The clinical signs of kwashiorkor include the following, Except:
a. Edema
b. Skin changes
c. Hair changes
d. Bone changes
111. The complications of rickets include all of the following, Except:
a. Tetany
b. Tetanus
c. Respiratory infection
d. Fractures
112. Breast milk contains all of the following nutritional constituents, Except:
a. 7.2 gm fats
b. l.2 gm proteins
c. 7.0 gm carbohydrates
d. 87.5% water
130. A fourth degree marasmic infant is characterized by .
a. Loss of buccal pad of fats.
b. Skin changes
c. Edema.
d. Bowed legs
131. Biochemical changes that associate active Rickets include all the following, Except:
a. Low blood phosphorus.
b. High blood calcium.
c. High alkaline phosphatase.
d. High parathormone
132. Breast milk contains all of the following nutritional constituents, Except:
a. 3.5 gm fats
b. 1.2 gm proteins
c. 3.5gm carbohydrates
d. 87.5% water
150. Recommended basic requirement of vitamin D for infants is:
a. 400 u Ikg
b. 800 ulkg
c. 200 ulkg
d. 100 u/kg
151. Variable features of KWO include all the following, Except:
a. Mental apathy
b. Hair changes
c. Skin changes
d. Hepatomegaly
152.Breast milk in the first three days after delivery shows all the following, Except:
a.Called colostrum
b.Rich in proteins
c.High vitamin K content
d.High caloric value
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3. Breast milk prevents intestinal infectiion by
a) IgA
b) Lactoferrin
c) Lactobacillus bifidus
d) All of the above
15. The parameter that indicates chronicity of malnutrition is
a) Height
b) Weight
c) Head circumference
d) All the above
16. The clinical signs of kwashiorkor include the following except
a) Edema
b) Skin changes
c) Hair changes
d) Bone changes
17. The clinical signs of rickets include the following except
a) Frontal bossing
b) Beading of the ribs
c) Harrison's sulcus
d) Microcephaly
18. The complication of rickets include the following except
a) Tetany
b) Tetanus
c) Respiratory infection
d) fractures
20. The causes of death in protein energy malnutrition include all of the
following except:
a) Hypothermia
b) Anemic heart failure
c) Parasitic infestation
d) Electrolyte disturbances.
10. The fat which disappears last in marasmus is :
a. Buttock fat
b. Fat in the back
c. Buccal pad of fat
d. Abdominal wall fat
11. The investigations required to diagnose Rickets, include all the following except :
a. Serum calcium
b. Serum phosphorous
c. Alkaline phospatase
d. Serum magnesium
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12. Closterum is Breast milk secreted in the first post natal :
a. 2-3 days
b. one week.
c. 3-5 days
d. One month
11. Which of the following is correct about breast milk:
a) Iron is low in breast milk.
b) It should be stopped during diarrhea
c) Its caloric content is much higher than cow milk
d) It is poor in vitamin A
3. The early recovery in kwashiorkor is
a) Disappearance of edema
b) Increased weight
c) Increased appetite
d) interest in surroundings
9. The fat which disappears last in marasmus is :
a) Abdominal fat
b) Buttocks fat
c) Buccal pads of fat
d) subscapular fat
10. The daily requirement of vitamin D3 is :
a) 200-400 IU
b) 400-800 IU
c) 800-1000 IU
d) 1000-1500 IU
25. Weaning is characerized by all the following Except :
a) It should be gradual
b) Should begin with hypoallergenic diet
c) YOu can add two types of food simultaneously
d) Not to be tried immediately after vaccination
Infection:
60. Animal transmitted diseases include all Except:
a. Rabies.
b. Tuberculosis.
c. Avian flue .
d. Poliomyelitis
70. Which of the following vaccines can be given to a child with immune deficiency?
a. Oral polio vaccine.
b. Varicella vaccine
c. Measles - Mums - Rubella Vaccine
d. Hepatitis B vaccine.
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76. Which of the following is not a compulsory vaccine given in the first year of life:
a. Measles Vaccine.
b. BCG Vaccine.
c. Meningitis vaccine.
d. Polio vaccine.
78. All the following infectious diseases are essentially associated with rash,Except:
a. German measles.
b. Chickenpox.
c. Mumps.
d. Roseola infantum.
89. The incubation period of chickenpox is:
a. One week
b. 2 to 3 weeks
c. 2 to 3 months
d.3 days
100. Oral polio vaccine is .
a Live attenuated vaccine.
b. Killed vaccine.
c. Given at birth .
d. Given at 4,8,12 months of age
113. Paroxysmal stage of pertussis persists for:
a. 2 weeks
b. 4 weeks
c. 3 weeks
d. 8 weeks
133. The incubation period of measles is :
a. 2 weeks
b. 4 weeks
c. 3 weeks
d. 8 weeks
153. The incubation period of Chickenpox is :
a. 3 weeks
b. 4 weeks
c. 8 weeks
d. 1 week
154. Rash of measles is characterized by all the following Except:
a. Starts behind the ears .
b. Spread from above downwards
c. May be hemorrhagic in immuncompromised children
d. May be vesicular
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11. The manifestations of rubella syndrome include the following except
a) Mental retardation
b) Microcephaly
c) Cardiac defects
d) Macrocephaly
12. The virus causing chicken pox
a) rubella
b) Varicella
c) Herpes simplex
d) None
13. The diphteritic membrance is mainly seen on :
a. Tonsils
b. Conjunctiva
c. Skin
d. Larynx
8. Paroxysmal stage of pertussis persists for :
a) 2 weeks
b) 3 weeks
c) 4 weeks
d) 6 weeks
12. Measles rash begins :
a) On chest and back
b) Behind ear
c) Behind neck
d) On the face
20. Complications of diphtheria include all the following Except :
a) Squint
b) Flaccid paraplegia
c) Heart failure
d) Ataxia
35. Infectious mononucleosis is characterized by all the following Except :
a) Generalized lymphadenopathy and splenomegaly
b) Elevated liver enzymes
c) Convulsions
d) Aplastic anemia
40. Animal transmitted diseases include all Except :
a) Rabies
b) Tuberculosis
c) Avian flue
d) Poliomyelitis
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Emergency:
87. The most common cause of hypovolemic shock is .
a. Acute renal failure ..
b. Heart failure ..
c. Gastro enteritis.
d. Toxic . coma
119. All of the following are urgent management of septic shock, Except:
a. Oxygen therapy
b. Blood transfusion
c. IV antibiotics
d. Steroids
127. Drugs used in treatment of heart failure include all of the following, Except:
a. Diuretics.
b. Digoxin
c. Propnalol
d. Morphine
139. Coma due to metabolic error include all of the following, Except:
a. Diabetic ketoacidosis .
b. Uremic coma.
c. Hypertensive encephalopathy .
d. Hyperammonemia
7. Basic steps in Cardiopulmonary Resuscitations include all the following except :
a. Keep open airway
b. Artificial breathing.
c. Cardiac decompression.
d. Defibrilation.
19. The most urgent management of hypovolemic shock is :
a. Oxygen therapy
b. Assisted ventilation
c. IV. Fluids
d. IV. antibiotics.
Hepatology:
61. Fulminante hepatitis is characterized by all the following, Except:
a. Serum bilirubin above 10 mg/dl
b. Serum albumin below 3 mg/dl
c. Blood ammonia above 150 mg/dl
d. Positive PCR
62. Post hepatic causes for portal hypertension include all , Except:
a. Budd Chiari syndrome.
b. Galactosemia.
c. Pericardial effusion .
d. Congestive heart failure
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88. The main investigation recommended for cholestasis include all the following, Except:
a. Abdominal ultra sound
b. Serological tests of hepatitis.
c. Alkaline phosphatase .
d. Liver biopsy
94. The most common cause of Liver cirrhosis in children is?
a. Gaucher disease.
b. Hepatitis.
c. Wilson disease.
d. Rheumatic heart disease
109. The following would be compatible with the diagnosis of portal hypertension:
a. Use of umbilical catheter
b. Thrombocytosis
c. Hematemesis
d. Iron deficiency anemia
129. In a mother with hepatitis B, all of the following are true, Except: .
a. She should screen her newborn for hepatitis markers.
b. She should vaccinate her newborn with hepatitis B vaccine.
c. She should not breast feed her baby.
d. She should give her baby hepatitis immunoglobulin after delivery
149. Cholestasis can be diagnosed properly by all of the following, Except:
a. Liver enzymes
b. Abdominal sonar
c. Liver biopsy
d. Ascitic tap
4. Important liver function includes:
a) Maintenance of blood glucose concentration
b) Excretion of nitrogen waste as ammonia
c) Control of insulin release
d) Production of gammaglobulin
9. The incubation period of hepatitis A :
a. one week
b. 2 to 6 weeks
c. 2 to 6 months
d. 3 months
38. Incubation period for hepatitis A is :
a) 10 days
b) 2 to 6 weeks
c) 2 months
d) 6 months
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GIT:
79. Painful oral ulcers include.
a. Monomial stomatitis .
b. Herpetic gingivostomatitis.
c. Traumatic ulcer of a broken tooth
d. All the above .
80. The most common cause for recurrent abdominal pains in children is .
a. Renal stones .
b. Familial Mediterranean fever
c. Intestinal parasites.
d. Inflammatory bowel disease.
108. Serious complications of gastroenteritis include:
a. Dehydration
b. Acidosis
c. Shock
d. All of the above
128. Hypertonic dehydration is characterized by:
a. Moist tongue
b. Lost skin elasticity
c. High serum sodium
d. Drowsiness
148. Persistent diarrhea define that type which remains for:
a. More than 2 weeks.
b. More than 4 weeks.
c. More than 2 months.
d. More than 3 months.
8. The commonest electrolyte and acid/base disturbance in acute diarrhea include all the following except :
a. Hyponatermia
b. Hypokalemia
c. Acidosis
d. Alkalosis
26. Emergency treatment of esophageal varices include :
a) Blood transfusion
b) Nasogastric tube placement
c) Vitamin K
d) All of the above
Neonatology:
66. All of the following are correct about physiological jaundice, Except:
a. It is a conjugated hyperbilirubinemia
b. The baby looks healthy and feeds well
c. Doesn't exceed 12 mg/dl
d. It doesn't persist more than 7 days
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67. One of the following is useful for assessment of gestational age in preterm infants.
a. Presence of Palmar crease.
b. Breast size.
c. Scarf sign.
d. Muscle tone.
68. A major recognized problem for small for date full term neonates:
a. Sepsis.
b. Jaundice .
c. Hypothermia.
d. Hyaline membrane disease
69. All of the following are true about photo therapy, Except:
a. Reduce serum unconjugated bilirubin level.
b. Can cause watery stools.
c. Increase fluid requirement.
d. Can be a substitute for Exchange transfusion in small preterm with hyperbilirubinemia.
81. Neonatal period extends up to:
a. 21 days .
b. 28 days.
c. 30 days.
d. 35 days.
84. Kernicterus is characterized by all of the following , Except:
a. Is caused by early neonatal hypoxia
b. Bilirubin is deposited in the basal ganglia
c. can be prevented by early exchange transfusion
d. A main cause of cerebral palsy
121. Moro reflex in normal neonates disappear at
a. 1 week
b. 3 weeks
c. 6 weeks
d. 3 months
124. Cephalhematoma in the newborn may be complicated with all the following, Except:
a. Convulsions.
b. Sepsis
c. Skull bony defect
d. Anemia
144. Hyaline membrane disease in newborn is common among infants with
a. Rh-incompatibility .
b. Congenital hypothyroidism.
c. Infants of diabetic mother.
d. Dysmature babies
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10. The umbilical cord contains
a) One artery and one vein
b) One artery and two capillaries
c) Two arteries and one vein
d) Two veins and one artery
1. Persistence of Moro reflex at 12 weeks indicate :
a. Brain damage
b. Normal child
c. Hungry child
d. Irritable child
8. Atelectesis due to intrabronchial obstruction may be due to:
a) Foreign body
b) Mucus plug
c) Both
d) None
Nephrology:
64. All of the following are true about nocturnal enuresis, Except:
a. It is a night time bed wetting .
b. Urinary tract infection is the most common cause.
c. Strong family history is present in many cases .
d. It may be due to maturation delay in bladder control
71. All of the following might be pre renal causes for Acute renal failure, Except:
a. Gastroenteritis
b. Heart failure
c. SLE
d. Hemorrhage after crush accident
72. Recurrent urinary tract infections is commonly associated with:
a. Vesico-ureteric reflux.
b. Acute post streptococcal glomerulonephritis.
c. Ureteric stones.
d. Nephrotic syndrome on steroid therapy
96. Diagnosis of nephrotic syndrome is mainly based on the presence of.
a. Proteinuria.
b. Hematuria.
c. Pyuria.
d. Crystalluria.
115. Post streptococcal glomerulonephritis is characterized by all of the following, Except:
a. High ESR
b. RBCs, proteins, in urine
c. High complement 3
d. Positive CRP
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135. The most common complication of minimal change nephrotic syndrome is
a. Repeated infections.
b. Acute renal failure .
c . Bleeding tendency.
d . cerebral strokes
161. Nephrotic syndrome is characterized by all of the following, Except:
a. Relapses and remissions .
b. Heavy range of proteinuria .
c. Minimal change type is rare.
d. Good response to steroids in most cases.
155. Indications of renal biopsy in nephrotic syndrome. Except:
a. Repeated infections
b. Steroid resistant patients
c. Positive family history
d. Impaired renal functions
9. The following are causes of generalized edema except:
a) Malnutrition
b) Congestive heart failure
d) Urticaria
d) Nephrotic syndrome
16. All the following are complications of Nephrotic syndrome except :
a. Peritonitis
b. Shock
c. Thrombosis
d. Alkalosis
15. All the following are complications of post streptococcal glomerulonephritis Except:
a) Acute renal failure
b) Septicemia
c) Pulmonary edema
d) Hypertensive encephalopathy
27. Common presentations of chronic renal failure in children include :
a) Anermia
b) Bone deformity
c) Hypertension
d) All of the above
Neurology:
73. Brain death means loss of:
a. Cortical function
b. Brain stem function
c. Spinal reflexes
d. Cardiac activity
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95. All of the following are true about septic meningitis, Except:
a. May complicate Otitis media in children.
b. May be complicated by hearing loss in children.
c. C. S. F. examination shows high sugar content.
d. Neck rigidity is path gnomonic.
114. The cause of death in spinal polio is:
a. Paralysis of respiratory muscles
b. Cardiac arrest
c. Cranial nerve paralysis
d. Urinary complications
134. Limb paralysis in polio is characterized by :
a. Non symmetrical.
b. No sensory loss.
c. Non regressive.
d. All of the above
137. All of the following might be causes of cerebral palsy ,Except:
a. Kernicterus .
b. Toxoplasmosis.
c. Congenital hypothyroidism.
d . Tuberous sclerosis
160.Cerebral palsy is characterized by
a. Mental retardation
b. Motor disability
c. Curable
d. Sensory loss
5. Cerebral palsy description is as follows except
a) Nonprogressive motor deformity
b) Progressive motor deficity
c) Perinatal insult
d) May be associated with convulsions
15. All the following are causes of cerebral palsy except :
a. Rubella syndrome.
b. Hydrocepthalus
c. G6PD deficiency
d. Kernicterus
13. The CNS area commonly affected in poliomyelitis is:
a) Anterior horn cells of spinal cord
b) Carnial nerve nuclei
c) Sensory roots of spinal nerves
d) Motor part of cerebral cortex
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14. All of the following are characteritics of cerebral palsy Except:
a) Non progressive motor deformity
b) Peripheral insult
c) Peripheral sensory loss
d) Non curable
18. All of the following are true about febrile convulsions Except :
a) Commonly seen between 6 months to 5 years age
b) Usually does not last more than 10 minutes.
c) Long term anticonvulsants are usually not needed
d) Seizures are classically focal
14. The fatal poliomyelitis is :
a. Bulbar polio
b. Spinal polio
c. Encephalitis
d. Cerebral polio
Endocrinology:
99. All of the following are true about tetany, Except:
a. Is caused by deficiency of parathormone.
b. Is caused by cholestredium tetani.
c. Is diagnosed by low serum calcium.
d. Manifest by carp pedal spasms.
117. Mental retardation is present in all of the following, Except:
a. Hypothyroidism
b. Tetany
c. Mongolism
d. Tuberous sclerosis
120. Delayed puberty may be due to:
a. Growth hormone deficiency
b. Malnutrition
c. Hypothyroidism
d. All of the above
6. The site of lesions in myasthenia gravis:
a) Spinal cord
b) Neuromuscular junction
c) Cranial nerves
d) All of the above
19. Complications of diabetes mellitus in children include all the following Except :
a) Hypoglycernic coma
b) Ketoacidotic coma
c) Uremic coma
d) Skin infections
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30. Type 1 diabetes mellitus is characterized by all of the following Except :
a) Genetic susceptibility
b) Mumps and chicken pox are common triggering factors for its onset
c) Is treated only by insulin
d) Oral hypoglycemic drugs have a therapeutic role.
Growth & Development:
82. An infant sits without support by ..... month.
a. 5 month.
b. 7 month.
c. 8 month.
d. 9 month.
83. The head circumference ,by the end of the second year equals:
a. 35 cm .
b. 45 cm.
c. 50 cm.
d. 60 cm .
102. An infant sits without support by ... .... Months
a. 4
b. 5
c. 6
d. 7
103. Infants body weight is tripled by the age of:
a. 5 months
b. 24 months
c. 12 months
d. 18 months
104. In percentile growth curves measurement above ...... are considered abnormal.
a. 50%
b.75%
c.90%
d.95%
122. An infant stands without support by ...... months
a. 10 months
b. 12 months
c. 14 months
d. 18 months
123. Head circumference in normal newborn measures
a. 25 cm
b. 32 cm
c. 35 cm
d. 45 cm
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140. Short stature may be due to:
a . Growth hormone deficiency
b. Malnutrition
c. Hypothyroidism
d. All the above
142. An infant supports his head by .. . ... months
a. 2 months
b. 4 months
c. 8 months
d. 10 months
143. Weight gain in the first four months of age increase by
a. 250 gm/month .
b. 500 gm/ month
c. 800 gm/ month
d. 1500 gm/ month
141. Grasp reflex in normal neonates is present since.
a. 1 week
b 3 weeks
c. Birth
d. 3 months
Growth & Development :
1. The first deciduous tooth appears by
a) 3-4 months
b) 4-5 months
c) 8-9 months
d) 5-7 months
2. The faster weight gain is seen at
a) First year and puberty
b) Second year and puberty
c) Puberty
d) Infancy
2. A child starts crawling at :
a. 5 months
b. 7 months
c. 8 months
d. 9 months
3. the average monthly weight gain in the first 4 months :
a. 250 gm.
b. 500 gm.
c. 750 gm.
d. 1000 gm.
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4. In percentile growth cures, measurement below ..... is considered below
normal.
a. 50%
b. 25%
c. 7%
d. 3%
20. Short statute may be due to :
a. Malnutrition
b. Growth hormone deficiency
c. Diabetes mellitus
d. All the above
1. Normal reflex patterns at birth may include :
a) Grasp reflex
b) Rooting reflex
c) Moro's reflex
d) all of the above.
2. A child starts to support his head at
a) 1 month.
b) 2 months
c) 3 months
d) 4 months.
4. In percentile growth curves, measurement persistently below 3% is
suggestive of
a) Malnutrition
b) Endocrinal disease
c) Chronic infection
d) All the above
21. All the following are true about microccephaly Except
a) It may be primary or secondary
b) Congenital cytomegalovirus infection may be a cause
c) It is always associated with motor deficit.
d) Hypoxic ischemic brain damage may be a cause
31. The most commonly used growth curve in children, although its not the
most accurate is:
a) Velocity growth curves
b) Distance growth curves
c) Percentile growth curves
d) Standard growth curves
34. Which of the following is true about craniocynostosis?
a) Mental function is commonly affected
b) Skull is deformed
c) Child has urinary incontinence
d) Always associated with convulsions
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Hematology:
63. Iron deficiency anemia is characterized by all the following Except
a. Low serum iron
b. Pica
c. Is caused by low iron content in cow milk fed babies.
d. Is associated with chronic blood loss in parasitic infestation
74.Which of the following is correct about Henoch-Schonlein purpura ?
a Arthritis is not a common finding ..
b Normal platelet count ..
c Dramatic response to aspirin therapy.
d Steroid therapy is indicated to all cases
97. Immune thrombocytopenic purpura is secondary to
a. Bone marrow inhibition by drugs.
b. Leukemia.
c. Anti platelet antibodies.
d. Non of the above
116. All of the following are diagnostic of Thalassemia, Except:
a. Microcytic hypochromic anemia
b. High fetal hemoglobin
c. Low reticulocytic count
d. Hyper cellular bone marrow
118. Beta Thalassemia is :
a. Sex linked disease
b. Autosomal recessive disease
c. Polygenic
d. Autosomal dominant
136. All the following are diagnostic of Iron deficiency anemia, Except:
a. Microcytic hypochromic anemia
b. High ferretin level in blood.
c. Low serum iron
d. High iron binding capacity
156. All the following are diagnostic of hemolytic anaemia.
a. Microcytic hypochromic anaemia
b. Low reticulocytic count
c. Low red cell survival.
d. Hyper cellular bone marrow.
17. Iron deficiency anemia is characterizedby all except:
a. High total iron binding capacity.
b. Low serum ferritin
c. Macrocytic hypochromic anemia
d. Low serum iron
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16. All of the following are characteristic of Immune thrombocytopenic
purpura Except:
a) Intracranial hemorrhage is a serious complication
b) Always associated with splenomegaly
c) Anti platelets antibodies are the main cause
d) Is preceded by upper respiratory infection in more than 60% of cases
28. Repeated blood transfusion is indicated in thalassemia children to :
a) Achieve better growth
b) Decrease cardiac dilatation
c) Both a and b
d) None of the above
29. Hemophilia A is characterized by ONLY one of the following:
a) Decreased activity of factor VIII.
b) An autosomal dominant disease
c) Less common than hemophilia B
d) Normal partial thromboplastin time.
