بسم الله الرحمن الرحيم
Pedia Examgroup 32
1- a case of kernicterus with high bilirubin level + convulsion and other features
What is the best treatment ?
-Phenobarbitone
-blood transfusion the correctbecause stage 3 or 4 need this
-……………..
- ………….
2-prematurity complication all EXCEPT:
-CNS anomalies
-RDS
-chronic lung disease
-something traue
I was confused between cns anomalies and chronic lung disease but I think it is cns anomalies because most commonly cns complication IV hemorrhage
3- breast feeding characteristics of colostrums EXCEPT
- volume by ml or cc every day (he gave us a number)
-rich in protein
-………
-……..
Go to the handout
4-characteristics of absence seizure EXCEPT
-Complicated by generalizedTCS
-does NOT respond to therapy correct because it respond well to treatment
-………
-………..
5-neuromuscular diseases(duchenne and spinal…..) concentrate on symptoms and signs of both 2 diseases
PARADOXICAL BREATHING (IMPORTANT)in which disease(go to handout)
6- which NM disorder is X-linked
You have to know gower sign ,frog-like position and which is belonging to which
In short you have to differentiate between 2 NM diseases very carefully
7-about gastroenteritis very easy case
8-about biliary atresia also very easy? You will be surprised and and you read the question repeatedly because you will think there is a trick!
9-best treatment of chlamydial pneumonia
-erythromycin correct
10-all of the following cause lung dullness on percussion EXCEPT:
-pleural eff
-….
-……
-……
Very clear answer FROM MEDICINE KNOWLEDGE
11- the most severe complication of pneumonia
Pneumothorax correct
12-Hx of a child with upper respiratory tract infection .few weeks later patient develop edema around eye and there is something about complement level in post strepto.nephritis
Complement usually decrease and know the other features because Question around them
13-superior axis deviation is a feature of
-interventricular ………. correct(other name of ECD .in acyanotic lecture but doctor didn't wright ECD)go to handout
-……
-…..
-…..
14-all of the following are signs of heart failure EXCEPT
-perisacral edema
-gallop
-right hypochondrium pain correct because it is not a sign but a symptom the sign is tenderness
-tachypnea
-tachycardia
The all previous choices seem true DON't be confused
15- about growth parameters you should know how to calculate the wt ht by age & average increase /month or year
There MUST be a question
16- about developmental milestones
(VERY FREQUENT QUESTION) but in different ways
Sometimes the answer will not be as written in the handout So choose the closest and the nearest year or month
Sometimes they give a case of delayed milestone with normal development of other milestone TAKECARE!
e.g. a baby respond to gesture but can only sit supported what is the age of baby????
17-In rheumatoid arthritis Q about incidence of eye complication with which type of RA
The table that distinguish between the 3 types of RA in DR Mostafa handout is a location for Qs especially uveitis and its incidence among the 3 types
18- how to calculate the dehydration and fluid loss and how much fluid you give to the patient according to % of dehydration putting in mind if there is fluid bolus given to patient in ER
VERY FREQUENT Q ))
19- what is true or wrong about CPR? (not sure but Q is about CPR)
-unconscious adult usually because of cardiac causes and unconscious children usually a respiratory cause
-something about CPR
-
20- all of the following are involved in consciousness EXCEPT:
- cerebellum correct
-cerebrum
-spino………
-reticular formation
You will never read this information in any handout it depend on good physiologic memory or attending shock group discussion with DR Ahmed AL Barigi
21- Ricket as a case VERY CLEAR AND EASY
22-Malignancy Q about Tumor lysis Syndrome you should know the characteristic increase or decrease in electrolyte
Ca K & .. .. in lecture of Dr SAMY DAWOOD
(VERY IMPORTANT to know)
23-patient with hypernatremia Na above…. We should give
-1/2 normal saline
-1/4 nnormal saline
-….
I think 1/4 NS but go to the handout
& know the uses of 1/2 NS
24-immunization you should know all live attenuated vaccines and when its contraindicated as in patient with
Imm.compromized or suppressed
e.g. TB HIV or on steroid therapy
the Q came to us is about a child is on steroid therapy which of the following vaccine should not be given or all of the following is contraindicated EXCEPT
all live vaccines CANNOT be given BUT Toxoid &polysaccharide can be
25- you should know by heart when vaccine is taken
2nd month
4th …. And so on.
26- Q about meningitis treatment
Go & look at it in Handout
Good luck