Pedia Examgroup 32

Pedia Examgroup 32

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