9) A new born baby on neonatal examination has no abnormal finding,mother is insiting to take the baby

home, on discharge his mom is noted to have a bruise around her eye,he is the second sibling of 2yrs old
who is found to b on the child protection register,
What will b ur next step?
A. Call the police
B. Contact the named midwife for baby protection
C. Call the health visitor and discuss her case
D. Let them go without intervention
E. (dun remember) but no option regarding social worker

10) 2year old boy seen by his gp and founfd to be malnourished and odematous.his weight is >3SD
weight for height.cocious but miserable.he sends him to emergency where he got admitted.urine dipstick
was negative (BOF)
What will u do…
A. Feed orally with cows milk formula
B. Feed with soya milk formula
C. Give 1ml/kg furosmide
D. Give human albumin 4.5% 20ml/kg
E. 5ml/kg 10% dextrose

11)inguinal canal: (T/F)

A. Contains processus vaginalis in female
B. Conatains vas deference in male
C. Inguinal ligament forms the base
D. Femoral artery passes underneath it
E. Deep inguinal ring open in external oblique

12)what shifts O2 disociation curve to the left(t/f)

A. Iron deficiency
B. Decreased pH
C. Increased CO2
D. Decreased DEP
E. Hypothermia

13) A 7 yr old girl has umbliacted papules on face and hand ,her friends tease her and don’t let her play
with her her
Management (BOF)
A. Reassure
B. Refer to cryotherapy
C. Topical silver nitrate
D. …….(dun remember)

Which are true regarding Creutzfield Jacob disease?

Rapid progressive dementia is common TrueFalse

Progressive ataxia TrueFalse
When due to infection from an infected product, the usual incubation period is about 2 years TrueFalse
Genetic susceptibility is a feature TrueFalse
Ch

ildren have been infected from human growth hormone injections true/false

The polymerase chain reaction (PCR) is becoming widely used in both research and clinical medicine.
Which of the following statements is correct?

1
a.The Taq polymerase used is of viral origin

b.After approximately 30 cycles, a million cDNA copies can theoretically be made from a single target copy

c.Cycling of the reaction-mixture temperature enables sequential extension, annealing and denaturation

d. Specific sense and antisense primers that bind to part of the downstream target sequence are used as
the starting point of the polymerase

e.Reverse transcriptase-PCR (RT-PCR) is able to identify the transcripts of a given gene by detecting the
messenger (m) RNA coding for the gene

A 15-year-old girl presents complaining of an odd patch of skin that she noticed on her left thigh and
which has developed over the past couple of weeks. On examination there is a very firm and slightly
indurated pale area of skin on her upper thigh, which is a few centimetres across, and the lesion has an
erythematous border. The pale area of skin appears to have a rather atrophic, glazed appearance.

What diagnosis fits best with this clinical picture?

Lichen sclerosus et atrophicus

Pityriasis vesicular

Dermatomyositis

Morphoea

Theme: Development regression

A Hypothyroidism
B Batten disease
C Aminoaciduria disorder
D Human immunodeficiency virus (HIV) encephalopathy
E Peroxisomal disorders
F Lead encephalopathy
G Subacute sclerosing panencephalopathy
H Spieler–Mayer–Schrögen syndrome
I Leigh’s encephalopathy
J Hydrocephalus secondary to a medulloblastoma

2
Three children present to the child development centre for assessment of developmental regression. The
diagnoses listed above are possible causes for developmental regression. Match the three clinical
scenarios to one diagnosis from the diagnostic suggestions above.

Scenario 1

A 3-year-old boy and his parents review a hospice. He presented previously with myoclonic jerks, optic
atrophy and progressive dementia. His parents have found it increasingly difficult to control his myoclonic
jerks and he is becoming increasingly agitated, requiring sedation. A bone marrow sample found lipofuscin
in his marrow cells. What is his diagnosis?

Scenario 2

A 14-year-old Iranian girl presents with a 6-month history of developmental regression. She has
regressed in all categories of her development and now wears nappies both day and night. She has ten
words in her own language and appears unable to communicate. There is no previous medical history to
note. She is unvaccinated. She has had all the usual childhood rashes. On clinical examination, she is well.
Her Griffiths mental scale scoring portrays her subquotient results as follows: gross motor 8.5 months,
social skills 12 months, language and hearing 14 months, and hand and eye coordination 18 months; she
was unable to carry out the performance tasks. What is the most likely cause of this girl’s developmental
regression?

Scenario 3

An 8-year-old girl presents with a 12-month history of early morning headaches with associated nausea
and vomiting before breakfast. She is otherwise fit and well. Her friends have noticed that she does not
participate in lunchtime meals as she used to. On clinical examination, she is found to have increased
reflexes and clonus on the right side. On ophthalmic examination, there is papilloedema of the left eye.
What is her diagnosis?

Which of the following diagnoses is the most likely in a 3-year-old boy who has epilepsy and, on
examination, has numerous depigmented macules and two café-au-lait spots?

Tuberous sclerosis

Neurofibromatosis 1

Ataxia telangiectasia

Incontinentia pigmenti

Sturge–Weber syndrome

1.7 year old with faltering growth bloated abdomen , Anorexic .Small bowel biopsy confimrs crohns
disease What is first treatment of choice

3
a polymeric diet
b.prednisolone
c.infliximab
.dnone of the above