CagayanStateUniver

sit
y
Col
l
egeofMedi ci
neandSur ger
y
Wr i
tt
enRev al
i
da
Depar
tmentofPedi at
ri
cs

Name Dat
e
Scor
e

MULTI
PLECHOI
CE.Wr
it
elet
teroft
hecor
rectanswerbef
oreeachnumber
.Noer
asur
es.

_
___
___
__1.Thi
sist
hef
ir
stbonet
oossi
fyinafetus.
a.Wri
st c.Ster
num
b.Cl
avi
cle d.Femur

_
___
___
__2.Thi
sist
hemostcommoncongeni
tal
hear
tdi
seasecompr
isi
ng45%.
a.ASD c.VSD
b.PDA d.TOF

_
___
___
__3.Thi
sappear
sas“
Eggonastri
ng”appearanceonChestX-
ray
.
a.TGA c.Coar
ctat
ionoftheaorta
b.TAPVR d.TOF

_
___
___
__4.Itappearas“ St
ri
ngSi
gn”onabdomi nalXray
a.Pyl
oricStenosis c.I
ntussusscepti
on
b.Duodenal at
resi
a d.Il
ealat
resia

_
___
___
__5.Thissympt
om al
onei
sadequatet
osatisf
ytheJonescr
it
eri
a.
a.Cardi
ti
s c.Er
ythemamulti
forme
b.Sydenham’
schor
ea d.Art
hri
ti
s

_
___
___
__6. WhatisthemostcommoncauseofFuruncl
esandCarbuncl
es?
a.St
aphy
lococcusaur
eus c.Str
ept
ococcuspyogenes
b.St
aphy
lococcusepi
dermi
dis d.al
loft
heabov e

_
___
___
__7.Inf
antsofdi
abet
icmother
sarewatchedoutfor
a.Sepsi
s c.Bl
eeding
b.Respi
rat
orydi
str
esssyndr
omed.Hy pogly
cemia

_
___
___
__8.St
aphylococcal
Inf
ect
ionsar
eusuall
ytransmi
tt
edthru
a.Dr
oplet
s c.Contami
natedfoodandwater
b.Mosqui
toes d.Personshands

_
___
___
__9.Theear
li
esti
ndi
cat
orofPneumoniai
nachil
dof6mont
hsi
s
a.Wheezi
ng c.RRandabove50/mi
n
b.st
ri
dor d.chesti
ndr
awing

_
___
___
__10.Themostcommoncauseofdiarr
heal
diseasei
nthef
ir
st2y
ear
sofl
i
fe
a.Rot
avir
us c.E.col
i
b.Vi
bri
ocholer
a d.Amoebiasi
s

_
___
___
__11.A10y earoldst
udentdev el
opsfrequentepisodesofspont
aneousbl
ankst
ari
ng
for5seconds.Asi
defrom thatsheisnormal,shemostl i
kel
yhas
a.Beni
gnRolandicepi
lepsy c.AtomicSeizur
es
b.Complexparti
alsei
zure d.Simpleabsence( pet
itmal
)
_
___
___
__12.Whatisthemostcommonser i
ouscompl
icat
ionofKawasaki
disease?
a.Meningi
ti
s c.Hepati
ti
s
b.Renaldi
sease d.Coronar
yaneur
ysm

_
___
___
__13.A10y earoldgirlhasl
ethar
gy ,changeofsensor i
um,headache,
nausea,
vomiti
ngandf ever.Fiveyear
sago, shewashospi tal
izedbecauseofmeasles
pneumonia.Hercondi ti
onisprobably
a.Meningi
tis c.Guil
l
ainBar r
eSyndrome
b.SubacuteSclerosingpanencephali
tis d.JapaneseBencephalit
is

_
___
___
__14.A2y /oboyhasvomi
ti
ngandcyanosisfol
lowi
ngbout
soffor
cefulcoughi
ngof3
weeksdur ati
on.HisWBCis20,
000;Neut
rophil
sof10;l
ymphocy
tes90.Themost
li
kel
ydiagnosisis
a.Tuberculosi
s c.Pert
ussis
b.Dipht
her i
a d.Pneumonia

_
___
___
__15.Anewbor nwit
hCongeni
tal
Rubel
lasyndromecont
inuousl
yshedt
hev
irusunt
il
a.fort
her estofhi
sli
fe c.unt
il3y
earsold
b.unti
ltr
eatmentisgiven d.unt
il1yearol
d

_
___
___
__16.Hemophi
l
usinf
luenzai
nfecti
onsaremostcommonbet ween
a.3mos.upto5year
s c.5to12y ear
sold
b.bi
rt
hto2mos. d.4yearst
o10y earsol
d

_
___
___
__17.Whichofthefol
l
owi
ngi
sabnormal i
naNewbor
n
a.Redt
ingeddiaper c.Epstei
npear
ls
b.Mongoli
anspot d.Grunti
ng

_
___
___
__18.Dentalcari
esintheupperi
ncisorsismostcommonl ysuggest
iveof
a.I
nsuff
ici
entfluor
ide c.Mil
kbottl
esyndrome
b.Paci
fi
eroveruse d.Inf
requenttoot
hbrushi
ng

_
___
___
__19.A5y /
oboyhasmul t
ipl
epapuleswit
hexcori
ati
onsovert
hefi
ngerwebs,axi
ll
a,
wri
sts,but
tocksandgeni
tal
swhichisespecial
lypr
uri
ti
catni
ght.Hi
sothersi
bli
ngalso
complaint
softhesameconditi
on.Thisi
sli
kelyacaseof
a.Pi
nwor m di
sease c.Pedi
culosi
scorpori
s
b.At
opicDer mati
ti
s d.Scabi
es

_
___
___
__20.I
mmunogl
obul
i
nthatpassesthepl
acent
a
a.I
gA c.I
gE
b.I
gG d.I
gM

_
___
___
__21.I
mmunogl
obul
i
nthati
sfoundi
nal
ler
gicr
eact
ion
a.I
gA c.I
gE
b.I
gG d.I
gM

_
___
___
__22.I
fthemotheri
sHbsAg(+)
,thebabyshoul
dbegi
ven
a.HBIgwi t
hin12hour
saft
erbi
rt
h
b.HBv acci
newit
hin7day
s
c.A&B
d.Noneoftheabove

_
___
___
__23.Thisi
schar
act
eri
zedashy
pertensi
onoft
heupperext
remi
ti
es
a.Coar
ctati
onoft
heAort
a c.TAPVR
b.TOF d.TGA

_
___
___
__24.Posi
ti
veMantouxt
esti
naprevi
ousl
yvacci
nat
edchi
l
d
a.20mm indur
ati
on c.<10mm i
ndurat
ion
 b.10mm indur
ati
on d.>20mm indur
ation
_
___
___
__25.Thenormalav
eragewei
ght(inkg)ofaFi
li
pinonewbor
nis
a.2-4kg. c.5-6kg.
b.1-2kg. d.4-5kg.

_
___
___
__26.Drugofchoi
cef
ort
het
reat
mentoftyphoi
dfeveri
s
a.Ampici
ll
in c.Chl
oramphenicol
b.Tet
racycl
ine d.Amoxicil
li
n

_
___
___
__27.Anabsol
utecont
rai
ndi
cat
iontobreast
feedi
ngis
a.Masti
ti
s c.Ci
garet
tesmoking
b.Br
easttumor d.Act
iveTBinthemother

____
___
__28.Thecl ini
calpi
ctureof“ Marasmus”or
igi
nat
efr
om t
hef
oll
owi
ngcondi
ti
ons
Except
a.Inadequat ecalor
icintake
b.Properf eedinghabits
c.Disturbedpar ent
-chil
dr el
ati
onshi
p
d.Met abolicabnormalit
ies

_
___
___
__29.Thephy
siol
ogi
cwei
ghtlossf he1st7day
ort sinanewbor
nis
a.20% c.5%
b.10% d.none

_
___
___
__30.Rheumat
icf
everi
sfr
equentlyobser
vedi
ntheagegr
oupf
rom
a.5-
15years c.16-18years
b.1-
2years d.2-5years

_
___
___
__31.Cont
inueseardi
schar
gesl
ongerthan2weeksi
ndi
cat
e
a.Ot
it
ismedia c.Mastoi
dit
is
b.Ty
mpaniti
s d.Ot
it
isExterna

_
___
___
__32.A15y /
ogirldevelopedami l
dsorethroat,lowgradefever
,dif
fuse
maculopapularrashandl aternotedtohavet enderswell
ingofthewristandr
edness
oftheey eswithtenderenlargedposteri
orcervicalandoccipi
tall
ymphnodes.Your
mostlikelydi
agnosis
a.Rubell
a c.Roseola
b.Rubeol a d.Mumps

_
___
___
__33.Thisisthemostcommonadv erseeff
ectofI
soni
azi
d
a.j
aundice c.f
ever
b.per
ipheralneur
it
is d.vomiti
ng

_
___
___
__34.Br
onchiol
it
isi
susual
lycausedby
a.St
aphyl
ococcus c.RSV
b.H.i
nfl
uenzae d.Echovir
us

_
___
___
__35.TrueofPneumocy sti
ccarini
iinf
ecti
oninchi
l
dren
a.Extrapulmonaryinf
ect
ioniscommon
b.Impor t
antpathogeninchil
drenwi t
hAIDS
c.Theor gani
sm canbeculturedfrom sput
um
d.Iti
scommoncauseofpneumoni ai
ndaycarecenter
s

_
___
___
__36.Pleuri
syisanaccumulat
ionoff
lui
dinthepl
eur
alspacest
hati
smostof
ten
associat
edwi t
h
a.H.infl
uenzae c.M.tuber
cul
osis
b.Staphyl
ococcus d.Pneumoccocus
_
___
___
__37.Treat
mentforI
diopat
hicThrombocy t
openicPurpur
a
a.Pl
atel
etTransf
usi
on c.Exchangetr
ansfusion
b.Pr
ednisone d.PRBCt r
ansfusi
on

_
___
___
__38.Bacteri
alEndocar
dit
isduet
oStreptococcusv
iri
dansi
sbestt
reat
edwi
th
a.Peni
cil
l
inG c.Ampici
l
li
n
b.Vancomy ci
n d.Gent
amicin

_
___
___
__39.Cyanosi
sinNewbornsmaybecausedbyal lofthefol
l
owingExcept
a.Tet
ral
ogyofFall
ot c.Tri
cuspidatr
esia
b.Pat
entDuctusart
eri
osus d.Persi
stentPul
monar yHyper
tensi
on

_
___
___
__40.Infemal
es,75-
90%ofUri
naryTractI
nfect
ionar
ecausedby
a.Prot
eussp. c.E.coli
b.S.sapr
ophyt
icus d.Kl
ebsiel
l
a

_
___
___
__41.Durat
ionofsecondarypr
ophyl
axi
sforRheumat
icf
everi
s
a.6mos. c.1year
b.5year
s d.2year
s

_
___
___
__42.Dr ug/
sofchoi
cei
nthetreatmentofpati
ent
swi
thr
ecur
rentcompl
exf
ebr
il
e
sei
zures
a.Phenobarbit
al c.ValproicAci
d
b.Diazepam d.al
l oftheabove

_
___
___
__43.Pneumot hor
axcanbestbediagnosedbyachestx-
ray
.Thef
oll
owi
ngf
indi
ngs
ist
ypicali
nthiscondi
ti
on
a.Cysti
cll
uscensis c.Ai
r-
flui
dlevel
b.Wedge-shapedgravi
ty d.Absenceoflungmar
kings

_
___
___
__44.ThemostcommoncauseofGrosshematur
iai
npediat
ri
cs
a.AGN c.TraumatotheUri
nar
yTract
b.UTI d.IgANephropat
hy

_
___
___
__45.A10y earoldchil
ddevelopedanacut
eattackofasthma.Thedr
ugt
hatwoul
d
aff
ordimmediaterel
ieffort
hiswouldbe
a.Nebul
izedcort
icoster
oid c.i
nhal
edcort
icost
eroi
d
b.Nebuli
zedB2agoni st d.i
nhal
edcromolynNa

_
___
___
__46.Thebonemostf
requentl
yfr
actur
eddur
ingl
aboranddel
i
ver
yint
henewbor
n
a.Femur c.Fi
bul
a
b.Tibi
a d.Cl
avi
cle

_
___
___
__47.Whichoft
hef
oll
owi
ngmaynotnecessari
l
ybepr
esentatbi
rt
h
a.gr
asp c.Pl
antarr
efl
ex
b.Mororefl
ex d.Babi
nski
ref
lex

_
___
___
__48.Ami cr
onutr
ientt
hathelpsinthef
ormat
ionofr
edbl
oodcel
l
s,pr
eventser
ious
neuralt
ubedefect
softhespinalcor
dandbrai
nto
a.I
odine c.Zinc
b.I
ron d.Folat
e

_
___
___
__49.Managementofhyperbi
li
rubinemiaoftheNewbor
nisby
a.photot
herapy c.Phenobarbit
al
b.Exchangetransf
usi
on d.all oftheabove

_
___
___
__50.A7month-
oldmaleinf
antwasbroughti
nbecauseofbl
oodyst
ool
s.Hist
ory
reveal
edt
hat5daysage,hehadLBM.PPE:(+)el
ongat
edmassour(L)l
owerquadrant
 oftheabdomen.Themostl
ikel
ydiagnosisis
a.Poly
p c.Sal
monellosis
b.Amoebiasi
s d.Int
ususscept
ion

_
___
___
__51.Ecthymagangr enosum isacutaneousl
esi
onassoci
atedwi
th
a.GroupABhemol y
ticStrept
ococcus
b.Pseudomonasaer ugi
nous
c.Staphylococcusaureus
d.Neisseriameningi
tidi
s

_
___
___
__52.Drugofchoi
cef
orPseudomonasaerugi
nosa
a.Eryt
hromyci
n c.Cef
tazi
dime
b.Str
eptomyci
n d.Cef
tri
axone

_
___
___
__53.Whi chofthef
oll
owi
ngdrugscrossest
hebl
oodbr
ainbar
ri
erev
eni
nthe
absenceofi nf
lammati
on.
a.Ami kacin c.Cephal
exi
n
b.Chloramphenicol d.Cefur
oxi
me

_
___
___
__54.Themostcommonmali
gnantneoplasm i
nchi
l
drenis
a.Hodgkin’sdi
sease c.AcuteLymphobl
asti
cLeukemi
a
b.Neuroblast
oma d.Wil
ms’tumor

_
___
___
__55.Acuteepigl
oti
tti
sisal
if
ethreateni
nginf ecti
oni
nchi
l
dren.Thi
sisgener
all
y
associ
atedwith
a.Hemophilusinf
luenza c.Str
eptococcal pneumonia
b.Str
eptococcuspyogenes d.Staph.aur eus

_
___
___
_ _
56.Hemor r
hagi
cdiseaseoft
henewbornisadefi
ciencyseenmor
einbreast
fed
infantbecauseof
a.l owervit
ami nCinhumanmi l
k c.l
owermineralsi
nhumanmilk
b.l owerVitaminKinhumanmi l
k d.noneoft
heabov e

_
___
___
__57.Therashofunmodi fi
edmeasl
esappearf
ir
st
a.atthechestandback
b.atthehai r
li
ne,for
eheadandbehi
ndtheearl
obe
c.intheinterdi
git
alarea
d.ont hedorsum ofthehandsandfeet

_
___
___
__58.Asubdur
aleffusi
onmostcommonl yaccompani
esmeni
ngi
ti
scauseby
a.Str
ept
ococcuspneumonia c.E.col
i
b.Hemophil
usinf
luenzae d.Nei
sseri
ameningi
li
dis

_
___
___
__59.Oftheant
hropometr
ici
ndicat
orsofnutr
iti
onalst
atus,
measurementofthe
fol
lowingi
sabettercr
it
eri
onbecauseiti
sindependentonexcessf
lui
dorfat
a.Headcircumf
erence c.Tr
icepsski
nf ol
dthi
ckness
b.Height d.Weight

_
___
___
__60.Congesti
veheartf
ail
urei
sreadyobser
vedi
n
a.Tetr
alogyofFal
lot c.TGA
b.VSD d.PDA

_
___
___
__61.Drugofchoicef
orLept
ospi
rosi
sis
a.Penicil
l
in c.Sulf
isoxazol
e
b.Chlorampheni
col d.Tetr
acy cl
ine

_
___
___
__62.Thepassageoff
ecesi
ntoi
nappr
opr
iat
epl
acesaf
terbowel
cont
rol
hasbeen
establ
i
shedisknownas
 a.Consti
pati
on c.Enur
esis
b.Encopresi
s d.Obst
ipati
on

_
___
___
__63.Achildwhodischargesuri
neinvol
untari
lyaf
tert
heageatwhi
chbl
addercont
rol
shouldhavebeenestabli
shedisknownas
a.Polyur
ia c.Enuresis
b.Dysuri
a d.Poly
dy psi
a

_
___
___
__64.Anewborninf
antwhofai
lstopassmeconi um wit
hin48hrs.andlat
erpr
esent
s
wit
habdominaldist
ent
ionanddil
atat
ionofproxi
mal col
onisprobably
a.Hir
schspr
ung’
sdisease c.Meconium i
l
eus
b.Jej
unalat
resi
a d.Malr
otati
on

_
___
___
__65.Thepr event
ionofext
rapul
monarytuberculosi
sisadmi
nist
eredbyt
heuseof
theBCGv accine.Thisv
acci
neisbestadmini
steredby
a.Subcutaneous c.I
ntr
amuscul ar
b.Int
radermal d.Oral

_
___
___
__66.Thebestmeasur
eforpr
event
ionofi nf
ecti
onamongneonat
esi
nanurser
yis
a.UseofAlcohol c.Discardusedblanket
s
b.UseofBetadine d.Enforcecorr
ecthandtoel
bowwashi
ng

_
___
___
__67.Thisvi
ral
inf
ectionmaycausecongenital
heartdisease.
,microcephal
y,
catar
actsanddeafness,i
facqui
redinthefi
rsttr
imesterofpregnancy.
a.Epstei
nBarr c.Vari
cel
la
b.Rubell
a d.Parv
ovir
usB19

_
___
___
__68.Thef oll
owingfindingsi
sAbnormal inanor
mal
newbor
n
a.liveredge1- 2cm belowcostalmargin
b.Bar rel
-shapedchest
c.Umbi l
i
cal cordwithoneartery2veins
d.Spl eentipbarel
ypal pabl
e

_
___
___
__69.Atwhatagecanachildi
denti
fyhi
sgender?
a.Whent hechil
disal
readyat
tract
edtotheopposi
tesex
b.At1½y /o
c.At4y /o
d.At3y /o

_
___
___
__70.Thefi
rstpermanentt
oothtoerupti
s
a.centr
ali
ncisor
s c.molar
b.cuspi
ds d.premol
ars

_
___
___
__71.AnHI
Vpat
ientcanbegiv
en
a.DPT c.both
b.MMR d.none

_
___
___
__72.Nor
mal
newbor
nExcept
:
a.HC28cm c.wt.of3kg
b.CC38cm d.bi
rthlengt
hof48cm

_
___
___
__73.Drawsamanwi
th2part
s,goest
otoi
l
etal
one,
tel
l
sast
ory
,rol
epl
ayi
ng
a.2y/o c.4y
/o
b.3y/o d.5y/o

_
___
___
__74.Fi
rstsignofPubert
yinmal
es
a.Testi
cul
arenlargement c.Axi
l
lar
yhai
r
b.Penil
eenlargement d.f
aci
alhai
r
 __
_____
_ _
75.Vit
amindefi
ciencyf
oundi
nt hedevel
opi
ngcountri
esespeci
all
yint
he
Phi
li
ppines.
a.Thiaminedef
ici
ency c.Vi
taminCdefi
ciency
b.Vit
aminAdef i
ciency d.Vit
aminB12

_
___
___
__76.Fir
stsi
gnofPuber
tyi
nFemal
es
a.Thelar
che c.appearanceofpubi
chai
r
b.Menarche d.growthspurt

_
___
___
__77.Humancolost
rum has
a.morecar
bohydrat
es c.l
essminer
al
b.morefat
s d.mor
eprot
ein

_
___
___
__78.Themur murofa2y earol
disconti
nuousormachi neryt y
peheardi
nlef
tupper
ster
nalborder.Thedi
agnosi
smostlikel
yis:
a.Tetr
alogyofFall
ot c.PatentDuct
usAr terious
b.Atri
alSeptalDef
ect d.Ventri
cul
arSeptal defect

_
___
___
__79.A2y earol
dchil
ddevel
opedfever,headache,vomit
ingandnuchal
rigi
dit
y
fol
lowi
ngaboutofl owerr
espi
rat
oryinfect
ionofthepossibl
ecausesofbacter
ial
meningi
tis,thefol
lowi
ngismoreli
kely:
a.N.meni ngit
idi
s c.Salmonella
b.Str
eptococcuspneumoniae d.Staphyl
ococcusaureus

_
___
___
__80.A2mont hsoldinf
antcomesinwithj aundicesince1weekold,hi
ghlycol
ored
uri
ne,achol
icstools.Li
veredgei
spalpatedbel owRt .Subcost
almargi
n.Themost
li
kel
ydiagnosisis
a.Bil
i
aryAtresi
a c.Vir
al Hepat i
ti
s
b.Hepatobl
astoma d.I
nspi ssatedbilesyndrome

_
___
___
__81.Acephalhematomaisbestdiff
erent
iat
edf
rom caputsuccedaneum by
:
a.anormal neurol
ogicexaminat
ion
b.absenceofhi st
oryofprol
ongedlabor
c.swel
li
ngdoesnotcr osssutur
eline
d.al
loftheabove

_
___
___
__82.St
atusepi
l
ept
icusi
scont
inuouscl
i
nical
sei
zur
ewhi
chl
ast
smor
ethan
a.3hrs c.30minut
es
b.15minutes d.60minut
es

_
___
___
__ 83.Nutr
it
ionaldepri
vati
onpar
ti
cular
lyduri
ngthef i
rst3y
earsofli
femayhav
eser
ious
andirr
eversi
bleeffectongr
owthanddev el
opmentof :
a.Bone c.ki
dneyandl ung
b.Brai
n d.muscularandsubcutaneous

_
___
___
__ 84.Adefici
encyoff
att
yacidcausesfai
lureofgrowthandt
hepr
oduct
ionofdr
y,t
hick
scalyski
nwi t
hdesquamat
ionandintert
ri
go:
a.Linol
eicacid c.Palmiti
n
b.caproi
cacid d.Buty
ricaci
d

_
___
___
__ 85.Thesingl
emostimportantcauseofprev
ent
ablebrai
ndamageandment
al
retardat
ioni
sthedef
ici
encyofthefoll
owingnut
ri
ent:
a.Zinc c.I
odine
b.Iron d.Vi
taminA
_
___
___
__ 86.Thedrugofchoi
cef
ort
het
reat
mentofcholera
a.Ampicil
li
n c.Tet
racycl
ine
b.Oxacil
l
in d.Amox i
cil
l
in

_
___
___
__ 87.Achi
ldwhocanski
pwit
halternati
ngfeet,st
andononefootf
or10seconds,
and
ti
ehisownshoel
aceshasr
eachedt hedevelopment
almotorl
evel
of
a.2years c.6y ear
s
b.4years d.8y ear
s

_
___
___
__ 88.Thisisthemostcommoncongenit
al v
iral
inf
ect
ion
a.Varicel
la c.CMV
b.Rubella d.Parvovi
rus

_
___
___
__ 89.Feverisremit
tentif
:
a.dai l
ytemper at
ureelevati
onretur
ntonormal
b.dai l
ytemper at
urereturntobasel
inebutabov
ethenor
mal
temper
atur
e
c.Thef l
uctuat
ionoftemper at
ureelev
ati
onis<30C
d.Noneoft heabov e

__
___
____90.Di
agnosisofURTIcanbemadei ftheuri
necult
urey
iel
dedgr
am (
-)ent
eri
crods
of
:
a.100col /
ml ofur
inebysuprapubi
caspir
ati
on
b.10,000col/
ml ofuri
neobtainedbycat
heter
izat
ion
c.100,000col/mlofcl
eancatcheduri
ne
d.Alloftheabove

_
___
___
__91.ThemostcommoncauseofVir
alPneumoni
aini
nfancyi
s
a.Parainf
luenza c.RSV
b.Inf
luenza d.Adenovi
rus

_
___
___
__92.Themostcommonbact
eri
alpathogenforost
eomy
eli
ti
sis
a.H.inf
luenzae c.S.pneumonia
b.S.aureus d.S.pyogenes

_
___
___
__93.Thecombinat
ionofhemat
uri
aandprot
einuri
ausuall
yindicat
es
a.nephrol
i
thi
asi
s c.gl
omerul
onephrit
is
b.renal
tumor d.ur
inaryt
ractinf
ecti
on

_
___
___
__94.Atoney
earol
d,howmanyt
imesshoul
dababy
’swei
ghthav
eincr
eased?
a.4 c.2
b.3 d.5

_
___
___
__95.Ababywithdi
arr
heashoul
dnotbegiven
a.art
if
ici
almil
k c.fr
eshfrui
tjui
ces
b.ri
cegruel d.breast
mil
k

_
___
___
__96.Theheadci
rcumf
erenceandchestci
rcumfer
enceappr
oxi
mat
eat
a.4months c.24mont hs
b.18months d.12mont hs

_
___
___
__97.Maj
orit
yoft er
mi nf
antswi
l
lhavepassedthei
rfir
stmeconi
um:
a.wit
hinafewmi nutesofli
fe c.by24hrs.ofl
if
e
b.duri
ngtheprocessofbirt
h d.by6-12hrs.ofl
i
fe

_
___
___
__98.Hemophi l
i
aAisthemostfr
equenttypeofhemophi
l
iadi
sor
der
sandi
s
character
izedbydef
ici
encyof
a.FactorVIII c.Fact
orVII
b.FactorVI d.Fact
orX
_
___
___
__99.An8y /ocomest otheERanddi agnosedasPost str
eptococcal
Glomerulonephri
ti
swithabloodpr essureof160/ 110.Yourfi
rstdrugofchoi
cetogive
is
a.Nif
edipinesubli
ngual c.hy dralazi
ne
b.Furosemide d.Spironolact
one
_
___
___
__100.Anext r
apulmonarytuber
culosisi nfect
ioninchildr
enaffecti
ngthesuper
fi
cial
lymphnodei s
a.Cervi
cal l
ymphadenit
is c.Regi onalLy mphadenit
is
b.BCGi nducedadenit
is d.Scr ofula

END
 1.Thespeci
fictr
eat
mentofRespi
rator
yDi st
ressSy
ndromeis
a.Oxygen c.Anti
bioti
cs
b.Sur
fact
ant d.Conti
nuousPositi
veAi
rwayPr
essur
e

2.Thefoll
owingfact
orspredi
sposeaneonatetodevel
ophyal
inemembr
anedi
sease
Except
a.MaternalDi
abet
es c.Asphyxi
aNeonator
um
b.PostMaturi
ty d.Caesar
iansect
iondel
i
very

3.Themostcommonl yfr
act
uredboneinthenewbor
nindi
ff
icul
tdel
i
ver
iesi
sthe
a.Crani
albones c.Ti
bia
b.Femur d.Cl
avicl
e

4.AscaphoidabdomenintheNewbor
nsuggests
a.Emphysema c.Di
aphragmati
cherni
a
b.Hyal
inemembranedisease d.Mal r
otati
onofthei
ntest
ine

5.Themostser iouscompl
i
cat
ionofhy per
bil
ir
ubi
nemi
ainNewbor
nis
a.Heartfail
ure c.Kerni
cter
us
b.Severeanemi a d.Sepsis

6.TheusualsourceofTetanusNeonat
orum i
s
a.Ci
rcumcisionwound c.Vacci nati
on
b.Umbil
icalstump d.All
oftheabov
e

ENDOCRI
NE&METABOLI
CCONDI
TION

1.Hy
popit
uit
arism Except
a.Cherubicface c.Small
peni
s
b.Shortneckandwebbi
ngd.Del
ayeddent
aldev
elopment

2.Char
act
eri
sti
csDiabet
esInsi
pidusExcept
:
a.Ur
inespeci
fi
cgravi
ty1.
001-1.
005 c.Dehy
drat
ioni
snotfr
equent
b.Maybeduetoencephal
it
is d.Noneoft
heabove

3.Tr
ueofAnt er i
orPituitaryGlandExcept :
a.SecretesACTHr esponsibl
ef orhyper
pigmentat
ion
b.Responsi bl
ef orthest i
mulationofthenippl
etobreastf
eed
c.Secr
et esoxyt ocinresponsibleformil
k-l
etdownrefl
ex
d.Regulationofhor monesecr eti
oniscausedbynegativ
ef eedbackmechani
sm

4.Charact
eri
zedSIADH
a.Poly
dipsi
a c.Pol
yuri
a
b.Waterint
oxi
cat
ion d.Ext
remet
hir
st

5.Congeni
talHypot
hyroi
dism Except
a.Prol
ongedJaundice c.Duet
opost
hy
pot
hyroidect
omy
b.Duetothyr
oiddyshormogenesi
s d.Const
ipat
ion
 6.Si
gnsandsy mptomsofCongeni
talHypothy
roi
dism
a.Const
ipat
ion c.Poorfeedi
ng
b.Hyper
natr
emia d.A&C

7.Dr
ugofchoiceforCongeni
tal
Hypothyr
oidi
sm
a.PTU c.NaLevothyr
oxi
ne
b.Methi
mazole d.Tapazol
e

CARDI
OLOGY

_
___
__1.Cyanosiswithcl
ubbingoff
inger
sandtoesisseenin
a.LefttoRightshunt c.Congest
ivehear
tfai
l
ure
b.RighttoLeftshunt d.Noneoftheabove

_
___
__2.Ahist
oryofstr
okei smorecommonl
yseenin
a.Cyanoti
cheartdisease c.Obst
ruct
ivel
esi
on
b.Acyanoti
cheartdisease d.Noneoftheabov
e

_
___
__3.ThemostcommoncauseHyper
tensi
oninchil
drenandadol
escent
a.Cardi
ovascul
ari
nnat
ure c.CNSinnatur
e
b.Renovascul
ari
nnat
ure d.Endocrinei
nnature

___
_ _
_4.Pharmacologi
ccl
osur
eoft
heductushasbeenr epor
tedi
nPr
emat
urei
ftr
eat
ed
before10days
ofagewi t
h
a.Furosemide c.Prost
aglandi
n
b.Indomethaci
n d.Aspir
in

_
___
__5.Chestxr
ayconf
igur
ati
onof“
eggonit
sside”
a.TGA c.TOF
b.TAPVR d.Coarct
ati
onoft
heAor
ta

__
___
_6.Asinmostpat
ient
swi
thCongenit
alheartdisease,
squat
ti
ngi
saf
requent
mani
fest
ati
on
a.PDA c.TOF
b.VSD d.Coarctat
ionoftheaort
a

NEUROLOGY

_
___
__1.Theabsol ut
econtr
aindicat
ionofal
umbarpunctur
eis
a.SuspicionofCNSdi sease c.Incr
easeint
racrani
alpr
essure
b.Bleedingdiat
hesi
s d.Presenceofinf
ecti
onoverthesi
teof
puncture

_
___
__2.Mal
ignantt
ert
ianMal ari
athatcausesCNSinfect
ioni
s
a.Pl
asmodium fal
ciparum c.Pl
asmodium vi
vax
b.Pl
asmodium oval
e d.Pl
asmodium malar
iae

_
___
__3.Thefol
lowingareal
lmani
fest
ati
onsofpoli
omy el
i
tis,Except
a.Ascendingsymmetri
cal
paral
ysi
sc.Absentdeept endonrefl
exes
b.Motorparaly
sis d.Posi
ti
vetr
ipodsign

_
___
__4.Sudden,br
ief
,shock-l
i
kecont
racti
onofmuscl es,
orjackni
fesei
zur
e
a.Petitmal c.Atonicseizure
b.My ocl
oni
cseizure d.Tonic-cl
onicseizure
__
____5.Jakesuddenlywokeupcryi
ngatnightpointi
ngincoherentl
yattheni
ghtlamp.Hi
s
motherlul
ledhi
m backt osl
eep.Hehasnorecall
oftheincidentthenextmorni
ng.Whatdi
d
hehave?
a.Somnambul ism c.Nightterr
or
b.Night
mar e d.Bedwet t
ing

_
___
__6.Aconti
noussei
z ur
emor
ethan30mi
nuteswithoutregai
ningconsci
ousness
a.St
atusepil
ept
icus c.I
nfanti
leseizur
e
b.Grandmal d.Noneoft heabov e

GASTROI
NTESTI
NALTRACT

_
___
__1.A2weekol dmaleinfantwasseenatt heERwi t
hproj
ect
il
evomi
ti
ngfor5days,
non
bil
lous.Younot edvisi
bleperist
alsi
s,wit
hpalpabl
etumori
nthemi
dli
ne.Yourmai
n
considerat
ionis
a.Gast roesophagealReflux
b.Congeni talHypertr
ophicPy l
ori
cstenosi
s
c.Tr acheoesophageal Fi
stul
a
d.Noneoft heabove

_
___
__2.CausesofupperGIbleedi
ngi
ninf
ancyExcept
a.Ingest
ionofr
edf ooddyes c.Infecti
ousdiar
rhea
b.Gastri
ti
s d.Esophagi
ti
s

___
___3.Fai
lureofpassageofmeconi
um dur
ingthe1st24hour
sofl
i
feshoul
dal
ertt
he
physi
cianto
thepossibil
i
tyof___
_Except
a.Hirschsprung’
sdisease c.Anorect
almal
for
mati
on
b.Atresia d.Noneoftheabove

_
___
__4.Thebesttimeforoper
ati
onf
orclef
tli
p
a.6mont hs-2year
s c.2-4y
ear
sol
d
b.1-2mont hs d.Atbir
th

_
___
__5.Themostcommoncauseofhal
it
hosi
sinchi
l
dren
a.Dental
cari
es c.Br
onchi
ect
asi
s
b.Lungabscess d.TB

__
____
6.I
nter
mit
tentgastr
oint
esti
nal
bleedingwit
houtabdominal
pai
nist
hemostcommon
symptom of
a.Meckel’sdi
vert
icul
um c.Meconium pl
ugsyndr
ome
b.Hypoplasti
clef
tcolon d.Hir
schsprungdi
sease

DEVELOPMENTALANDGENETI
CDI
SORDERS

_
___
_1.Bestknownexampl
eofX-
li
nkedrecessi
vei
nheri
tance
a.Fr agi
leX c.Mar f
an’
ssyndrome
b.Al bi
nism d.Hemophili
aAandB

_
___
_2.Whatisthemostcommoncauseofabnormali
tiesi
nchr
omosomenumber
?
a.Monosomi es c.Aneupl
oidy
b.Trisomies d.Transl
ocat
ion

_
___
_3.Thi
sist
hemostcommoncauseofmentalr
etar
dat
ion
a.Downsyndr
ome c.Edwar
dsyndr
ome
 b.Tr
isomy13 d.Cr
i-
du-
chatsy
ndr
ome
c.

____
_4.Classicalfeat
uresofshor
tst
atur
e,webbedneck,cubi
tusv
algus,
andl
ackof
secondary
Sexchar acter
ist
ics
a.Klinefel
tersyndrome c.Turnersy
ndrome
b.Triplefemale d.Fragi
leXsyndrome

_
___
_5.TheseareexamplesofMulti
fact
ori
alinheri
tanceExcept
a.Congenitalhear
tdisease c.Clef
tpal
ate
b.Cl ubf
oot d.Noneoft heabove

_
___
_6.Thesear eAutosomaldomi
nantt
rai
tExcept
a.Ni ghtbli
ndness c.Turner’
ssyndrome
b.Hunt ington’
schorea d.Mar f
an’ssyndrome

_
___
_7.Thi
sist
he2ndmostcommoncauseofment al
retar
dati
on
a.Downsyndrome c.Pat
ausy ndrome
b.Fragi
l
eXsyndrome d.Cri
-du-
chatsyndrome

_
___
_8.XOchr
omosomei sfoundi
n
a.Tri
plefemale c.Fr
agil
eX
b.Kli
nefel
tersy
ndrome d.Tur
nersy
ndr
ome

RESPI
RATORY

_
___
_1.A9yearoldboyswall
owedacoi
n.Onantero-post
eri
orchestf
il
mthecoi
nisseen
f
aci
ng
you.Wher
ei st
hecoinlodge?
a.Esophagus c.Trachea
b.Larynx d.Ri
ghtbronchus

___
__2.Thi
scondi ti
onisconfi
rmedwhenano.8f eedi
ngcathet
ercannotpasst
hroughei
ther
nostr
il
sint
ot heorophary
nx
a.Tracheoesophagealfi
stul
a c.Pier
reRobinsyndr
ome
b.Diaphragmati
chernia d.Choanalat
resi
a

____
_3.Epi
glot
ti
tisi
sar apidl
ypr ogr
essi
vediseasethatl
eadstor
espir
ator
yfai
l
ureandi
s
causedby
a.Streptococcalbacteri
a c.E.coli
b.Staphy l
ococcusaur eus d.Haemophi
lusi
nfl
uenzae

_
___
_4.Ear
lycyanosisandr espi
rat
orydistr
ess,
scaphoi
dabdomen,
bar
rel
-shapedchestand
dext
rocardi
asuggest
a.Bronchi
oli
ti
s
b.Congenit
aldi aphragmat i
chernia
c.Sequest r
ationoft hel
ung
d.Congeni t
alcy sti
cadenomat ousmal f
ormati
on

_
___
_5.At
ypi
calpneumoniai
scommonl
ycausedbyExcept
a.My copl
asmapneumoniae c.Legionell
apneumophi
l
a
b.Chlamydiapneumoni
ae d.Gr
pBst reptococcus

__
___
6.Thef ol
l
owi
ngar
ethemostcommonbact
eri
alpat
hogenscausi
ngpneumoni
ain
Newborn
Except
 a.H.Inf
luenzae c.Gram negati
vebaci
l
li
b.GrpBst r
eptococcus d.Chlamydia

ALLERGI
C/I
MMUNOLOGI
CCONDI
TIONS

_
___
__1.Tr
iadofBronchial
asthmaExcept
a.Bronchodi
l
ation c.Mucoi
dedema
b.Smoot hmusclespasms d.Pl
uggi
ngwi
tht
enaci
ousmucus

___
___2.Darkcirclesundert
heey
esduetov enousst asi
sresul
ti
ngf
rom bl
oodf
low
obstr
uction
causedbyedemaofnasal mucousmembr anes
a.RabbitNose c.All
ergi
csalute
b.All
ergicshiner
s d.Noneoft heabov e

3.Drugofchoicef
orear
lyt
reat
mentofAt opicchil
d
a.Rani
ti
dine c.Cet
ir
izine
b.Hydr
oxy zi
ne d.Mequitazine

4.Thef ol
l
owi
ngareeventsi
nAcut
eAst
hmaat tackExcept
a.Decr
easeFEV1 c.Hy
perinfl
ationofthel
ungs
b.Prol
ongedi
nspi
rat
oryti
me d.Increaseworkofbr
eat
hing

5.SevereAcut
eAsthmat hatisunr
esponsi
vetotheusualappropr
iat
ether
apy
a.AcuteAst
hmaEx acer
bation c.Stat
usEpil
epti
cus
b.Stat
usAsthmat
icus d.Pul
susparadoxus

6.At
opicDermat i
ti
schar
acter
izedbyeryt
hemat ous,
prur
it
uc,
weepi
ngder
mat
it
isi
nthe
cheek,
w/heav yscali
ngofthescal
p
a.Chil
dhoodst agew/AD c.Adultstagew/AD
b.Inf
antil
estagew/AD d.All
oft heabove

7.Foodal l
ergyi
sthemostcommoncli
nicalmanif
estat
ionof
a.vomiti
ng c.GIBleedi
ng
b.diar
rhea d.abdominalpain

NUTRI
TIONALPROBLEMS

1.Tr
ueofMar asmusExcept
a.Di
etduetobothlowinpr
otei
n&cal
ori
es c.Potbel
l
y
b.Apat
heti
c d.Edematous

2.Si
gnsofKwashi or
korExcept
a.“fl
agsign“ c.MoonFace
b.“Wingedscapul
ae” d.Fl
akypai
ntr
ash

3.Bi
tot’
spotsi
sey
esi
gnof
a.Vi
tami
nDDef
ici
ency c.Vi
tami
nADef
ici
ency
b.Vi
tami
nBDef
ici
ency c.Vi
tami
nEDef
ici
ency

4.Chei
losi
s,glossi
ti
s,at
rophicl
i
ngual
papi
ll
aearesignsof
a.Niaci
ndefici
ency c.Vi
tami
nAdef i
ciency
b.Thiaminedefi
ciency d.Ri
bofl
avindef
ici
ency

5.I
rr
it
abi
l
ity
,depr
essi
on,
somnol
enceandsei
zur
esar
esi
gnsof
 a.Pyr
idoxinedef
iciency c.Ri
bof
lav
indefi
ciency
b.Thi
ami nedefi
ciency d.Ni
aci
ndefi
ciency

BASI
CCHI
LDCARE

1.Vi
sualacui
tyof20/
20i
sreachedatage
a.6 c.8
b.7 d.5

2.The1stsi
gnofpubert
yinmalei
s
a.Changeinvoi
ce c.Appearanceofaxil
l
aryhai
r
b.Appear
anceofpubl
ichai
rd.Enl
argementoftestes

3.Whi
chofthefol
l
owi
ngi
ssy nt
hesi
zedint
hegast
roi
ntest
inal
tract
?
a.Vi
taminA c.Vi
tami
nD
b.Vi
taminC d.Vi
taminK

4.Achil
dwithPicamostl
i
kelyhaswhichdef
ici
ency
?
a.I
odi
ne c.Magnesi
um
b.Cal
cium d.I
ron

5.Ahepat
it
isBposi
ti
vemot
herj
ustgav
ebi
rt
h.Whi
choft
hef
oll
owi
ngwi
l
lyouadmi
nist
er
t
o
t
hebaby?
a.Hepat it
isBvacci
ne c.Bot
hA&B
b.Hepat it
isBimmunoglobul
i
n d.Tet anusv
acci
ne
6.I
mmunogl obul
inthatcr
ossesthepl
acenta
a.IgA c.I
gD
b.IgG d.I
gE

7.Whati
sthesodi
um cont
entoft
heWHOor
alr
ehy
drat
ionsol
uti
on?
a.25mmol /
L c.50mmol
/L
b.20mmol /
L d.90mmol
/L

8.Whatistheageinmont
hofachi l
dwhocanrol
lover
,reachf
orobj
ect
s,si
tontr
ipod
posit
ion,Bubbl
eswhencaret
akertal
kst
oherandhasagoodheadcontr
ol?
a.3 c.5
b.4 d.6

9.Dur
ingaNewbor
n’s1stweekoflif
e,howmuchweightl
ossi
sexpect
edduet
o
excr
eti
onofexcessext
rav
ascularf l
uidandpoori
ntake?
a.5% c.15%
b.10% d.20%

10.I
tisconsider
edast hemosti
mportantcauseofbr ai
ndamageandment
al
r
etar
dat
ion
a.I
rondefi
ciency c.Vi
taminAdef i
ciency
b.I
odinedefi
ciency d.Zi
ncdefici
ency

11.I
tisconsider
edast hemostcommonnutri
t i
onal di
sor
deri
nthewor
ld.
a.I
odinedefi
ciency c.Vi
tami
nAdef i
ciency
b.I
rondefici
ency d.Zi
ncdefi
ciency

12.AFi
li
pinoNewbor
nusuall
ymeasur
esthef
oll
owi
ngatbi
rt
h
a.wt3.5kg Lt.50cm HC20cm
 b.wt3kg Lt.50cm HC35cm
c.wt2.
5kg Lt.45cm HC33cm
d.wt3kg Lt.45cm HC12.
14cm

I
NFECTI
OUSDI
SEASE

1.Pat
hognomonicexant
hemaofmeasles
a.Conj
unct
ivi
ti
s c.Kopli
kspot
s
b.Cory
za d.Cough

2.Pur
puri
cskinlesi
onsinCongeni
talRubel
lai
sdescri
bedas
a.“
gloveandstocking” c.“sl
appedcheek”
b.“
Blueber
rymuf f
in” d.Noneoft
heabove

3.TheoccurrenceofCongeni
taldef
ectsi
sashi
ghas85%i
finf
ect
ionoccur
sdur
ing
_
___
_ofgestat
ion
a.2ndmonth c.1stmont
h
b.3rdmonth d.4thmonth

4.Themostcommoncauseofdiarr
heaini
nfant
sandchi
l
drenbet
ween4and24
mont
hofage
a.Sal
monel
la c.Chol
era
b.Rot
avi
rus d.Adenovi
rus

5.Themostfrequentcauseoft
hecommoncol ds
a.I
nfl
uenzaB c.Rhinov
irus
b.Par
ainfl
uenza d.Adenov i
rus

6.ThemostcommoncauseofBr onchi
oli
ti
sini
nfants
a.Respi
rat
orySynci
ti
alVir
us c.Str
eptococcuspneumoni
a
b.Hemophil
usinfl
uenzae d.Rhi
novi
ruses

7.CoughinPer
tussi
slast
sfor6t
o8weeks,andt hedr
ugofchoi
cei
s
a.PenG c.Cl
oxaci
ll
i
n
b.PenVK d.Er
ythr
omy ci
n

HEMATOLOGI
C-ONCOLOGI
C

1.Thesearegr oupofheredi
tar
yanemi
aswithmutat
ionsthataf
fectt
hesy
nthesi
sof
hemoglobi
n
a.Hereditar
ySperocyt
osis c.I
rondefi
ciencyanemi
a
b.Thalassemia d.noneoftheabove

2.Megalobl
ast
icAnemi
aistr
eatedwith
a.I
ron c.Desferr
oxami ne
b.Fol
i
cacid d.Corti
corter
oids

3.Apl
ast
icAnemiar ef
erst
othefailur
eofthemar
rowt
opr
oduceal
lthemar
rowcel
l
s
Except
:
a.Blastcel
ls c.Myeloidcel
l
s
b.Redcells d.Pl
atelets
 4.Phy
siologi
cAnemi
ainTermi
nfantsar
oundt
hisage
a.1monthol
d c.2monthol
d
b.6monthsol
d d.1y
earold

5.A2mont
hol
dinf
antwasbr
oughtt
otheERduet
osei
zur
e.Hi
stor
yrev
eal
edt
hathe
was
del
iveredathomeuncompl i
catedbyahilot
.NoHxoffall
norfev
erwasnoted.PE
rev
ealedpall
orwithbul
gingtenseant
eriorf
ontanel
andptosi
sonthel
eft
.Yourmain
consider
ati
onswouldbe
a.Acuteheadinj
ury c.Sei
zuredi
sor
der
b.Bacter
ial
Meningiti
s d.APCD

6.Thesearet
heVi
tami
nKdependentcl
ott
ingf
act
orsExcept
:
a.V c.VI
I
b.I
I d.I
X

MUSCULOSKELETAL

1.Aposi
ti
v eOr t
olani
testmeansthatt
hehipi
s
a.unst abl
e c.normal
b.dislocated d.noneoftheabov
e

2.A“
sunburstappear
ance”i
nthex-
rayischaracter
ist
icof
a.Aneurysmalbonecy
st c.Ewing’
ssar coma
b.Osteogeni
csarcoma d.noneoft heabov e

3.Thi
ssy ndromei scharact
erizedbyj
ointhy
permobil
i
ty,ski
next
ensibi
l
ity
,ear
ly
br
uisi
ng
andsofttissuecal
cifi
cati
on
a.Osteogenesisimperfecta c.Ehl
er-
Danlossy
ndrome
b.Rickets d.Noneoftheabove

DERMATOLOGI
CCONDI
TION

1.Thesearesmall
,pinpointt
opi
nhead,
milky
,smoothpapul
esont
hef
orehead&
cheeksof
newbor n
a.Er
ythematoxicum c.Mil
ia
b.AcneNeonatorum d.noneoft
heabov e

2.Thereareli
nearlesi
onscal
led“burr
ows”wher
ethemi
tesar
efor
med,
a
char
act
eri
sit
icof
a.Pedicul
osis c.Cimicosi
s
b.Culi
cosis d.Scabies

3.Thisresul
tfr
om involvementofski
nfr
om under
lyi
ngt
uber
cul
osi
sofl
ymphnodes,
bones&joi
ntsandEpididymis
a.Mi l
iar
yTBoft heSkin
b.Lupusv ul
gari
s
c.Scr of
uloderma
d.Noneoft heabove

4.Thi
saher
edi
tar
yoracqui
redpr
ogr
essi
vel
ossofmel
ani
npi
gmentduet
ofai
l
ureof
t
he
Ty
rosi
nasesy st
em ofmel
anocyt
eint
heder
mo-epi
der
mal
junct
ion.
a.
Albi
nism c.Nev
usdepi
gment
osus
 b.Vi
ti
li
go d.Hy
pomel
anosi
sofI
to

RENALDI
SORDER

1.Causati
veagentforpostst
rept
ococcusAGN
a.Grp.BStrept
ococcus c.Gr
p.Abeta-
hemolyt
icst
rept
ococcus
b.Str
eptococcuspneumoniae d.St
aphyl
occusaur
eus

2.Thi
scomplementi
sdecreasedi
nPSAGN
a.C4 c.C5
b.CRP d.C3

3.Themostcommoncauseofhematuri
ainchil
dren
a.I
gANephr
opat
hy c.HSPnephropathy
b.PSAGN d.Noneoftheabove

4.TheCausativ
eagentf
orHNSi
s
a.E.
coli0157:
H7 c.Sal
monel
la
b.Shi
gell
osi
s d.Noneoft
heabov
e

5.Themostcommonmal i
gnantr
enalneopl
asm i
nchil
drenandadol
escent
s
a.Wil
ms’ t
umor c.Pheochr
omocytoma
b.Neurobl
ast
oma d.Noneoftheabove

6.Whi
chisthe1stl
i
neoft
reat
mentf
orNephr
oticSyndrome?
a.Predni
sone c.Cy
clophosphamide
b.Penici
l
li
n d.I
VImmunogl obul
i
n

PEDI
ATRI
CEMERGENCI
ES

1.Acci
dental
ingest
ionofcor
rosi
veagent
sshowedbemanagedi ni
ti
all
yof
a.Gast
ri
clavage c.Admini
sterl
argeamountofwat
erormil
k
b.Neut
ral
izepoison d.I
nduceemesi s

2.A3y /oboywasbi t
tenbyapetdogont heface.Thedoghasnorabi
es
i
mmuni
zat
ion,whichofthefoll
owingshouldbedone?
a.observethedogf or10-14days
b.givearabiesvaccinetothedog
c.givehyperi
mmuneser um i
mmedi at
ely,novacci
neasl
ongasanimal
r
emainsnormal
d.givehyperi
mmuneser um i
mmedi at
ely,fol
l
owedbyvacci
ne

3.A2y
/ogi
rlwasr
ushedt
otheERbecauseofsei
zur
edescr
ibedasGener
ali
zed
Toni
c
Cl
onic,w/lossofconsci
ousnesslastingfor10mi
nut
es.Youi
mmedi
atel
y
admi
nist
er
a.Phenobarbi
tal c.Diazepam
b.Phenytoi
n d.Oxy gen

4.A6mont
hsol
dbyi
nfantwasbr
oughtt
otheERbecauseofv
omi
ti
ngandLBM f
or2
day
s
now.UponPE,
hewasdr
owsy
,wi
thsunkeney
es,
depr
essedant
eri
orf
ont
anel
l
eand
col
d
cl
ammyext r
emiti
es.Youimmediat
elyadmini
sterIVFof
a.PLRS30cc/kgfor1hr c.D50.3NaCl20cc/kgfor1½hr
b.PLRS10cc/kgfor1hr d.D50.3NaCl 10cc/kgfor1hr
 5.A5y /oboywasseenatt heERinmoderaterespi
ratorydi
str
ess.Hi
storyreveal
ed
t
hathe
hadcoldsandf ever1dayprior
.Thenfewhourpriortoconsul
t,hewasnot edtobe
coughi
ng,PEr evealedwheezesal
loverl
ungfiel
ds.Youwi l
ldonebul
izati
onw/
a.Cort
icosteroi
ds c.Beta2agonist
b.Cromolynsodi um d.All
oftheabove

_
___
___
__1.Thi
sist
hef
ir
stbonet
oossi
fyi
naf
etus-CLAVI
CLE

_
___
___
__2.Thi
sist
hemostcommoncongeni
tal
hear
tdi
seasecompr
isi
ng45%-VSD

_
___
___
__3.Thi
sappear
sas“
Eggonast
ri
ng”appear
anceonChestX-
ray=TGA

_
___
___
__4.I
tappearas“
Str
ingSi
gn”onabdomi
nal
Xray=Py
lor
icSt
enosi
s

_
___
___
__5.Thi
ssy
mpt
om al
onei
sadequat
etosat
isf
ytheJonescr
it
eri
a=Sy
denham’
schor
ea

_
___
___
__6. Whati
sthemostcommoncauseofFur
uncl
esandCar
buncl
es?S.aur
eus

_
___
___
__7.I
nfant
sofdi
abet
icmot
her
sar
ewat
chedoutf
or=hy
pogl
ycemi
a

_
___
___
__8.St
aphy
lococcal
Inf
ect
ionsar
eusual
l
ytr
ansmi
tt
edt
hruPer
sonshands

_
___
___
__9.Theear
li
esti
ndi
cat
orofPneumoni
ainachi
l
dof6mont
hsi
sRRandabov
e50/
min

_
___
___
__10.Themostcommoncauseofdi
arr
heal
diseasei
nthef
ir
st2y
ear
sofl
i
fe=Rot
avi
rus

_
___
___
_ _11.A10y earol
dstudentdev
elopsf
requentepi
sodesofspont
aneousblankst
ari
ngfor5
seconds.Asidefr
om t
hatsheisnormal
,shemostl i
kel
yhasSimpleabsencepet
itmal

_
___
___
_ _12.Whati
sthemostcommonser
iouscompl
i
cat
ionofKawasaki
disease?Cor
onar
y
aneury
sm

_
___
___
_ _13.A10yearoldgir
l haslet
har
gy,changeofsensor
ium,headache,
nausea,vomit
ingand
fever
.Fi
veyearsago,shewashospi t
ali
zedbecauseofmeaslespneumonia.Hercondi
ti
onis
probabl
ySubacuteSclerosi
ngpanencephal
it
is
_
___
___
_ _14.A2y /
oboyhasvomit
ingandcyanosi
sfol
lowi
ngboutsoffor
cef
ulcoughi
ngof3weeks
durati
on.HisWBCis20,
000;Neut
rophi
lsof10;
lymphocy
tes90.Themostli
kel
ydi
agnosi
sis
Pertussi
s

_
___
___
_ _15.Anewbor
nwi
thCongeni
tal
Rubel
l
asy
ndr
omecont
inuousl
yshedt
hev
irusunt
il1y
ear
old

_
___
___
__16.Hemophi
l
usi
nfl
uenzai
nfect
ionsar
emostcommonbet
ween3mos.upt
o5y
ear
s

_
___
___
__17.Whi
choft
hef
oll
owi
ngi
sabnor
mal
inaNewbor
nGr
unt
ing

_
___
___
_ _18.Dentalcari
esint
heupperi
nci
sorsismostcommonl ysuggest
iveof
a.Insuf
fici
entfl
uori
de c.Milkbott
lesyndrome
b.Pacif
ieroveruse d.Infr
equenttoot
hbrushi
ng

_
___
___
_ _19.A5y/oboyhasmulti
plepapul
eswithexcor
iat
ionsov erthefingerwebs,axi
l
la,
wri
sts,
butt
ocksandgeni
tal
swhichisespeci
all
yprur
it
icatnight.Hisothersibl
ingal
socomplai
ntsof
thesamecondi
ti
on.Thi
sisli
kelyacaseofPinworm disease

_
___
___
__20.I
mmunogl
obul
i
nthatpassest
hepl
acent
aIgG

_
___
___
__21.I
mmunogl
obul
i
nthati
sfoundi
nal
l
ergi
creact
ionI
gE

_
___
___
__22.Ift
hemotheri
sHbsAg(
+),
thebabyshoul
dbegi
ven=HBI
gwi
thi
n12hour
saf
terbi
rt
h,
HBvacci
newi
thin7day
s

_
___
___
__23.Thi
sischar
act
eri
zedashy
per
tensi
onoft
heupperext
remi
ti
esCoar
ctat
ionoft
heAor
ta

_
___
___
__24.Posi
ti
veMant
ouxt
esti
napr
evi
ousl
yvacci
nat
edchi
l
d10mm i
ndur
ati
on

_
___
___
__25.Thenor
mal
aver
agewei
ght(
inkg)ofaFi
l
ipi
nonewbor
nis2-
4kg

_
___
___
__26.Dr
ugofchoi
cef
ort
het
reat
mentoft
yphoi
dfev
eri
sChl
orampheni
col

_
___
___
__27.Anabsol
utecont
rai
ndi
cat
iont
obr
east
feedi
ngi
sAct
iveTBi
nthemot
her

__
___
___
_28.Thecl
i
nical
pict
ureof“
Mar
asmus”or
igi
nat
efr
om t
hef
oll
owi
ngcondi
ti
onsExcept
pr
operf
eedi
nghabi
ts

_
___
___
__29.Thephy
siol
ogi
cwei
ghtl
ossf he1st7day
ort sinanewbor
nis10%

_
___
___
__30.Rheumat
icf
everi
sfr
equent
lyobser
vedi
ntheagegr
oupf
rom 5-
15y
ear
s

_
___
___
__31.Cont
inueseardi
schar
gesl
ongert
han2weeksi
ndi
cat
eOt
it
ismedi
a

_
___
___
_ _32.A15y /
ogirl
devel
opedami l
dsor et
hroat
,lowgradefever
,di
ffusemaculopapularr
ash
andlaternot
edtohavet enderswel
li
ngofthewristandrednessoftheeyeswithtender
enlar
gedposter
iorcer
vicalandoccipi
tall
ymphnodes.Yourmostlikelydi
agnosisRubell
a

_
___
___
__33.Thi
sist
hemostcommonadv
erseef
fectofI
soni
azi
dper
ipher
alneur
it
is

_
___
___
__34.Br
onchi
oli
ti
sisusual
l
ycausedbyRSV

__
___
___
_35.Tr
ueofPneumocy
sti
ccar
ini
ii
nfect
ioni
nchi
l
dreni
mpor
tantpat
hogeni
nchi
l
drenwi
th
AI
DS

_
___
___
__36.Pl
euri
syisanaccumul
ati
onoff
lui
dint
hepl
eur
alspacest
hati
smostof
tenassoci
ated
wi
thM.Tubercul
osi
s

_
___
___
__37.Tr
eat
mentf
orI
diopat
hicThr
ombocy
topeni
cPur
pur
aPr
edni
sone

_
___
___
__38.Bact
eri
alEndocar
dit
isduet
oSt
rept
ococcusv
iri
dansi
sbestt
reat
edwi
thVCN
_
___
___
__39.Cy
anosi
sinNewbor
nsmaybecausedbyal
loft
hef
oll
owi
ngExceptPDA

_
___
___
__40.I
nfemal
es,
75-
90%ofUr
inar
yTr
actI
nfect
ionar
ecausedbyE.col
i

_
___
___
__41.Dur
ati
onofsecondar
ypr
ophy
laxi
sforRheumat
icf
everi
s5y
ear
s

_
___
___
_ _42.Dr
ug/sofchoi
ceint
hetreatmentofpat
ient
swi
thr
ecur
rentcompl
exf
ebr
il
esei
zur
es
Phenobar
bit
al,Val
proi
cAci
d,Diazepam

_
___
___
__43.Pneumothor
axcanbestbedi
agnosedbyachestx-
ray
.Thef
oll
owi
ngf
indi
ngsi
sty
pical
i
nthi
scondit
ionAbsenceofl
ungmarki
ngs

_
___
___
__44.ThemostcommoncauseofGr
osshemat
uri
ainpedi
atr
icsI
gANephr
opat
hy

_
___
___
__45.A10yearol
dchil
ddev
elopedanacut
eat
tackofast
hma.Thedr
ugt
hatwoul
daf
for
d
i
mmediat
erel
ieff
ort
hiswouldbeNebul
i
zedB2agoni
st

_
___
___
__46.Thebonemostf
requent
lyf
ract
ureddur
ingl
aboranddel
i
ver
yint
henewbor
nCLAVI
CLE

_
___
___
_ _47.Whi choft
hef
oll
owi
ngmaynotnecessari
l
ybepr
esentatbi
rt
h
a.grasp c.Pl
antarr
eflex
b.Mor orefl
ex d.Babi
nskirefl
ex

_
___
___
__48.Amicronut
ri
entt
hathel
psint
heformat
ionofr
edbl
oodcel
l
s,pr
eventser
iousneur
al
t
ubedef
ectsofthespi
nalcor
dandbrai
ntoFOLATE

_
___
___
_ _
49.Managementofhy per
bil
ir
ubinemiaoft
heNewbor
nisby
a.photot
herapy c.Phenobar
bit
al
b.Exchangetransf
usi
on d.al
l oft
heabove

_
___
___
_ _50.A7month-oldmaleinf
antwasbr oughtinbecauseofbl
oodyst
ools.Hist
oryrev
ealed
that5day
sage, hehadLBM.PPE: (+)elongatedmassour(L)l
owerquadrantoftheabdomen.
Themostlikel
ydiagnosi
sisInt
usussception

_
___
___
_ _51.Ect
hymagangr
enosum i
sacut
aneousl
esi
onassoci
atedwi
thPSEUDOMONAS
AEURUGINOSA

_
___
___
__52.Dr
ugofchoi
cef
orPseudomonasaer
ugi
nosaCef
tazi
dime

_
___
___
__53.Whi
chofthefol
lowi
ngdrugscr
ossest
hebl
oodbr
ainbar
ri
erev
eni
ntheabsenceof
i
nfl
ammati
on.Chlor
ampheni
col

_
___
___
__54.Themostcommonmal
i
gnantneopl
asm i
nchi
l
dreni
sAcut
eLy
mphobl
ast
icLeukemi
a

_
___
___
__55.Acut
eepi
glot
itt
isisal
ifet
hreat
eni
ngi
nfect
ioni
nchi
l
dren.Thi
sisgener
all
yassoci
ated
wi
thHaemophi
lusinfl
uenza

_
___
___
_ _
56.Hemorrhagi
cdiseaseoft
henewbor
nisadef
ici
encyseenmor
einbr
east
fedi
nfant
becauseofl
owerVit
ami nKinhumanmil
k

_
___
___
_ _
57.Therashofunmodi fi
edmeaslesappearfi
rst
e. att
hechestandback
f. att
hehair
line,
foreheadandbehindtheearl
obe
g.intheint
erdigi
talarea
h.ont hedorsum ofthehandsandf eet

_
_____
___58.Asubdur
alef
fusi
onmostcommonl
yaccompani
esmeni
ngi
ti
scausebyHemophi
l
us
i
nfl
uenzae

_
___
___
_ _
59.Oftheant
hropomet
ri
cindi
cator
sofnutri
ti
onalst
atus,measur
ementoft
hef
oll
owi
ngi
sa
bett
ercr
it
eri
onbecausei
tisi
ndependentonexcessfl
uidorfatHei
ght
_
___
___
__60.Congest
ivehear
tfai
l
urei
sreadyobser
vedi
nTGA

_
___
___
__61.Dr
ugofchoi
cef
orLept
ospi
rosi
sisPENI
CILLI
N

_
___
___
_ _
62.Thepassageoff
ecesi
ntoinappr
opr
iat
epl
acesaf
terbowel
cont
rol
hasbeen
establ
i
shedi
sknownasEncopr
esis

_
___
___
_ _
63.Achil
dwhodischar
gesur
inei
nvol
unt
ari
lyaf
tert
heageatwhi
chbl
addercont
rol
shoul
d
havebeenest
abl
i
shedisknownasENURESIS

_
___
___
_ _
64.Anewborninfantwhof
ailstopassmeconi
um wi
thi
n48hrs.andlaterpresent
swith
abdomi
naldi
stenti
onanddil
atati
onofproxi
malcol
oni
sprobabl
yHirschsprung’sdi
sease

_
___
___
__ 65.Thepreventionofext
rapul
monarytuber
cul
osisi
sadmi
nist
eredbyt
heuseoft
heBCG
vaccine.Thi
sv accinei
sbestadmini
ster
edbyINTRADERMAL

_
___
___
_ _
66.Thebestmeasur
eforpr
event
ionofinfecti
onamongneonatesi
nanurser
yis
a.UseofAl
cohol c.Discardusedblanket
s
b.UseofBet
adine d.Enforcecorr
ecthandtoel
bowwashi
ng

_
___
___
_ _
67.Thi
svir
alinf
ecti
onmaycausecongeni
tal
heartdisease.
,micr
ocephal
y,cat
aract
sand
deaf
ness,
ifacqui
redint
hef
ir
stt r
imest
erofpregnancy.Rubel
la

_
___
___
_ _
68.Thef oll
owi ngfindi
ngsisAbnor
mal inanor
mal
newbor
n
e. l
iveredge1- 2cm belowcostalmargin
f. Barrel
-shapedchest
g.Umbi l
i
cal cordwit honeart
ery2veins
h.Spl eentipbar el
ypalpabl
e

_
___
___
_ _
69.Atwhatagecanachi
ldidenti
fyhi
sgender?
e. Whenthechi
ldi
salr
eadyattr
actedt
otheopposi
tesex
f. At1½y /
o
g.At4y /
o
h.At3y /
o

_
___
___
__70.Thef
ir
stper
manentt
oot
htoer
upti
sCENTRALI
NCI
SORS

_
___
___
__71.AnHI
Vpat
ientcanbegi
venDPT

_
___
___
__72.Nor
mal
newbor
nExcept
:HC28cm

_
___
___
__73.Dr
awsamanwi
th2par
ts,
goest
otoi
l
etal
one,
tel
l
sast
ory
,rol
epl
ayi
ng4Y/
O

_
___
___
__74.Fi
rstsi
gnofPuber
tyi
nmal
esTest
icul
arenl
argement

_
___
___
_ _
75.Vit
amindefi
ciencyf
oundi
nthedevel
opi
ngcountr
iesespeci
all
yint
hePhi
l
ippi
nes.
a.Thi
aminedef
ici
ency c.Vit
ami
nCdef i
ciency
b.Vit
aminAdefi
ciency d.Vit
ami
nB12

_
___
___
__76.Fi
rstsi
gnofPuber
tyi
nFemal
esTHELARCHE

_
___
___
__77.Humancol
ost
rum hasMOREPROTEI
N

_
___
___
_ _
78.Themurmurofa2yearoldi
scont
inuousormachi
ner
yty
pehear
dinl
eftupperst
ernal
border
.Thedi
agnosi
smostl
ikel
yis:
PDA

_
___
___
_ _
79.A2y earol
dchilddevelopedf
ever,headache,vomit
ingandnuchal
rigi
dit
yf ol
l
owi
nga
boutofl
owerrespi
ratoryi
nfecti
onofthepossiblecausesofbact
eri
almeningi
tis,t
hef
oll
owi
ng
i
smor el
ikel
y:St
reptococcuspneumonia

_
___
___
_ _
80.A2mont hsoldinf
antcomesinwi
thj
aundi
cesince1weekold,hi
ghl
ycol
oredur
ine,
al
cohol
icst
ools.Li
veredgeispal
pat
edbel
owRt.Subcost
almargi
n.Themostl
ikel
ydi
agnosi
s
i
sBil
iar
yAtresi
a
 _
___
___
_ _
81.Acephal
hemat
omai
sbestdi
ff
erent
iat
edf
rom caputsuccedaneum by
:swel
l
ingdoesnot
crosssut
urel
i
ver

_
___
___
_ _
82.Stat
usepil
ept
icusi
scont
inuouscl
ini
cal
sei
zur
ewhi
chl
ast
smor
ethan
a.3hrs c.30minut
es
b.15minutes d.60minut
es

_
___
___
__83.Nutr
it
ional
depri
vat
ionpar
ti
cul
arl
yduri
ngthefi
rst3year
sofl
i
femayhav
eser
iousand
ir
rev
ersi
bleeff
ectongrowt
handdevelopmentof
:brai
n

_
___
___
__84.Adefi
ciencyoff
attyaci
dcausesfai
lureofgrowthandt
hepr
oduct
ionofdr
y,t
hickscal
y
ski
nwithdesquamationandint
ert
ri
go:Linol
eicaci
d

_
___
___
__85.Thesi
nglemosti
mport
antcauseofprev
ent
abl
ebr
aindamageandment
alr
etar
dat
ioni
s
thedef
ici
encyoft
hefol
l
owingnutr
ient
:IODI
NE

_
___
___
__86.Thedr
ugofchoi
cef
ort
het
reat
mentofchol
eraTETRACYCLI
NE

_
___
___
__87.Achi
ldwhocanskipwithal
ter
nati
ngfeet
,standononefootf
or10seconds,
andt
iehi
s
ownshoelaceshasr
eachedthedevel
opmental
mot orl
evel
of6YEARSOLD

_
___
___
__88.Thi
sist
hemostcommoncongeni
tal
vir
ali
nfect
ionRubel
l
a

_
___
___
__89.Fev
erisremi
tt
enti
f:dai
l
ytemper
atur
eret
urnt
obasel
i
nebutabov
ethenor
mal
temperat
ure

_
___
___
_ _
90.Diagnosi
sofURTIcanbemadei ftheur
inecult
urey
iel
dedgr
am (
-)ent
eri
crodsof
:
e. 100col/mlofur
inebysuprapubi
caspirat
ion
f. 10,
000col/mlofuri
neobtainedbycathet
eri
zat
ion
g.100,000col/mlofcl
eancatchedurine
h.Al l
oftheabove

_
___
___
__91.ThemostcommoncauseofVi
ral
Pneumoni
aini
nfancyi
sRSV

_
___
___
__92.Themostcommonbact
eri
alpat
hogenf
orost
eomy
eli
ti
sisS.AUREUS

_
___
___
__93.Thecombi
nat
ionofhemat
uri
aandpr
otei
nur
iausual
l
yindi
cat
esgl
omer
ulonephr
it
is

_
___
___
__94.Atoney
earol
d,howmanyt
imesshoul
dababy
’swei
ghthav
eincr
eased?3

_
___
___
__95.Ababywi
thdi
arr
heashoul
dnotbegi
venRI
CEGRUEL

_
___
___
_96.Theheadci
rcumf
erenceandchestci
rcumf
erenceappr
oxi
mat
eat4MONTHS

_
___
___
__97.Maj
ori
tyoft
ermi
nfant
swi
l
lhav
epassedt
hei
rfi
rstmeconi
um:
by24hr
s.ofl
i
fe

_
___
___
_ _
98.Hemophi l
iaAist
hemostf
requentt
ypeofhemophi
l
iadi
sor
der
sandi
schar
act
eri
zedby
defi
ciencyofFACTORVII
I

_
___
___
_ _
99.An8y/ocomestotheERanddi agnosedasPost
str
eptococcalGlomerul
onephr
it
iswi
tha
bl
oodpressur
eof160/110.Yourf
ir
stdrugofchoi
cetogiveisFurosemide

_
___
___
_ _
100.Anext
rapul
monar
ytuber
cul
osi
sinf
ect
ioni
nchi
l
drenaf
fect
ingt
hesuper
fi
cial
lymph
nodei
sScrof
ula

PEDI
ATRI
CSREVALI
DA
1.At erm heal thynewbor n’sPEwi l
l frequent lyshowacr ocy anosi s,harlequi
nism&er yt
hema
toxicum EXCEPTGENERALI ZEDPETECHI AE.
2.TheAPGARscor eev aluat esal l oft hef fV/ Si naneonat e, EXCEPT: BLOODPRESSURE
3.Anewl ydel iver ednewbor nat5mi nut eswasnot edt obepal e, HR80/ minwi t
hgri
maceand
somef lexi onoft heext remi ti
eswi thirregul arrespiration.APGARSCORE=6
4.Thef far enor mal phy siologi cchangesnot edi nNBi nfants, EXCEPT: Vomi t
ingaft
erfeeding
5.Abnor mal findi ngsi nNB?EXPI RATORYEFFORT
6.Newbor ni nfant saregi venv itami nKt opr ev entHEMORRHAGI CDI SEASE
7.APNEAi sCESSATI ONOFBREATHI NGFOR>10SECONDS, CENTRALI NORI GI
N,
COMPLI CATI ONOFPREMATURI TY
8.Ascaphoi dabdomeni ntheNBsuggest sDI APHRAGMMATI CHERNI A
9.TheMCcar di acdef ectassoci atedwi thCongeni talRubel laSy ndrome–PDA
10.TheMCcauseofneonat al jaundi ce–PHYSI OLOGI CJAUNDI CE
11.Birthwei ghti sdoubl edat6mont hs
12.Ther atiobet weent heheadci rcumf erenceandchestci rcumf er ence–6MONTHS
13.Theav er agegai ninl engt hat1y eari s25CM
14.Whi choft hef fser vesasani ndexofacut enut r
iti
onal depl etion–LENGTH/ HEIGTH
15.Thehumanbei nghas2gr owt hspur ts, whi choccurdur i
ngMI DDLECHI LDHOOD&PUBERTAL
PERI OD
16.At4y ear sol d, theexpect edhei ghti s100cm
17.Theexpect ed#oft eet hat4y ear sol di s2/ 3/4/ 5
18.Iti
sar eliabl ecr it
erionofgr owt h&r eflect sgr owt hfailureandchr onicundernutr
it
ion–
WEI GHT
19.Thear eaofbehav iorwhi chi smostcl osel yr elatedtoi ntelli
gencei sPERSONALSOCI AL
20.Acut et ast edi scr imi nat i
oni sachi ev ed: 3MONTHS
21.Eti
ol ogyofNEC: GII SCHEMI A, UDERDEVELOPMENTOFGII MMUNEPROTECTI ON,
INFECTI OUSAGENTS
22.HAVi nf ect ion=Ant i-HAVI gM
23.Pylor i
cSt enosi s–OCCURS2- 3WEEKSOLDTERM MALEI NFANTS, VOMITING,(+)OLIVE
SHAPEDMASSOVERTHEABDOMEN
24.Trueofesophageal atresiaexcept :Managementi smedi cal
25.MgtofGERD–THI CKENEDORALFEEDS
26.Leftt oRi ghtShunt sexcept=TOF
27.Thef far eR- Lshuntexcept :ASD
28.Thesy ndr omeofTOFconsi stof4f eatur esex ceptASD
29.TheMCcauseofHPNi nneonat al agei sRENALPARENCHYMALDI SEASE
TH
30.Funct ional closur eofDuct usar ter i
osusi ni nfantsoccurat8 HOUROFLI FE
31.Prev ent scl osur eofPDA–I NDOMETHACI N
32.Gradi ngofmur murwher ei tishear dwi t
ht hest ethoscopeof fthechest=6/ 6
33.Nor mal car dio- thoraci cr at i
o=0. 6
34.Ahi st oryofst rokei smor ecommonl yseeni nobst ruct i
vel esi on
35.TOFexceptCHF
36.Cer ebr al Mal ar i
a=PLASMODI UM FALCI PARUM
37.Childr enar et houghtt obeday dr eami ng&i nat tenti
ve=PETI TMAL
38.Symmet ricascendi ngpar al ysis–GUI LLAI NBARRE’ SYNDROME
39.TheMCmet ast at
icbr ainabscessf rom hear tdisease=NOTA
40.Viral i
nf ect ionoft heCNSwher ei tscour sei ssel flimited=ENCEPHALI TIS/ASEPTI C
MENI NGI TI S
41.MCpat hogeni nv olv ei nbr ainabscess: H.INFLUENZAE, S.AUREUS, N.MENI NGITIDIS
42.Ininfancy ,theMCcauseofhy drocephal us–Congeni tal
43.CSFpr oduct i
on=500ml /day

44.Tr
ueofStat
usepil
epti
cus
a.Conti
nuouscl
ini
calsei
zur
elast
ingatl
east30mi
nut
es
b.Nottr
iger
redbyinf
ecti
ons
 c. Ser ial sei zur esi nwhi chconsci ousnessi snotr egai nedbet weensei zur es
d.A&C
45.St artingf rom t hel ater al v ent ricles, CSFent erst he3rdv entriclev iat he
a.Sy lvianaqueduct
b.For amenofLuschkaandMagendi e
c. For amenofMonr oe
46.Gener al CIt oi mmuni zat ion–Hxofsev er el ocal react iont oapr ecedi ngdoseoft hev accine
47.Vacci newhi chpr ev ent si nfect ionf rom t hemostcommoncauseofot iti
smedi aandi nvasiv
e
bact er i
al infect ioni nchi l
dr en:
a.H.i nf l
uenzabv acci ne
b.I nf l
uenzav acci ne
c. Pneumococcal v acci ne
d.Meni ngococcal vacci ne
48.Doseofv itami naamong6mont hs- 11mont hs=100, 000I U
49.Mai nt ainst hei nt egr ityoft heepi thel i
al l
iningoft hebody ,ski nandt issues:
Iron,Vi t
ami nA/ Iodi ne
50.DoseofVi tami nAamong12- 71mont hsol di nf ant s=200, 000I U
51.Char act er i
zedl ar geant erior&post eriorf ont anel s, dr yski nandj aundi ce=Gal actosemia, CAH,
CH, PKU
52.Leadst ocat aract ,liverandki dneydi sease=Gal act osemi a,CAH, PKU, NOTA
53.Sul fadr ugsar eCIi nG6PDdef iciency
54.Abnor mal ,ambi guousgeni tal ia=CAH
55.Congeni tal infect ioni nf ect st hef et usal l thrououtpr egnancy=TOXOPLASMOSI S
56.Dur ingf et al li
fe, thel ungsar eCOLLAPSED&FLUI DFI LLED
57.Abnor mal shal l
owbr eat hi ngseeni nmet abol i
cal kal osi s=Hy per pnea, hy popnea, bradypnea,
tachy pnea
58.Cont inuous, musi cal expi rat or ysoundpr oducedbyai rpassi ngt hroughaf i
xedobst ructi
oni n
thel ar geai r waywheezes
59.Condi ti
oni sconf irmedwhena#8f eedi ngcat het ercantpasst hr oughtei ther
nost ril
/or ophar y nx=CHOANALATRESI A
60.Br onchi al obst r uct ionw/r eact ions&i nfectionsappeart obet hemaj orf act orinits
dev el opment=Lungabscess, pneumoni a,br onchi ect asis/f or ei gnbodyaspi rati
on
61.Epi glot iti
s–HAEMOPHI LUSI NFLUENZAE
62.At ypi cal Pneumoni aexcept=GBS
63.Neardr owni ngi sMCamongchi l
dr en: Upt o4y ear s,mal es15- 19y /o; a/ b
64.Acombi nat ionofl oudsnor i
ng, DOBdur i
ngsl eepwi t
hsl eepr elat edpauses=OSA
65.Det er iorat ionofr espi rat i
on, dimi nishedbr eat hsoundsandi ncr easedr esonanceon
per cussi on=PNEUMOTHORAX
66.TheMCcauseofOt itismedi ai nal l agegr oups
67.HBeAg, HBsAg
68.Rubel lai scont agi ousf rom 5day sbef oret her ashupt o3day saf tert her ash
69.Congeni tal Rubel lahast hehi ghestr i
skf orcongeni tal defectwhenapr egnantwomani s
st
exposeddur ingt he1 MONTH
70.Thesechi l
dhoodi llness/ esconf er sl i
fel ongi mmuni tyaf teri nf ect i
onexceptTETANUS
71.“SlappedCheek”char acter ized1stst ageofERYTHEMAI NFECTI OSUM
72.Incr easecapi l
l
ar yf ragi l
ity=DHF
73.F
74.Aneonat ewi thski nv esi cles, chor i
or et i
nitisandmi cr ocephal y=CONGENI TALCMV
75.Bact er i
al inf ectioncausesf oodpoi soni ng=STAPHYLOCOCCUS
76.MCcauseofmeni ngi tisi nal l agegr oups=H.I NFLUENZAE
77.Hi ghf ev er, mal ai se, chi lls, pet echi al r
ashes, wi thhy pot ensi onandDI Cwi t hin24hour s=
MENI NGOCOCCEMI A
78.Immunegl obul inspassi velyt ransf er redf rom mot hert obaby=I gG
79.Br east f
edi nf ant shav eLACTOBACI LLUSBI FIDUS
80.Cigar ettesmoki ngwi llcauseLBW FORGA
81.Thal idomi dewi l
l cause-AMELI A, PHOCOMELI A
82.Indicat esTBoft heski nov er l
y ingcaseousl y mphnode=SCROFULODERMA
83.Infest ationoft hi swor m wi ll causer ect al prolapse, stunt edgr owt handsev er
eanemi a–
TRI CHURI STRI CHI URA
84.AMOEBI ASI S=METRONI DAZOLE
85.Hemophi li
aA=FVI I
I
86.Hemat uri
a+Pr oteinuria=Gl omer ulonephriti
s
87.MCcauseofVi ralPneumoni ai ni
nfancy=RSV
88.DxofURTIcanbemadei ftheur i
necul tureyiel
dedg(-)enteri
crodsof
a.100CFU/ ml =supr apubi caspiration
b.10, 000CFU/ ml =Cat heterizat
ion
c. 100,000CFU/ ml =Cl eancat ch
89.Skipwithalternatingf eet,standon1f ootf or10seconds,tieshoel
aces=6YEARSOLD
90.Singl
emosti mpor tantcauseofpr ev entablebraindamageandment alr
etardati
on=IODI
NE
91.Adef i
ciencyoff attyaci df ail
ureofgr owt handt heproducti
onofdry,thi
ck,scalyski
nwit
h
desquamat ionandi ntertri
go=LI NOLEI CACI D
92.Nutri
ti
onal deprivationpar ti
cularl
ydur ingthef i
rst3yearsofli
femayhav eser i
osand
i
rrever
sibleeffectongr owt handdev elopmentofBRAI N