2008/5/8 Pediatric Gr E Final test 1) Underline the FALSE answer Oculomotor nerve: A. associate with ocular movement B.

incorporate with CN4 and CN6 C. elevate the upper eyelid D. constrict the pupil E. associate with Blink reflex Ans: E 2) 1. 2. 3. 4. 5. body body body body body height < 3c weight < 3c weight < 25 c weight = 25c and body height = 90c weight = 10c and body height = 25c

Pathological growth is expected when A. 1,2,4 B. 1,4 C. 2,4 D. 1,2,6 E. 1,2 Ans: A 3) 1. resonance sound 2. dull sound 3. tympanic sound Match the following with appropriate sound in the given condition A. healthy lung-1 ; liver-3 ; stomach-2 B. pneumonia-1,2 ; liver 2 ; stomach-3 C. agalactasis-2 ; liver 2; bowel-3 D. emphysema-3 ; liver-1; bowel-2 E. B and C are correct Ans: E 4) Lack of gag reflex indicates A. fascial nerve palsy B. trigerminal nerve dysfunction C. glossalpharyngeal palsy D. vagus nerve palsy E. C and D are correct Ans: E 5) Choose examination of abdomen in the correct order A. Inspection, percussion, palpation, auscultation, special test

B. Inspection, auscultation, special test, palpation, percussion C. Percussion, palpation, inspection, auscultation, special test D. Inspection, palpation, auscultation, special test, percussion E. Inspection, auscultation, palpation, percussion, special test Ans: E 6) A 7 year old untreated Phynoketonuria (PKU) will present with the following symptom. 1. mental retardation (IQ about 20-40) 2. cardiomyopathy 3. renal failure 4. janundis 5. seizure 6. Eczema, mouse- blond hair and blue eyes A. 1,5,6 B. 1,5 C. 1,2,3,4 D. 1,2,3,4,5 E. 1,2,3,4,5,6 Ans: A 7) A 8 month old baby admitted to the hospital. He often cries for 20 minutes before a soft stool is excreted. He has no teeth, loss weight. The most likelihood of diagnosis of his condition is : A. Chronic diarrhea B. Malabsorption syndrome C. Infantile dyshazier D. Hirchrung disease? E. Retentive.. Ans: C 8) The diagnostic method of campylorbacter is: A. rapid Hydrogen test B. Hydrogen breath test C. Histopathology D. Blood culture E. All the methods above Ans: C 9) A PKU patients stool will contain the following: A. hyper B. no glucose.. C. hyperammonaemia D. hypernatremia E. Ans:

10) A 3month old baby is admitted to the pediatrician. He has bronchospasm. The occipital fontanel is flat. The baby is diagnose: A.Vitamine D3 deficiency associated with ricket B. Vitamine D3 deficiency associated with tetany C. hypermagnesia D. hypernatremia E. Ans: B 11) which of the following regarding Tetany is NOT true? A. vitamine D3 deficiency may associated with tetany B. Hyperparathyroidism C. Hypoparathyroidism D. Tetany can be overt and latent E. Only overt Ans: B 12) Which of the following symptom is found during physical examination for pharyngitis? A. Fever B. Cough C. Erythma and rash on the wall of the mouth D. Diarrhea E. Conjuntivitis Ans: C 13) A child is admitted to the hospital. His test shows negative EmA antibody. The symptom include chronic diarrhea. A. Malabsorption syndrome B. Celiac disease C. Food allergy D. E. Ans: B 14) Deficiency of EmA antibody means it is lack of A. IgA B. IgG

C. IgM D. IgE E. Fibrous Ans: A 15) The stool of Osmotic Diarrhea will contain 1. Osmotic gas 2. Hyperglycemia 3. ph >6 4. reducing substances > 0.5%. 5. Hypernatremia. A. 1,3,5 B. 1,4 C. 2,4,5 D. 1,3,4, E. 2,3,5 Ans: B 16) Which of the following will cause Osmotic Diarrhea? 1. food allergy 2. secondary malabsorption syndrome 3. lactase deficiency 4. viral infections of GI tract 5. bacterial infections of GI tract correct answer are: A. 1,2,3 B. 4,5 C. 1,3 D. 1,4,5 E. 2,3,4 Ans: A 17) Ratio of duration of inspiration to expiration for vesicular sound is: A. 1:1 B. 1:3 C. 3:1 D. 1:2 E. 2:1 Ans: C 18) A neurological test assessing body balance is: A. Brudzinskis test B. Romberg test C. Babinski response D. Trendelenburg test

E. Oppenheim maneuver Ans: B 19) A 15 year old girl was admitted to the ward due to chronic diarrhea occasionally with blood, loss of body weight. Stool culture normal, elevated CRP, positive ASCA antibody. The most probable diagnosis is A. Ulcerative colitis B. Crohn disease C. Proctitis D. Celiac Disease E. Rotavirus Infection Ans: B (+ve ASCA = CD ; +ve pANCA = UC ) 20) 1. Muscle tone 2. Skin colour 3. Size of arterial fontanel 4. Reflex irritability 5. Posture In Apgar test following features are assessed: A. 1,2,4 B. 1,2,5 C. 1,2,3 D. 1,2,3,4 E. 1,2,3,4,5 Ans: A

Possible Practical question & written question: Inborn Error Metabolism disorder Q. galactosemia, Gouchers disease, PKU Q. acute pancreatic enzyme Amylase; lipase Q chronic pancreatic enzyme Amylase low ; lipase low Q which of the fowing enzyme best destribe in pancreatitis? Lipase (amylase is also secrete from saliva & lipase lvl is specific to pancrease enzyme lvl. ) Q. Cystic Fibrosis question

CFTR gene, Classic & atypical CF Q: how many sound can u heard from heart? Ans: 2 Q: places of auscultation of heart and what valve is heard in each individual location? Ans: 1. right of sternum at 2nd intercostals space- aortic valve 2. left of sternum at 2nd intercostals space pulmonary valve 3. left of sternum at 4th intercostals spae- tricuspid valve 4. left of sternum at 5th intercostals space at Mid-Clavicular linemitral valve Q: the amplitude of the 2 heart sound at each 4 individual places Ans: 1. aortic valve=> 1st sound Louder then 2nd Sound Pulmonary valve=> 1st sound Louder then 2nd Sound Tricuspid valve=> 1st sound Equal lound with 2nd Sound Mitral valve=> 2nd Sound Louder then 1st sound Q: place of auscultation of lung in the front Ans: 2nd intercostals space at Left and Right of sternum 4th intercostals space at Left and Right of sternum 6th intercostals space at Left and Right of sternum at Mid-Axilary line Q: place of auscultation of lung in the back Ans: place at the top of scapula Palce in between the scapula at left and right of vertebrae coloum Place below the left and right scapula Q: how long should we stop breast feed Ans: 6 month Q how long before the frontal fontenal close? 1.5 year Q how long before the occipital fontenal close? 6 month Q shows the location of the lympth nodes at the neck and name them Ans: occipital, preauricular, post auricular, submandibular, submental, deep cervical, superficial cervical, suproaclavicular, sub clavicular, axillary, inguinal Q what are the important feature we should look at the lymph nodes at the neck? Ans:1) colour

2) 3) 4) 5)

moveable/ non-movable size tenderness, soft or hard skin lying over the lymph nodes