Transposition of The Great Arteries
Transposition of The Great Arteries
B. VSD
C. Hyperbilirubinaemia.
E. Eisenmenger syndrome
A. A collapsing pulse.
E. Splenomegaly.
C. An enlarged liver
D. Ascites
E. Excessive perspiration
A. Pansystolic timing.
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. A 15 year old female presents following a sore throat with chest pain, fever, and a
skin rash. Examination reveals a diastolic murmur. Her ASO titre is elevated. Which of
A. Fever
B. Raised ESR
C. Polyarthritis
D. Migratory erythema
E.Prolonged PR interval
6. Which one of the following options would not be expected in association with poorly
controlled hypothyroidism in an 18 month old infant?
C. Umbilical hernia
D. Diarrhoea
. A 16 year old female presents with hypertension and increasing weight. Which of the
following
features would be most suggestive of Cushing's syndrome rather than simple obesity?
A. Abdominal striae
B. Acanthosis Nigricans
D. Moon face
E. Proximal myopathy
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. Which of the following is correct concerning Type 1 Diabetes in children.
A. Insulin therapy should be given only when oral hypoglycaemic agents fail
E. The adequacy of glycaemic control is most reliably assessed by twice daily urinalysis
dehydrogenase deficiency?
C. cystic fibrosis
E. renal failure
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12. Which of the following is commonly associated with congenital hypothyroidism in
the neonatal period:
A. Hypothermia
B. Diarrhoea
E. Inguinal hernia
A. is a greater threat to children during the second 6 months of life, after maternal
antibody has declined, than during the first 6 months
D. is associated with convulsions less frequently than is the case with other febrile
conditions
15. A 2 month old child presents with snuffliness and difficulty in feeding. He has a
crusty nose and low-grade fever. His respiratory rate is 40/min. Symmetrical
conducted secretion sounds are heard in the chest.
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What is the most likely diagnosis?
A. Allergic rhinitis
C. Sinusitis
D. Asthma
E. Croup
16. One of the surgical wards in your hospital notes an outbreak of Methicillin
resistant Staphylococcus aureus (MRSA) infections. What is the best mechanism for
reducing further transmission of this infection?
D. Screen ward staff using nasal swabs and exclude those with positive cultures for
MRSA
17. A 5 year old boy presents to Accident and Emergency complaining of acute pain
over his upper tibia. He is febrile and he refuses to move his leg. A diagnosis of
osteomyelitis is suspected
A. Clostridium difficile
B. Haemophilus influenzae
C. Pseudomonas
D. Salmonella
E. Staphylococcus aureus
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18. An 18-year-old boy is suspected of having cystic fibrosis. Which of the following
results would be most suggestive of this condition?
20. Which of the following statements correctly applies to a baby of 2 months who
is considered to be 10% clinically dehydrated with gastroenteritis:
infants:
D. Blood pressure
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22. Which of the following statements is true concerning: Intussesception in
children:
25. A young child is admitted with a two day history of feeling unwell, fever and has
developed bloody
A. Crohn’s disease
B. E.Coli 0157
C. Giardiasis
D. Polio [0]
E. Threadworm infestation
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26. Which of the following is associated with hypernatraemia.
A. Cholera
B. Pyloric stenosis
D. Diabetes insipidus
E. Diabetes mellitus
F. 27. By the age of 2 years, a normal child should be able to build the following
structures using 1 inch cubes:
G. A. A train
H. B. A bridge
J. D. A tower of 6 cubes
K. E. A pyramid
A. A third fontanelle.
B. Duodenal atresia.
C. Ataxic gait.
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29. A 3 year old by presents with a 2d history of coryza and cough, particularly at
night.
On examination he has Harrison's sulci and is on the 3rd centile for weight and
height.
A. Gastroesophageal reflux
B. Allergic rhinitis
C. Sinusitis
D. Asthma
E. Croup
30. A 10 year old boy attends A+E with a two daY history of a limp. He has
recently been unwell. On examination he is apyrexial and movement at his hip is
uncomfortable.
A. Congenetal dislocation.
B. Perthes disease
C. Septic arthritis
E. Transient synovitis
A. Cystic fibrosis
B. Galactosaemia
C. Huntington’s chorea
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D. Duchenne muscular dystrophy
E. Facio-humero-scapular dystrophy
F. 32. Early cardiac failure during the neonatal period is often associated with:
G. A. Hepatomegally
H. B. Failure to thrive
I. C. Feeding difficulties
J. D. Episodes of apnoea
X. A. Diabetic ketoacidosis.
Z. C. Aspirin poisoning.
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AA. D. Lactic acidosis.
AH. E. Mother can be told it will disappear by the age of four weeks.
AJ. A. Hyperthyroidism
B. Hypothyroidism
AK. C. Pseudohypoparathyroidism
D. XYY Syndrome
B. Ventricular septal defect is usually clinically detectable in the first few days of life
39. Among the following, the condition that is MOST likely to predispose a pediatric
patient to the development of systemic candidiasis is
A. history of atopy
B. history of prematurity
C. immunosuppression
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D. presence of an indwelling catheter
E. recent tonsillectomy
40. The virus most commonly associated with the clincal picture of acute bronchiolitis in
infants and young children is
(A) adenovirus.
(C) rhinovirus.
(D) coxsackievirus B
41. Which of the following is a common side effect of phenytoin (Dilantin) therapy?
42. A child in the preicteric phase of hepatitis A moxt likely will exhibit
43. Which of the following is the most common cause of failure to thrive in infants?
(C) Tuberculosis
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(E) Nonorganic causes
44. Which of the following laboratory values is normally higher in childhood than in
adulthood?
45. In most cases of ABO isoimmune hemolytic disease of the newborn, the mother is
47. A 6-year-old girl experiences her second episode of meningococcal meningitis. The most
likely immunodeficiency disorder in this child is which of the following?
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(D) Deficiency of complement component C6
48. A 6-year-old boy complains of itchy eyes, watery nose, and sneezing starting mid-May
and lasting through June. What is the first drug of choice or modality in your treatment of
this child?
(A) Antihistamines
(C) Desensitization
(E) Antibiotics
49. All of the following findings may occur in the systemic form of juvenile arthritis EXCEPT
which?
(C) Iridocyclitis
(D) Lymphadenopathy
50. A healthy 15-month-old male infant is brought to your office for evaluation of diarrhea.
His growth, weight gain, activity, and appetite have been normal. The first stool of the day
appears normal, but they become increasingly loose and frequent as the day progresses.
51. A 9-year-old boy presents for evaluation of recurrent oral ulcers, weight loss, and joint
pain over the past 4 months.
Of the following, the MOST likely explanation for these findings is:
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A. Crohn disease
B. cyclic neutropenia
D. herpangina
E. herpetic gingivostomatitis
52. Which of the following hemolytic anemias is associated with an extracorpuscular defect?
53. Proper management of a child who has an absolute neutrophil count of 100/mm 3
would be
(B) careful physical examination and chest radiograph; close observation pending results
of blood cultures
(D) nutritional support with oral iron and intramuscular injection of vitamin B12
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(E) Splenomegaly
EXCEPT
(C) Typical electroencephalogram findings include localized spike discharges in the temporal
areas.
57. Which of the following statements best characterizes the diagnosis of urinary tract
infection in children?
(A) The presence of fever localizes the infection to the renal parenchyma
(B) The diagnosis is likely if there is pyuria with more than 10 white blood cells per high-
power field
(D) Diagnosis is difficult because the typical causative organisms grow poorly in culture
(E) Vesicoureteral reflux localizes the infection to the lower urinary tract
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58. All of the following are problems commonly associated with cerebral palsy EXCEPT
(A) epilepsy
(C) blindness
(E) strabismus
59. A 7-month-old boy previously diagnosed with tetralogy of Fallot is seen in the
emergency department because of irritability, hyperpnea, increasing cyanosis, and episodic
loss of
consciousness. Which of the following is the best course of management for this patient?
pain?
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creatinine is 0.4 mg/dL, the albumin 1.8 mg/dL, and the blood pressure is 95/60 mm Hg.
What is the next best course of action?
(B) Follow up the child and see if this nephrotic syndrome remits
62- A 6-year-old boy with hemophilia A (factor VIII level 10%) strikes his elbow and
subsequently has swelling and tenderness at the site of trauma. What is the proper
treatment?
63. Acute rheumatic fever may cause which of the following disorders?
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of 70 mEq/L
(A) Neuroblastoma
(C) Medulloblastoma
(D) Histiocytosis X
66. Parents who wish to breast feed but want to supplement with formula should:
c) try a different formula each day until the baby shows a preference
d) pump and then mix the formula and breast milk in a one to one ratio
67. If dietary iron is not provided, infants begin to deplete their iron stores by:
a) 1 month
b) 2 months
c) 4 months
d) 6 months
e) 12 months
68. A 15 year old boy comes to your office for follow up of his reactive airway disease. He
describes his symptoms as daily and also experiencing nocturnal symptoms approximately 2x
per week. Spirometry performed in your office reveal that his FEV1/ PEFR is 75% of his
predicted value. These results classify his severity of asthma as:
A. Severe persistent
B. Moderate persistent
C. Mild persistent
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D. Mild intermittent
D. Radial aplasia
70. All of the following are true regarding infantile spasms except:
a. Infantile spasms are mixed flexor-extensor spasms that last only a few seconds but may
repeat more than one hundred times in a row.
72. In a patient receiving theophylline on a regular basis, the drug that is MOST likely to
decrease the serum level of theophylline is
A. acetaminophen
B. erythromycin
C. carbamazepine
D. cimetidine
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E. ranitidine
73. A 6-year-old boy is brought to the emergency room with a 3-hour his-tory of fever to
39.5ºC and sore throat. The child appears alert but anxious and he has mild
inspiratory stried. You should immediately
75. A 6-month-old infant has eaten a diet with the following content and intake for the past
5 months; protein 4 percent of calories, fat 60 percent of calories, carbohydrates 36 percent
of calories, calories 105/kg/day. The patient's disturbance is
(A) rickets.
(B) maraemus.
(C) obesity.
(D) tetany.
(E) kwashiorkor.
76. Characteristics of hypernatremic dehydration with Na+ in serum 170 mEq/L and 10
percent loss of body weight are all the following EXCEPT
(B) convulsions.
(C) thirst.
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(D) lethargy.
(E) hyperirritability
77. All the following viruses have been associated with congenital infection EXCEPT
(A) cytomegalovirus
(E) rotavirus
78. All the following statements about acute asteomyelitis aretrue EXCEPT that
(D) bony changes are not visible radiographically for 5 to 10 days after onset of infection
79. Which of the following infections typically has an incubation period of less than 2 weeks
(A) Mumps.
(B) Varicella.
(C) Rubella.
(D) Measles.
(E) Rabies.
80. A 12-year-old girl has a mass in her neck. Physical examination reveals a thyroid nodule,
but the rest of the gland is not palppable. A technetium scan reveals a “cold” nodule. The
child appears to be euthroid. Which of the following diagnosis is the LEAST likely?
(D) A cyst.
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(E) Dysgentic thyroid gland
(A) 8 hours
(B) 1 week
(C) 1 month
(D) 2 months
(E) 4 months
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