Pediatrics: Day 1, MCQ1: A 4 year old baby boy complaining of fever, chills, rigors & nuchal rigidity.

O/E he had positive Kurning's sign & petechial rash on his abdomen & lower limbs. The diagnosis is: a) Pneumococcal meningitis b) Meningococcal meningitis c) Aseptic meningitis d) Brain tumor e) Encephalitis

Day 1, MCQ 2: A child presented with fatigue, loss of apetite & bloody urine. The mother gave History of sore throat 3 weeks back. The most likely diagnosis is: a) Hemorragic pyelonephritis b) Post streptococcal GN c) Heamorragic cystitis d) Membranous GN e) IgA nephropathy Pediatrics: Day 1, MCQ 3: A child of an HIV positive mother. He is not immunized. Which of the following vaccines should not be given to him? a) Live oral Polio b) DTP c) MMR d) Hepatitis B

Day 1, MCQ 4: A child swallowed his relative's medication. What is the best way of gastric decontamination? a) Gastric lavage b) Total bowel irrigation (whole bowel wash) c) Syrup ipecac d) Activated charcoal Day 2, MCQ1: A child was treated for otitis media with 3 different antibiotics for 6 weeks but without improvement. Which antibiotic is the best treatment: a) Amoxicillin b) Penicillin c) Cepahlosporin (ceprofloxacin) d) Amoxicillin + Clavulonic acid e) Erythromycin + sulfamethoxazol Pediatrics: Day 2, MCQ 2: The amount of Na+ in ORS "Oral Rehydration Solution" according to WHO is: a) 150 mEq b) 120 mEq c) 90 mEq d) 60 mEq

Pediatrics: Day 2, MCQ3: Children are expected to walk without support by the age of: a) 6 months. b) 9 months. c) 15 months. d) 18 months Day 2, MCQ 4: Symptom of CF "Cystic Fibrosis" in neonate is: a) Meconium ileus. b) Penumothorax. c) Steatorehea. d) Rectal Prolapse 3, MCQ 1: Regarding DKA in pediatrics, all of the following are true Except: a) NGT for semiconscious patient. b) Dont give K+ infusion till lab results come. c) ECG monitoring is essential. d) Frosemide for patient with oligouria. e) If pH is < 7 give HCO3Day 3, MCQ 2: MMR vaccine is given at age of: a) 9 months. b) 12 months. c) 18 months. d) 24 months Day 3, MCQ 3: To prevent tetanus in neonate, give: a) Anti-tetanus serum. b) Immunoglobulin to mother. c) Tetanus toxiod. d) Antibiotic to mother. e) Penicillin to child to kill tetanus bacilli. Day 3, MCQ 4: Hypothyroidism in young baby is due to: a) Agenesis. b) Enzyme deficiency. c) Drug by mother. d) Endocrine unresponsiveness Day 3, MCQ 5: Cellulitis in children aging 6 to 24 months is most commonly caused by: a) H. influanzae. b) Group A streptococci. c) Staphylococci. Day 4, MCQ 2: In a 6 months old patient with sepsis, the most likely organism is: a) H. influanzae.

b) Group A streptococci. c) Staphylococci. d) Listeria. Pediatrics: Day 4, MCQ 3: 18 months old patient,the mother complain that her son is saying only "mama, baba" no other words, he is otherwise completely normal. First step is to evaluate: a) physical examination. b) Developmental test. c) Hearing test. d) Speech test Day 4, MCQ 1: Cellulitis in children aging 6 to 24 months is most commonly caused by: a) H. influanzae. b) Group A streptococci. c) Staphylococci Day 4, MCQ 4: A 2 weeks old infant with jaundice, Cirrhosis and ascites. The diagnosis is: a) Gillberts disease. b) Criggler-Najjar syndrome. c) Dubin Jhonson syndrome. d) Congenital biliary atresia. Pediatrics: Day 5, MCQ 1: A 5 year old child with history of fever and swelling of the face anterior to the both ears (parotid gland enlargement). What is the most common complication: a. Labrynthitis. b. Meningitis. c. Encephalitis. d. Orchitis. Meningitis is the most common complication of mumps in pediatrics age group. * Orchitis is is the most common complication after puberty. 5, MCQ 2: Treatment of EBV ( in scenario there patent with tonsiller exudates, lymphadenopathy, splenomegaly): a. Oral acyclovir. b. Oral antibiotic. c. IM or IV acyclovir. d. Supportive treatment. e. Observation. Day 5, MCQ 3: 126) baby can sit without support, walk by holding furniture, Pincer grasp, pull to stand. How old is he: a. 8 months. b. 10 months. c. 12 month. d. 18 month. Day 5, MCQ 4: 6 months old boy with fever. You should give him antipyretic to decrease risk of: a. Febrile convulsion

b. Epilepsy c. Disseminate bacteria d. Meningitis. Day 5, MCQ 5: 5 year old boy, 3 day after flue symptom developed conjunctivitis with occipital and neck lymph node enlargement. The diagnosis is: a. Adenoviruses. b. Streptococcus. c. HSV. d. HIV. Day 6, MCQ 1: What is the most common treatment for juvenile rheumatoid arthritis: a. Intraarticular injection of steroid. b. Oral steroid. c. Paracetamol. d. penicillamine. e. Asprin. Day 6, MCQ 2: 2 month old infant with vomiting after each meal, he is in 50 centile, He passed meconium early and stool, The diagnosis is: a. Midgut volvulus. b. Meconium ileus. c. Hischsprung disease

6, MCQ 3: Baby complaining of haemangioma affects vision. When you fear of amblyobia: a. After 1 week. b. After 1 month. c. After 3 months. d. After1 year Day 6, MCQ 4: Baby can copy triangle and square at what age: a. 1 year. b. 2 years. c. 3 years. d. 5 years. Day 6, MCQ 5: Patient with Kwashiorkor has: a. High protein & high carbohydrate. b. High protein & low carbohydrate. c. Low protein & high carbohydrate. d. Low protein & low carbohydrate. Day 7, MCQ 1: What is the best source of iron in a 3 month old infant: a. Breast milk. b. Low fat caw milk. c. Iron fortified cereals.

d. Fruits. e. Yellow vegetables Day 7, MCQ 2: 10 year old male patient woke up at night with severe lower abdominal pain. What is the most important thing to be examined: a. Kidneys. b. Testicles. c. Lumbosacral spine. d. Non of the above. Day 7, MCQ 3: Term baby born to mother who developed chickenpox 7 days before delivery. The baby is symptomatic. Which of the following is true: a. Give acyclovir and vericella zoster immunoglobulin. b. Give acyclovir 15mg/kg IV Q8h for 7 days immediately. c. Serological evidence is needed before initiation of therapy. d. The mother and the baby should be nursed together at their own room. e. Non of the above. Day 7, MCQ 4: A child had croup after waking up of sleep. The differential diagnosis include all of the following except: a. Foreign body body aspiration. b. Tonsilitis. c. Pneumonia. d. Cystic fibrosis Pediatrics: Day 7, MCQ 5: A 15 year old body come with history of yellowish discoloration of sclera, vomiting and abdominal pain. On investigation; Bilirubin = 253, Indirect bilirubin = 93, Albumin = 38 (N = 30-50), Total protein = 78 (N = 6080), ALT = 838, AST = 1005. What is the most likely diagnosis: a. Infective hepatitis. b. Obstructive jaundice. c. Gilbert disease. d. Acute pancreatitis. e. Autoimmune hepatitis.

Day 8, MCQ 1: One of the following is not a feature of Henoch-Schoelein Purpura: a. Arthritis. b. Rash over the face. c. Abdominal pain. d. Normal pletelet count. , MCQ 2: All can cause short stature Except: a. Hypothyroidism. b. Turner syndrome. c. Down syndrome. d. Klinefileter syndrome. Day 8, MCQ 3: Management of tracheoesophageal fistula include all of the following Except:

a. Chest tube. b. NGT. c. Pulmonary toilet. d. Gastrostomy. e. IV antibiotics. 8, MCQ 4: In neonates, which of the following need immediate treatment: a. Erupted teeth. b. Absent femoral pulse. c. Asyptomatic hydrocele. Day 8, MCQ 5: Regarding rubella infection, which is true: a. Incubation period is 3-5 days. b. Starts with high fever. c. Oral ulcer. d. Arthritis. e. Does not cause cardiac complications or deafness Day 9, MCQ 1: Epidydimitid: a. Common at the age 12-18. b. Iliac fossa pain. c. Scrotal content doesnot increase in size. d. Ultrasound will confirm the diagnosis. e. All of the above. Day 9, MCQ 2: 18 month old baby can typically do the following Except: a. Have a vocabulary of 10 words. b. Build at a 10 brick tower. c. Drink from a cup. d. Feed himself by spoon Day 9, MCQ 3: A child attend the clinic 3 times with history of cough for 5 days not responding to symptomatic treatment. One is true in management: a. CXR. b. Trial of broncodilator. c. Trial of antibiotics.

Day 9, MCQ 4: A 10 year old child presented to the clinic with 3 weeks history of limping that worsen in the morning. This suggests which of the following: a. Septic arthritis. b. leg valve parthes disease. c. RA. d. Tumor. e. Slipped capital femoral epiphysis. 9, MCQ 5:

Cystic fibrosis gene is located on: a. Short arm of chromosome 7. b. long arm of chromosome 7. c. Short arm of chromosome 8. d. Long arm of chromosome 17. e. Short arm of chromosome 17. Day 10, MCQ 1: Regarding treatment of TOF "Tetrology of Fallot". All are true Except: a. Systemic Antibiotic. b. Thoracotomy. c. Chest tube insertion. d. Surgical correction. Day 10, MCQ 2: A child presented with history of restlessness sleep during night and somnolence during day. The most likely diagnosis is: a. Sinopulmonary syndrome. b. Sleep apnea. c. Laryngeomalacia. d. Adenoidectomy. Day 10, MCQ 3: A 12 month old child can do all the following Except: a. Walk with support. b. Play with ball. c. Catch with pincer grasp. d. Open drawers. e. Response to calling his name. 10, MCQ 4: A 5 year old child seen in ER presented with fever and sore throat, which of the following suggest viral etiology: a. Presence of thin membrane over the tonsils. b. Palpable tender cervical lymph nodes. c. Petechial rash over hard and soft palate. d. Absence of cough. e. Rhinorrhea of colorless secretion

Day 10, MCQ 5: When to start breast feeding after deliver: a. As soon as possible. b. 8 hours. c. 24 hours. d. 36 hours. e. 48 hours.