Dr.KAMEL HASSAN PEDIATRIC MCQ OF THE DAY

01-11-2008
Question :1
a)-A three years old boy presents with poor urinary steam. Most likely cause is?
A-Stricture urethra.
B-Neurogenic bladder.
C-Urethral calculus.
D-Posterior urethral valves.
THE CORRECT ANSWER is D

b)-The first one to ossify in the foetal life is
A-Rib.
B-Sternum.
C-Vertebra.
D-Non of the above
THE CORRECT ANSWER is D

c)-All of the following are features of neonatal necrotizing enterocolitis except?
A-Abdominal Distention.
B-Metabolic acidosis.
C-Pneumoperitonium.
D-Increased peristaltic sounds
THE CORRECT ANSWER is D

02-11-2008
Question : 2
A 11 months old boy, weighing 3 kg has polyuria, polydipsia and delayed motor milestones. Investigations show blood levels of creatinine 0.5mg/dL, potassium 3mEq/L, sodium 125mEq/L, chloride 88mEq/L, calcium 8.8mg/dL,pH -7.46, and bicarbonate 26mEq/L. ultrasonography shows medullary nephrocalcinosis.
The most likely diagnosis is?
A-Renal tubular acidosis.
B-Diabetes insipidus.
C-Bartter syndrome.
D-Pseudohypoaldosternism.
THE CORRECT ANSWER is C

03-11-2008
Question : 3
The treatment of choice for primary grade V Vesicoureteric reflux involving both kidneys in a 6 months old boy is?
A-Antibiotic prophylaxis.
B-Ureteric reimplantation.
C-Cystoscopy followed by subureteric injection of Teflon.
D-Bilateral ureterostomies.
THE CORRECT ANSWER is B

04-11-2008
Question : 4
The most common leukocytoclastic vasculitis affecting children is?
A-Takayasu disease.
B-Mucocutaneous lymph node syndrome (Kawasaki disease).
C-Henoch schonlein purpura.
D-Polyarteritis nodosa.
THE CORRECT ANSWER is C

05-11-2008
Question : 5
Common ocular manifestation in trisomy 13 is?
A-Capillary hemangioma.
B-Bilateral microphthalmos.
C-Neurofibroma.
D-Dermoid cyst
THE CORRECT ANSWER is B

06-11-2008
Question : 6
Blood specimen for neonatal thyroid screening is obtained on?
A-cord blood.
B-24 hours after birth.
C-48 hours after birth.
D-72 hours after birth.
THE CORRECT ANSWER is A

07-11-2008
Question : 7
If the birth weight of each of the 10 babies born in a hospital in a day is found to be 2.8 kg, then the standard deviation of this sample will be?
A-2.8
B-0.
C-1
D-0.28
THE CORRECT ANSWER is B

08-11-2008
Question : 8
The appropriate approach to a neonate presenting with vaginal bleeding on day 4 of life is ?
A-Administration of Vit K.
B-Investigation for bleeding disorder.
C-No specific therapy.
D-Administration of 10 ml/kg of fresh frozen plasma over 4 hours.
THE CORRECT ANSWER is C

09-11-2008
Question : 9
Which one of the following drugs is used for fetal therapy of congenital adrenal hyperplasia ?
A-Hydrocortisone.
B-Prednisone.
C-Fludrocortisone.
D-Dexamethasone.
THE CORRECT ANSWER is D

10-11-2008
Question : 10
The coagulation profile in a 13 years old girl with menorrhagia having Von Willebrand disease is ?
A-Isolated prolonged PTT with a normal PT.
B- Isolated prolonged PT with a normal PT.
C-Prolongation of both PT and PTT.
D-Prolongation of thrombin time.
THE CORRECT ANSWER is A

11-11-2008
Question : 11
All of the following are true about manifestations of vitamin E deficiency except?
A-Hemolytic anemia.
B-Posterior column abnormalities.
C-Cerebellar ataxia.
D-Autonomic dysfunction.
THE CORRECT ANSWER is D

12-11-2008
Question : 12
All of the following therapies may be required in a 1-hour old infant with severe birth asphyxia except?
A-Glucose.
B-Dexamethasone.
C-Calcium gluconate.
D-Normal saline.
THE CORRECT ANSWER is B

13-11-2008
Question : 13
The most common cause of renal scaring in a 3 years old child is?
A-Trauma.
B-Tuberculosis.
C-Vesicoureteral reflux induced pyelonephritis.
D-Interstitial nephritis
THE CORRECT ANSWER is C

14-11-2008
Question : 14
Which one of the following is the common cause of congenital hydrocephalus?
A-Cranisynostosis.
B-Intra uterine meningitis.
C-Aqueductal stenosis.
D-Malformations of great vein of Galen
THE CORRECT ANSWER is C

15-11-2008
Question : 15
In a child, non-functioning kidney is best diagnosed by?
A-Ultrasonography.
B-IVU.
C-DTPA renogram.
D-Creatinine clearance.
THE CORRECT ANSWER is C

16-11-2008
Question : 16
The most common malignant neoplasm of infancy is?
A-Malignant teratoma.
B-Neuroblastoma.
C-Wilm’s tumor.
D-Hepatoblastoma.
THE CORRECT ANSWER is B

17-11-2008
Question : 17
The most common presentation of a child with Wilm’s tumor is?
A-An asymptomatic abdominal mass.\
B-Haematuria.
C-Hypertension.
D-Hemoptysis due to pulmonary secondary.
THE CORRECT ANSWER is A

18-11-2008
Question : 18
Eisenmenger syndrome is characterised by all except?
A-Return of left ventricle & right ventricle to normal size.
B-Pulmonary veins not distended.
C-Pruning of peripheral pulmonary arteries.
D-Dilatation of central pulmonary arteries.
THE CORRECT ANSWER is A

19-11-2008
Question : 19
The most common site of leak in CSF rhinorrhea is ?
A-Sphenoid sinus.
B-Frontal sinus.
C-Cribriform plate.
D-Tegmen tympani.
THE CORRECT ANSWER is C

20-11-2008
Question : 20
Which of the following is the mst common renal cystic disease in infants is?
A-Polycystic kidney.
B-Simple renal cyst.
C-Unilateral renal dysplasia.
D-Calyceal cyst.
THE CORRECT ANSWER is C

21-11-2008
Question : 21
The most common type of total anomalous pulmonary venous connection is?
A-Supracardiac.
B-Infracardiac.
C-Mixed.
D-Cardiac.
THE CORRECT ANSWER is A

22-11-2008
Question : 22
Diagnosis of beta Thalassemia is established by?
A-Nnestroft test.
B-HbA1 C estimation.
C-Hb electrophoresis.
D-Target cells in peripheral smear.
THE CORRECT ANSWER is C

23-11-2008
Question : 23
A child having status epilepticus should not be given?
A-Clonazepam.
B-Diazepam.
C-Lamotrigine.
D-Phosphenytoin.
THE CORRECT ANSWER is C

24-11-2008
Question : 24
The sodium content of ReSoMal(rehydration solution for malnourished children) is?
A-90mmol/L
B-60mmol/L
C-45mmol/L
D-30mmol/L
THE CORRECT ANSWER is C

25-11-2008
Question : 25
Which of the following statements is true of primary grade IV-V Vesicoureteric reflux in young children?
A-Renal scaring usually begins in the midpolar region.
B-Postnatal scaring may occur even in the absence of urinary tract infections.
C-Long term outcome is comparable in patients treated with either antibiotic prophylaxis or surgery.
D-Oral amoxicillin is the choice antibiotic for prophylaxis.
THE CORRECT ANSWER is B

26-11-2008
Question : 26
A 3 years old boy presents with fever, dysuria and gross hematuria, physical examination shows a prominent suprapubic area which is dull to percussion. Urinalysis reveals red blood cells but no Proteinuria. Which of the following is the most likely diagnosis?
A-Acute glomerulonephritis.
B-Urinary tract infection.
C-Posterior urethral valves.
D-Teratoma.
THE CORRECT ANSWER is B

27-11-2008
Question : 27
Transient synovitis (toxic synovitis) of the hip is characterized by all of the following, except ?
A-May follow upper respiratory infection.
B-ESR and white blood cell counts are usually normal.
C-Ultrasound of the joint reveals widening of the joint space.
D-The hip is typically held in adduction and internal rotation.
THE CORRECT ANSWER is D

28-11-2008
Question : 28
Enzyme replacement therapy is available for which of the folowing disorders ?
A-Gauchers disease.
B-Niemann Pick disease.
C-Mucolipidosis.
D-Metachromatic leukodystrophy.
THE CORRECT ANSWER is A

29-11-2008
Question : 29
Cardiomyopathy may be seen in all of the following except ?
A-Duchenne muscular dystrophy.
B-Friedreicha’s ataxia.
C-Type II glycogen storage disease.
D-Alkaptonuria.
THE CORRECT ANSWER is D

30-11-2008
Question : 30
All of the following are true of beta thalassemia major except?
A-Splenomegaly.
B-Target cells on peripheral smear.
C-Microcyic hypochromic anemia.
D-Increased osmotic fragility.
THE CORRECT ANSWER is D

Dr. Kamel Hassan Pediatric MCQ of the day, October 2008

2008-10-31T06:16:00.000-07:00

01-10-2008
Question :1
Bag and mask ventilation is contraindicated in?
A-Cleft lip.
B-Meconium aspiration.
C-Diaphragmatic hernia.
D-Multicentric bronchogenic cyst.
THE CORRECT ANSWER is C

02-10-2008
Question : 2
The most appropriate management for maintaining patency of ductus arteriosus in a neonate is?
A-Prostaglandin E1.
B-Nitric oxide.
C-Oxygen.
D-Indomethacin.
THE CORRECT ANSWER is A

03-10-2008
Question : 3
A 10 years old school girl has recurrent episodes of boils on the scalp, the boils subside with antibiotic therapy but recur after some time. The most likely cause of the recurrences is?
A-Primary immunodeficiency syndrome.
B-Juvenile diabetes mellitus.
C-Pediculosis capitis.
D-HIV infection.
THE CORRECT ANSWER is C

Question : 4
04-09-2008
A 2 years old child comes with discharge, Seborrheic dermatitis, polyuria and hepatosplenomegaly, which of the following is the most likely diagnosis?
A-Leukaemia.
B-Lymphoma.
C-Langerhan’s cell histiocytosis.
D-Germ cell tumor.
THE CORRECT ANSWER is C

05-10-2008
Question : 5
In which of the following conditions, aniridia and Hemihypertrophy are most likely present?
A-Neuroblastoma.
B-Wilm’s tumor.
C-Non-Hodgkin’s lymphoma.
D-Germ cell tumor.
THE CORRECT ANSWER is B

06-10-2008
Question : 6
An 8 years old boy during a routine check up is found to have E.coli 1,00,000 cc/ml on a urine culture. The urine specimen was obtained by mid-stream clean-catch void. The child is asymptomatic.
Which is the most appropriate next step in the management?
A-Treat as an acute episode of urinary tract infection.
B-No therapy.
C-Prophylactic antibiotics for 6 months.
D-Administer long-term urine alkalinizer.
THE CORRECT ANSWER is A

07-10-2008
Question : 7
Which of the following is the most appropriate method for obtaining a urine specimen for culture in an 8 month old girl?
A-Suprapubic aspiration.
B-Indwelling catheter sample.
C-Clean-catch void.
D-Urinary bag sample.
THE CORRECT ANSWER is A

08-10-2008
Question : 8
The renal biopsy of a 6 years old boy with recurrent gross hematuria shows IgA nephropathy. The urinary protein excretion is 130mg/day. Which of the following is the most appropriate next step in the management?
A-Administer corticosteroids.
B-Give azathioprine.
C-Start cyclosporine.
D-Urinary bag sample.
THE CORRECT ANSWER is A

09-10-2008
Question : 9
A 2 years old boy has vitamin D resistant rickets. His investigations revealed serum calcium 9mg/dl, phosphate 2,4mg/dl, alkaline phosphatase 1024IU, normal intact parathyroid hormone and bicarbonate 22 mEq/l.
Which of the following is the most probable diagnosis?
A-Distal renal tubular acidosis.
B-Hypophosphatemic rickets.
C-Vitamine D dependant rickets.
D-Hypoparathyroidism.
THE CORRECT ANSWER is B

10-10-2008
Question : 10
If both husband and wife are suffering with achondroplasia, what are their chances of having a normal child?
A-0%.
B-25%.
C-50%.
D-100%.
THE CORRECT ANSWER is B

11-10-2008
Question : 11
Which of the following is the most likely inheritance pattern in the pedigree given below
A-Autosomal dominant.
B-Mitochondrial.
C-Autosomal recessive.
D-X-linked dominant
THE CORRECT ANSWER is D

12-10-2008
Question : 12
Vesicoureteric reflux is more common on?
A-New born female.
B-Older girls.
C-Older boys.
D-Only during pregnancy.
THE CORRECT ANSWER is A

13-10-2008
Question : 13
Which of the following is the leading cause of mortality in under five children in developing countries?
A-Malaria.
B-Acute lower respiratory tract infections.
C-Hepatitis.
D-Prematurity.
THE CORRECT ANSWER is B

14-10-2008
Question : 14
Dengue shock syndrome is characterised by the following except?
A-Hepatomegaly.
B-Pleural effusion.
C-Thrombocytopenia.
D-Decreased hemoglobin.
THE CORRECT ANSWER is D

15-10-2008
Question : 15
All of the following conditions are observed in Marasmus, except?
A-Hepatomegaly.
B-Muscle wasting.
C-Low insulin levels.
D-Extreme weakness
THE CORRECT ANSWER is A

16-10-2008
Question : 16
All of the following statement are true about congenital rubella except?
A-it is diagnosed when the infant has IgM antibodies at birth.
B- it is diagnosed when the infant has IgG antibodies persist for more than 6 months.
C-Most common congenital defects are deafness, cardiac malformation and cataract.
D-Infection after 16 weeks of gestation results in major congenital defects.
THE CORRECT ANSWER is D

17-10-2008
Question : 17
By what age does the startle and grsp reflex disappear?
A-1 year.
B-1 ½ year.
C-2 years.
D-3 years
THE CORRECT ANSWER is C

18-10-2008
Question : 18
Speech retardation may be considered if the child does not talk by?
A-12 months.
B-18 months.
C-24 months.
D-36 months.
THE CORRECT ANSWER is C

19-10-2008
Question : 19
If you calculate the plasma osmolarity of a child with plasma Na+125mEq/L, glucose 108mg/dL, and BUN (Blood urea nitrogen) 140mg/dL, the most appropriate answer would be?
A-300 mOsm/kg.
B-306 mOsm/kg.
C-312 mOsm/kg.
D-318 mOsm/kg.
THE CORRECT ANSWER is B

20-10-2008
Question : 20
A 6 months old infant presents to the diarrhea clinic with some dehydration. The most likely organism causing diarrhea is?
A-Entamoeba histolytica.
B-Rotavirus.
C-Giardia lamblia.
D-Shigella.
THE CORRECT ANSWER is B

21-10-2008
Question : 21
Asphyxial injury in a term baby is characterised by all except?
A-Seizures.
B-Differential hypotonia (lower limb>upper limb).
C-Altered Sensorium.
D-Difficulty in clearing oral secretions.
THE CORRECT ANSWER is B

22-10-2008
Question : 22
All of the following strategies are effective in preventive in preventing mother to child transmission of HIV except?
A-Zidovudine to mother and baby.
B-Vaginal cleansing before delivery.
C-Stopping breast feeding.
D-Elective caesarian section.
THE CORRECT ANSWER is B

23-10-2008
Question : 23
A 10 months old boy, weighing 3 kg has polyuria, polydipsia and delayed motor milestones. Investigations show blood levels of creatinine 0.5mg/dL, potassium 3mEq/L, sodium 125mEq/L, chloride 88mEq/L, calcium 8.8mg/dL,pH -7.46, and bicarbonate 26mEq/L. ultrasonography shows medullary nephrocalcinosis.
The most likely diagnosis is?
A-Renal tubular acidosis.
B-Diabetes insipidus.
C-Bartter syndrome.
D-Pseudohypoaldosternism.
THE CORRECT ANSWER is C

24-10-2008
Question : 24
A 12 years old boy is referred for evaluation of nocturnal enuresis and short stature. The blood pressure is normal. The blood urea is 112mg/dL, creatinine 6mg/dL, sodium 119mEq/I, potassium 4mEq/I, calcium 7mg/diI, phosphate 6mg/dI, and alkaline phosphatase 400U/I, urinalysis shows, trace Proteinuria with hyaline casts; no red and white cells are seen. Ultrasound shows bilateral small kidneys and the micturating cystourethrogram is normal. The most likely diagnosis is?
A-Alport’s syndrome.
B-Medullary sponge kidney.
C-Chronic glomerulonephritis.
D-Nephronophthisis.
THE CORRECT ANSWER is D

25-10-2008
Question : 25
An 8 day old breast fed baby presents with vomiting, poor feeding and loose stools. On examination the heart rate is 190/minute, blood pressure 50/30mmHg, respiratory rate 72 beats/minute and capillary refill time of 4 seconds. Investigations show hemoglobin level of 15g/dl, Na 120mEq//l, K6.8 mEq/l, cl81 mEq/l, bicarbonate 15 mEq/l, urea 30mg/dl and creatinine 0.6 mg/dl. The most likely diagnosis is?
A-Congenital adrenal hyperplasia.
B-Acute tubular necrosis.
C-Congenital hypertrophic pyloric stenosis.
D-Galactosemia.
THE CORRECT ANSWER is A

26-10-2008
Question : 26
The most common underlying anomaly in a child with recurrent urinary tract infection is?
A-Posterior urethral valves.
B-Vesicoureteric reflux.
C-Neurogenic bladder.
D-Renal calculi.
THE CORRECT ANSWER is B

27-10-2008
Question : 27
A 7 years old boy presented with generalised oedema, urine examination revealed marked albuminuria. Serum biochemical examination showed hypoalbuminemia with hyperlipidemia. Kidney biopsy was undertaken. On light microscopic examination, the kidney appeared normal. Electron microscopic examination is most likely to reveal?
A-Fusion of foot processes of the glomerular epithelial cells.
B-Rarefaction of glomerular basement membrane.
C-Deposition of electron dense material in the basement membrane.
D-Thin basement membrane.
THE CORRECT ANSWER is A

28-10-2008
Question : 28
A 9 years old boy has steroid dependent nephrotic syndrome for the last 5 years. He had received corticosteroids almost continuously during this period and has Cushinoid features. The blood pressure is 120/86 mmHg and there are bilateral subcapsular cataracts. The treatment of choice is?
A-Levamisole.
B-Cyclophosphamide.
C-Cyclosporin A.
D-Intravenous pulse corticosteroids
THE CORRECT ANSWER is B

29-10-2008
Question : 29
Which one of the following does not produce cyanosis in the first year of life?
A-Atrial septal defect.
B-Hypoplastic left heart syndrome.
C-Truncus arteriosus.
D-Double outlet right ventricle.
THE CORRECT ANSWER is A

30-10-2008
Question : 30
A 3 years old boy is detected to have bilateral renal calculi. Metabolic evaluation confirms the presence of marked hypercalciuria with normal blood levels of calcium, magnesium, phosphate, uric acid and creatinine. A diagnosis of idiopathic hypercalciuria is made. The dietary management include all except?
A-Increased water intake.
B-Low sodium diet.
C-Reduced calcium intake.
D-Avoid meat protein.
THE CORRECT ANSWER is C

31-10-2008
Question : 31
All of the following are characteristic features of Kwashiorker,except?
A-High blood osmolarity.
B-Hypoalbuminemia.
C-Edema.
D-Fatty liver.
THE CORRECT ANSWER is A

Dr.Kamel Hassan Pediatric MCQ of the day,September 2008

2008-10-06T13:33:00.000-07:00

01-09-2008
Question :1
A Couple has two children affected with tuberous sclerosis. On detailed clinical and laboratory evaluation (including molecular studies) both parents are normal.
Which one of the following explains the two affected children in this family?
A- Non penetrance.
B- Uniparental diasomy.
C- -Genomic imprinting.
D- Germline mosaicism
THE CORRECT ANSWER is (D)

02-09-2008
Question : 2
Conjugated hyperbilirubinemia is seen in?
A- Gilbert’s syndrome.
B- Criggler Najjar syndrome.
C- Breast milk jaundice.
D- Dubin Johnson syndrome.
THE CORRECT ANSWER is (D)

03-09-2008
Question : 3
Which of the following does not establish a diagnosis of congenital CMV infection in a neonate?
A- Urine culture of CMV
B- IgG CMV antibodies in hepatocytes.
C- Intra-nuclear inclusion bodies in hepatocytes.
D- CMV viral DNA in blood by polymerase chain reaction.
THE CORRECT ANSWER is (B)

04-09-2008
Question : 4
In a child with acute liver failure, the most important prognostic factor for death is?
A- Increasing transaminases.
B- Increasing Bilirubin.
C- Increasing prothrombin time.
D- Gram negative sepsis.
THE CORRECT ANSWER is C

05-09-2008
Question : 5
An infant is able to grasp a rattle and transfer it from hand to the other by the age of?
A-3 months.
B-6months.
C-1 year.
D-2 years.
THE CORRECT ANSWER is B

06-09-2008
Question : 6
All of the following are signs of pellagra except?
A- Angular stomatitis.
B- Dementia.
C- Desquamated pigmented dermatitis of exposed parts of skin.
D- Diarrhoea.
THE CORRECT ANSWER is A

07-08-2008
Question : 7
In children, the most common complication of mumps is?
A- Aseptic meningitis.
B- Myocarditis.
C- Orchitis.
D- Pancreatitis
THE CORRECT ANSWER is C

08-09-2008
Question : 8
Chicken pox is characterised by all of the following except?
A- Centripetal distribution of the rash.
B- Occurrence of lesions in corps.
C- Rapid progression of the rash from Macules to vesicles.
D- Presence of live viruses in crusts.
THE CORRECT ANSWER is D

09-09-2008
Question : 9
The etiological agent most commonly responsible for Bronchiolitis is?
A- Adenovirus.
B- Parainfluenza virus type3.
C- Respiratory syncytial virus.
D- Rhinovirus.
THE CORRECT ANSWER is C

10-09-2008
Question : 10
All of the following can result in Nephrotic syndrome except.
A- Amyloidosis.
B- Plasmodium malaria.
C- Penicillamine treatment.
D- Sickle cell disease.
THE CORRECT ANSWER is D

11-09-2008
Question : 11
The most common intracranial tumour in the childhood is?
A- Craniopharyngioma.
B- Ependymoma.
C- Glioma.
D- Meningioma.
THE CORRECT ANSWER is C

12-09-2008
Question : 12
A child with pseudoparalysis, fraenkel line, rosary and pencil thinning of cortex is diagnosed to be suffering from?
A-Vitamin A deficiency.
B- Vitamin C deficiency.
C- Vitamin D deficiency.
D- Vitamin E deficiency.
THE CORRECT ANSWER is B

13-09-2008
Question : 13
What is pentalogy of Fallot?
A- TOF with ASD.
B- TOF with VSD.
C- TOF with Pulmonary stenosis.
D- TOF wit Coarctation of aorta/
THE CORRECT ANSWER is A

14-09-2008
Question : 14
Commonest childhood malignancy is?
A- Leukemia.
B- Neuroblastoma.
C- Lymphoma.
D- Wilm’s tumour.
THE CORRECT ANSWER is A

15-09-2008
Question : 15
A two years old child presents with persistent diarrhea, acidic stool and presence of one percent of reducing substance in the fresh stool.
What is the most portable diagnosis?
A- Cystic fibrosis.
B- Lactose intolerance.
C- Rotavirus induced diarrhea.
D- Intestinal tuberculosis.
THE CORRECT ANSWER is B

16-09-2008
Question : 16
Unconjugated hyperbilirubinemia in neonate is not seen in?
A- Hypothyroidism.
B- Dubin Johnson syndrome.
C- Hemolytic anemia.
D- Physiological jaundice.
THE CORRECT ANSWER is B

17-09-2008
Question : 17
Which of the following is the most common cause of hydrocephalus in children?
A- Brain tumour.
B- Perinatal injury.
C- Budd Chiari syndrome.
D- Post inflammatory obstruction.
THE CORRECT ANSWER is D

18-09-2008
Question : 18
All of the following are features of neonatal necrotizing enterocolitis except?
A- Abdominal distension.
B- Metabolic acidosis.
C- Pneumoperitoneum.
D- Increased peristaltic sounds.
THE CORRECT ANSWER is D

19-09-2008
Question : 19
Which of the following is true regarding Klinefelter’s syndrome?
A- Breast adenoma.
B- Short stature.
C- Pituitary adenoma.
D- Subnormal intelligence.
THE CORRECT ANSWER is D

20-09-2008
Question : 20
All of the following are true in systemic juvenile arthritis except?
A- Leucocytosis.
B- Rheumatoid factor is positive.
C- Hepatosplenomegaly.
D- Fever.
THE CORRECT ANSWER is B

21-09-2008
Question : 21
Exclusive breast feeding may be associated with all of the following except?
A- Evening colics.
B- Golden stools.
C- Prolongation of physiological jaundice.
D- Hemolysis secondary to Vit k deficiency.
THE CORRECT ANSWER is A

22-09-2008
Question : 22
The most common cause of cholestatic jaundice in a neo born is?
A- Choledochal cyst.
B- Physiological.
C- Neonatal hepatitis.
D- Biliary tract hypoplasia.
THE CORRECT ANSWER is C

23-09-2008
Question : 23
The most common posterior fossa tumour in children is ?
A- Astrocytoma.
B- Glioblastoma multiforme.
C- Medulloblastoma.
D- Meningioma.
THE CORRECT ANSWER is A

24-09-2008
Question : 24
In children, the most common cause of sustained hypertension is ?
A- Co-arctation of Aorta.
B- Drug-induced.
C- Parenchymal disease of the kidneys.
D- Phaeochromocytoma.
THE CORRECT ANSWER is C

25-09-2008
Question : 25
All of the following can cause vomiting on the first day of a baby’s life except ?
A- Aerophagy.
B- Amniotic gastritis.
C- Oesophageal atresia.
D- Pyloric stenosis.
THE CORRECT ANSWER is D

26-09-2008
Question : 26
A child presented with non productive cough, fever, and dyspnea. After a course of antibiotic the condition of the child improved transiently but he now presents with aggravation of symptoms, high fever and productive cough.
On x-ray- hypertranslucency is seen and PTF shows severe obstructive lung disease pattern.
What is the most like diagnosis?
A- Pulmonary alveolar microlithiasis.
B- Bronchiolitis oblitrans.
C- Follicular bronchiolitis.
D- Post viral syndrome.
THE CORRECT ANSWER is B

27-09-2008
Question : 27
Which vaccine is not given to a child suffering from a convulsion ?
A- Measles.
B- DPT.
C- BCG.
D- OPV.
THE CORRECT ANSWER is B

28-09-2008
Question : 28
Congenital Nephrotic syndrome is due to mutation in ?
A- Nephrin.
B- Podocin.
C-
D-
THE CORRECT ANSWER is A

29-09-2008
Question : 29
6 years old female present with urinary and fecal retention diagnosis ?
A-Malignant sacral teratoma.
B-Rectal duplication cyst.
C-Pelvic neuroblastoma.
D-Neurogenic bladder.
THE CORRECT ANSWER is A

30-09-2008
Question : 30
10 months child with high temperature with sore throat, non toxic, after convulsion was alert and active. Which will you do?
A-CSF.
B-ECG.
C-CT.
D-Reassurance.
THE CORRECT ANSWER is D

Dr.Kamel Hassan Pediatric MCQ of the day, August 2008

2008-08-31T11:50:00.000-07:00

Dr.Kamel Hassan Pediatrics MCQ of the day, August 2008

01-08-2008
Question :1
All of the following are characteristic features of Kwashiorkor except?
A-High blood osmolarity.
B-Hypoalbuminemia.
C-Oedema.
D-Fatty liver.
THE CORRECT ANSWER is (A)

02-08-2008
Question : 2
A 3 years old boy presents with poor urinary stream, .Most likely cause is?
A-Stricture urethra.
B-Neurogenic bladder.
C-Urethral calculus.
D-Posterior urethral valves.
THE CORRECT ANSWER is (D)

03-08-2008
Question : 3
A 11 months old boy, weighing 3 kg, has polyuria, polydipsia and delayed motor milestones,
blood investigations shows:
Creatinine of 0.5 mg/dl Potassium 3 mEq/l
Sodium 125 mEq/l Chloride 88 mEq/l
Calcium 8,8 mg/dl Ph 7.46 , Bicarbonate 26 mEq/l
Ultrasonography shows: Medullary Nephrocalcinosis, the most likely diagnosis is ?
A-Renal tubular acidosis
B-Diabetes insipidus.
C-Bartters syndrome.
D-Pseudohypoaldosteronism.
THE CORRECT ANSWER is (C)

04-08-2008
Question : 4
The treatment of choice for primary grade V Vesicoureteric reflux involving both kidneys in a 6 months old boy is?
A-Antibiotic prophylaxis.
B-Ureteric reimplantation.
C-Cystoscopy followed by subureteric.
D-Bilateral ureterostomies.
THE CORRECT ANSWER is (B)

05-08-2008
Question : 5
The most common leucocystoclastic vasculitis affecting children is?
A-Takayasu disease.
B-Mucocutaneous lymph node syndrome.(Kawasaki disease).
C-Henoch schonlein purpura.
D-Polyarteritis nodosa.
THE CORRECT ANSWER is (C)

06-08-2008
Question : 6
Common ocular manifestation in trisomy 13 is ?
A-Capillary hemangioma.
B-Bilateral microphthalmos.
C-Neurofibroma.
D-Dermoid cyst.
THE CORRECT ANSWER is (B)

07-08-2008
Question : 7
Blood specimen for neonatal thyroid screening is obtained on?
A-Cord blood.
B-24 hours after birth.
C-48 hours after birth.
D-72 hours after birth.
THE CORRECT ANSWER is (A)

08-08-2008
Question : 8
A child with recurrent urinary tract infection is most likely to show?
A-Posterior urethral valves.
B-Vesicoureteric reflux.
C-Neurogenic bladder.
D-Renal and Ureteric calculi.
THE CORRECT ANSWER is (B)

09-08-2008
Question : 9
The appropriate approach to a neonate presenting with vaginal bleeding on day 4 of life is?
A-Administration of vit K.
B-Investigation for bleeding disorder.
C-No specific therapy.
D-Administration of 10ml/kg of fresh frozen plasma over 4 hours.
THE CORRECT ANSWER is (C)

10-08-2008
Question : 10
Which one of the following drugs is used for foetal therapy of congenital adrenal hyperplasia?
A-Hydrocortisone.
B-Predinisolone.
C-Fludrocortisone.
D-Dexamethasone.
THE CORRECT ANSWER is (D)

11-08-2008
Question : 11
The coagulation profile in a 13 years old girl with menorrhagia having Von Willebrand disease is?
A-Isolated prolonged PTT with a normal PT.
B-Isolated prolonged PT with a normal PTT.
C-Prolongation of both PT and PTT.
D-Prolongation of thrombin time.
THE CORRECT ANSWER is (A)

12-08-2008
Question : 12
All of the following are true about manifestations of vitamin E deficiency, except?
A-Hemolytic Anemia.
B-Posterior column abnormalities.
C-Cerebellar ataxia.
D-Autonomic dysfunction.
THE CORRECT ANSWER is (D)

13-08-2008
Question : 13
All of the following therapies may be required in a 1 hour old infant with sever birth asphyxia except?
A-Glucose.
B-Dexamethasone.
C-Calcium gluconate.
D-Normal saline.
THE CORRECT ANSWER is (B)

14-08-2008
Question : 14
The most common cause of renal scaring in a 3 years old child’s
A-Trauma
B-Tuberculosis
C-Visicuureteral reflux indused pyelonephritis
D-Intersteial nephritis
THE CORRECT ANSWER is (C)

15-08-2008
Question : 15
Which one of the following is the common cause of congenital hydrocephalus
A-Craniosynostosis
B-Intrauterine meningitis
C-Aqueductal stenosis
D-Malformation of great vein of Galen
THE CORRECT ANSWER is (C)

16-08-2008
Question : 16
In a child, non functioning kidney is best diagnosed by
A-Ultrasonography
B-IVU
C-DTPA renogram
D-Creatinine clearance
THE CORRECT ANSWER is (C)

17-08-2008
Question : 17
The most common malignant neoplasm of infancy is
A-Malignant teratoma
B-Neuroblastoma
C-Wilm’s tumor
D-Hepatoblastoma
THE CORRECT ANSWER is (B)

18-08-2008
Question : 18
The most common presentation of a child with Wilm’s tumor is
A-An asymptomatic abdominal mass
B-Haematuria
C-Hypertension
D-Hemoptysis due to pulmonary secondary
THE CORRECT ANSWER is (A)

19-08-2008
Question : 19
Eisenmenger’s syndrome is characterised by all except
A-Return of left ventricle and right ventricle to normal size
B-Pulmonary veins not distended
C-Pruning of peripheral pulmonary arteries
D-Dilatation of central pulmonary arteries
THE CORRECT ANSWER is (A)

20-08-2008
Question : 20
The most common site of leak in CSF rhinorrhea is
A-Sphenoid sinus
B-Frontal sinus
C-Cribriform plate
D-Tegmen tympani
THE CORRECT ANSWER is (C)

21-08-2008
Question : 21
Which of the following is the most common renal cystic disease in infants is.
A-Polycystic kidney
B-Simple renal cyst
C-Unilateral renal dysplasia
D-Calyceal cyst
THE CORRECT ANSWER is (C)

22-08-2008
Question : 22
The most common type of total anomalous pulmonary venous connection is
A-Supracardiac
B-Infracardiac
C-Mixed
D-Cardiac
THE CORRECT ANSWER is (A)

23-08-2008
Question : 23
Diagnosis of beta Thalassemia is established by
A-NESTROFT test
B-HbA1 C estimation
C-Hb electrophoresis
D-Target cells in peripheral smear
THE CORRECT ANSWER is (C)

24-08-2008
Question : 24
A child having status epilepticus should not be given
A-Clonazepam
B-Diazepam
C-Lamotrigine
D-Phosphenytoin
THE CORRECT ANSWER is (C)

25-08-2008
Question : 25
The sodium content of ReSoMal (rehydrarion solution for malnourished children is ?
A-90 mmol/L
B-60 mmol/L
C-45mmol/L
D-30 mmol/L
THE CORRECT ANSWER is (C)

26-08-2008
Question : 26
Which of the following statements is true of primary grade IV-V Vesicoureteric reflux in young children?
A-Renal scaring usually begins in the midpolar regions
B-Postnatal scaring may occur even in the absence of urinary tract infections
C-Long term outcome is comparable in patients treated with either antibiotic prophylaxis or surgery.
D-Oral amoxicillin is the choice antibiotic for prophylaxis
THE CORRECT ANSWER is (B)

27-08-2008
Question : 27
A 3 years old boy presents with fever, dysuria and gross hematuria. Physical examination shows a prominent suprapubic area which is dull to percussion. Urinalysis reveals red blood cells but no Proteinuria.
Which of the following is the most likely diagnosis?
A-Acute Glomerulonephritis
B-Urinary tract infection
C-posterior urethral valves
D-Teratoma.
THE CORRECT ANSWER is (B)

28-08-2008
Question : 28
Transient synovitis (Toxic synovitis) of the hip is characterized by all of the following except ?
A-May follow upper respiratory infection.
B- ESR and W.B.C counts are usually normal.
C-ultrasound of the joint reveals widening of the joint space.
D-The hip is typically held in adduction and internal rotation.
THE CORRECT ANSWER is (D)

29-08-2008
Question : 29
Enzyme replacement therapy is available for which of the following ?
A-Gaucher disease
B-Niemann Pick disease.
C-Mucolipidosis.
D-Metachromatic leukodystrophy
THE CORRECT ANSWER is (A)

30-08-2008
Question : 30
Cardiomyopathy may be seen in all of the following except
A-Duchene muscular dystrophy.
B-Friedreich’s ataxia.
C-Type II glycogen storage disease.
D-Alkaptonuria
THE CORRECT ANSWER is (D)

31-08-2008
Question : 31
All of the following are true of beta thalassemia major except?
A-Splenomegaly
B-Target cells on peripheral smear.
C-Microcytic hypochromic anaemia.
D-Increased osmotic fragility.
THE CORRECT ANSWER is (D)

Dr.Kamel Hassan Pediatric MCQ Of The Day-July,2008

2008-08-25T12:52:00.000-07:00

24-07-2008

Question : 1
A 16 years old boy presents with acute pain in the left testis, the following statements about his management are true except?

A-The patient should be prescribed antibiotics and asked to come after a week.
B-Colour Doppler will be very useful in diagnosis.
C-Scrotal exploration should be done without delay if Doppler is not available.
D-If left testis not viable on exploration, patient should undergo left orchidectomy and right orchidopexy.

THE CORRECT ANSWER (A)

25-07-2008

Question : 2
A child aged 4 months was brought to a health worker in the sub Center with complaints of cough and fever, On examination there was chest indrawing and respiratory rate was 45 per minute, which of the following is best way to manage the child?

A-The child should be classified as a case of pneumonia.
B-Give an antibiotic & advise mother to give home care.
C-Reassess the child within 2 days or earlier of the condition worsens.
D-Refer urgently to hospital after given the first dose of an antibiotic.

THE CORRECT ANSWER IS (D)

26-07-2008

Question :3
An 8 day old breast fed baby presents with vomiting, poor feeding and loose stools….
On examination:
The heart rate is 190/minute, blood pressure
50/30mm/Hg,respiratory rate 72 beats/minute and capillary refile time of 4 seconds.
Investigations show:
Haemoglobin level of 15g/dl, Na 120 mEq/l, K 6.8mEq/l, Cl 81mEq/l, bicarbonate 15mEq/l, Urea 30mg/dl and creatinine 0.6 mg/dl…..
The most likely diagnosis is:

A-Congenital Adrenal Hyperplasia.
B-Acute tubular necrosis.
C-Congenital hypertrophic pyloric stenosis.
D-Galactosemia.
THE CORRECT ANSWER IS (A)

27-07-2008

Question : 4
The most common underlying anomaly in a child with recurrent urinary tract infection is:

A-Posterior urethral valves.
B-Vesicoureteric reflux.
C-Neurogenic Bladder.
D-Renal calculi.

THE CORRECT ANSWER IS (B)

28-07-2008

Question : 5
A 7 years old boy presented with generalised oedema, urine examinations revealed marked albuminuria, serum biochemical examinations showed hypoalbuminemia with hyperlipidemia,kidney biopsy was undertaken. On light microscopic examination, the kidney appeared normal, electron microscopic examination is most likely to reveal?

A- Fusion of foot processes of the glomerular epithelial cells.
B-Rarefaction of glomerular basement membrane.
C-Deposition of electron dense material in the basement membrane.
D-Thin basement membrane.

THE CORRECT ANSWER IS (A)

29-07-2008

Question : 6
A 9 years old boy has steroid dependent nephritic syndrome for the last 5 years .He has receiver corticosteroids almost continuously during this period and has Cushinoid features. The blood pressure is 120/86 and there are bilateral subscapular cataracts, the treatment of choice is ?

A-Levanisole.
B-Cyclophosphamide.
C-Cyclosporine A.
D-Intravenous pulse corticosteroids.

THE CORRECT ANSWER IS (B)

30-07-2008

Question : 7
Which one of the following does not produce cyanosis in the first year of life?

A-Atrial septal defect.
B-Hypoplastic left heart syndrome.
C-Truncus arteriosus.
D-Double outlet right ventricle.

THE CORRECT ANSWER IS (A)

31-07-2008

Question : 8
A 3 years old boy is detected to have bilateral renal calculi, metabolic evaluation confirms the presence of marked hypercalciuria with normal blood level, of calcium, magnesium, phosphate, uric acid and creatinine. A diagnosis of idiopathic hypercalciuria is made, the dietary management includes all except:

A-Increased water intake.
B-low sodium diet.
C-Reduced calcium intake.
D-Avoid meat proteins.

THE CORRECT ANSWER IS (C)