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‫‪Pedi‬‬
‫‪at‬‬‫‪r‬‬
‫‪i‬‬‫‪cExam :‬‬
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‫ﺪ‬‫ﺒ‬‫ﻋ‬
1)Whi l
eyouareprepari
ngyourNRPbagf ordel
iver
yofapost dat
e
newborn,theobstet
rici
antal
dy ouheismeconium stai
ned.You
observethathei
sinacti
ve,
lethargi
c&apnei
c.Youfirstst
epin
resusci
tati
onj
s:

A.Car
diacmassage

B.Adr
enal
i
nei
nject
ion

C.Ambubagv
ent
il
ati
on

D.Endot
racheal
int
ubat
ion&suct
ion

2)Hyalinemembr
anedi
seasecanoccuri
nthef
oll
owi
ngneonat
es
except:
A.Preterm

B.Pr
eci
pit
atedl
abor

C.I
nfantofdi
abet
eicmot
her

D.I
nfantofpr
e-ecl
ampsi
amot
her

3)Apr i
mi-gravi
damot herdevel
opedobst
ruct
edlabordueto
contr
actedpelvi
s.Herneonatedevel
opsbir
thasphyxi
a.The
suspectedcompilat
ionnotincl
ude:
A.Necroti
zingenter
ocoli
ti
s

B.My
ocar
dial
ischemi
a

C.Li
verci
rr
hosi
s

D.Sei
zur
es

4)Af at
herbr
ingshisneonatetocli
nicduetojaundice.Youradvice
tohimisadmi thi
spati
enttonurseryforphot
otherapy.Thefather
afr
aidofphotother
apycomplicat
ions.Youtol
dht hatitnotincl
ude:
A.Diarr
hea. C.Dermat i
ti
s D.Damageofey es

B.Dement
ia
5)Themostcommont
imeofhemor
rhagi
cdi
seaseoft
henewbor
n
i
s:
A.Fi
rstday

B.Fi
rstweek

C.Fi
rstmont
h

D.Fi
rsty
ear

6)A7day sol dneonatecamet oy ouduet ooozi

B.Hemor
rhagi
cdi
seaseoft
henewbor
n

C.Aut
oimmuneanemi
a

D.
Hemophi
l
ia

7)Whileyouarei
nlaborroom doingresuscit
ati
onofful
lter
m
newborn,y
ounoti
cethathismor oref
lexisasymmetri
cinhisleg.
Yourconcl
usi
onwouldbe:
A.Sedatednewbornduetomat ernal
sedation

B.I
ntr
acr
ani
alhemor
rhage

C.Fr
act
uref
emur

D.
Premat
ure
8)Af at
herof1-
day-
oldneonatebroughthissontoy oudueto
scal
pswelli
ngaft
erdi
ffi
cul
tlabor
.Byexami nati
on,younoti
cethat
heisacti
ve&al
ert
,nor
mal col
or&hasuni l
ater
alredscalpswel
li
ng.
Thenextstepi
s:
A.Obser
vati
onathome

B.Sur
gical
drai
nage

C.Aspi
rat
ion

D.Ant
ibi
oti
c

9)whil
ey ouaredoi
ngroundinNICU,youobserv
ea19daysol
d
neonatewithumbili
calcat
heterf
or7days.Youment
iont
othe
nursethatiti
s:
A.Asour ceforl
ateonsetsepsi
s

B.Asour
cef
orear
lyonsetsepsi
s

C.Asour
cef
orH.i
nfl
uenzai
nfect
ion

D.
Asour
cef
orl
i
ster
iamonocy
togenesi
nfect
ion

10)Whi l
edoingroundoffel
l
owship,younot
iceaneonatei
n
i
ncubatorpassesbloodperr
ectum.Thepossibl
ecausesof
necr
oti
zingenter
ocolit
isi
snot:
A.Prmaturi
ty

B.Br
east
-feedi
ng

C.Bi
rt
hasphy
xia

D.Umbi
l
ical
cat
het
eri
zat
ion
11)Whil
eyouareincli
nic,amotherof2monthsoldmalebrought
hi
m duetodyspnea,youobservethathehassmallhead,mega
cornea,
acut
eheartfai
lurevandmur mur.Yoususpectt
hathego:

A.Congeni
tal
Rubel
l
asy
ndr
ome

B.Congeni
tal
her
pessi
mpl
ex

C.Toxopl
asmosi
s

D.Cy
tomegal
ovi
rus

12)Anewbor ndeli
verdeepyell
owi shdiscol
orati
onofhisey
es,
ski
n.O/
Ehei sirr
it
able&pale.Hi sweight2kg, total
bil
i
rubi
n22
mg/dl ,di
rectbil
i
rubini
s2mg/ dl.Youadv i
ceistodo:
A.Combst est&exchangetransfusion

B.Combst
est&obser
vat
iononl
y

C.Bl
oodgr
oup&phenobar
bit
al

D.Ret
icul
ocy
tes&phot
other
apy

13)Thebloodamountt hati
sneededforexchangetr
ansfusi
onof
6daysold,bodyweight2kg, t
otal
bil
i
rubin25mg/ dl,
dir
ect
bi
li
rubi
n5mg/ dl
,is:
A.50ml

B.100ml

C.350ml

D.500ml
14)Theabdomi nalpar
asi
tet
hatcanl
eadt
oheav
yinf
est
ati
on&
i
ntest
inalobst
ructi
on:
A.Ascari
s

B.St
rongy
loi
des

C.Anchy
lost
oma

D.Ent
erobi
usv
ermi
cul
ari
s

15)Ani nf
antofuncontrol
leddi
abetesmel
li
tusofmot
her30y
ear
s
ol
d, suspectt
ohasr espir
ator
ydist
ress,
polycy
themi
aand
anomaliesis:
A.Verylowbirt
hweight

B.Lar
gef
orgest
ati
onal
age

C.Smal
lforgest
ati
onal
age

D.Av
eragef
orgest
ati
onal
age

16)A1-year
-ol
dmal einf
antdevel
opedmeasl
es.Yoususpectt
he
fol
l
owingcompl i
cat
ionsexcept
:
A.Encephal
iti
s

B.
Necr
oti
zi
ngent
erocol
i
tis

C.Subacut
escl
erosi
ngpanencephal
i
tis

D.Acut
edi
ssemi
nat
edencephal
omy
eli
ti
s
17)Amot herbroughthertoddl
erafrai
dtodev el
opsev
erevari
cel
la
l
ikeherolderbrot
herwhoi sinsecondaryschool
.Youshoul
dtell
herthatprogr
essiv
esev er
ev ar
icel
l
acanOccuri nthef
oll
owing
groupexcept:
A.Adults

B.Adol
escentage

C.Chi
l
dhoodt
ime

D.
Neonat
alper
iod

18)Iti
scontr
aindi
catedt
ogiveimmune-
compromisadpati
entl
i
ve
att
enuatedv
accine.Thef
oll
owingv
acci
nesar
eliv
eat t
enuat
ed
except
:
A.BCG

B.Measl
es

C.
Rot
avi
rus

D.
Sal
kvacci
ne

19)Assessmentofchil
d'
shei
ghtdependi
ngt
hef
oll
owi
ngf
ormul
a:
A.80+5xageinyears

B.8+2xagei
nyear
s

C.9+agei
nmont
hs/
2

D.90+2xagei
nyear
s
20)Amothercameconcernedaboutherchi
ld'
swei
ght
.Sheasks
whati
sthenormalbaweightof3yearsold:
A.13Kg

B.20Kg

C.05Kg

D.07Kg

21)Whil
eyoumeasuretheneadci
rcumferenceofani nf
ant
,you
noti
cet
hati
tislar
getoage.Thecauseoflargeanter
iorfont
anel
noti
ncl
ude:
A.Downsyndrome. C.Hypothyr
oidism

B.Achondr
opl
asi
a D.
Crani
osy
nost
osi
s

22)Whi l
eyoutakeahi
storyfr
om amotherof1-
year
-ol
dmale,
you
not
icethathehasmental
&languagedel
aybutgoodinmot
or
mil
estones.A2-y
ear
-ol
dchildcando:
A.Wal kal
one

B.Dr
esshi
msel
f

C.Dr
awat
ri
angl
e

D.
Cutwi
thsci
ssor
s

23)AtEidti
me,mostofthefami
li
eswantt
ot r
avel t
oAlhodi
dah
forv
acati
onti
me.Youradvi
ceforMal
ari
apropłr
ylaxi
sis
A.Quini
ne

B.Pr
oguani
l

C.Pi
maqui
ne. d.Mef
loqui
ne
24)Thebreastmi
lkst
artshasspecif
icr
angesofminer
als&
vi
tami
nsateachperi
od,whichi
scompat i
blewi
thi
nfant
'sneeds.
Buti
tisdef
ici
enti
nir
on,zinc&i
odineatt
heageof:
A.1month

B.6mont
hs

C.
12mont
hs

D.18mont
hs

25)Aseven-mont h-ol
dmalef r
om poorvil
l
age&poorfamil
y.He
camewi t
hsi gnsofacuteSeveremalnut
ri
ti
on.Kwashi
orkori
snot
char
acteri
zedbyt hefol
lowi
ng:
A.Bi
lat
erallowerlimbedema

B.Def
ici
encyofcal
ori
es

C.Muscl
ewast
ing D.Hai
rchanges

26)Asy
mpt
omat
ici
nfantofdi
abet
icmot
her4kgbodywei
ght
,

32weekofgest at
ional
age,
dev
elopedhypogly
cemia2hours
post
-part
um t
hatwas35mg/dl .Yourf
ir
ststepofmanagement
i
s:
A.3ml of10% dextr
ose

B.6ml
of10% dext
rose

C.3ml
of5%dext
rose

D.6ml
of5%dext
rose

27)thecomplicat
ionsoccur
sinthe6hour
safterdel
iveryof
prematureneonat
e:
A.Bronchopulmonarydyspl
asi
a. C.Kerni
cterus

D.Ret
inopat
hy. B.Hy
ali
nemembr
anedi
sease
28)A-2year-
oldtoddlercamet oOPDduet odrycoughformore
than2weekswi thoutr esponset oantit
ussiv
edrugs.Thechil
dhas
<10coughs/ ti
me, getsredface, cyanosi
sattheendoft heat
tack.
Theattackscamedai l
y.Nohi storyofall
ergy.
Thesuspected
complicat
ionsisnot:

A.Tet
anus

B.
Epi
staxi
s

C.I
ntr
acr
ani
alhemor
rhage

D.Rect
alpr
olapse

29)int helaborr
oom wi
thpost
dat
aofnewbor
nisi
ncl
uded
except:
A.wrinkledoftheski
n

B.Longnai
l&hai
r

C.nol
anugohai
r

D.Let
har
gicneonat
e

30)Typhoi
dsignandty
phoidf
everi
sincludedexcept:
A.Sal
mon-col
oredtr
uncal
,macul
opapules

B.Di
ff
useabdomi
nal
pai
n

C.Coat
edt
ongue

D.Tachy
car
dia
31)Ri
cket
swithalopeci
atot
ali
s:
A.Congeni
tal
ricket
s

B.Nut
ri
ti
onr
icket
s

C.Vi
tami
nDr
esi
stance

D.Vi
tami
nDdependentr
icket
s

32)Achil
dcamewi t
hsignsofsever
eacutemal
nut
ri
ti
onand
vi
taminsdefi
ciency
.ThetypesofBer
iBer
iaredr
y&wet.The
manif
estat
ionsofWetBer iBer
i:
A.Congesti
veheartfai
l
ure

B.At
axi
a

C.Dy
sphoni
a D.Pol
yneur
opat
hy

33)A8–mont h-
oldinf
antcamefir
stti
metoyourcl
i
nicduet
o
vomiti
ng&fever.
Hismot heraf
rai
dthathewi
l
ldevel
opSAM .The
causesofmarasmusnoti ncl
ude:
:
A.Recurr
enti
nfecti
on

B.Mal
absor
pti
on

C.Acut
epneumoni
a

D.Pr
eter
m &t
wins
34)secondaryNocturnal
enur
esi
sinnormal
chil
drenisbest
tr
eatedwithoutr
elapsesandv
wit
houtcompl
icat
ionsby:
A.Enuresi
salarm

B.i
mipr
ami
ne

C.

35.Apnea
A.Phenobar
bit
one

B.Ami
nophy
ll
ine

C.Lor
azepam