Quiz: END Module 2023

1. Clinical picture of hypervitaminosis D include all of the followings except

A A. Polyuria B B. Hypercalcemia C C. Constipation D D. Hypocalcemia

2. Delayed bne age may occur in all of the followings except

A A- Hypothyroidism B B- Familial short stature C C- Isolated growth hormone deficiency D D- Psychological deprivation

3. Radiographic examination to determine skeletal maturity is best evaluated by Xray of the

A A- wrist B B- Elbow C C- Ankle D D- Skull

4. Nutritional rickets is

A A. Normocalcimic hypophosphatemic B B. Hypocalcimic normophosphatemic C C. Hypocalcimic hyperphosphatemic D D. Hypercalcimic hypophosphatemic

5. Kwashirkor is characterized by all of the followings except

A A. Ahistory of inadequate protein intake with relatively adequate calories B B. History of prolonged breastfeeding C C. Presence of edema D D. Presence of hypoproteinemia

6. Marasmus is diagnosed according to wellcome classification when infant body weight is

A A. Between 60-80% of expected body weight for age without edema B B. Under 60% of expected weight for age with edema C C. Under 60% of expected weight for age without edema D D. Between 60-80% of expected body weight for age with edema

7. Recognized features of vitamin D deficiency rickets include all except

A A. Hypophosphatemic B B. Hypotonia C C. Delayed teething D D. mental retardation"

8. Turner syndrome is characterized by all of the followings except

A A. Shielded chest with separation of nipples B B. Coarctation of the aorta. C C. Fertility D D. Webbing of the neck

9. Down syndrome may have the following congenital abnormalities

A a. ASD B b. VSD C c. Endocardial cushion defect D d. All of the above

10.In bronchiolitis all are true except

A A. Air trapping is common B B. Tachypnea is a feature C C. The typical causetive agent is RSV D D. Corticosteroid is the therapy of the choice.

11.Typically in bronchial asthma all are true except

A A. Hyperinflation of chest occurs B B. Sibilant rhonchi is auscultated bilateral C C. Disappearance of rhonchi indicates severity of the condition D D. Bronchial breathing is a feature

12.Signs of severe dehydration are all except

A A. Rapid feeble pulse B B. Sunken fontannel C C. Absent tears. D D. Loss of %50 of body weight

13.Hepatosplenomegally is a recognized feature of all except

A A. Chronic active hepatitis B B. Thalassemia C C. Portal vein thrombosis D D. Neonatal herpes simplex infection

14.The following value are normal except

A A. Serum Na 130-150mEq/1 8 B B. Serum bicarb 10-15 mEq/ C C. PH 7.35-7.45 D D. Serum potassium 3.5-4.5 mEq/l

15.Rheumatic carditis is treated by

A A. Corticosteroids B B. Phenobarbiton C C. Analgesics D D. Chloramphenicol

16.One of the diagnostic skin lesions of active rheumatic fever is:

A A. Erythema nodosum B B. Erythema marginatum C C. Vesicular skin eruptions D D. Erythema multiform

17.All are true about rheumatic fever except:

A A. Recurrence is common B B. Is commonest between ages of 5-15 years C C. Follows an upper respiratory tract infection by group A-beta hemolytic streptococci D D. Is treated by corticosteroids even if arthritis is the only manifestation

18.Premature closure of the anterior fontannel occurs in:

A A. Rickets B B. Cretinism C C. Osteogenesis imperfecta D D. None of the above

19.Signs and symptoms of moderate VSD include all except:

A A. Tachypnea and dyspnea B B. Feeding difficulties C C. Slow growth D D. Central cyanosis

20.Which of the following statements about bacterial endocarditis is

A A. Children usually present acutely with high fever false B B. A congenital heart disease is a predisposing factor C C. The spleen may be enlarged and tender D D. Clubbing of fingers develops after 5-6 weeks

21.Which is true about growth

A A. The head circumference measures 35 cm at B B. At 1.5 year the Infant has normally 2 teeth 4 months C C. The anterior fontanel is 2 fingers at 1 year D D. None of the above

22.Which of the following is true?

A A. 4-month-old infant is unlikely to produce vocal sounds other than crying B B. An 8-month-old infant can not hold his head steady in the sitting C C. A 6-month-old infant can be toilet trained D D. 1-year old infant would be expected to give up a toy on request

23.Stridor in the newborn may be cause

A A. Laryngomalacia B B. Laryngeal web C C. Laryngeal paralysis (secondary to trauma) D D. All of the above

24.Skin changes in Kwashiorkor are due to

A A. Deficiency in trace elements B B. Deficiency in essential amino acids specially sulfur containing types C C. Deficiency in essential fatty acids D D. All of the above

25.Complications of marasmus Include:

A A. Hypothermia B B. Purpura C C. Repeated infections D D. All of the above.

26.Klienfelter is characterized by all of the following except:

A A. It is XXY B B. Tall stature C C. Hypogonadism D D. Hirsutism

27.Genetic primary hypophosphatemic rickets is characterized by the following except:-

A A. .x-linked dominant inheritance B B. Profound leg deformities C C. Marked dwarfism in untreated patients D D. Hydrocephalus

28.Which of the following symptoms suggest a foreign body in the

A A. Pain and fever B C. Mucopurulent, malodorus discharge C D. Nasal Obstruction D E. C and D most likely.

29.Dehydration is classified into isotonic, hypertonic or hypotonic according to:

A A. Serum potassium level B B. Serum sodium level. C C. PH of blood D D. Serum calcium level

30.All of the the followings are causes of delayed motor development without mental retardation except:

A A. Thalassemia B B. Rickets C C. Down syndrome D D. VSD

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