pediatric

Question 1

Wrong about growth parameters?
a. Weight doubles in 6 months
b. Height doubles in 4 years
c. Head circumference increase 12 cm in first year
d. Average weight at birth 2.4-4.2
e. Average height at birth 48-52 c

Answer 1

a

Question 2

A 12-year-old presented with short stature below 3rd percentile. Weight is at 15th
percentile, puberty is delayed, all other ? is normal. Growth velocity is 5cm/year, bone age
is 10 years, your diagnosis is: (2022)
a. Growth hormone deficiency
b. Constitutional growth and pubertal delay
c. Chronic diseas

Answer 2

Answer: B

Question 3

. The most common cause of congenital hypothyroidism is: (2022) ***
a. Dyshormogenesis
b. Central hypothyroidism
c. Thyroid Dysgenesis
d. Iodine deficiency
e. Thyroglobulin deficiency

Answer 3

c

Question 4

Manifestations of congenital hypothyroidism in the first 4 weeks of life are non-specific and
include all of the following except:
a. Decreased feeding
b. Prolonged jaundice
c. Constipation
d. Delayed development
e. Letharg

Answer 4

d

Question 5

Causes of short stature in a 7-year-old child could be due to all of the following except:
a. Nutritional obesity
b. Endocrinopathies
c. Genetic causes
d. Chromosomal disorders
e. Bone dysplasia

Answer 5

a

Question 6

During the first year of life of normal growth all of the following statements are correct
except:
a. Weigh increases by about 6-7 kg over birth weight
b. Height increases by about 12 cm over birth height
c. Average age for eruption of teeth is about 6-7 months
d. Average age for anterior fontanelle to start to close is 9 months
e. Average weight for newborn female is 3.2 kg

Answer 6

B

Question 7

. All of the following secondary sexual characters are used in the evaluation of sexual
maturation rate (SMR) except:
a. Pubic hair in both males and females
b. Breast development in the female
c. Axillary hair in both sexes
d. Penile size in the male
e. Testicular size in the male

Answer 7

Answer: C

Question 8

The parents of a 10-year-old male complained that their son is short. His height was 125 cm
(at -3 standard deviations), height-age was 7.5 years, bone-age was 7 years, and weight to
height was at the 40th percentile. The rest of his physical exam was normal. His short
stature is most likely due to
a. Genetic (=familial) causes
b. Endocrine disorder
c. Constitutional delay of growth and adolescence
d. Chromosomal disorder

Answer 8

Answer: C

Question 9

All of the following statements concerning the age of onset of menarche in a normal
adolescent female is correct except:
a. There is concordance with the onset of menarche in the mother.
b. There is concordance with the onset of menarche in older sisters.
c. Occurs earlier in blacks than in whites.
d. Occurs earlier in thin athletic girls than in obese girls
e. It usually occurs after peak height velocity is reached

Answer 9

Answer: D

Question 10

A newborn’s weight is 3.2 Kg at birth. His expected normal weight at the age of one year is
closest to:
a. 6.4 kg
b. 10 kg
c. 5 kg
d. 12 kg
e. 15 kg

Answer 10

B

Question 11

Educating patients with diabetes mellitus in an integral part of the management. This
includes all of the following, except:
a. Instructions to wear something to identify them as a diabetic
b. Instructions concerning manifestations of hypoglycemia
c. Instructions to avoid competitive sports
d. Instructions about home blood glucose monitoring
e. Instructions about nutrition

Answer 11

Answer: C

Question 12

The clinical picture of congenital hypothyroidism is fully developed by 3-6 months of age,
and these include all of the following, except:
a. Large, protruded tongue
b. Psychomotor retardation
c. Broad hands and short fingers
d. Myxedema of the eye lids and external genitalia
e. Early closure of anterior fontanelle

Answer 12

Answer: E

Question 13

A 9-year-old male presents to your clinic for short stature evaluation. You order a random
screening blood test which may contain all the following EXCEPT?
a. Anti-tissue transglutaminase
b. Random growth hormone
c. CBC, ESR
d. Thyroid function test
e. KFT

Answer 13

Answer: B

Question 14

Characteristics of growth hormone deficiency in neonates include the following EXCEPT?
a. Neonatal jaundice
b. Low birth weight
c. Microphallus
d. Hypoglycemia
e. Midline defect

Answer 14

Answer: B

Question 15

15. In a newborn with ambiguous genitalia in whom an ultrasound showed the presence of a
    uterus the most important test to reach a diagnosis is:
    a. serum electrolytes
    b. cortisol level
    c. ACTH level
    d. 17OH progesterone
    e. Aldosterone

Answer 15

Answer: D

Question 16

The most common cause of adrenal insufficiency in children is:
a. autoimmune
b. infection
c. withdrawal of long-term steroids
d. congenital adrenal hyperplasia
e. adrenoleukodystrophy

Answer 16

C

Question 17

. A 10-day-old newborn was found to have a TSH of 100 IU/ml (normal less than 10) and a
low free T4. All of the following statements concerning his condition are true EXCEPT?
a. this child most probably has agenesis or dysgenesis of the thyroid gland
b. he will be on lifelong thyroxine treatment
c. starting thyroxine treatment early on will prevent severe mental retardation
d. there is a screening program for thyroid function in Jordan
e. this condition is inherited as autosomal recessive

Answer 17

E

Question 18

. All of the following statements regarding puberty in girls is true EXCEPT?
a. it is precocious if it starts before the age of 8 years
b. it is delayed if it does not start till the age of 13
c. the first sign of puberty in girls is usually breast budding
d. central precocious puberty is commonly associated with a CNS pathology
e. peak height velocity occurs earlier in girls than it does in boy

Answer 18

D

Question 19

. A 12-year-old boy presented to the clinic as short stature. Weight is on the 5th percentile.
He is prepubertal and with low growth velocity. Bone age is 8 years. All of the following
could be a cause of his short stature EXCEPT:
a. Constitutional delay of growth and puberty
b. Growth hormone deficiency
c. Hypothyroidism
d. Celiac disease
e. Chronic renal disease

Answer 19

A