SMLE 11 (pedia)

Question 1

2. pediatric pt come to ER with hx of tonic clonic seizure duration 3 min 1 hour ago
   , hx of fever and runny nose 3 days ago. Every thing is normal even temp. Appropriate Tx?
   A. Paracetamol ,
   B. diazepam,
   C. phenytoin

Answer 1

A. Paracetamol

Question 2

5. Child presented after 1 week of bloody diarrhoea with edema and renal
   inpairment( labs given there is hypertension and impaired renal analysis) Asking what culture should help in diagnosis
   A. urin
   B. blood
   C. stool
   D. LP

Answer 2

C. stool

Question 3

7. chile i don’t remember the age presented with diarrhoea and vomiting for 1 day
   he looks lethargic and ill cry with tears capillary refill is 3 . Management? Complete q in safdar
   1-10% dextrose 2-ORS na:glucose 1:1

Answer 3

2-ORS na:glucose 1:1

Question 4

8. child came in 6 month vaccination mother said he have anaphylactic reaction
   required hospital admission after 4 month vaccination but she don’t know what vaccine
   What should be done now?
   A. do allergic test first
   B. vaccination except for dtap
   C. reassures and vaccinate
   D. ?

Answer 4

A. do allergic test first

Question 5

14. 6 years old child with long history of multiple lower respiratory infection and
    rhinitis admitted with respiratory symptoms bronchoscope done, sputum collection
    done and culture was positive for pneudomonus aergunosa and ? What is the
    cause
    A. primary ciliary dyskinesia
    B. cystic fibrosis
    C. bronchial asthma
    D. !

Answer 5

B. cystic fibrosis

Question 6

41. 4 years old girl brought to the pediatric emergency with vommiting and
    lathergy. Parent report decrease wight 1 Kg in last week. She has decrease in
    apetite. Thrist and frequent urination. Upon examination she looks sleepy and
    lathergic. Dry mucus membran and increase skin turger. The doctor start treating
    her with IV RL with electrolyte low dose insulin infusion.
    Her PH 7.2 ( not sure ) glucose ( 20 ) +ve urine kitones
    What is the suspected complications
    A. hypoglycaemia
    B. Renal faliure
    C. Cerebral edema

Answer 6

C. Cerebral edema

Question 7

46. 11 year old girl with excesize intolerance and wight (did not mention loss or
    gain) Hx is unremarkable and PE is normal Pb:160/100 HR:130 T:36.6 O2: 95
    ECHO shows normal heart function and anatomy. What is the most appropriate ?
    managment?
    A. ABG
    B. electrolyte level
    C. CBC ??? (anemia )
    D. TFT????

Answer 7

D. TFT????

Question 8

65. Child diagnosed of epilepsy on medication, what is true regarding his
    vaccincation?
    A- Give all.
    B- Don’t give live vaccincation.
    C- Hold Dtap.

Answer 8

C- Hold Dtap.

Question 9

69. child had meningitis, and he contacted his brother & sister, what will give as
    prophylaxis ?
    A. penicillin + rifampicin 2 times
    B. penicillin
    C. Ciprofloxacin one dose
    D. Ceftriaxone 3 doses IM

Answer 9

C. Ciprofloxacin one dose

Question 10

71. Question about Meningitis, a 7-year-old patient infected with a gram- positive
    diplococcus.Treatment is:
    A. Ceftriaxone
    B. Penicillin + gentamycin
    C. Gentamycin
    D. Gentamycin plus vancomycin

Answer 10

A. Ceftriaxone

Question 11

81. infant or child!! with pneumonia and atelectasis, what is best
    Investigation:
    a) fluoroscopy
    b) rigid bronchoscopy
    c) flexible bronchoscopy
    d) x-ray

Answer 11

….

Question 12

88. Preschool anemia screening (with no symptoms only this statement) CBC:
    Low Hg High Retcs High RDW (>2%) what is dx: ]
    A. IDA
    B. Thalasemia minor

Answer 12

B. Thalasemia minor

Question 13

90. Child pt with decreased IQ, pica (eat dirt) < they wrote it :) With
    Hepatosplenomegaly ! Labs showed *Hypochromic microcytic anemias.
    What is the highest diagnostic labs ]
    A- blood lead levels
    B- CBC with blood smear (they already do it )
    C- Iron studies

Answer 13

A- blood lead levels