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Question 1 of 25
1. Question
1. The first visible sign of puberty in female is the appearance of breast buds (thelarche) between…
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Question 2 of 25
2. Question
- One of the following is FALSE in the chest radiograph of transient tachypnea of the newborn (TTN)…
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Question 3 of 25
3. Question
- The following are true regarding respiratory distress syndrome (RDS), EXCEPT…
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Question 4 of 25
4. Question
- A baby is born at term spontaneously, the baby is born not crying right away. After the initial stage of resuscitation, the baby cried, had good muscle tone, spontaneous breathing with a breathing rate of 50x/minute, heart rate 130x/minute, no retractions and grunting. Perioral cyanosis is seen. What is the next action taken?
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Question 5 of 25
5. Question
- Regarding CPAP, the following are true, EXCEPT…
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Question 6 of 25
6. Question
6.
- You were engaged in CPR for 3-year-old child found unresponsive in the ward. You were performing cycles of 15 chest compressions and 2 breathings alternatively with another medical personal. After 2 minutes of resuscitation you evaluate the pulse which shows PEA (pulseless electrical activity) status. The AED already is attached. Of the following, the correct NEXT action is to…
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Question 7 of 25
7. Question
- In a child less than 3 years, the diagnosis of failure to thrive is considered if…
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Question 8 of 25
8. Question
- The following vitamins and elements are recommended to be given during the stabilization phase of malnutrition, EXCEPT…
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Question 9 of 25
9. Question
- Zinc deficiency is associated with increased risk for all the following, EXCEPT…
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Question 10 of 25
10. Question
- The best diagnostic test for anaphylaxis in a child exposed to an allergen 3 hours before arrival to hospital is…
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Question 11 of 25
11. Question
- The following features suggest constitutional delay as a cause of short stature, EXCEPT…
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Question 12 of 25
12. Question
- Levothyroxine given orally is the treatment of choice in congenital hypothyroidism. The recommended initial starting dose is…
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Question 13 of 25
13. Question
- The valuable diagnostic feature that differentiates anemia of chronic disorder from iron deficiency anemia is…
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Question 14 of 25
14. Question
- You are evaluating a 4 years old child with beta thalassemia major; he is on chronic transfusion therapy since the age of 1 year; you suspect transfusion-induced hemosiderosis. Of the following, the organ that is LEAST likely to be affected by iron deposition at this time is…
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Question 15 of 25
15. Question
- A healthy 5-day old male neonate develops bruising and melena. The pregnancy and delivery course were unremarkable. The mother received heparin therapy for recurrent abortions secondary to lupus anticoagulants. The infant is vigorously breastfeeding. Examination reveals only multiple bruises. Lab tests reveals: hemoglobin, 8.4 g/dL; WBC, 8600/mm3; platelets count, 200000/mm3; PTT, 74 seconds; PT, 28 seconds; serum fibrinogen is normal. Of the following, the MOST likely cause of this bleeding is…
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Question 16 of 25
16. Question
- A healthy 20-day-old male neonate with Down syndrome appears pale; examination reveals a palpable liver 6 cm below the right costal margin and palpable spleen 3 cm below the left costal margin; lab findings include: hemoglobin, 8.8 g/dl; platelets count, 55.000/mm3; white blood cell count, 18.700/mm3 with 10% blast cells; bone marrow examination is consistent with acute leukemia. Of the following, the BEST approach for the management is…
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Question 17 of 25
17. Question
- In MOST patients with an ASD, the characteristic physical finding is…
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Question 18 of 25
18. Question
- Prophylaxis for people who have had acute rheumatic fever with carditis but without residual heart disease persist for…
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Question 19 of 25
19. Question
- The MOST frequent pathogens of pneumonia in children 5 years and older is…
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Question 20 of 25
20. Question
- A 4-year-old boy came with complaints of cough and fever since 2 weeks ago. The patient’s mother gave over-the-counter cough medicine but the symptoms did not improve. From the physical examination, weight/height of the boy was < -2 SD. The patient’s mother said that the patient’s grandfather also had a cough since 2 months ago. Access to screening tests takes a long time to do because you are in a remote area, going to the nearest hospital can only be reached by boat which is only scheduled to came once every two weeks. What would you do next?
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Question 21 of 25
21. Question
- The best treatment option for severe persistent asthma in a 6 years-old boy is…
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Question 22 of 25
22. Question
- An elevated polymorphonuclear (PMN) cells count in cerebrospinal fluid (CSF) suggests…
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Question 23 of 25
23. Question
- In patients with febrile seizures, one of the following risk factors has the highest risk for subsequent epilepsy…
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Question 24 of 25
24. Question
- Steroid resistance nephrotic syndrome is defined as failure to achieve remission after…
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Question 25 of 25
25. Question
- After the initial treatment, the patient was evaluated and the results were: somnolence, BP 80/palpation, rapid and weak pulse, temperature 37.5oC, respiratory rate 30x/minute. Laboratory examination showed Hb 17 g/dL, Ht 48%, leukocytes 4,500/mm3, platelets 72,000/mm3. What is the next step?
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