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[‫ﺣ ـﻜـ ـ ـ ـ ـ ـ ـ ـ ـ ـﻴـﻢ ]اﻟﺑرﻧﺎﻣﺞ اﻟوطﻧﻲ ﻹرﺷﺎد اﻷطﺑﺎء اﻟﺟدد‬

Pediatrics past year’s questions

1- About polio vaccine all true except:


A- Only OPV is associated with VAPP
B- IPV is preferred in adults
C- IPV doesn’t give lifelong immunity
D- OPV improves local immunity
E- OPV is preferred in epidemics

2- All increase pulmonary blood flow except:


A- TOF
B- ASD
C- VSD

3- All are associated with celiac disease except:


A- Can present with short stature only
B- ↑ appetite
C- Rectal prolapsed
D- Ataxia
E- Constipation

4- 6 months old infant, most likely cause of heart failure:


A- Small PDA
B- Large VSD
C- TOF

5- A neonate developed cyanosis 3 hours after birth, most likely due to:
A- Transposition of great vessels
B- Congenital pneumonia
C- Diaphragmatic hernia

6- One of the following vaccines is C/I in pregnancy:


A- MMR
B- DTP
C- Hepatitis B
D- Hib vaccine

7- All are causes of neonatal jaundice except:


A- ABO incompatibility
B- Sickle cell anemia
C- Breast feeding
[‫ﺣ ـﻜـ ـ ـ ـ ـ ـ ـ ـ ـ ـﻴـﻢ ]اﻟﺑرﻧﺎﻣﺞ اﻟوطﻧﻲ ﻹرﺷﺎد اﻷطﺑﺎء اﻟﺟدد‬

8- A neonate with hypotonia and tongue fasciculation, most likely diagnosis:


A- Spinal muscular dystrophy
B- Muscle dystrophy
C- Congenital myasthenia
D- Becker dystrophy

9- Child brought to ER by his parents, the parents told you that he ingested a bottle of
kerosene, but he didn’t complaint from anything, on exam the child is looking well with normal
vitals, best next step:
A- Antibiotics
B- Reassure the parents and tell them no intervention needed
C- Pulse oxymetry
D- Chest X-ray
E- Activated charcoal

10- About meningitis in children, all true except:


A- Treated by vancomycin and ceftrixone
B- Oral antibiotics may lead to negative CSF cultures
C- Dexamethasone ↓ the risk of hearing loss
D- Early seizures carry poorer prognosis than late seizures
E- Incidence of Hib as causative agent decreased after vaccination

11- 10 y/o boy, his height on the 5th percentile, his bone age = chronological age, most likely
cause:
A- Hypothyroidism
B- Familial (genetic) short stature
C- Constitutional
D- GH deficiency

12- In iron deficiency anemia, all true except:


A- hypochromic microcytic
B- ↓ transferrin
C- ↓ ferri n
D- ↓ TIBC

13- Child with anemia his CBC showed MCV of 110 fl, most likely to be seen in blood film:
A- Hypersegmented neutrophils
B- Neucleated RBC’s
C- Myeloblasts
D- Hypochromic microcytic RBC’s
[‫ﺣ ـﻜـ ـ ـ ـ ـ ـ ـ ـ ـ ـﻴـﻢ ]اﻟﺑرﻧﺎﻣﺞ اﻟوطﻧﻲ ﻹرﺷﺎد اﻷطﺑﺎء اﻟﺟدد‬

14- A diabetic mother gave birth to a full term infant, heavily stained with meconium, the most
appropriate next step is:
A- Suction of the mouth, oropharynx, and trachea
B- Intubation with positive pressure ventilation
C- Ambo bag and chest compressions
D- Give 25% dextrose
E- Tactile stimulation of the foot

15- One of the following is considered developmentally delayed:


A- 3 months with no social smile
B- 3 months not saying “ma”or”da”
C- 12 months walking one hand held

16- Child with seizures, hypopigmented skin lesions, mild developmental delay, the most likely
diagnosis:
A- Tuberous sclerosis
B- Hypothyroidism
C- Vitamin B deficiency

17- Which of the following is a correct match:


A- Mycoplasma- infants
B- Staph aureus- pneumatocele
C- Chlamydia trachomatis- adolescents

18- All of the following can cause polyhydroamnios except:


A- Diabetic mother
B- Renal agenesis
C- Duodenal atresia

19- All cause invasive diarrhea except:


A- Shigella
B- Salmonella
C- Giardia lamblia
D- Yersenia entercolitica

20- A child with nephrotic syndrome, on steroids, he developed fever, abdominal tenderness,
and leukocytosis, most likely cause:
A- Primary peritonitis
B- Cholecystitis
C- Appendicitis
[‫ﺣ ـﻜـ ـ ـ ـ ـ ـ ـ ـ ـ ـﻴـﻢ ]اﻟﺑرﻧﺎﻣﺞ اﻟوطﻧﻲ ﻹرﺷﺎد اﻷطﺑﺎء اﻟﺟدد‬

21- 6 months infant, presented with cough, rhinorrhea, wheezes, and distress. On exam you
found bilateral wheezes most likely cause:
A- Reactive airway disease (asthma)
B- RSV

22- 4 y/o boy with symptoms of anemia (acute onset), but the mother stated that he always
looks pale, same case in his father, the most appropriate test before blood transfusion is:
A- Osmotic fragility test
B- Hemoglobin electrophoresis
C- G6P level

23- A baby was born at home, 5 days later presented with bloody stool and bleeding umbilicus,
the most likely cause:
A- DIC
B- Vit K deficiency
C- Thrombocytopenia

24- All true about simple febrile seizures except:


A- Brief
B- No recurrence in 24 hours
C- Multifocal
D- Occurs at age 3 months- 5 years
E- Requires brain CT

25- About post streptococcal GN, one is false:


A- ↑ urea
B- ↑ Cr
C- ↑ K
D- Severe anemia
E- ↓ complement

26- All of the following laboratory findings are consistent with the diagnosis of cystic fibrosis
except:
Sweat chloride of 80 mmol/l
High fat in 3 day stool collection
Low serum immunoreactive trypsinogen
Bronchiectasis on chest film
Low trypsin-chemotrypsin in stool
[‫ﺣ ـﻜـ ـ ـ ـ ـ ـ ـ ـ ـ ـﻴـﻢ ]اﻟﺑرﻧﺎﻣﺞ اﻟوطﻧﻲ ﻹرﺷﺎد اﻷطﺑﺎء اﻟﺟدد‬

27- the following disorders are associated with familial or genetic susceptibility to malignancy
except:
1- trisomy 21
2- fanconi anemia
3- neurofibromatosis
4- DM type 1
5-hemihypertrophy syndrome

28- all are causes of short stature except:


klinefelter syndrome
noonan syndrome
down syndrome
turner syndrome
pseudohypoparathyroidism

29- Normal heart rate at birth:


1. 100-120 /m
2. 120-160/m
3. 160-180/m
4. 80-100/m

30- All of the following statements regarding the anemia of chronic kidney disease are true
except:
1- erythropoietin levels are reduced
2-ferritin is reduced
3-the degree of anemia correlation with the stage of chronic kidney disease
4-it is typically normocytic and normochronic
5-reticulocytes are decreased

31- A 10 day old male newborn brough to you for hypoactivity,vomting and diarrhea.the best
management is to:
1- refer him to the hospital for investigation and treatmant
2- give ampicillin at home
3- give him IV fluids and discharge
4- give oral rehydration solution
5-give co-trimoxazole and oral rehydration

32- all of the followings regardring intussusception are true except:


1- it happens mostly before age 2 years
2- causes colicky abdominal pain
3- causes bilious vomiting
4- associated with currant jelly stool
5- treatment is by surgery If diagnosed
[‫ﺣ ـﻜـ ـ ـ ـ ـ ـ ـ ـ ـ ـﻴـﻢ ]اﻟﺑرﻧﺎﻣﺞ اﻟوطﻧﻲ ﻹرﺷﺎد اﻷطﺑﺎء اﻟﺟدد‬

33- All of the following are methods for treatment of hyperkalemia except:
1- Salbutamol
2- propranolol
3- kayexalate
4- calaium gluconate
5-sodium bicarbonate

34- The first line treatment of acute otitis media:


amoxicilline
third generation cephalosporin
nalidixic acid
erythromycin
amikacin

35- the normal daily requirement of fluid in a child whose weigh is 30 kg is :


1500 cc
1700 cc
1800 cc
2000 cc
3000 cc

36- All the following can cause hematuria in children except:


Hemoglubiuria
Trauma
Wilms tumor
U.T.I
Renal stones

37- All of the following antibiotics has good cover Staphlococcus aureus infection except:
Flucloxacillin
Rifampicin
Vancomycin
Erythromycin
Ciprofloxacin

38- All of the following clinical conditions are correctly matched to their hematological findings
except:
Kawasaki disease --- thrombocytosis
Sickle cell anemia ----hypersplenism
Beta thalassemia major----increased Hb F
Hereditary spherocytosis----splenomegaly
Alpha thalassemia major---- hydrocephalus
[‫ﺣ ـﻜـ ـ ـ ـ ـ ـ ـ ـ ـ ـﻴـﻢ ]اﻟﺑرﻧﺎﻣﺞ اﻟوطﻧﻲ ﻹرﺷﺎد اﻷطﺑﺎء اﻟﺟدد‬

39- One of the following about insulins is ture:


Glargin is usually given 3 time in day
Detemir is a short acting insulin
Regular insulin is given about 40 min before meal
Regular insulin is given only I.V
Short acting insulin before meal and diet are treatment for type 1 DM

40- A 3 year old male presented with dark colored urine, abdominal pain and jaundice .the
most inportant investigation is:
Liver enzymes
Serum bilirubin
Hemoglobin
Urine analysis
Abdominal Ultrasound

41- All of the following congenital heart diseases are causes of Excessive pulmonary blood flow
except:
VSD
ASD
Tetralogy of fallot
Patent ductus arteriosus
Atrioventricular septal defect

42- The national screening program in jordan include all of the following:
PKU + thalassemia
PKU + G6PD + hypothyroidism
PKU + congenital hypothroidism
PKU + G6PD+congenital hypothroidism
Condenital adrenal hyperplasia

42- Guillain–Barré syndrome is associated with one of the following :


Symmetrical ascending paralysis
Spasticity
Increases deep tendon reflex
Autosomal recessive inheritance
Not affecting the cranial nerves

43- Hemorragic disease of new born is due to :


thrombocytopenia
factor 8 dificiency
vitamin k dificiency
vitamin c dificiency
[‫ﺣ ـﻜـ ـ ـ ـ ـ ـ ـ ـ ـ ـﻴـﻢ ]اﻟﺑرﻧﺎﻣﺞ اﻟوطﻧﻲ ﻹرﺷﺎد اﻷطﺑﺎء اﻟﺟدد‬

44- which of the following the most common primary anti-body immune deficiency disorder:
agammaglobinemias (XL,AR)
common variable immunodeficiency
lgA deficiency
lgG subclass deficiency
transient hypogammaglobulinemia of infancy

45- the drug of choice to treat Mycoplasma pneumonia is :


amikacin
erythromycin
cefriaxone
amoxicillin
cotrimoxazole

46- all are associated with throbocytopenia except:


wiskott-aidrich syndrome
hemolytic uremic syndrome
fanconi anemia
systemic lupus erythematosus
Henoch- schoniein purpura

47- All are included national vaccination program in jordan except:


Hepatitis B
Rota virus
Mumps
Diphreria
Inactivated polio vaccine

48- Regarding etiology of Xanthematic diseases one is not matching:


Rubeola--------paravirus
Rubella --------togavirus
Reseola-------- coxsackievirus
Varicella ------ herpes zoster
Scarlet fever ------ hemolytic streptococcus group a

49- Infants double thier weight at:


6-7 months
9-10 months
5-6 months
[‫ﺣ ـﻜـ ـ ـ ـ ـ ـ ـ ـ ـ ـﻴـﻢ ]اﻟﺑرﻧﺎﻣﺞ اﻟوطﻧﻲ ﻹرﺷﺎد اﻷطﺑﺎء اﻟﺟدد‬

50- The most common type of idiopathic nephrotic syndrome in children is :


Ans: minimal change nephrotic syndrome

51- Regarding pediatric cancer all are of the following are true except:
…..

52- All are ture in children acute lymphoblastic leukemia except:


…..

53- In 21 hydroxylase deficiency all are ture except:


….

54- Average growth parameters for a one year old normal male child are:
….

55- Baby was born in home, after 5 days he has bleeding form umbilicus, the mostly case
bleeding is?
Vitamin k deficiency
DIC
Hemophilia A
Hemophilia B

56- All are true about down syndrome except:


Clindactyly
Hypertelorism
Simian crease
Freqent acute otitis media
AVSD

57- According to polyric stenosis all true except:


Most common in males
Usually stars at 2-4 weeks of age
Bilious vomiting after feeding
FTT

58- Which sign can seen in abdominal x-ray for pateint with duodenal atresia:
double bubble sign

59- Most common tumour for children is :


acute lymphoblastic leukemia
[‫ﺣ ـﻜـ ـ ـ ـ ـ ـ ـ ـ ـ ـﻴـﻢ ]اﻟﺑرﻧﺎﻣﺞ اﻟوطﻧﻲ ﻹرﺷﺎد اﻷطﺑﺎء اﻟﺟدد‬

60- All are Alarming sign of development, except:


Less than 3 words at 18 months
Not walking at 18 months
Head lag in 6 months

61- Child with cough at night and early morning, and wheezy chest for one year mostly is:
Bronchiolitis
Pneumonia
Asthma

62- The following vaccines are destroyed by freezing except?


IPV
Hepatitis B
Tetanus toxoid
Measles

63- The most sensitive vaccine to heat is:


+OPV
IPV
PERTUSIS
DT

64- All about Neurofibromatosis type 1 true except:


Seizures
Abnormal speech deleopment
Could seen Bilateral
Optic glioma

65- One the following true about congenital hypothyroidism ;


autosomal recessive

66- All the following are cyanotic heart disease except:


TOF
Ebsteins abnormaly
Dustal coarctation aorta
Tricuspid atresia

67- The most common cause of abdominal pain in children:


UTI
68- All are ture about acute otitis media except:
Can cause meningitis
Most common etiology is S.pneumoniae
The drug of choice is cephalosporins
[‫ﺣ ـﻜـ ـ ـ ـ ـ ـ ـ ـ ـ ـﻴـﻢ ]اﻟﺑرﻧﺎﻣﺞ اﻟوطﻧﻲ ﻹرﺷﺎد اﻷطﺑﺎء اﻟﺟدد‬

69- All are moculopapular rash except:


Varicella
Measles
Roseola
Rubella

70- Baby with hypotonia and tongue fasciculation:


Spinal muscular atrophy

71- All are cause of neonatal convulsion except:


febrile seizue

72- All are criteria of benign febrile seizure except:


Duration less 15 min
History of convulsion without fever
No recurrence in 24 h
Generalized tonic-clonic

73- Which the following is wrong about Klinefelters Syndrome:


Increased risk with advanced materal age
Genotype is 47 XYY

74- Neonatal Screening in Jordan:


PKU + hypothyroidism + hear loss
PKU + hypothyroidism
hypothyroidism + hear loss

75- The most common cause of Necrotizing Enterocolitis:


Shock
Asphyxia
Prematurity
Sepsis

76- Daily need of Vitamin D for babies:


400 IU/D

77- Head circumference at one year age:


43-44 cm
45-46 cm
47-48 cm
[‫ﺣ ـﻜـ ـ ـ ـ ـ ـ ـ ـ ـ ـﻴـﻢ ]اﻟﺑرﻧﺎﻣﺞ اﻟوطﻧﻲ ﻹرﺷﺎد اﻷطﺑﺎء اﻟﺟدد‬

78- Child with G6PD present to ER with hemolysis, the mangment is:
supportive

79- Child present to ER with extended neck, stridor, fever, drooling and distress, your
mangment:
direct to ICU and call E.N.T

80- Term baby ,he become cyanotic after 3h of delivary , with normal cardic exam and
respiratory system , mostly diagnosis is :
TOF
Ebstein anomaly
TGA
Tricuspid atresia

81- 3 months baby with chronic bronchopneumomia, lymphocyte 400 then 200 : + Acid

82- All are causes of overwreight except:


Psuedohypoparathyroidism
Pradder Will syndrome
Down syndrome
Turner syndrome
Adrenal insufficiency

83- All are X-linked diseases except:


Hemophilla A
G6PD deficiency
Duchenne muscular dystrophy
Hypophosphatemic rickets
Hereditary spherocytosis

84- All the following lab findings are true regarding iron deficiency anemia :
Low ferritin
Low platelets
Low saturation
Inceased TIBC
Decreased MCV

85- ALL of the following can be given in treatment of anaphylaxis except:


Oxgen
Epinephrine
I.V.F
I.V corticosteroids
NSAID
[‫ﺣ ـﻜـ ـ ـ ـ ـ ـ ـ ـ ـ ـﻴـﻢ ]اﻟﺑرﻧﺎﻣﺞ اﻟوطﻧﻲ ﻹرﺷﺎد اﻷطﺑﺎء اﻟﺟدد‬

86- All of the following are characteristic respiratory complications or features of fibrosis in
children except:
Recurrent bronchiolitis
Pan sinusitis
Bronchiectasis
Nasal polyposis
Pulmonary embolism

87- All of the following congenital heart defects causes excessive pulmoray blood flow except:
VSD
ASD
Tertalogy of falot
PDA
AVSD

88- All of the following can causes hematuria in children except :


UTI
G6PD deficiency
Trauma
Renal stone
Schistosomiasis

89- The most common cause of gastroenteritis in children is:


Rota virus
E.coli
Food poisoning

90- The most common organism causing acute otitis media is :


Strep. Pneumonia
Heamophilus influenza
Group A streptococcus
Adenovirus
Pseudomonas aeruginosa

91- The usual manifestations of central precocious puberty in girls include :


Increased bone age,LH and estradiol levels
Increased bone age and estradiol with decreased LH
Increased LH,FSH, and testosterone with decreased estradiol
Delayed bone age and increased LH,FSH AND estradiol
Normal bone age with dereased LH,prolactin and esrtadiol
[‫ﺣ ـﻜـ ـ ـ ـ ـ ـ ـ ـ ـ ـﻴـﻢ ]اﻟﺑرﻧﺎﻣﺞ اﻟوطﻧﻲ ﻹرﺷﺎد اﻷطﺑﺎء اﻟﺟدد‬

92- The most common cause of hereditary bleeding disorder is :


Hemophilia A
Hemophilia B
Von Willebrand disease
Factor 7 deficiency
Factor 10 deficiency

93- Treatment of acute laryngotracheobronchitis(croup) may all except:


Oral or I.M dexamethasone
Oral prednisolone
Nebulizer Racemic epinephrine
Cool steam
Anti- histamine

94- The number of deciduous teeth is


24
20
22
18
32

95- The first sign of puberty in girls is


Onset of menstruation
Pubic hair
Axillary hair
Appearance of breast buds
Growth spurt

96- The most common organism causes pleural effusion is :


Staph. Aureus
Strep . pneumonia
Group A streptococcus
Chlamydia trachomatis
E.coli

97- The most common cause of central precocious puberty in girls is :


pitutary adenoma
ovarian cysts
intracranial hemorrhage
idiopathic
CNS tumors
[‫ﺣ ـﻜـ ـ ـ ـ ـ ـ ـ ـ ـ ـﻴـﻢ ]اﻟﺑرﻧﺎﻣﺞ اﻟوطﻧﻲ ﻹرﺷﺎد اﻷطﺑﺎء اﻟﺟدد‬

98- The most common cause of ambiguous genitalia in girls is :


21 hydroxylase deficiency
11 hydroxylase deficiency
Turner syndrome
Maternal exposure to androgen
Androgen insensitivity syndrome

99- The objectives of vaccination program are all the following except :
To minimize mortality and morbidity
To vaccinate all pregnant women at the child bearing age with tetanus toxiod
To ensure that all children(0-1) years of age are protected against of childhood diseases
To provide vaccination for small pox
To promote the growth and development of new generation of children

100- All of the following is true about strepococcus pyogenes pharyngitis except:

Purulant exudate and peterchial spots on soft palate can be found on examination
Penicillin is the best drug of choice for treatment
Antibiotic therapy is recommended to protect against post streptococcus
glumerulonephritis
Fine papular (sand-paper) rash can be found
Cervical lymphadenopathy is common