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1.

Tetralogy of Fallot
A. Presence of VSD murmur F
B. Anaemia causes hypercynotic spell T
C. associated with cerebral abcess T
D. Chest X-ray – Lung plethora F

2. Common association
A. Downs Syndrome - AVSD T
B. Turner Syndrome - TOF F
C. Coartation of aorta – radio-femoral delay T
D. Supracventricular thrill– Wolf Parkinson White Syndrome T
E. Tricuspid atresia – parasternal heave F

3. Causes of hypoglycemia
A. Reye Syndrome T
B. Galactosemia T
C. DKA F
D. Diabetic Insipidus F
E. Paracetamol poisoning T

4. Asthma
A. LRTI is a triggering factor T
B. 3 precipitating factors : mucosal edema, mucosal hypersecretion, F
Skeletal muscle contraction
C. decrease functional residual volume F
D. Chest X-ray - atelectasis T
E. Positive family history of allergic rhinitis T

5. Complication of meningitis
A. Hearing loss T
B. subdural effusion T
C. SIADH T
D. Focal epilepsy T
E. hydrocephalus T

6. Trichuriasis
A. Adult infected by skin penetration F
B. Causes bloody diarrhea T
C. Causes megaloblastic anaemia F
D. Cx – prolapse rectum T
E. Finally residue in human is rectum
7. Hypothyrodism
A. constipation T
B. high pitch cry F
C. prolonged jaundice with pale stool F
D. hypothermia T
E. umbilical hernia T

8. Major Jones criteria


A. Carditis T
B. Polyathralgia F
C. Subcutaneous nodule T
D. Erythema nodusa F
E. Sydenham’s chorea T

9. Hemophilia A
A. autosomal recessive F
B. prolong PT F
C. 50% male siblings are affected T
D. intracranial hemorrhage is a complication T
E. FVIII > 5% can cause heamarthrosis F

10. Infant of diabetic mother increase risk to get …


A. hypocalcemia T
B. anaemia F
C. early neonatal jaundice T
D. Respiratory Distress Syndrome T
E. Lumbosacral agenesis T

11. Padanan yang sesuai,

A. CMV infection – Intracranial calcification T


B. Varicella zoster – Cerebellar ataxia T
C. Thyphoid fever – Intestinal ( ileum ) perforation T
D. Cholera - Bloody stool F
E. Plasmodium vivax – Black water fever F

12. Vaccines

A. BCG-live vaccine T
B. Pertussis – Toxoid T
C. Measles – Killed vaccine F
D. Hib – live F
E. Rubella – Killed F
13. Causes of polyuria and polydypsia

A. Hypokalaemia T
B. Hypercalcaemia T
C. UTI F
D. Chronic renal failure T
E. Nephrogenic diabetes insipidus T

14. Nephrotic syndrome in children

A. Commonest cause is focal segment glomerulosclerosis F


B. Onset < 1 year – poor prognosis T
C. Renal vein thrombosis is a complication T
D. Hep B and Mycoplasma infection are known causes T
E. Most frequent between 1-5 years old T

15. Electrolytes and water hemostasis in New Born

A. NB – water is 75 % of body weight T


B. Normal osmolality of NB = 350 mili osm/L F
C. In metabolic acidosis, potassium highly positive T
D. Loss of body heat in first week of life is 10 % T
E. Loss of water d/t immature kidney. T

16. Regarding thalassemia major

A. Can cause hydrops fetalis T


B. More prominent symptoms after 2 years old F
C. Hypochromic microcytic T
D. Cause angular stomatitis F
E. Serum feritin is low F

17. Differential dx in 4 years old child with fever and maculopapular rash

A. Dengue fever T
B. Kawasaki disease T
C. Chicken pox F
D. Rheumatic fever F
E. Drug reaction T
18. Regarding febrile fit

A. High risk of developing mental retardation F


B. A cause for status epilepticus T
C. Common age between 6 month to 6 years T
D. Complex febrile fit a/w focal seizure T
E. EEG is needed for dx F

19. Causes of wheezing in children

A. acute brochiolitis T
B. FB aspiration T
C. acute laryngotracheobronchitis F
D. vascular ring T
E. subglottic stenosis F

20. Jaundice

A. severe jaundice can cause hearing impairment T


B. 1st baby of mother with Rh –ve have HDN T
C. exchange transfusion is done through UACatheter F/T
D. breast milk jaundice is due to inadequate breast
feeding F
E. high risk in preterm baby T

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