1- Which of the following is not characteristic of cyanotic heart disease:

A. Elevated blood pressure in arms.

B. Polycythemia.
C. Digital clubbing.
D. Dyspnea on exertion.
E. Limited exercise tolerance.

2- Each of the following may be a common manifestations of mumps

Except:
A. orchitis.
B. Pancreatitis.
C. Parotitis.
D. Bilateral arthritis.
E. Aseptic meningitis.

3- A 12 years old boy is below the 3rd percentile for height (50th percentile for age 8 y).
which of the following would give him the best prognosis for normal adult height ?
A. A bone age of 12 years.
B. A bone age of 14 years.
C. A bone age of 8 years.
D. Being at the 50th percentile for weight.
E. Being at the 3th percentile for weight.

4- Which of the following is not a clinical feature or recognized complication of Tetralogy

of fallot:
A. Anoxic Spells.
B. Brain abscess.
C. Congestive heart failure.
D. Cyanosis.
E. Poor growth

5- The anterior fontanel usually feels closed on physical examination "palpation":

A. by 3 months.
B. Between 3 and 9 months.
C. Between 9 and 18 months.
D. Between 18 and 24 months.
E. Between 24 and 36 months.

6- Craniotabes could be seen in all of the following condition Except:

A. Rickets.
B. Vitamin E deficiency.
C. Hydrocephalus.
D. Syphilis. E. Premature baby.

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7- All of the following are true about the clinical manifestations of kwashiorkor Except:
A. The presence of edema.
B. Rash in sun exposed area.
C. Hair changes.
D. Weak muscles.
E. An increased susceptibility to infection.

8- A mother brings her 9-month-old infant to your office for his check-up. One of her
concerns is the failure of eruption of his primary teeth. Your response to her should be:
A. The degree of delay in eruption warrants radiographs of the
mandible and maxilla.
B. She needs not worry for at least 1 more month.
C. It is not unusual for deciduous teeth to begin to erupt as late
as 12 months of age.
D. As long as the child has nails he will have teeth.
E. The child must be worked up for a thyroid disorder.

9- Which of the following Vitamin are Fat soluble:

A. A, D and C.
B. D, K and B1
C. A, D, K and E.
D. C, D, K and E
E. B1, K and E.

10- A 4 month old with Vitamin D-deficient rickets. Would be expected to show all of the
following Except:
A. Craniotabes.
B. Bow Legs.
C. Rosary.
D. Low Serum phosphate level.
E. High Alkaline phosphatase

11- Recognized causes of respiratory distress in the newborn include all of the
following except:
A- Infection with group B β- hemolytic streptococci.
B- aspiration of meconium.
C- hyperviscosity syndrome.
D- acute hydrocephalus.
E- heart failure.

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12- Transplacental infection is recognized in the newborn with all of the following
except:
A- syphilis.
B- gonococcus.
C- toxoplasma.
D- chickenpox.
E- rubella.

13- Recognized causes of neonatal hypocalcaemia include:

A- maternal hyperparathyroidism.
B- maternal diabetes.
C- maternal vitamin D deficiency.
D- primary magnesium deficiency.
E- all of the above.

14- Congenital rubella infection include all of the following except:

A- is preventable.
B- causes cataract.
C- causes microcephaly.
D- causes immune deficiency.
E- induces permanent positivity of IgM (rubella specific) antibody.

15- Kernicterus (bilirubin encephalopathy):

A- is due to pigment damage to the cells of the motor cortex.
B- ocuurs only if unconjugated hyperbilirubinaemia exceeds 340 µmol/L (= 20
mg/100ml).
C- is characterized by increasing irritability of the baby in the early stages.
D- is treated by phototherapy.
E- causes deafness in survivors.

16- All the following are recognized causes of unconjucated hyperbilirubinaemia

except:
A- deficiency of red cell enzymes.
B- hyperviscosity syndromes.
C- α 1 anti-trypsin deficiency.
D- breast feeding.
E- Crigler-Najjar syndrome.

17- Photo-degradation of bilirubin:

A- can be achieved by ultraviolet light.
B- can be achieved by yellow light.
C- can be achieved by blue light.
D- is characterized by the circulation of potentially damaging breakdown products.
E- should be accompanied by fluid restriction to reduce skin turgor for light effect.