Zagazig University – Pediatric Department

Msc Family Medicine Pediatrics Written Exam

18/ November / 2017
Short Essay Paper, 1 Page, 3 Questions, 25 marks PLUS
MCQ paper, 2 Pages, 10 Questions, 10 marks .
Total Pages: 3 - Total Marks: 35
All questions to be answered
Answers to be written inside the official answer paper

Answer all the following short essay questions : (3 questions)

1- Enumerate causes of Recurrent Abdominal Pain in Children.

How will you screen and Diagnose a case of Celiac Disease ?
( 10 marks )

2- Discuss the management of Nephrotic Syndrome in children.

( 10 marks )

3- List the differential diagnosis of a floppy infant. ( 5 marks )

 MCQ
1- When does the umbilical cord typically fall off in a normal term infant?
A- 5 hours
B- Two days
C- One to two weeks
D- One month
E- Two months

2- A healthy 7-year-old child is brought to you to be evaluated because he is the shortest

child in his class. Careful measurements of his upper and lower body segments showed
normal body proportions for his age. Which of the following disorders of growth is likely
A- Achondroplasia
B- Morquio’s disease
C- Fragile x syndrome
D- Growth hormone deficiency
E- Marfan syndrome

3- Folate deficiency is a recognized complication of the followings EXCEPT:

A- Prematurity.
B- Goat’s milk dependent children.
C- Coeliac disease.
D- Methotrexate therapy.
E-Siderolastic anemia.

4- The following erythema are correctly linked with their recognized causative factor:
A-Staphylococcus aureus and erythema toxicum neonatorum..
B-Parvovirus B19 and erythema infectiosum.
C-Herpes simplex virus and erythema marginatum.
D-Tuberculosis and erythema multiforms.
E-Viral infections and erythema chronicum migrans.

5- A 12 months old boy presents to the emergency department with a 6 hour history of
vomiting, colicky abdominal pain, and irritability. On physical examination a sausage
like mass is palpable in the right upper quadrant of the abdomen
A- This condition is not common in the first two years of age.
B- Black tarry stool is a characteristic feature.
C- Abdominal X-ray shows pneumatosis intestinalis
D- Ileocolic type is the most common location.
E- Mineral oil laxative may be helpful in treatment.

6- With regard to rheumatic fever one of the followings is NOT true:

A- It occurs secondary to infection with Beta haemolytic streptococci group A.
B- It may cause pancarditis.
C- Prolonged P-R on ECG is one of the major diagnostic criteria.
D- Chorea may occur as the only manifestation of RF
E- Patient with carditis are given chemoprophylaxis for the whole life
7- One The following associations is NOT correct:
A-Congenital rubella infection - pulmonary stenosis.
B-Maternal diabetes - congenital heart disease.
C-Congenital heart block –maternal SLE.
D-Long QT syndrome - atrial tachyarrhythmias.
E-Noonan syndrome - pulmonary stenosis.

8- Duchenne muscle dystrophy:

A-Is genetically determined as autosomal recessive disease.
B-Early antenatal diagnosis is possible.
C-Become clinically apparent after the age of 5 years.
D-Diagnostic histological abnormalities are present since birth.
E-Dystrophin protein is absent in the serum of such patient.

9- When a child rides a tricycle, can't dress himself, can't draw square, give his name.
The age of this child is:
A-2 years.
B-3 years.
C-4 years.
D-5 years.
E-6 years.

10- The following are used in the emergency treatment of hyperkalemia:

A- Normal saline infusion
B- Combined dextrose and normal saline infusion
C- Intravenous salbutamol
D- Intravenous adenosine
E- Intravenous hydrocortisone

GOOD LUCK