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Child with pain in lower pelvis, xray shows radiopaque shadow: Ca oxalate stones 2) Child had streptococcal infection, (auscultation) murmur heard at the apex radiation to axilla. V2 something: Mitral regurgitation 3) Cause of complication in post strep glomerulonephritis: Hypertension Hyperkalemia 4) Surfactant decreased by: Acidosis 5) Penuemococcal vaccine: Protects against pneumonia and meningitis 6) Kid fainted, hypoglycemic. Treatment: IV dextrose + NG dextrose IV dextrose Oral glucose 7) Kid bitten by a domestic dog. What will you do? Give rabies vaccine Capture the dog and observe for 10 days Kill the dog 8) Treatment for acute liver failure Liver transplant 9) Baby is having diarrhea during weaning. Advice to mother: Change the diet (answer) Add yogurt instead of milk Stop feeding 10) Investigation in septicemia Blood C/s 11) Sickle Cell anemia: Autosomal recessive.

12) Kid has nonpruritic scaling on the sclap and forhead Infantile dermatitis ( I have no idea) Seborrheic dermatitis 13) Gold standard for typhoid: Blood culture (answer) Bone marrow culture PCR Widal test Typhi dot. 14) Best way to prevent low birth weight babies: Eduate the mother (answer) Advice to space births 5 years Not get pregnant until 15 years of age 15) Diarrhea: Frequence and form 16) Frequent resp infections, greasy stools, another sibling has the same problem: Cystic fibrosis 17) Child has fever and watery diarrhea with no blood or mucus :

 Rotavirus (answer) Celiac disease Giardiasis Norwalk virus Amoebiasis 18) Diagnosis of endocarditis Blood culture Echo 19) Mother noticed an abdominal mass crossing the midline: Neuroblastoma 20) Severe cough: Cough lasting longer than 30 days (answer) Cough lasting over 15 days with stridor

21) a child has high grade fever for 7 days, but no remarkable findings on clinical examination. Next step? Blood culture and sensitivity (answer) Widal test 22) baby has inability to feed and has application of SURMA on his cord stump. Diagnosis: Neonatal tetanus 23) Maturity of newborn assessed by: Deubowtiz system Maternal menstrual history 24) Dull percussion on chest. Bronchial breathing heard: Consolidation (answer) Pneumothorax 25) H influenza vaccine: 3 doses 8 weeks apart . 26) A boy bleeds spontaneously. PT is normal. Brother has same problem Hemophilia ( I think) Von Willebrands 26) Subtle seizures least: Blinking Jerking 27) Commonest cause of pneumonia in child upto 8 years of age: Strep pneumonia 28) T3, T4 low. TSH is raised: Primary hypothyroidism 29) Common side effect of phototherapy: Dehydration 30) Burning pain on micturition. Xray doesnt reveal any stones. Cause: Uric acid stones 31) Commonest type of anemia in children upto 5 years of age: Iron deficiency. 32) Mortality rate associated with pneumonia in developing nations: 40% 30% 20% 33) Mumps is asymptomatic in: 30%

 40% 34) Teatment for organophosphate poisoning: Atropine 35) Which drug causes neuropathy: Isoniazid 36) Prevnetion of hepatitis C in children: Screen blood 37) Best way to prevent diarrhea: Exclusive breastfeeding for 6 months 38) Scaphoid abdomen: Chest X-ray 39) Baby is cooing, can hold a rattle. Age? 3 months 40) evaluation necessary in: Girl over 16 hasnt started menstruating. 41) Definitive treatment for Tetralogy of fallot: Shunt operation. 42) Tracheomalacia: Stridor on inspiration (answer) Stridor on expiration Need ventilatory support early 43) storage of cold chain vaccine: 2-8 degrees 44) Diabetic mother gave birth. Baby is normoglycmic. Breastfeed the baby and keep monitoring glucose levels (answer) Give glucose to baby 45) Complication in chronic renal failure: Acidosis Hyperkalemia Hypertension Uremia 46) CSF shows lymphocytes. Proteins increased, glucose decreased. TB meningitis Bacterial mengitis 47) Most common cause of space occuping lesion in Pak: Tuberculoma 48) child complains of ear pain. No pus draining. Give antibiotics for 5 days. 49) Most dangerous sign in a sick child: Vomiting Pain on defecation Diarrhea Periumbilical pain 50) transtentorial herniation: Cheyne stokes breathing 51) Best way to find out about adequacy of breasfeeding: Weight gain of baby

52) Painful joint, fever, Creactive protein, salmon pink rash: Juvenile Rheumatoid arthritis ( answer) Sickle cell anemia Reactive arthritis Rheumatic fever SLE 53) Treatment for acute tracheolaryngeobronchitis: Steam inhalation, epinephrine, antiobtics Manage in ICU 54) Hoarse cough, fever, sorethroat, drooling: Epinephrine 55) Treatment for enteric fever: Ampicillin 56) Condition therapy: 80% effective 57) Alopecia: Zinc deficiency 58) Prophylaxis for malaria for travelers to endemic areas: 2 weeks before arrival and continue till 4 weeks afterward 59) Autosomal recessive inheritance : 25% 60) A child in remission from Acute lymphoblastic leukemia suffers from headache, vomiting. Effects of cranial irraditation Bacterial meningitis 61) Megaloblastic anemia, hypersegmented nuclei Folic acid deficiency 62) 1year old girl has wide wrists, ricket rosary, brother has the same problem Check serum Ca Check alkaline phosphatase Do an X-ray 63) Seen as a result of only vitamin B12 defiency, (not of any other B vitamins) Megaloblastic anemia Smooth tongue Neurological signs Pallor/anemia 64) Something was Reyes syndrome.

46 TB oh and 25 was 2 vaccines.

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Blinking question had except in it so the answer is gen tonic seizures.