The following are acyanotic congenital heart disease with left to right shunt lesions EXCEPT

A 16-year-old female who was diagnosed to have chronic ITP. What additional laboratory test should be required ?

The laboratory screening test that is affected by a reduced level of Factor VIII or Factor IX is

The usual therapeutic dose of elemental iron can increase hemoglobin by

The most consistent clinical manifestation of pneumonia in children

Which is TRUE about recurrent UTI?

Physical abuse includes the following except

The most important marker of Abusive Head Trauma ( AHT) is

A 7 month old boy was brought to the ER due to fall from a hammock. There were no other associated symptoms such as fever, cough or colds, with loss of consciousness for 5 secs but no vomiting. PE was unremarkable except for note of retinal hemorrhages extending to the periphery. CT scan was normal. Probable diagnosis:

It is the most common fracture in abused infants

Syndrome of inappropriate antidiuretic hormone secretion (SIADH) is characterized by

Normal anion gap metabolic acidosis can occur in

Which of the following is not actively reabsorb in ascending loop of Henle?

Which is true about Fluid therapy for anuric child

Initial manifestations of genetic metabolic diseases are the following except:

The main organ damaged by PKU is

A 3 month old infant is admitted to the hospital for lethargy. You note a doll-like face, apparent muscle weakness and hepatomegaly. Laboratory studies are remarkable for hypoglycemia and lactic acidosis. Ketones are present. You are most concerned for which family of diseases:

The newborn state screen results for a healthy full-term infant reveals elevated methionine

concentrations. Laboratory analysis shows increased serum and urine homocysteine. Confirmatory testing is positive for homocystinuria. The child is at risk for all of the following, EXCEPT:

A patient presents with pellagra like symptoms and noted impaired intestinal tryptophan transport

A 3 year old boy was brought due to pallor. On PE there was hyperpigmentation of the trunk, neck and intertriginous areas, café-au-lait spots and with upper limb abnormalities. He was small for his age. What is the most likely diagnosis?

What is the expected response to iron therapy in 48-72 hours, What is your diagnosis?

The best and most cost effective first step treatment of ITP is:Hgb 7.0 gm/dl, WBC 23 (83 % neutrophiles ) Platelet 11 x 10 9/L , Urea 49 mmol/L , Creatinine 437 mmol/L , PT 12 sec ( control 12-13 sec)

What is your diagnosis?

A 7 year old child with a history of 7 days fever with nausea vomiting and diarrhea . Over the past 24 hours he was noted to have developed purpuric spots over the limbs, and have become anemic Lab results are:

Hgb 7.0 gm/dl, WBC 23 (83 % neutrophiles ) Platelet 11 x 10 9/L , Urea 49 mmol/L , Creatinine 437 mmol/L , PT 12 sec ( control 12-13 sec)

What is your diagnosis?

The optimal blood component/s therapy to be given to a patient with signs of bleeding, whom you suspect of hemophilia and work up available is a normal PT and prolonged PTT would be

This is defined as blood pressure (BP) >95th percentile for age, sex and height upto the 95th percentile + 11mmHg or 130-139/80-89 mmHg for adolescents >13yo

The most common hematologic finding in cyanotic heart disease that needs balance between risk of intravascular thrombosis and bleeding diathesis.

If the process undermining is incomplete, the right atrioventricular valve may not separate from ventricular myocardium, its possible cause of process

The “mother's kiss” approach has been successful in acute situations such as _________.

The MOST common complaint in patients with bronchiectasis is

Which among the following has the highest caffeine content?

Mother asks your advice regarding back pack

14 year old male, brought to ER due to seizure. On PE, BP 140/100, generalized edema. Labs: anemia, RBC casts in urinalysis, C3 is low, ASO = 300 IU, creatinine normal, renal ultrasound diffuse parenchymal disease. This is a case of post streptococcal glomerulonephritis with:

A child height is above 2 of z-score, weight is below -1, whats the interpretation?

Boy with known contact to a ptb source, (-) PPD, whats the classification?

Which trait segregate within families but do not exhibit a consistent or recognizable inheritance pattern?

True about Down syndrome except:

Chromosomal trisomy characterized by ocular hypertelorism, microcephaly, malformed ears, microphthalmia, cleft lip often midline, flexed fingers, polydactyly, and cardiac malformation

This refers to the observed structural, biochemical, and physiologic characteristics of an individual

This is true of Hereditary Spherocytosis( HS), except:

Increased reticulocytes in the bloodstream indicates the following conditions :

Possibility of intestinal obstruction should be considered in infants who does not pass meconium by ____hrs.

The shunting done on patients with severe pulmonary stenosis or pulmonary valve atresia

The most common delivery room emergency for neonates is

2 y/o child bitten by stray dog on the neck w/ complete DPT with booster

Other disease that will have strawberry tongue?

feeds self, seeks help when in trouble, kisses

parent with a pucker, identifies 1 or more parts of

the body

infants weighing <1000g can lose as much as

The first visible sign of puberty in girls is:

In which of the following situations can a diagnosis of acute rheumatic fever be made?