After positive pressure ventilation, the baby breath spontaneously with chest retraction and other signs of respiratory distress, and heart rate 120 beat/minute. What should doctors do next?

A 31 week infant was admitted to neonatal ward. Previously, the infant was performed initial step and positive pressure ventilation for 30 second, and continued by continuous positive airway pressure. During stabilization after resuscitation, doctor plan to check blood glucose. What is the minimal target of blood glucose for this preterm infant?

A preterm infant was born at 31 week gestational of age. What is the appropriate term for the infant?

A preterm infant was born at 30 week and 5 day. Today the baby’s age is 41 week and 5 day. What is the chronological age of this baby?

A 33 week infant, now the infant’s age is 20 day. To monitor the growth of the baby, what chart should doctor use that to be continued by WHO 2006 chart?

You are evaluating a 10-month-old infant for recurrent fracture following relatively minor trauma. You note deep blue sclera and bowing of the lower extremities. X-ray examination reveals generalized osteopenia.

Which of the following is the most likely diagnosis?

An 8 year old is accidentally hit in the abdomen by a baseball bat. After several minutes of discomfort, he seems to be fine. Over the ensueing 24 hours, however, he develops a fever, abdominal pain radiating to the back and persistent vomiting. On examination, the child appears quite uncomfortable. The abdomen is tender, with decreased bowel sounds throughout, but especialy painfull in the midepigastric region with guarding. What is the diagnosis?

A 10 year old boy comes with complaint of altered conciousness. About 2 weeks earlier he appeared to be jaundice which preceded with other signs such as fever and abdominal pain. After few days of hospitalization patient becomes more toxic, on examination the liver size is small, hepatic enzymes levels decrease with elevated direct and indirect serum bilirubin levels. What is the correct diagnosis?

11 – month old boy, on screening laboratory testing of Hemoglobin 7.8g/dL, HCt 24%, Leucocyte count 10.000 /mm3. Thrombocyte 276.000/mm3. MCV 62 fl, normaly differential count, blood smear microcytic hypochromic, Ferritin 1700.

Which of the following is the most appropiate recommendation?

7 years old boy presented to Emergency room with history of fever, pallor and nose bleeding, 4 weeks duration. On examination: febrile, pale, petechie, subconjuctival bleeding, hepatosplenomegaly. Laboratory finding : Complate Blood Count: Hb 5 gr/dl :  WBC 50,000/uL. Platelet 15,000/uL; Lymphocyte count 78%; The most likely clinical diagnosis is:

A boy 1 year old came  with his mother to Primary Health Care . His complain were fever, poor apetite, runny nose and sore throat  within five days after exposure with his brother  who suffered  from Hand Foot and Mouth Disease ( HFMD) .The typical rash of Hand Foot and Mouth Disease is :

You are evaluating a 10-month-old girl who has had a temperature to 38.9°C for 2 days. Her parents deny other symptoms except a slight increase in fussiness. Her immunizations are up to date. Findings on physical examination are normal, and she appears well. Which of the following tests is most helpful in establishing a diagnosis in this child?

A 10-year-old girl came to the hospital with the main complaint of gum bleeding 1 day before admission. She had suffered high grade fever for 6 days, and headache, retro-orbital and muscle pain. T: 90/65 mmHg, pulse rate 96 x/min, respiratory rate 24 x/minute, temp 36.5.⁰C. The liver was not palpable,. The extremities were warm, Tourniquet test was Positive. Laboratory examination revealed: hemoglobin 11.5 g/dl, hematocrite 34.6%, leukocyte 2,700/mm3, and platelet 45,000/mm3. The most likely diagnosis in this patient would be :

A 5-year-old boy has been febrile for 2 days. He does not want to drink and vomited this morning. There have been no cough, rhinorhea nor diarrhea. On examination, he is sleepy but arousable  and has temperature of  39,6⁰C. His posterior oropharynx is markedly erythematous with enlarged, simmetrical and cryptic tonsils that are laden with exudate. Shoddy cervical lymphadenopathy is noted. He moves his neck vigorously in an effort to thwart your examination. What is the most likely diagnosis?

Amir, 2 year old boy came with his mother with the main complaint of high grade fever for 4 days. Mother also complaint of some red rashes appear in his face since yesterday that spread to his neck and chest. The mother said that his neighbour was suffered with the same complaint, and now  hospitalized due to dyspnea. What is the most likely diagnosis of Amir?

A 5 years old boy came to health center with day 3 of fever, acute onset, high fever and not doing wellHe also complain of pain on retro orbital, leg and also head ache. This boy looked ill, with temperature 38.6, BP 100/65, pulse 125/min and petechiae on his right hand. What is the probable diagnosis of this case?

The results of the examination of anthropometry plotting a boy age 10 months on the WHO 2006  chart Weight for Lenght  <-3 SD, the interpretation is.....

What is the purpose of screening for developmental milestones ?

How long should you correct for gestational age when evaluating preterm infants?

A 3-year-old girl came up with palpebra edema, glazed eyes and a round face. Physical examination showed hepatomegaly and thin reddish hair that easily removed. There are pinkish patches on her skin that widespread all over her body.

What is the diagnosis?

Two years old boy brought to outpatient clinic because skin problem. From physical examination she has generalized edema, irritable, reddish hair and easily removed, and prominent pinkish patches on his skin. What is the name of skin lesion? 

A 12 years old male present to ED with wheezing and increased work of breathing for the fifth time in the past year. On examination, his respiratory rate 30 breaths/minute and oxygen saturation is 98% in room air. He is talking in complete sentences and there is expiratory wheezing with prolonged expiratory phase. What is the first treatment he should receive?

43.  A 2 months old girl came to Emergency Room with chief complain worsening respiratory distress since 2 days ago. 3 days prior to admission she had fever, cough and decreased appetite. Her physical examination showed febrile infants, tachypnea with chest indrawing and rales in both lung.

What is the diagnosis of this case?

A 12-years old girl admitted to your clinic to have general check up in order to continue her study. On physical examination: alert, blood pressure 100/60 mmHg, body temperature 36.6⁰C. On laboratory examination Hb 11.6 g/dL, WBC 9600/mm³, serum ureum 24 mg/dL, serum creatinine 0.7 mg/dL. Urinalysis: brown, protein (-), WBC: 2-4/hpf, RBC 0-1/hpf. Urinary culture: Staphylococcus epidermidis 10⁵ /cfu.

What is your management?

43.    A 7 years old boy admitted to outpatient clinic with swelling for the first time on whole his body. Diuresis 1.2 mL/kgBW/hour. On physical examination he was alert with vital signs were within normal limit.  Urinalysis revealed protein (4+). Serum ureum: 20 mg/dL. Serum creatinine: 0.6 mg/dL. The most common etiology for this disease is.......

43.    A 7-years old boy admitted to pediatric emergency unit with chief complaint of dark cola coloured urine. There was history of impetigo about three weeks ago. On physical examination: alert, blood pressure 170/110 mmHg, swelling on eyelids, on urine examination: RBC 20/hpf, WBC 0-1/hpf, protein (+1)

Laboratory examination we will suggest:

A baby, 8 months come with chief complaint of fever 7 days ago. On physical examination found she is irritable, eye hyperemia, rash on the skin, enlargement of limph node on the neck size 1.5 mm, erythema on hand and foot.

The most probable diagnosis is:...........

A female, 12 years old come with chief complaint of palpitation. On auscultation found wide and fixed split 2^nd heart sound, and ejection systolic murmur heard on the 2^nd intercostal space left parasternal line. ECG shows right ventricular hypertrophic. Chest X-rays show CTR 0.8, and apex upward.

The most probable diagnosis is:

43.  A 3 month-old boy was admitted because he had red, raised, palpable wheals all over his body, along with cyanosis, tachycardia, and breathing difficulty. He had been breastfed and his mother recently gave him cow’s milk formula 5 days before admission.  What is the baby’s diagnosis?