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1.A 3-year-old boy presented with history of hyperactivity and mild mental retardation. Past history revealed repeated projectile vomiting with normal abdominal sonography. On examination, there are eczematoid rash with lighter skin, microcephaly, and mild spasticity with exaggerated tendon reflexes...

1.A 3-year-old boy presented with history of hyperactivity and mild mental retardation. Past history revealed repeated projectile vomiting with normal abdominal sonography. On examination, there are eczematoid rash with lighter skin, microcephaly, and mild spasticity with exaggerated tendon reflexes. Of the following, the MOST likely urine odor of this baby is - - - - 2\. A 5-year-old mentally retarded girl presented with repeated convulsions and abnormal EEG finding. On examination, she had a light skin, small head, and exaggerated reflexes. Of the following, the MOST appropriate method to confirm the diagnosis is - - - - **3.A 7 year male child has a swollen painful knee joint after falling down. His skin cuts bleed a lot and are hard to control. What could be a probable coagulation profile?** - - - - **4. A child comes with multiple petechiae in her lower limbs. A full blood count (FBC)  is ordered which shows low platelet counts. Past history is significant for a URTI 8 days ago. What's the most likely diagnosis?** - - - - **5. Chest CT is of a particular importance in the evaluation of the following lesions  EXCEPT** - - cystic parenchymal lesions - - **Enthesitis-Related Arthritis (ERA) is a subtype of rheumatic disease that falls in the** **juvenile idiopathic arthritis (JIA) category.** **Of the following, the clinical feature that is highly suggestive of ERA is** - - - - **Indications for dialysis in acute kidney injury include all the following EXCEPT** - - - **Microthrombocytes are MOST likely to be seen in** immune thrombocytopenia (ITP) - - - **The MOST appropriate treatment of homocystinuria is** - - - - folic acid **The MOST common genetic cause of Prader-Willi syndrome is** - - - - **What are the maintenance fluids requirements, in 24 hours, for a 21 kg child?** - - - - **Of the following, the test /study that is required to be done periodically in persons with Down syndrome (DS) is:** - Visual assessment - Auditory testing - Echocardiography - Thyroid function test **The primary site of hematopoiesis in the fourth week of gestational age is:** - Liver - Spleen - Bone marrow - Yolk sac **Hypoxic-ischemic encephalopathy stage 2 is characterized by all the following except:** - Hyperactive tendon reflexes - Seizures - Hypotonia - Active Moro reflex Which is the true from following: - Therapeutic hypothermia in reducing death and disability and increasing survival - Cooling should be initiated within 1 h of birth. - Core temperature is reduced to 20-24 °C - Maintained for 96 h before rewarming. **Acute pancreatitis in children rare disorders ,but which  signs  are common for Acute pancreatitis from following:** - - - **An 8-year-old boy presented with recurrent skin ecchymosis for the last few months. On examination; he has café-au-lait spots, microcephaly and absent thumb. Of the following correct  diagnosis is** - - - - **Which of the following screening tests might have helped to prevent of   Central Nervous system(CNS) complication  symptoms ( right-sided weakness and slurring of speech and other) during Sickle cell disease (SCD )** - - - - **Which is the false about management of Hemorrhage Disorder** - - - - **A 5-month-old boy with Fanconi syndrome, send for urine examination. Of the following the most likely finding is** - - - - **A 12-year-old girl with nephrotic syndrome (NS) secondary to hepatitis B infection. Of the following, the most common type of secondary NS in this girl is** - membranoproliferative glomerulonephritis - - - **Which is the false  about coagulation test during  Vit  K deficiency is** - - - - **Which maternal condition is associated with an increased risk of birth asphyxia?** - - - **Which of the following imaging modalities is most useful in diagnosing bronchiolitis and assessing its severity?** - - - - **Which of the following interventions is commonly used in the management of intraventricular hemorrhage?** - - - - **What triggers the closure of the ductus arteriosus in newborns?** - - - - **Which grading system is commonly used to classify the severity of intraventricular hemorrhage?** - Glasgow Coma Scale (GCS) - - **Which of the following clinical signs is suggestive of intraventricular hemorrhage in a preterm infant? ** - - - - Hypoglycemia **Which of the following statements accurately describes the transition of the neonatal circulatory system?** - - Pulmonary resistance increases, while systemic resistance decreases. - Both pulmonary and systemic resistances decrease

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