Professional Documents
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Oct.2013 MRCPCH PART 1: 1/ EMQ (Paper B-PHARMACOLOGY)
Oct.2013 MRCPCH PART 1: 1/ EMQ (Paper B-PHARMACOLOGY)
DRUGS:
1-Tazocin =pipracillin/..
2-azithromycine
3-amphotricin
5/ EMQ(PAPER B)
one emq about genetics
1-4 years old child present with picture of rickets and his mother has genu varum
this is xlinked dominant
2-one questation about prader willi
parental disomy
3-one questation about
hypotonic child his uncle has cataract and his mother odesnt smill when she meets
you
this gene anticepation(trinuclotide repeate disorder)
6/ EMQ(PAPER A)
about immunization
1- 3 months old boy with his young brother treated from leukemia
dapt+hib+ipv
2-baby boy with hiv what is contrindicated vaccine
bcg
3-immunization given b4 splenctomy
ppv not pcv
7/ EMQ
one emq about investigation:
1-picture of leckemia i dont remeber the ques
blood film is the investigation
2-one questarion about coeliac dis
antitissue transglutaminase
3-one queatation about child with bloody diarrhea renal function impaired
blood film also
8/EMQ
10/EMQ
11/EMQ
newborn with rash liver and spleen palpable 2cm below costal margine
194000
2-newborn with rash liver and spleen are just palpble health mother
12/EMQ
one emq about pain management:
1-4 year old boy with burn
i answer it iv morphine
2-child with accident and u request ct scan but orthopedic want to take him firest to do
thomson split
ia nswer it femoral nerve block
3-girl with headache now recieve 1gm paracetamol every six hour and brufen 400 mg
every 8 hour wt will u give her
i answer no treatment bcz this is rebound headache
13/EMQ
one emq about hair faliing and treatment
1-one was alopecia areata and i choose treatment with topical steroid
2- one was tinea capitis and choose oral grasiofluven
3-one was telgon effluvium this girl which has pneumonia 3 monthes ago
i choose no treatment reassurance
14/EMQ
One cardiology emq
About wt is the sign u will found
1-baby with continous murmur was pda and the sign is bounding pulse
2-baby also with systolic murmur and rt bundle branch this is asd and sign is fixed
splitting s2
3-15 year old girl with systolic murmur on lt second intercostal space and continous
murmur on back this is pulmonary
atresia with asd and collatralls im not sure about it but I choose single s2 bcz
pulmonary valve is atreric
15/EMQ
BOF
2/ BOF
Q@Odds ratio.
3/ BOF
Q@Numebr needed to treat.
4/ BOF
Q@Confidence interval.
5/ BOF
Type of study
6/ BOF
PT FAIL TO ABDUCT EYE
7/ BOF
25 YEAR OLD WOMAN MARRY TO 51 YEAR OLD MAN WHAT IS MOST
PROBALY THE CAUSE OF THEIR BABY HAVING DOWN SYNDROM?
1. BALANCE TRANCELOCATION.
2. UNBALANCE TRANCELOCATION.
3. PATERNAL DISOMY
4. MATERNAL DISOMY.
5. MOSIC.
8/ BOF(PAPER B- )
Consequnces of cerebralcalcification in CMV
1.seizures
2.neurodevelpmental disablity,
3.neurodvelpmntal delay,
4.globaldevelpmental delay
5
9/ BOF (PAPER A )
What is most important investigation befor start ttt with sodium valp?
12/ BOF(PAPER B)
What arteries contrbute in Circle of willis?
1.basilar
2. vertebral.
3. internal carotid.
13/ BOF(PAPER B)
Side effects of frequent usage of Furosemide?
1. Hypomageseamia.
2. Hypocalcaemia.
3. Nephrocalcinosis
4. .
5. .
14/ BOF(PAPER B)
Action of Spironolctone?
1. Compete aldosteron
2. ..
3. ..
4. .
5. .
15/ BOF(PAPER B)
A girl with half facial weakness, was lower motor facial palsy with convergent
squint?
1. cerebraltumour .
2. benign idiopatic hypertion.
3. oculomotor nerve plsy
4.bells palsy,
5.pontine tumor,
16/ BOF(PAPER B)
narrowest part of upper airway?
ANSWER: SUBGLOTIS
17/ BOF(PAPER B)
Cardiac cthetrization showing BP AND SATURATION in all chambers of
heart and main artries what is result interpretation?
1. Aortic regure.
2. Pulmonary diltation.
3. Aortic stenosis.
4.
5. .
18/ BOF(PAPER B)
FEV 1 ,PEFR ,FVC....results interpretation to differentiate b/w restrictive and
obstructive lung disease
19/ BOF(PAPER B)
ECG changes in AVSD?
20/ BOF(PAPER A)
Q of recurrent oral painful ulcers + anal fissure?
21/ BOF(PAPER B)
Gentamicin....drug levels adjustment...pre dose n one hour post dose values
given ......we had to increase or decrease the dose according to drug levels
22/ BOF(PAPER A)
Dose of adrenaline in ttt of croup
23/ BOF
craniopharyngioma cause which field defect?
i choose bitemporal hemianopia
24/ BOF
about formula ... premature infant now 3 m old... weaning completly from
breast feed since 1 month ..have diarroea
start from 10 days give :
-premature formula
- soye formula
- cow f
25/ BOF
anaomaly in gastrochiasis(complete abscence af anterior abdominal wall
layers)
26/ BOF
most common type of oesophageal atresia
27/ BOF
pathophysiology in vsd
28/ BOF
one questation was about congenital chloride darrhea
chloride was low and he has metabloic alkalosis
he is 4 weeks with persistent diarrhea and history of ployhydrammnois
29/ BOF(PAPER A)
One BOF about umblical stump granuloma One BOF about umblical stump
granuloma was 2mm, oozing
30/ BOF(PAPER A)
About boy diagnosed with oligoarticular Rthritis and doctor tell parents he
should be referred immediatly to other
docor
I choose ophthalmology bcz of fear of ant uvitis
31/ BOF(PAPER A)
that for pregnant women with hepatitis a and will have labour after one week
all year u study hepatitis b and in exam u find it hepatitis a
SUGGESTED ANSWER: LOW RISK OF TANSMISION.
32/ BOF
33/ BOF
apnea breath test for brain stem death
34/ BOF
35/ BOF
PT WITH EGG ALLERGY WHAT TYPE OF HYPERSENSTIVITY?
1. hypersenstivity reaction type 1.
2. TYPE 1 AND 4.
3. TYPE 2
4. TYPE 3
5. TYPE 4
36/ BOF
PT WITH NEURODEVELOPMENTAL REGRESSION AND USING OF
HANDS FREQUENTLY WHAT IS THE DIAGNOSIS?
37/ BOF
wischot aldrich syndrome
38/ BOF
klinfilter syndrome
39/ BOF
children complain from abdomnal pain and fever headache abdominal
examination mild right upper quadrent
this questaion was on pastest
i choose lobar pneumonia
40/ BOF(PAPER A)
1-neonate born cs mother taking methadone baby not responding no breathing
HR=80
i choose inflation awith bag
41/ BOF(PAPER A)
2- 3 years old boy found on floor of shop no other one with you wt u will do
i choose shout for help
42/ BOF(PAPER B)
How to differrentiate between dislocatable hip a d dislocated hip?
positive barlow test
Barlow manoeuvre: tests for dislocatable hip
The hip is held fl exed and adducted. The femoral head is pushed
downwards. If dislocatable, the femoral head will be pushed posteriorly
out of the acetabulum.Ortolani manoeuvre: tests for dislocated hip
Abduct hip with upward leverage of femur. A dislocated hip will
return with a palpable clunk into the acetabulum.
If examination is questionable hip ultrasound is undertaken at
46 weeks of age. Urgent orthopaedic referral is required for a
dislocated or dislocatable hip.
43/ BOF(paper A)
children looks mildly dysmorhic and mild learning disability and was taken
into foster care for social causes wt is ur
diagnosis?
i choose fetal alcohol syndrome
44/ BOF(PAPER B)
mechanism of action of adrenaline in anaphy;axis
rise peripheral vasculare resistannce
45/ BOF(PAPER A)
Gp see newborn will examine it he found click in hip but when registrerar
examine her again was normal wt will u do?
Us
Review after 6 monthes
Refer to orthopedic
Do not remember the other
46/ BOF
one bof about obese girl with elevated liver enzyme
i choose non alcoholic steatohepatitis
47/ BOF(PAPER A)
q about child with small vsd will do adenoidectomy and ask about prophylaxis
against endocarditis
I choose no prophylaxis in indicated
48/ BOF(PAPER A)
Q about assesment of hearing .. what most important event to search for
I choose bilateral otitis media affected him 2 weeks ago
49/ BOF
ONE QUES ABOUT TUBEROUS SCLEROSIS
4 MONTHE CHILD WITH ATTACK OF FLEXTION POOR
INTERACTION AND HIS MOTHER TREATED
FROM HTN
50/ BOF
in ca absorption which is under direct effect of parathyroid hormone?
-1 alpha hydroxylation
-kidney...absorptuon...of.....phosphate
-intestinal reabsorption
- bone resoption is correct
51/ BOF(PAPER A)
Q about anemia ... child ..his mother and father farmers and
Hb ? ..mcv ?
My answer is lead poisoning
52/ BOF
child collapsed after entering swiming pool and went to hospital regain
concious after minutes and his uncle has attack
like this b4 and has long term follow up with cardiologist?
i make it prolonged qt syndrome
53/ BOF
this is the 4th sample and contain
9000 rbcs
glucose 6mmol
protien 0.7
two vague answers
trumatic tape
subarachnoid hge
i choose subarachnoid he
bcz this is the 4th sample taken
if u exaime csf sample and found rbcs u should take 3 concecutive sample and
rbcs count should be decrease in every
sample
but in the 4th sample it still 9000
54/ BOF
one bof about wy cow milk should be modified?
SUGGESTED ANSWER: high phosphate content
55/ BOF(PAPER A)
38w newborn after c.s with tachyapnea HIS APAGAR WAS 5 AFTER 1
MINUTE AND BCM TACCYPENICAFTER 4 HOURS
SUGGESTED ANSWER: TTN
56/ BOF
one bof about complication of infant of diabetic mother
- microcolon
- sacral agenesis
-other choices
57/ BOF
58/ BOF
One was soft cystic both testis are palpable
SUGGESTED ASWER: hydrocele
59/ BOF
And other about child with left testicular mass and brusies
SUGGESTED ANSWER: leukemia
60/ BOF
one questation about costipated children wt you will do?
-start laxitave and review
- enema to releave impaction
61/ BOF
ONE CHILDREN TREATED FOR RESPIRATORY INFECTION FOR 5
DAYS WITH AMOXICILLIN AND NOTIMPROVINGHE HAS PAINFULE
NODULE ON CHIN OF TIBIAWT IS THE MOST COMMON ORGANISM?
-MYCOPLASMA
-TB
62/ BOF
ONE PHARAMA QUES
ABOUT BOY TREATED FOR TB AND NOW CANT DIFFERRENTATITE
BETWEEN COLOURES
WT IS MOST DRUG TO CAUSE?
I CHOOSE ETHAMBUTOL(IT CAUSE OPTIC NEURITIS)
63/ BOF
ONE BOF ABOUT CHILD WHO SET NEAR TV AND OTOMERTIST
FOUND VISUAL ACUITY IN LT EYE
6/18 AND RT EYE 6/6 AND HE HAS RECURRENT OTITIS MEDIA AND
FOLLOW UP WITH ENT AND HAS
MULTIPLE BROWN PIGMENTED ON BACK
WT IS THE CAUSE OF IMPAIRED VISION?
I CHOOSE OPTIC NERVE GLIOMA(I THINK THIS MAY BE
NEUROFIBROMATOSIS
64/ BOF
children has appendictomy receive fluid for 48 hour 100ml kg now bcm
confusion and headache serum sodium was
low wt type of fluid u will used:
i answer 20%mannitol
65/ BOF
BRAIN STEM APNEA TEST
dxt should be more than xxmol/L (i think was 7)
patient must be put on room air for 10 minutes
PCO2 must be within xx mmHg range (sorry i really cant remember the values)
66/ BOF
FACIAL NERVE PALSY
1. DROOLING OF SALIVA AT SAME SIDE
2.
3. ..
4. .
5. ..
67/ BOF
Q ABOUT PT. WITH KAWASAKI DISEASE ON ASPIRIN CAME WITH
PROLONG PT AND APTT WHAT MOST PROPLY THE CAUSE?
68/ BOF(PAPER A)
this boy 8 days come with poor feeding and vomiting and deepening jaundice
at 4 day present with jaudice and put under phototherapy and at 6 day go out
of incubator noramlly
temp35
ABG show metabloic acidosis
glucose 2.1mmol
bilirubin 201mmol conjugated 8
liver palpable 2cm below costal margine
what is ur diagosis?
1-hypoplastic left heart
2-glycogen storage
3-sepsis
4-kernictrus
my explanation that this is case of galactosemia and present with e coli sepsis
and i choose sepsis
69/ BOF(PAPER B)
ORDER OF CORTICOSTERIOD ACCORDING TO POTENCY
70/ BOF
PREDICTION OF METABOLIC SYNDROM
Low birth weight coupled with adult obesity is a strong determinant of the
metabolic syndrome in postmenopausal women.
MCQS
1/ MCQ
Q/RECOGNISED CAUSES OF NOSE BLEEDING IN CHILDREN?
1. VON WELLBIRAND DISEASE.
2. HEAMOPHILIA
3. UPER RESPIRATORY TRACT INFECTION.
4. ..
5.
2/ MCQ
Q/RECOGNISED CAUSES OF ALKALOSIS?
1. ANXIETY.
2. PYLORIC STENOSIS.
3. DIURETICS.
4. ..
5. ..
3/ MCQ (PAPER A)
unicef .......... for breast milk
4/ MCQ(PAPER A)
POLICY TO WRITE PRESCRIBITION OF DRUGS?
1. U sing latin abbrevation/term in prescription is acceptable
mcg stands for micrograms
2. all prescription less than 1gram should be written in microgram
0.5mg is an acceptable form of prescription
3. H ow to write 0.5 mg in numbers or letters
4. .
5. .
5/ MCQ(PAPER B)
Q about CA and NA and phosphate and CL and k which is more intracellular?
6/ MCQ (PAPER A)
MILE STONE IN 3 YEAR OLD BABY
7/ MCQ
Q ABOUT RSV
1. INCUBATION PERIOD.
2. .
3. ..
4. .
5. .
8/ MCQ
Q ABOUT FASCIAL NERVE
1. HAVE SIX TERMINAL BRANCHES
2. NERVE TO STAPIDUS RUNING IN EXTERNAL CANAL
3. SUPPLY POSTERIOR 2/3 OF THE TONGUE.
4.
5.
9/ MCQ
RESTRECTIVE LUNG DISEASE VERSUS OBSTRUCTIVE LUNG DISEASE
10/ MCQ
SIDE EFFECTS OF ADENOSINE.
11/ MCQ
SIDE EFFECTS OF PROSTAGLANDIN
12/ MCQ
MET HB
13/ MCQ
IMMUNITY IN NEONATE VS IMMUNITY IN CHLIDREN
14/ MCQ
HB-O2 DISOCIATION CURVE
15/ MCQ
21-HYDROXLASE DEFICIENY
16/ MCQ
LIVE ATTENUTED VACCINES
17/ MCQ
SENSATION CARRIED ON POSTERIOR COLUMN
18/ MCQ
LIFE THREATING ASTHMA