soal mcq 3 nov 2014

8/9/2019 soal MCQ 3 nov 2014

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Indonesian Child Health Collegium

NATIONAL KNOWLEDGE BASED EVALUATION

O INDONESIAN !EDIAT"IC "ESIDENT

"E#ED OCTOBE" $%&'

O" EACH O THE OLLOWING #ULTI!LE CHOICE (UESTIONS) SELECT THE

ONE*#OST A!!"O!"IATE ANSWE"

&+ o, ea-h .atient /elo0) -hoose the most .,o/a/le diagnosis 1,om the

list o1 o.tions 2 A & 3ea, old /a/3 /o3 is 0hee43) -oughing) -3anosed

and /,eathless 0ith inte,-ostals ,e-ession 2A+ B,on-hiolitisB+ C,ou.C+ Di.the,iaD+ E.iglotitis

E+ !neumonia 5a0a/an 2

$+ Whi-h o1 the a/o6e d,ugs) 0hen .,es-,i/ed to the mothe,) is

asso-iated 0ith the 1ollo0ing a/no,malities in the /,east*1ed in1ant 2

#a3 ,esult in .latelet d3s1un-tionA+ Amioda,oneB+ Chlo,am.heni-olC+ As.i,inD+ Sul1asala4ine

E+ Wa,1a,in 5a0a/an 2

7+ "ash and mu-ous mem/,ane lesions de6elo. in an in1ant /eing 8 da3s

in the -ou,se o1 an u..e, ,es.i,ato,3 in1e-tion 0ith otitis media and

/eing t,eated 0ith amo9illin+ The most li:el3 diagnosis o1 this disease isA+ U,ti-a,iaB+ #easlesC+ Ste6en 5ohnson s3nd,omeD+ Ka0asa:i disease

E+ S-a,let e6e, 5a0a/an 2

'+ Sele-t one o.tion 1,om the list that is most suita/le 1o, the 1ollo0ing+

!atients 2 -an 1ollo0 ingestion dust -ontaining d,ied 1ae-al mate,ialA+ Adeno6i,usB+ E+ColiC+ He.atitis AD+ No,0al: 6i,usE+ "ota6i,us

5a0a/an 2

8/9/2019 soal MCQ 3 nov 2014


8/9/2019 soal MCQ 3 nov 2014


5a0a/an 2

@+ Whi-h one o1 the 1ollo0ing -ontains least 1at -ontent in the mil:A+ Human mil:B+ Goat mil:

C+ Bu;alo mil:D+ Co0 mil:E+ Ho,se mil:

5a0a/an 2

&%+ The in1ant 0as /o,n a1te, a di-ult 1o,-e.s deli6e,3 and the head

a..ea,ed to /e s0ollen in the ,ight .a,ieto*o--i.ital a,ea+ 5aundi-e

de6elo.ed a1te, $' hou,s+ The haemoglo/in is &$ gdl the,e is indi,e-t

h3.e,/ili,u/inemia+ What is the 0o,:ing diagnosis o1 this -aseA+ B,east mil: =aundi-eB+ Ce.halhaetomasC+ Gala-tosaemiaD+ !,ete,m /i,thE+ Se.sis

5a0a/an 2

&&+ Sele-t the most a..,o.,iate o.tion 1,om the list that 0ould a--ount

1o, this .,esentations 2 /3 da3 ' the a/domen a..ea,s e,3thematous

and the /a/3 /e-omes a.noei-A+ T,a-heo*oeso.hageal Fstula 0ith at,esiaB+ Gast,o*oeso.hageal ,eu9C+ #e-onium .lug s3nd,omeD+ #e-:els Di6e,ti-ulumE+ Ne-,oti4ing Ente,o-olitis

5a0a/an 2

&$+ A &' 3ea,*old gi,l a0a:ens 0ith a mild so,e th,oat) lo0*g,ade 1e6e,)

and a di;use ma-ulo.a.ula, ,ash+ Du,ing the ne9t $' h) she de6elo.s

tende, s0elling o1 he, 0,ist and ,edness o1 he, e3es+ In addition) he,

.h3si-ian notes mild tende,ness and ma,:ed s0elling o1 he, .oste,io,

-e,6i-al and o--i.ital l3m.h nodes+ ou, da3s a1te, the onset o1 he,

illness) the ,ash has 6anished+ The most li:el3 diagnosis o1 this gi,ls

-ondition isA+ "u/ellaB+ "u/eolaC+ "oseolaD+ E,3thema in1e-tiosumE+ E,3thema multi1o,me

5a0a/an 2

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8/9/2019 soal MCQ 3 nov 2014


A+ Am.i-illin*sul/a-tamB+ A4ith,om3-inC+ Cla,ith,om3-in

D+ gentami-inE+ t,imetho.,im*

sul1ametho9a4ole&

'+

o, ea-h des-,i.tion /elo0 -hoose the single most li:el3 6i,al

in1e-tion 1,om the list o1 o.tions2

Caused /3 a g,am negati6e .leomo,.hi- /a-illusA+ #easlesB+ "u/ellaC+ #um.s

D+ !e,tussisE+ He.atitis A

&

8+

A 7*month*old male in1ant de6elo.ed otitis media 1o, 0hi-h he

0as gi6en a -ou,se o1 -ot,imo9a4ole+ A 1e0 da3s late,) he

de6elo.ed e9tensi6e .eeling o1 the s:in the,e 0e,e no

mu-osal lesions and the /a/3 0as not to9i-+ The most li:el3

diagnosis isA+ To9i- e.ide,mal

ne-,ol3sisB+ Sta.h3lo-o--al

s-alded s:in s3nd,omeC+ Ste6en 5ohnson

s3nd,ome

D+ In1antile .em.higusE+ He,.es 4oste,

&

<+

E9amination o1 the CS o1 an *3ea,*old mildl3 1e/,ile -hild

0ith nu-hal ,igidit3 and inte,mittent stu.o, sho0s the

1ollo0ing2 0hite /lood -ells all l3m.ho-3tes) negati6e G,am

stain) .,otein &8% mgdl) and glu-ose &8 mgdl+ The most

li:el3 diagnosis isA+ Tu/e,ous s-le,osisB+ Tu/e,-ulous meningitisC+ St,o:e

D+ A-ute /a-te,ial meningitisE+ Ce,e/,al .seudotumo,

&

?+

Sele-t the most a..,o.,iate diagnosis 1,om the list o1 o.tions

o1 ,ash 0ith the illness 1o, 0hi-h the3 a,e the most t3.i-al

e9anthema+ A 7 3ea, old -hild .,esents 0ith high 1e6e, 1o, ?

da3s) -on=ungti6al in=e-tion) Fssu,ing o1 the li.s and

st,a0/e,,3 tongue) e,3thema 1ollo0ed /3 desuamation o1 the

hands and 1eet) and a ma-ula, ,ash o6e, the t,un: 0ith

-e,6i-al l3m.hadeno.ath3+A+ Sta.h3lo-o--al

s-alded s:in s3nd,omeB+ "u/ellaC+ Ka0asa:is Disease

D+ In1e-tious mononu-leosisE+ Heno-h*S-honlein

.u,.u,a

&

+

A neonate /o,n to in1e-ted he.atitis*B mothe,) should /e

t,eated 0ithA+ IsolationB+ Immunoglo/ulinsC+ He.atitis*B 6a--ine

D+ Immunoglo/ulins and

he.atitis*B 6a--ineE+ A-ti6e immuni4ation soon

a1te, /i,th and .assi6eimmuni4ation at 3ea, & o1

8/9/2019 soal MCQ 3 nov 2014


age&

@+

A &%*month old /a/3 .,e6iousl3 no,mal) suddenl3 /e-omes

dist,essed in his -,i/+ The e9te,nal a..ea,an-e o1 genitalia

0as no,mal) e9-e.t h3.e,.igmentation+ Blood glu-ose sho0ed

a le6el o1 7%mg+ What is the most .,o/a/le diagnosisA+ $& h3d,o93lase

deF-ien-3B+ Hi.e,insulinismC+ amilial glu-o-o,ti-oid

deF-ien-3

D+ Cushings s3nd,omeE+ G,o0th ho,mone

deF-ien-3

$

%+

A .o6e,t3*st,i-:en mothe, su;e,ing 1,om a-ti6e tu/e,-ulosis

deli6e,s a /a/3+ Whi-h one o1 the 1ollo0ing ad6i-es 0ould /e

the most a..,o.,iate in he, -ase2A+ B,east 1eeding and

BCG immuni4ationB+ B,east 1eeding and

isonia4id

administ,ationC+ E9.,essed /,east mil:

and BCG immuni4ation

D+ Sto. 1eeds and isonia4id

administ,ationE+ B,east 1eeding and

,i1am.3-ine

administ,ation

$

&+

In-,eased 1etal H/ is seen in

A+ 5u6enile C#LB+ Congenital ,ed -ell

a.lasiaC+ He,edita,3

s.he,o-3tosis

D+ L3m.homaE+ He.ato/lastoma

$

$+

Sele-t the most a..,o.,iate .athogen that 0ould a--ount 1o,

the 1ollo0ing .,esentation+ A M++ old /o3 .,esents 0ith .ain1ul

,ed s0ellings o1 his shins+ E9amination o1 his th,oat ,e6eals M+

e9udati6e tonsillitisA+ G,ou. B st,e.to-o--usB+ Haemo.ilus inuen4aC+ #3-o.lasma

.neumonia

D+ "es.i,ato,3 s3n-3tial

6i,usE+ Sta.h3lo-o--us au,eus

$

7+

Sele-t the most a..,o.,iate eme,gen-3 t,eatment 1o, the

1ollo0ing -hild,en2 A te,m /a/3 is /o,n in .oo, -ondition+

A.ga, s-o,es 7 at & minute and 8 at 8 minutes+ C!" is

-ommen-ed+ At &% minutes he ,emain /,ad3-a,di-A+ AdenosineB+ Ad,enalineC+ At,o.ine

D+ DC sho-:E+ Do/utamine

$

'+

The /a/3 has a tem.e,atu,e o1 7oC and tends to /,ing u. its

1eed+ The -i,-ulating 0hite -ell -ount is &9&%@L+ #i-,os-o.3

o1 u,ine 1,om a su.,a.u/i- as.i,ate sho0s la,ge num/e,s o1neut,o.hil .ol3mo,.hs

8/9/2019 soal MCQ 3 nov 2014


A+ B,east mil: =aundi-eB+ Ce.halhaematomaC+ Gala-tosaemia

D+ !,ete,m /i,thE+ Se.sis

$8+ Sele-t the most a..o.,oiate o.tion 1,om the list that 0ould a--ount

1o, this .,esentations 2 A /a/3 on the .ost natal 0a,d is seen to ha6e a

-ianot3- e.isode du,ing 1eeding+A+ T,a-heo*oeso.hageal Fstula 0ith at,esiaB+ Gast,o oeso.hageal ,eu9C+ #e-onium .lug s3nd,omeD+ #e-:els Di6e,ti-ulumE+ Ne-,otising Ente,o-olitis

5a0a/an 2

$<+ Whi-h o1 the 6a--ines listed 0ould /e -ont,a*indi-ated in HIV

.ossiti6e .atientsA+ BCGB+ Di.hthe,ia Tetanus !e,tussisC+ Haemo.hilus Inuen4ae BD+ #easles #um.s "u/ellaE+ Tetanus

5a0a/an 2

$?+ Whi-h diagnosis is most a..o.,iate 1o, this .atients+ A ' month

/a/3 /o3 is admitted /e-ause o1 in-onsola/le -,3ing+ He had /een

t,hi6ing othe,0ise and 0as 0ell .,e6iousl3) He seem settled du,ing

assesment) 1eeds 0ell and is a1e/,ile) U,inal3sis ,e6eals 0hite -ells

'8H!) "ed -ells &%H.1) o,ganisms &%%)%%%mlA+ A-ute Ne.h,itisB+ Ne.h,oti- S3nd,omeC+ Dia/etes Insi.idusD+ U,ina,3 T,a-t In1e-tionE+ Ch,onis "enal ailu,e

5a0a/an 2

$+ Whi-h o1 the 6a--ines listed 0ould /e -ont,a*indi-atedin su/=e-ts

0ith .,og,essi6e neu,ologi-al -onditions+A+ BCGB+ Di.hthe,ia Tetanus !e,tussisC+ Haemo.hilus Inuen4ae BD+ #easles #um.s "u/ellaE+ Tetanus

5a0a/an 2

$@+ #ost -ommon tumo, in -hild,en isA+ Leu:emiaB+ L3m.homaC+ Wilms Tumo,D+ Neu,o/lastoma

E+ "etino/lastoma 5a0a/an 2

8/9/2019 soal MCQ 3 nov 2014


7%+ Whi-h is the most li:el3 diagnosis in the 1ollo0ing -ase2 A 7*0ee:*

old .,ematu,e in1ant /o,n at $? 0ee:s gestation ,emains 6entilated

1ollo0ing su,1a-tant deF-ient ,es.i,ato,3 dist,ess s3nd,ome+ On

aus-ultation o1 his -hest a s3stoli- mumu, is hea,d at the le1t ste,naledge and .ulses a,e 6e,3 eas3 to 1eel+ The,e is .ulmona,3 .letho,a on

-hest >*"a3+A+ At,io6ent,i-ula, Se.tal De1e-tB+ Coa,-tation o1 the ao,taC+ H3.o.lasti- le1t hea,t s3nd,omeD+ !atent Du-tud A,te,iosusE+ !ulmona,3 Val6e Stenosis

5a0a/an 2

7&+ A -hild -an 0al: u. and do0n the stai,s alte,nating his 1eet /3A+ &$ monthsB+ $' monthsC+ 7< monthsD+ ' monthsE+ 8< months

5a0a/an 2

7$+ o, this .atients 0ith /,eathlessness) sele-t the most li:el3

diagnosis2 A*th,ee*3ea,s*old /o3s 0ho .,esents 0ith 0o,sening -ough

and /,eathlessness o1 7 0ee:s du,ation+ His mothe, 0as anint,a6enous d,ug a/use,+ He has al0a3s /een .,one to in1e-tions+

When he 0as $ 3ea,s old he had -hi-:en .o9 1o, ' 0ee:s+ On

e9amination) he has an ema-iated a..ea,an-e) his 0eight is /elo0 the

%)'th -entile) he has a tem.,atu,e o1 7?)<oC and he has gene,ali4ed

-,e.itations on aus-ultation o1 his -hest+ A /lood -ount sho0s se6e,e

l3m.ho.enia+A+ AsthmaB+ H3.e,6entilationC+ C3sti- i/,osis

D+ !neumo-3stis C,aniiE+ Vent,i-ula, Se.tal De1e-t

5a0a/an 2

77+ I( JIntelligen-e uotient o1 -hild meansA+ The -,eati6e e-ien-3 o1 the -hildB+ The -a.a/ilit3 o1 the -hild to .e,1o,m intelle-tual tas: in ,elation to

othe, -hild,en o1 same ageC+ The e-ien-3 o1 memo,3 o1 -hildD+ (ualiF-ation o1 the lea,ning a/ilit3 o1 -hild

5a0a/an 2

8/9/2019 soal MCQ 3 nov 2014


7'+ Whi-h o1 the 1ollo0ing diseases ha6e a 6e,3 -lose ,elationshi. 0ith

.,otein ene,g3 malnut,itionA+ Tu/e,-ulosisB+ #easlesC+ Dia,,heaD+ !e,tusis J0hoo.ing -oughE+ Common -old

5a0a/an 2

78+ Choose the most .,o/a/le diagnosis 1,om the list o1 o.tion 2 A & 3ea,

old /a/3 /o3 is 0hee43) -oughing) -3anosed) and /,eathless 0ith

inte,-ostal ,e-essionA+ AsthmaB+ B,on-hiolitisC+ C,ou.D+ E.iglottisE+ !neumonia

5a0a/an 2

7<+ o, ea-h des-,i.tion /elo0 -hoose the single most li:el3 6i,al

in1e-tion 1,om the list o1 o.tions 2 is -aused /3 a .a,am39o6i,usA+ #easlesB+ "u/ellaC+ #um.sD+ !e,tussisE+ He.atitis A

5a0a/an 2

7?+ K0ashio,:o, is diagnosed in g,o0th ,eta,ded -hild,en along 0ithA+ Edema and mental ,eta,dationB+ H3.o.igmentation and anemiaC+ Edema and h3.o.igmentationD+ He.atomegal3 and anemiaE+ Glo/al de6elo.ment dela3

5AWABAN 2

7+ The ne0 additi6es to in1ant 1o,mulas that a,e su..osed to su..o,t a

-hilds de6elo.ment a,e 2A+ Cal-ium and i,onB+ DHA and A"AC+ Com1o,t .,oteinD+ Whe3 and -aseinE+ Vitamin D

5AWABAN 2

8/9/2019 soal MCQ 3 nov 2014


7@+ Whi-h the most li:el3 diagnose in this -ase 2 A &7*3ea,*old gi,l is

,e1e,,ed 1o, e6aluation o1 he, sho,t statu,e+ She is .,e.u/e,tal+ On

aus-ultation she has an e=e-tion s3stoli- mu,mu, in the se-ond and

thi,d le1t inte,-ostals s.a-es ,adiating to the /a-:) /ut is a

s3m.tomati-+A+ Vent,i-ula, se.tal de1e-tB+ At,io6ent,i-ula, se.tal de1e-tC+ !ulmona,3 6al6e stenosisD+ Coa,-tation o1 the ao,taE+ Tet,alog3 o1 1allot

5AWABAN 2

'%+ An in1ants sits 0ith minimal su..o,t) attem.ts to attain a to3 /e3on

,ea-h) ,olls o6e, 1,om su.ine to .,one .osition and does not ha6e

.in-e, g,a.s is at a de6elo.ment o1 A+ 7 monthsB+ ' monthsC+ < monthsD+ monthsE+ &$ months

5AWABAN 2

'&+ The most im.o,tant 1a-to, to o6e,-ome .,otein ene,g3 malnut,ition

in -hild,en less than 7 3ea,s is

A+ Su..l3 o1 su/sidi4ed 1ood 1,om ,ation sho.B+ Ea,l3 su.lementation o1 solids in in1antsC+ Imuni4ation to the -hildD+ T,eatment o1 anemia and .neumonia in in1ant and toddle,sE+ T,eatment o1 deh3d,ation and ele-t,ol3te im/alan-e

5AWABAN 2

'$+ A ,outine .h3si-al e9amination o1 a ne0/o,n ,e6eals a g,ade $<)

sho,t) ha,s s3stoli- mu,mu, at the a.e9+ The ne0/o,n is -om.letel3

as3m.tomati-+ The most li:el3 diagnosis is 2

A+ At,ial se.tal de1e-tB+ Vent,i-ula, se.tal de1e-tC+ #it,al stenosisD+ #it,al ,egu,gitationE+ !atent du-tus a,te,iosus

5AWABAN 2

'7+ A -hild has sho,t statu,e and is noted to ha6e a la,ge head 0ith a

.,ominent 1o,ehead+ Sele-t the most a..,o.iate diagnosis 2A+ A-hond,o.lasia

B+ Ano,e9ia ne,6osaC+ Constitutional dela3

8/9/2019 soal MCQ 3 nov 2014


D+ amilial sho,t statu,eE+ G,o0th ho,mone deF-ien-3

5AWABAN 2

''+ In a -hild 0ith a sus.e-ted geneti- diso,de, and the -lini-al

a/no,malities o1 Simian -,eases -hoose the single most li:el3

diagnosis 1,om the lists o1 o.tionsA+ Blooms s3nd,omeB+ Co-:a3nes s3nd,omeC+ Do0ns s3nd,omeD+ Hunte,s s3nd,omeE+ !,ade,*0illi s3nd,ome

5AWABAN 2

'8+ o, the 1ollo0ing -hild,en .,esenting 0ith dia,,hoea 0hi-h is themost li:el3 Diagnnosis 2 A month old in1ant has ,e-u,,ent dia,,hoea+

#othe, dates the sta,t o1 s3m.toms 1,om the an e.isode o1

gast,oente,itis+ The dia,,hoea is e9.losi6e in natu,eA+ Coelia- diseaseB+ C,ohns diseaseC+ Ul-e,ati6e -olitisD+ Toddle,s dia,,hoeaE+ La-tose intole,an-e

5AWABAN 2

'<+ !e,io,al ,ash) .igmentation o1 s:in -,eases and neu,itis is seen in

deF-ien-3 o1 A+ in-B+ Co..e,C+ #agnesiumD+ BiotinE+ Cu.,um

5AWABAN 2

'?+ Sele-t the most a..,o.iate diagnosis 1,om the list o1 o.tion o1 the1ollo0ing des-,i.tions o1 ,ash 0ith the illness 1o, 0hi-h the3 a,e the

most t3.i-al e9anthem 2 a &$ 3ea,s old /o3 de6elo.s .ete-hiae and

.a.ules) some o1 0hi-h /e-ome .u,.u,i- o6e, his /utto-:s and legs)

asso-iated 0ith .ain1ul s0ollen :nees+ The,e is mi-,os-o.i-

haematu,ia on testing+ The .latelet -ount is no,mal+A+ Sta.h3lo-o--al s-alded s:in s3nd,omeB+ In1e-tious mononu-leosisC+ Heno-h*s-honlein .u,.u,aD+ #eningo-o--al in1e-tion

E+ S3stemi- onset =u6enile -h,oni- a,th,itis 5AWABAN 2

8/9/2019 soal MCQ 3 nov 2014


'+ Sele-t one one o.tion 1,om the list tht is most suita/le 1o, the

1ollo0ing !atients+ A--e.ted as the most -ommon -ause o1 in1e-tions

dia,,hea in -hild,en in the de6elo.ed so-iet3+

A+ Adeno6i,usB+E+Coli

C+He.atitis A

D+No,0al: 6i,us

E+ "ota6i,us

5a0a/an2

'@+ S3nd,ome o1 6itamin A deF-ien-3 is as 1ollo0s2 9e,o.thalmia)

:e,atomala-ia) h3.e,:e,atosis) g,o0th 1ailu,e and death+ Whi-h o1 the

1ollo0ing o.tion is most li:el3 a .a,t o1 the s3nd,ome

A+ Con=un-ti6itis

B+ Ho,deolum

C+Botot s.ots

D+Su/-on=un-ti6al /leeding

E+ "etinal a/lation

5a0a/an2

8%+ Sele-t the most a..,o.,iate diagnosis 1,om the list o1 o.tion that

0ould /est e9.lain the 1ollo0ing -ase 2 A 8 3ea, old gi,l .,esents 0ith

.uness a,ound the e3es+ U,inal3sis -onF,ms .,oteinu,ia 0ith a t,a-e

o1 /lood+

A+ Heno-h S-honlein !u,.u,a

B+ Ne.h,oti- s3nd,ome

C+ !ol3-3sti- :idne3s

D+!3elone.h,itis

E+ "enal tu/ula, a-idosis

5a0a/an2

8&+ the .,e1e,,ed int,a6enous the,a.3 1o, an in1e-tion in animal /ite0ounds is 2

A+ Ce1ota9ime

B+ Ce1t,ia9one

C+Ci.,oo9a-in

D+!eni-illin

E+ Am.i-illin and sul/a-tam

5a0a/an2

8$+ T0o 0ee:s a1te, a 6i,al s3nd,ome) a $*3ea,*old -hild de6elo.s /,uisingand gene,ali4ed .ete-hiae) mo,e .,ominent o6e, the legs+ No

8/9/2019 soal MCQ 3 nov 2014


he.atos.lenomegal3 o, l3m.h node enla,gement is noted+ The

e9amination is othe,0ise un,ema,:a/le+ La/o,ato,3 testing sho0s the

.atient ha6e no,mal hemoglo/in) hemato-,it) 0hite /lood -ount and

di11e,ential+ The .latelet -ount is &8)%%%+ The most li:el3 diagnosis is

2A+ Von Wille/,and disease

B+ A-ute leu:emia

C+ Idio.athi- th,om/o-3to.eni- .u,.u,a

D+A.lasti- anemia

E+ T,om/oti- th,om/o-3to.enia .u,.u,a

5a0a/an2

87+The .,e1e,,ed the,a.3 1o, .atients 0ith -h,oni- -holestasis 0ithout

/ilia,3 o/st,u-tion is 2

A+ Kasai o.e,ation

B+ !hen3toin

C+ Dis-ontinue 1att3 1oods

D+U,sodeo93-holi- a-id

E+ Gentami-in

5a0a/an2

8'+Sele-t one o.tion 1,om the list that is most suita/le 1o, the 1ollo0ing

.atient2 A $ da3 old /,east 1ed /a/3 is 6omiting a1te, ea-h 1eed+

A/dominal >*"a3 demonst,ates a dou/le /u//le+

A+ C3-li-al 6omiting

B+ Duodenal at,esia

C+ #e-:els di6e,ti-ulum

D+Gast,o*oeso.hageal ,eu9

E+ U,ina,3 t,a-t in1e-tion

5a0a/an2

88+ Sele-t the most a..,o.,iate diagnosis 1,om the list o1 o.tion that

0ould /est e9.lain the 1ollo0ing -ase2 A $ 3ea, old /o3 is admitted0ith a histo,3 o1 /lood3 dia,,hea) a/dominal .in and .uness a,ound

his e3es+ He is 1ound to slightl3 =aundi-ed+ His u,ea I $)< and -,eatinine

&<7 mmollite,

A+ Haemol3ti- u,aemi- s3nd,ome

B+ Heno-h S-honlein .u,.u,a

C+ "enal tu/ula, a-idosis

D+"enal 6ein th,om/osis

E+ S3stemi- Lu.us E,3thematosus

5a0a/an2

8/9/2019 soal MCQ 3 nov 2014


8<+ A &? 3ea, old 1emale .,esents 0ith a-ute /,eathlessness+ She has had

asthma 1o, a..,o9imatel3 7 3ea,s and ,e-entl3 -ommen-ed ne0

the,a.3+ Whi-h agent ma3 /e ,es.onsi/le 1o, this e9a-e,/ation

A+ Salmete,ol

B+ Theo.h3llineC+Be-lomethasone

D+I.,at,o.ium B,omide

E+ #onteleu:ast

5a0a/an2

8?+ A $P 3ea, old /o3 a..ea,s 0ith inte,mittent loose stools 1o, the .ast &

month+ Stools t3.i-all3 o--u,e du,ing the da3 and not o6e,night+ The

/o3 is othe,0ise health3+ The g,o0th and de6elo.ment a,e no,mal+ The

most li:el3 diagnosis is 2

A+ Ch,oni- ente,itis

B+ "ota6i,us ente,itis

C+Salmonella ente,itis

D+ood alle,g3

E+ Toddle,s dia,,hea

5a0a/an2

8+ o, the 1ollo0ing -hild,en .,esenting 0ith dia,,hoea 0hi-h is the most

li:el3 diagnosis+ A ' month /a/3 gi,l has se6e,e ato.i- e-4ema and is

,egula,l3 ,e6ie0ed in the .aediat,i- -lini-+ She had no0 de6elo.

dia,,hoea and he, 0eight has /een stati- in ,e-ent 0ee:s+ A 1ull /lood

-ount sho0s a slight eosino.hilia+

A+ Co0s mil: .,otein alle,g3

B+ Toddle,s dia,,hea

C+La-tose intole,an-e

D+I,,ita/le /o0el s3nd,ome

E+ Haemol3ti- u,aemi- s3nd,ome

5a0a/an2

?%+ Sele-t one o.tion 1,om the list that is most suita/le 1o, the 1ollo0ing

.atient2 A ' month old /a/3 0ho is th,i6ing has .e,sistent 6omiting

0hi-h is o--assionall3 /lood stain+

a+ C3-li-al 6omiting

/+ Duodenal At,esia

-+ #e-:els di6e,ti-ulum

d+ Gast,o*oeso.hageal ,eu9

e+ U,ina,3 t,a-t in1e-tion

=a0a/an2

8/9/2019 soal MCQ 3 nov 2014


8/9/2019 soal MCQ 3 nov 2014


a+ A-ui,ed .3lo,i- stenosis

/+ Dia,,hea

-+ Vomiting

d+ Gast,oeso.hageal Na,,o0ing

e+ Ba-te,ial o6e,g,o0th =a0a/an2

soal mcq 3 nov 2014

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