CVs & rh. Fever

1. all of the following could be manifestation of large VSD Except:

   1. feeding difficulties.

   2. Poor growth.

   3. Cardiomegally.

   4. Recurrent chest infection.

   5. Absent femoral pulse.

2. Teratology fallot consists of all of the following Except:

a- pulmonary stensie.

b- Ventricular sephal defect.

c- Aortic coarctation

d- Rt. Ventricular hypertrophy.

e- over-riding aorta.

3. Which of the following is not characteristic of cyanotic heart disease:

   1. Elevated blood pressure in arms.

   2. Polycythemia.

   3. Digital clubbing.

   4. Dyspnea on exertion.

   5. Limited exercise tolerance.

4. Clinical manifestations of rheumatic fever include all of the following Except:

   1. fever, usually present in early stage.

   2. Arthritis characteristically involves small joints and painless.

   3. Carditis occurs in about 40% of patients.

   4. Erythemia morginatum in the associated skin rash.

   5. Chorea.

5. The white strawberry tongue is associated with:

   1. Scarlet fever.

   2. Varicella.

   3. Rubella.

   4. Rubeolla

   5. Diphteria.

6. Each of the following may be a common manifestations of mumps Except:

   1. orchilis.

   2. Pancreatitis.

   3. Parotitis.

   4. Bilateral arthritis.

   5. Asception meningitis.

7. Teratology of fallot is characterized by all Except:

   1. obstruction of RH. Out flow.

   2. VSD.

   3. Dextroposition of Aorta.

   4. Rt. Ventricular hypertrophy.

   5. Osticm secundum defect.

8. All of the following are regarded as major manifestations of rheumatic fever Except of:

   1. Carditis.

   2. Prolonged P-R interval.

   3. Erythema marginatum.

   4. Subcutaneous nodules.

   5. Chorea.

9. Which are of the following finding is commonly seen in patient with Rt. to left shunt:

   1. cyanosis.

   2. Clubbing of the fingers and toes.

   3. Seundery polylythemia.

   4. All of the above.

   5. Non of the above.

10. Which of the following is not a clinical feature or recognized complication of Tetra-logy of fallot:

    1. Anoxic Spells.

    2. Brain abscens.

    3. Congestive heart failure.

    4. Cyanosis.

    5. Poor growth.

11. A child who skips, name four color and dresses and undresses is how old:

    1. 15 months.

    2. 24 months.

    3. 30 months.

    4. 18 months.

    5. 60 months.

12. The ability to manipulate a small objects with the pincer grasp is usually noted at what age?

    1. 0-2 months.

    2. 3-5 months.

    3. 6-7 months.

    4. 8-9 months.

    5. 10-12 months.

13. A developmentally normal child who is just able to sit without support, transfer objects from hand to hand, and speak in monosyllabic babble, is probably what age:

    1. 3 Months.

    2. 4 months.

    3. 9 months.

    4. 6 months.

    5. 11 months.

14. Neurological, intellectual, and physical development in infants and children occur in an orderly and sequential manner. Al the following are integers of developmental milestones Except:

    1. gross motor.

    2. Fire motor.

    3. Bone age.

    4. Language.

    5. Social.

15. Child at 12 months of age can do all of the following Except:

    1. Say baba and mama.

    2. Can walk with or without support.

    3. Copy circle.

    4. Move bye-bye.

    5. Play simple ball game.

16. A 4 month old infant can:

    1. hold her head reasonably steady in sitting position.

    2. Site a lone without support.

    3. Say mama and dada but in discriminately.

    4. Sam mama and dada appropriately.

    5. Point to object that she wants.

17. A6 month old infant differs from a 3 months old in regard to his or her ability to:

    1. control bowel and bladder.

    2. Crawl

    3. Sit or almost sit, without support.

    4. Simile socially.

    5. Walk holding an to furniture.

18. Most infant loss weight immediately after birth, normal term infants generally regain their birth, weight by:

    1. 24 hours.

    2. 48 hours.

    3. 72 hours.

    4. 3-5 days.

    5. 7-10 days.

19. At birth, the skull "Cranium":

    1. Is larger than the face.

    2. Is smaller than the face.

    3. Cranium and face are equal in size.

    4. May be larger or smaller than the face.

    5. Is usually flattened anteriorly.

20. A weight gain of about 1.2kg during the first 3 months of life is:

    1. About average.

    2. Above average but within normal limits.

    3. Below average but within normal limits.

    4. Below average and probably abnormal.

    5. Above average and probably abnormal.

21. The anterior fontanel usually feels closed on physical examination "palpation":

    1. by 3 months.

    2. Between 3 and 9 months.

    3. Between 9 and 18 months.

    4. Between 18 and 24 months.

    5. Between 24 and 36 months.

22. During the first years of life on infant who weighted (3.4kg) at birth ordinarily would gain about:

    1. 2.3kg.

    2. 4.5kg.

    3. 6.8kg.

    4. 9kg.

    5. 11.4kg.

23. During the second year of life, the average weight gain is about:

    1. 1.5kg.

    2. 3kg.

    3. 5kg.

    4. 8kg.

    5. 12kg.

24. During the first year of life, the average gain in body length is about:

    1. 12.7cm.

    2. 25cm

    3. 38cm

    4. 51cm

    5. 64cm.

25. The normal average of hemoglobin concentration of I year of age is about:

    1. 17mg/dl.

    2. 15mg/dl

    3. 12mg/dl

    4. 10mg/dl

    5. 8mg/dl

26. The average head circumference of a term infant at birth is about:

    1. 25cm

    2. 30cm

    3. 35cm

    4. 40cm

    5. 50cm

27. During the first month of life, head circumference grows about:

    1. ½ cm

    2. 1.2cm

    3. 2.5cm

    4. 5cm

    5. 7.5cm

28. The average growth in head circumference during the first year of life is about:

    1. 4cm

    2. 12cm

    3. 25cm

    4. 37cm

    5. 50cm

29. During the second year of life the average gain in body length is about:

    1. 12 to 15cm.

    2. 20 to 25cm.

    3. 30 to 40cm.

    4. 40 to 50cm.

    5. Over 50cm.

30. One year old child would be able to do all of the following Except:

    1. build a tower of three cubes.

    2. Grasp a pellet

    3. Reach for an object

    4. Stand a lone

    5. Transferee an object from hand to hand.

31. By age of two years the child can speak:

    1. 3 word sentences.

    2. Four word sentences.

    3. Five word sentences.

    4. Pronoun I and you.

    5. Six word sentences.

32. A child can hop-on-and foot by age of:

    1. one year.

    2. Two year.

    3. One year and half.

    4. Two years and half.

    5. Four years.