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Kaplan Qbank USMLE



Author3 Posts
  #1

1. All of the following are false regarding cerebral palsy except:<?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" />

a) 90% will progress to mental retardation

b) 80% of children will have an IQ of 70

c) frequently associated with Down’s Syndrome70% will have moderate handicap

d) 10% will improve



2. 3 year old girl presents with 3cm X 3cm erythematous area on upper eyelid, edema and congestion of conjunctive and normal eye movement. Which of the following is the correct treatment?

a) IV flucloxacillin and cephalosporin

b) Topical chloramphenicol

c) Topical steroids

d) Surgical intervention

e) Topical gentamycin





3. 3 year old child with no clinical features of any illness. Mum noticed a mass in the abdomen, Which of the following is the least likely cause?

a) neuroblastoma

b) nephroblastoma

c) hydronephrosis

d) faecal impaction

e) multicystic kidney



4. 12 year old girl with recurrent headaches and hemiparesis, complete recovery after each attack. Diangnosis?

a) migraine

b) hysteria

c) AV malformation

d) Petit mal epilepsy



5. Child with cerebral palsy is likely to develop all of the following except:



a) intellectual impairment in 90% of cases

b) there is progressive spasticity

c) every aspect of development is impaired

d) most of the children will die of resp. infections

e) 10% cases will develop epilepsy



6. Live measles vaccine is preferred over killed because:

a) doesn’t have to be refrigerated

b) can be given parenterally

c) can be given to immunocompromised pt.

d) has less chances of atypical manifestations when the disease is contracted for the 2nd time.

d)can be given orally



7. When u do an exchange transfusion in a baby, what are u trying to achieve?

a) Increase iron

b) increase HB

c) Decrease bilirubin

d) blood exchange to remove Ab coated cells



8. You are called to the ward to visit a child who was born at term by SVD but only weighs 1800grams. You’ll expect all of the following except:

a) idiopathic resp. distress syndrome

b) hypoglycemia

c) meconium aspiration

d) hypothermia due to low body wt.



9) A child with birth wt of 3125 g (in 75th percentile), after one month, his wt. is in the 10th percentile. He passes a lot of urine and bowels open twice a day. He feeds 6 hourly, 210 gram formula milk. What is the first step of management?

a)check strength of formula

b) do a sweat test

c) test feeding the child

d) examine the stools microscopically

e) stool culture


  #2

1-b
2-a
3-d
4-a
5-b
6-d
7-c
8-a
9-e

___________________
Life is a journey--enjoy the drive!!

  #3

1.b
2.a
3.d
4.a
5.d
6.d
7.c
8.a
9.c







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