5th year pediatric

**Charactarstic EEG can be seen in the following condition except

1-sub acute sclerosing pan encephalitis
2- febrile convalsion
3-abscence seiz
4-grand mal epil
5-herpes simplex encephalitis(temporal lobe focus)

*the following are side effects of B2 agonist except

1- hyper kalaemia
2-tachycardia
3-tremor (fine)
4_hypokalaemia( high dose)
5-arrhythemia
6-muscle cramps
7-insomnia
8-periphral vasodilation
9- hyper sinsitivity(paradoxical bronchospam,urticaria,angioedema,hypotension, collapse
10-myocardic ischaemia

Normal pattern of motion per day:-
*from birth to 4th months
- brest feed → 1-7 motions /day
- formula feed →2-3 motion/day
*from 4th M to end of 1st year
→1-3 motions /day
*above 1st year ( adult like)
→1-2 motion /day

Indication of restriction of fluid intake ?

1- meningitis
2- encephalitis
3- DKA
4- congenital heart disease
5- acute renal failure

D D of finger clubbing :-

1- respiratory cause as
a- suppurative lung disease
-empyemia
-bronchiectasis
-lung abscess
b- cystic fibrosis
c- interstial lung fibrosis
d- CA lung

2- cardiac cause as
a-cynotic CHD as TOF , TGA
b-infective endocarditis

3- GIT causes
a- Celiac disease
b- IBD
c- biliary atresia
d-liver cirrhosis
e-intestinal polyposis

4-familial
5- idiopathic

Craniotabes :-
Thinning of outer table of skull elicited by pressure on skull (ping pong sensation )

D D
1- rickets
2-prematurity
3-hydrocephalus
4-osteogenesis imperfecta

Rickets rosary :-
prominent enlargement of the costocondral junction seen and felt as a row of beads

Methods of urin collection

1-clean catch
2- adhesive urin bag
3-supra public aspiration of urine
4-catheter on of
5- mid stream urine

D D of congenital cataract ??

D D of plethoric baby??

1-polycythemia
2-IDM
3-delayed cord clamping
4-twin to twin transfusion syndrom
5-IUGR , post term baby

Respiratory
Q:- acute bronchiolitis the following is true ...

1-usually caused by adenovirus
2-typically begins with coryzal symptoms
3- usually associated with high grade of fever
4-salbutamol is the ttt of choice

Respiratory
Q:- acute epiglottitis are characterized by the following except

1-sore throat
2- dysphasia
3- strider
4-the child is comfortable in supine position
5-fever