١/A newborn develops non bilious emesis on the first day of li | Cᴸᴵᴺᴵᶜᴬᴸ Sᴴᴼᴿᵀ Nᴼᵀᴱˁ🍃

١/A newborn develops non bilious emesis on the first day of life. An abdominal x-ray reveals a “single bubble sign.” Which of the following is the most likely diagnosis?

(A) annular pancreas

(B) duodenal atresia

(C) gastric volvulus

(D) pyloric stenosis

(E) Hirschsprung disease

٢/A newborn develops non bilious emesis on the first day of life. An abdominal x-ray reveals a “no gastric bubble .” Which of the following is the most likely diagnosis?

(A) tracheoesophageal fistula

(B) pharyngeal atresia

(C) gastric volvulus

(D) esophageal atresia

(E) Layngeal atresia

٣/A mother with hyperparathyroidism just delivered a term infant who appears healthy. Which of the following problems is likely to develop in her infant?

(A) hypercalcemia

(B) hypocalcemia

(C) parathyroid carcinoma

(D) hyperthyroidism

(E) hyperparathyroidism

٤/You are evaluating an infant born at 39 weeks gestation weighing 2000 g. Which of the following would be the appropriate classification of this infant?

(A) low birth weight

(B) premature

(C) small for gestational age

(D) low birth weight and small for gestational age

(E) premature and small for gestational age

٥/A mother presents for prenatal care with a complicated medical history as listed in the following choices. Which of the conditions most predisposes her fetus to congenital heart disease?

(A) hypertension

(B) diabetes mellitus

(C) atherosclerotic coronary vascular disease

(D) anemia

(E) rheumatoid arthritis

٦/A 3-day-old infant is requiring phototherapy for hyperbilirubinemia. Which of the following risk factors best predicts the occurrence of ABO isoimmune hemolytic disease in a newborn?

(A) first pregnancy

(B) more than four pregnancies

(C) prior Rh disease

(D) maternal blood type is O and infant is type A

(E) preexisting maternal anemia

٧/Systemic diseases causing eye signs include all but one of the following
a. HIV
b. Diabetes mellitus
c. Systemic hypertension
d. Leprosy
e. Malaria

٨/An 18 year old girl with acute severe asthma is not responding to nebulized salbutamol, ipatropium and steroids. Which treatment should she now have?
A.  Further intravenous  Hydrocortisone  
B.  Intravenous  Magnesium
C.   Intubation and ventilation
D.   Intravenous Salbutamol
E.   Intravenous Ipatropium