*****************بسم الله الرحمن الرحيم****************** Pediatrics oral questions _____ _ _ _____ _____ _____ ___ ___ / ___/ | | | | | _ \ | ____| | _ \ / |/ | | |___ | | | | | |_| | | |__ | |_| | / /| /| | \___ \ | | | | | ___/ | __| | _ / / / |__/ | | ___| | | |_| | | | | |___ | | \ \ / / | | /_____/ \_____/ |_| |_____| |_| \_\ /_/ |_| ******************************************************* http://superm.8m.net Wed Jun 7 05:07:44 2006 Submitting Host: 196.218.45.128 Case_and_Diagnostic_Tools: thalassemia CB VSD xray: pleural effusion (massive) pneumoperitoneum(under diaphragm cardiomegaly (no characterisic shape its similar 2 that 1 on the 1sr paper of Zakraia) lung abscees and mild pleural effusion may be some pneumonic consilidation around the abcess but not sure) *there was also cases of nephrotic and rheumatic as long cases Examiner_name: mona abothekrey Group_number: 5 Questions: in short always always in any case ask abt mile stones and in cb u may ask about the cause * milestones complications and ttt of vsd how 2 treat *oral: measles comlpications add activation of TB focus dont forget otitis media as important comlication and also enterocolitis causes of anemia in new born ttt of asthma the anothe examiner : physiological jaundaice in details wt can prolong this case of jaundaice (development of breast milk hypothyroidim jaundaice and other causes best wishes and dont forget me in aldo3a2 A.Z Send_Oral_Questions: Send *** Wed Jun 7 08:43:33 2006 Submitting Host: 82.201.163.14 Case_and_Diagnostic_Tools: x-rays: 1- right massive pleural effusion 2- cardiomegaly without special shape ( contains left ventricular enlargement) 3- lung abscess( that contains pneumonia &effusion &pneumatoceles ) 4- pneumoperitonium ct : 1- intracerebral hematoma 2- congenital communicating hydrocephalus abg : respiratory acidosis cbc : bacterial infection cases : long (hepatosplenomegaly ) : i was asked about differential diagnosis and investigations of the case short : 1- down & vsd : i was asked about all the subject and to do general examination 2- cerebral palsy : i was asked only to do neurological examination Examiner_name: mona abo zikry / dr hala hussein & i do not know the name of 2nd examiner Group_number: 5 Questions: oral : 1- compulsory vaccines & complications of vsd & complications of pertussis &citeria of fallot 2- causes of maulopapular rash & measels & hyperbilirubinemia with my best wishes hesham abd ellatief Send_Oral_Questions: Send *** Wed Jun 7 09:12:55 2006 Submitting Host: 62.114.203.40 Case_and_Diagnostic_Tools: Examiner_name: dr Nadia Badrawy Group_number: 5 Questions: DD of maculopapular rash? DD of unconjugated hyperbilirubinaemia? DD of acute haemolytic anaemia?How to diagnose autoimmune type? DD of eye puffness?How to diagnose allergic type? Diagnosis of G6PD? Send_Oral_Questions: Send *** Wed Jun 7 12:49:51 2006 Submitting Host: 62.135.0.156 Case_and_Diagnostic_Tools: Xray: pericard. effusion, rt upper lobe pneum. , intest obst, , lt lung collapse ct: Communict hydrocephal, rt parital abcess plain and enhanced blood gases: mixed acidosis blood picture: thrombocytopenia Examiner_name: nadia badrawi unit Group_number: 5 Questions: Clinical: Neuro-> diagnosis , knee reflex and root value, clonus, tone, plantar relfex, pathological reflexes (patelar) VSD-> diagnosis, hemodynamics, which chamber enlarges first (he said left ventricle) , complications, eisenmenger syndrome, heart failure ttt Rheumatic-> diagnosis, local examination, examination for aortic regurge, complication, infective endocarditis diagnosis Oral1 -> d.d. of maculopapular rash, measles prodroma, relation of fever to rash, causes of unconjugated neonatal hyperbilirubinemia, diff. bet physio and pathologyical jaundice oral2 -> differentiate between hemolytic anemias, diff. bet sickle and thalassemia , vaccination of 2nd year, mmr, comp of dpt, future vaccine (dt) Send_Oral_Questions: Send *** Wed Jun 7 12:53:11 2006 Submitting Host: 62.135.0.156 Case_and_Diagnostic_Tools: oral Examiner_name: Nadia Badrawy Group_number: 5 Questions: *DD of maculopapular rash *vaccinitaions in 2nd year of life *indirect hyperbilirubinemia *ttt of thalassemia Send_Oral_Questions: Send *** Wed Jun 7 13:05:47 2006 Submitting Host: 81.10.114.136 Case_and_Diagnostic_Tools: x-ray:pericardial effusion apical pneumonia intestinal obstruction pneumothorax with tube CT:brain atrophy intercrebral hematoma& interventricular heamorage CBC:chronic heamolytic anemia blood gases:metabolic acidosis long case:ascitis &jaundice short cases: cb&fallot Examiner_name: nabil abd elghany Group_number: 5 Questions: first doctor:physiological jandice&neonatal jaundice acording age,neonatal sepsis causes second doctor:neonatal convulsion,cyanosis in neonate,diffrence between cardiac and pulmonary cyanosis Send_Oral_Questions: Send *** Wed Jun 7 13:21:09 2006 Submitting Host: 62.114.110.83 Case_and_Diagnostic_Tools: cp down itp Examiner_name: Group_number: Questions: G : vaccines,measles rubela roseola weaning s : hypothyroidism , hydrocephalus meningitis gastroentritis Send_Oral_Questions: Send *** Wed Jun 7 15:35:54 2006 Submitting Host: 196.205.33.70 Case_and_Diagnostic_Tools: A piece of cake insha2Allah Examiner_name: Dr Nadia Badrawi Group_number: 5 Questions: Complications of congenital heart Neonatal convulsions Vacc. in 1st 2 yrs of life *Obligatory n non* Complications od DPT Marasmus Send_Oral_Questions: Send *** Wed Jun 7 19:52:10 2006 Submitting Host: 82.201.178.183 Case_and_Diagnostic_Tools: Cases: Thalessemia Down CP Tools: X-Ray:Pericardial effusion lung collapse lobar pnemonia intestinal obstructio CT:brain abscess congenital communicating hydrocephalus Bloog Report:Thrombocytopenia Blood Gases:Mixed Acidosis Oral: Vaccines compulsory and non compulsory DD of maculopapular rash complication of chicken pox mineral and vitamin deficiency in breast milk. Examiner_name: Eman Soud Group_number: 5 Questions: Send_Oral_Questions: Send *** Thu Jun 8 01:31:21 2006 Submitting Host: 62.135.0.96 Case_and_Diagnostic_Tools: Examiner_name: Group_number: Questions: I'm telling you tawze3et el daragat as I understood from my colleagues: Diagnostic: xray 4x5 ct 2x5 bl.gas 1x5 bl.pict 1x5 imci 1x10 Clinical: short 2x25 long 1x40 Oral: 2x30 Send_Oral_Questions: Send *** Thu Jun 8 06:51:51 2006 Submitting Host: 82.201.198.139 Case_and_Diagnostic_Tools: xray : rt upper lober pnomonia ,pericardial effusion ,intest. obst.,pneumothorax ct: brain atroph, intra cerebral hge, intra ventricularhge, cbc: chronic hemolytic Examiner_name: rab7aaa shenawoii Group_number: 3 Questions: short case:down,CP long : HSM q.:dehydration(types) heart faliure/ scarlt fever ,complsory vaccin Send_Oral_Questions: Send *** Thu Jun 8 07:14:19 2006 Submitting Host: 196.204.159.121 Case_and_Diagnostic_Tools: x-ray:pneumnia with abscess,TGA,hydro pneumothorax,active rickets. c.t: basal ganglia calcifacition, coroid plexus papilloma. pancytopenia-respiratory alkalosis. short cases: cp with microcephaly,down's syndrome long case: thalasemia Examiner_name: dr. eman so3od Group_number: Questions: first(general): neonatal hyperbilirubinemia, vaccines , maculo papular rash and scarlet fever. second(systems): nephrotic syndrome, ITP . Send_Oral_Questions: Send *** Thu Jun 8 07:32:18 2006 Submitting Host: 62.135.70.216 Case_and_Diagnostic_Tools: Short Cases:Rickets and CP Long:Thalassemia ct:acquired ventriculitis,hypoparathyroidism Examiner_name: Dr.Rabha ElShenawy Group_number: 5 Questions: Infections:scarlet fever,measles,causes of pneumonia,chicken pox,mumps Growth & development:weight and lenght of a 6 months old boy Send_Oral_Questions: Send *** Thu Jun 8 08:20:50 2006 Submitting Host: 196.2.223.193 Case_and_Diagnostic_Tools: long:rhmatic,ITP,thalassemia,abdomen short:cb,VSD,rickets###,falot Examiner_name: eman abo elsod Group_number: 1 Questions: 1:s 2:g mainly infection+vac+neuna hamdy <> Send_Oral_Questions: Send *** Thu Jun 8 11:11:55 2006 Submitting Host: 196.2.254.219 Case_and_Diagnostic_Tools: cholestasis (short)dr baheia hydrocephals thalathemia diaphragmatic hernia x-ray upper lobe collapse basal ganglia calcification ct Examiner_name: Group_number: 1 Questions: why cholestasis ttt investigation whooping cough complication neonatal seizeurs neonatal apnea vaccinations hhav hbv thalathemia ttt diagnosis what u can find in ct in cholestasis Send_Oral_Questions: Send *** Thu Jun 8 11:40:11 2006 Submitting Host: 196.205.56.172 Case_and_Diagnostic_Tools: Examiner_name: Group_number: Questions: Send_Oral_Questions: Send *** Thu Jun 8 12:32:07 2006 Submitting Host: 196.218.79.66 Case_and_Diagnostic_Tools: clinical cases long hepatomegaly for diffrential diagnosis iasked about sheet only and hepatosplenomegaly and tt short cases 1-cp neurological examination only 2-neonatal jundice with hepatomegaly(3 finding) diagnostic tools x ray (lung abcesswith pneumatocele@tga with enlarged thymus@hydropneumothorax@active ricets) ct (basal ganglion calcification@choroid plexsus papiloma) gases respiratory alkalosis cbc pancytopenia Examiner_name: bahia Group_number: 1 Questions: hyperbilirubinemia cases -vaccination both very important non nutritional rickets-tt of itp-prevention of rheumatic fever primary@secondry Send_Oral_Questions: Send *** Thu Jun 8 14:47:00 2006 Submitting Host: 82.201.233.182 Case_and_Diagnostic_Tools: long : Thanasamya Short : CP = VSD Xray and CT : all from zakarya's paper Examiner_name: Dr Bahya Group_number: 5 Questions: Why did u diagnose thalasamya? ttt of thalasmya ==== complications of DPT vaccine Complications of chicken pox Managment of Rickets ----- Vaccination in 1st year of life and nature of each vaccine why is hep A vaccine non compalsury ? (bec hep A virus has no complications) Send_Oral_Questions: Send *** Thu Jun 8 18:09:42 2006 Submitting Host: 196.204.61.160 Case_and_Diagnostic_Tools: Examiner_name: Group_number: Questions: oral exam; complecation of v.s.d and fallot ttt of heart disease non vit D rickets measles checken pox wheezes mumps Send_Oral_Questions: Send *** Fri Jun 9 03:41:36 2006 Submitting Host: 62.193.109.91 Case_and_Diagnostic_Tools: the exam was as the following: 1st the diagnostic tools..4 x-ray(flask-shaped heart, pneumothorax, right upper lobar pneumonia, intestinal obstruction) , 2 ct(brain atrophy, intracerebral & intraventricular hge), 1 blood gases( check whether it's ABG or VBG) and 1 blood picture (chronic hemolytic anemia) ... for 5 marks each. then the imci for 10 marks.. 10 minutes time. Examiner_name: eman so3od Group_number: 5 Questions: Al salamo 3alaykom wa ra7mato Allah wa barakato, ezayokom gamee3an? ya rab tekono be kher.. afterwards i had my oral and clinical exam in dr.eman so3od's unit in abo el reesh el mounira 5th floor. the short cases were: down, vsd, cp, marasmus 3rd degree and their discussion was good and precise.. the long cases were thalassemia, abdomen, itp, rhematic heart disease. my case was thalassemia a pt called sami 12 yrs old and he'd undergone splenectomy .. a dr called dr fadya asked me to read the sheet and then total examination in front of her, she stressed on vital signs (pulse and temp: why would it be important to measure it in a pt who did splenectomy? beacuse he's susceptible to infections) ..also she asked me to palpate liver, percuss upper border.. then she asked me about investigations v.imp to mention reticulocytosis..ttt: fe chelating agents and what vaccines to give after splenectomy. she even asked me to measure his height. the oral exam: dr.eman so3od asked me general: 1.indiactions of incubator care.. and from there to infant of diabetic mother, how does it look like we leih benkhaf 3aleh? i wished to give u the answer but if i knew it i'd have told her! and eih yekhally dr el nessa ye2ol mesh hawaled el 3ayana dy ella lama yekon fy neonatologist? 2.incubation period of chicken pox? does it have vaccine? 3. what r other non-compulsory vaccines? bacterial or viral? 4.fever of unknown origin: def., and possibilities...don't forget malignancy. 5.and i heard that she asked another friend what are the vaccines u should receive b4 travelling? the other dr i don't know her name...but she was nice...she has long golden hair and wears glasses.. she asked me: 1.what are the manifestations of nephrotic syndrome, how to treat it? what after remission? what if it relapses? what r the indications of renal biopsy in nephrotic? 2. how to treat ITP? 3.causes of portal hypertension? she wanted only titles...as long as u answer she's satisfied... no matter in what order and she's not concerned about details. also she asks almost the same questions to eveyone. wish u all the best of luck! rabena ma3akom gamee3an...don't worry! Send_Oral_Questions: Send *** Fri Jun 9 03:42:44 2006 Submitting Host: 62.193.109.91 Case_and_Diagnostic_Tools: diagnostic tools take care in ABG is it arterial or venous blood Examiner_name: eman so3od Group_number: Questions: long: purpura she was 11 years old girl with purpura since 5years The doctor asked me what is DD of purpura at this age?? she wants ITP "chronic type" & SLE short 1 down what are causes of death?? Don't forget leukemia what are types of down?? what we can found in karyotyping short 2 CP how to perform every reflex " knee, ankle triceps,bicepes babiniski" how examine tone what's babiniski indicate?? when absent in newborn?? UMNL oral vaccinations are very important and also maculopapular rash "nearly all had asked about them" whats causes of neonatal jaundic if Rh incompitability, if u will do exchange transfusion , whats the groop of blood will u give him?? O -ve bc we don't want any antibodies whats the ttt of heart failure? what are complications of rhumatic heart disease? Send_Oral_Questions: Send *** Fri Jun 9 03:45:54 2006 Submitting Host: 62.193.109.91 Case_and_Diagnostic_Tools: 1st diagnostic tools x-ray...conginatal daiphragmatic hernia without barium meal...cardiomegaly without characteristic shape...active rickets CT...basal ganglia calcification...hydrocephalus(just one level) so we can't know the type CBC...bacterial infection ABG...Mixed acidosis Examiner_name: rab7a Group_number: 1 Questions: Then (Dr. Rab7a's Unit ) oral questions was about 1- Neonatal hyperbilirubinemia 2- Kernicterus 3- Phototherapy 4- Coplications of Mumps , Chicken Pox] 5- Clinical picture of Pertussis and ttt 6- Vaccinations in 1st year ( especially BCG and DPT ) and the clinical cases were Long....Thalassemia Short....Falot's tetralogy and Hydrocephalus there was also Rheumatic , abdominal cases , down , rickets and VSD * Time for diagnostic tools is more than enough Send_Oral_Questions: Send *** Fri Jun 9 12:17:30 2006 Submitting Host: 196.202.42.34 Case_and_Diagnostic_Tools: short:marasmus,,VSD,,Fallot,,Down Long:abdomen,,RH.heart,,Thalassemia X-ray:pneumoperitoneum,intestinal obst.,massive pleural effusion,,lung abcess,,rickets,, C_T: hydrocephalus (only 1 pic,"at the level of dilated lateral ventricles.dont mistake it as ependymal ventriculitis which is contrast enhanced"...intacerebral Hge. BL.gas:respiratory acidosis BL.picture:Bact. infection (take care:it was with marked anaemia "8.3" and with bandemia and lymphocytosis...normal polymorph,,band cells values 'll not b mentioned Examiner_name: unit/dr./ Bahya mostafa Group_number: 1 Questions: HYperbilirubinaemia,,"what's the difference bet. jaundice and hyperbilirubinaemia "..jaundice 's a clinical manifestation,,"yellowish discolouration" but hyperb. is laboratory finding "elevated serum bilirubin". - all vaccines -pertussis - febrile convulsions - caloric need in infants - Hib vaccine type " ask about it as it's not live attenuated".. Send_Oral_Questions: Send *** Fri Jun 9 14:12:50 2006 Submitting Host: 213.131.64.46 Case_and_Diagnostic_Tools: h\s megaly long vsd c.p Examiner_name: Group_number: Questions: hematuria cyanosis convulsions cl.pict of mumps prolonged fever causes measle Send_Oral_Questions: Send *** Sat Jun 10 02:09:02 2006 Submitting Host: 196.205.36.166 Case_and_Diagnostic_Tools: thalassemia 2 cases abdomen 3 cases rheumatic heart 2 cases vsd-hydrocephalus-cp-kwash-rickets Examiner_name: nabil abdelghany Group_number: 5 Questions: causes of neonatal cyanosis types of chromosomal abnormalities causes of hepatosplenomegaly causes of macrocephaly causes of bleeding per rectum types of jaundice Send_Oral_Questions: Send *** Sat Jun 10 08:42:45 2006 Submitting Host: 217.54.144.45 Case_and_Diagnostic_Tools: Don't worry about time,u'll have enough time to answer..diagnostic tools were 1.x-rays[rt.massive pleural effusion,intestinal obstruction,flask shaped heart&lung abscess] 2.CT[brain atrophy,cong.communicating hydrocephalus]...clinical cases in unit are[Rh.heart,thalassemia,nephrotic $,ITP]as long cases,while short cases are[VSD,fallot,down,rickets,cp,marasmus] Examiner_name: mona abo zekry unit Group_number: 2 Questions: My long case was Nephrosis,dr asked about criteria specific 4 minimal lesion,investigations&how to manage..don't forget that there're steroid dependent group who when steroid is stopped,relapse occurs.NEVER forget in clinical cases to mention that patient has delayed motor&mental development....1st short case was Down,she asked about fontanells,etiology,investigations and what to advise mother in her next pregnancy[to do karyotyping]to make sure that next one won't be the same.2nd case C.P[neurological examination,etiology,ttt&what tract in brain causes +ve babiniski sign[pyramidal tract].....in oral questions where short[compulsory vaccines,RDS,DD of maculopapular rash,nephrotic $,hemolytic crises,ttt of bilharziasis,vit A is given in Egypt in 9th month with measles,18th months with DPT,polio] ...Rabena m3ako we d3awatko Send_Oral_Questions: Send *** Sat Jun 10 09:51:11 2006 Submitting Host: 82.129.145.146 Case_and_Diagnostic_Tools: lobar pneumonia,pneumothorax,flask shape,imtestinal obstruction,brain atrophy,interventricular and intracerebral hematoma Examiner_name: eman so3ood Group_number: 1 Questions: weaning,compulsory vaccinations,fever rash relationship,chicken Pox Febrile convulsions,hypothyoidism and Gastroenteritis Send_Oral_Questions: Send *** Sat Jun 10 14:24:15 2006 Submitting Host: 62.135.36.140 Case_and_Diagnostic_Tools: cases-> marasmus and cp\down(short) (long) rheumatic D.Tools: massive pleural effusion, intestinal obstruction,flask ht,brain atrophy,comm hydroceph, resp acidosis, chronic hemolytic an. Examiner_name: dr.Baheya mostafa Group_number: 2 Questions: causes of anemia and the commonest in egypt (iron def) aetiology of neon jaundice-abo incompatability-compulsory and non comp vaccines- clinical pic of G6PD and other causes of acute anemia- complications of rheumat heart- coplicatons of scarlet fever.. what is the cause of clinodactyly in down,.... time is very good in D.tools.. but a little bit short in the IMCI.. GOOD LUCK :) Send_Oral_Questions: Send *** Sat Jun 10 16:28:48 2006 Submitting Host: 196.218.71.132 Case_and_Diagnostic_Tools: Very Easy Examiner_name: Group_number: Questions: * Causes & management of neonatal cholestasis * How to differentiate between extra & intra hepatic atresia * Treatment of acute asthma ( in details ) * Treatment of a case of rickets * Indications of incubator care * Infant of diabetic mother * Type of inheritence in G6PD defeciency Send_Oral_Questions: Send *** Sat Jun 10 17:18:09 2006 Submitting Host: 213.131.64.44 Case_and_Diagnostic_Tools: clinical cases:long thalassemia,short hydrocephalus,vsd Diagnostic tools:ct:basal ganglia calcification,choroid plexus papilloma, xray:rt collapse,lt congenital diaphragmatic hernia,egg on side,active rickets CBC:BACTERIAL INFECTION blood gas:mixed acidosis Examiner_name: Nabil Abd Elghani Group_number: 4 Questions: 1-SYMPTOMS OF URINARY TRACT INFECTION ACCORDING TO AGE AND INVESTIGATION FOR IT 2-VACCINES IN 1ST 2 YEARS 3- COMPLICATION OF MUMPS 4-CONTRAINDICATION OF DPT VACCINE(not given in case history of convulsions,why? it cause encephalitis,what cause it?killed pertussis),SO WHAT TO DO THEN?GIVE ONLY DT vaccine . 5-SCARLET FEVER,COMLICATIONS,DURATION OF THERAPY 6- STREPTOCCOCAL INFECTIONS... 7-PATHOLOGICAL TYPES OF PNEUMONIA,BRONCHOLITIS. 8-WHAT IS CHRONIC DIARRHEA...(PERSIST MORE THAN MONTH) WHAT CAUSE CHRONIC DIAHARREA(MALABSORPTION DISEASE AS CELIAC DISEASE,CHRONIC INFESTATION AS AMEBA,DYSNTERY..... 9-COMPLICATION OF SYSTEMIC HYPERTENTION?!! HEART FAILURE+ACUTE RENAL FAILURE+INTRACRANIAL HEAMORRAGE. 10-CAUSES OF NEONATAL CONVULSIONS 11-CAUSES OF HYPOGLYCEMIA good luck 4 u and GOD bless u all. Send_Oral_Questions: Send *** Sun Jun 11 13:52:32 2006 Submitting Host: 62.193.109.91 Case_and_Diagnostic_Tools: Examiner_name: NADIA BADRAWY Group_number: 3 Questions: diagnostic congenital diaphrgmatic hernia , lung collapse, egg shaped, active rickets , basal ganglia calcification and choroid plexus papiloma bacterial infection and mixed cases thalassemia , CP and Rickets oral complications of GE and scarlet fever causes of edema criteria of RF NADIA BADRAWY GROUP 3 Send_Oral_Questions: Send *** Sun Jun 11 13:52:30 2006 Submitting Host: 62.135.34.98 Case_and_Diagnostic_Tools: thalassimia+dawn+VSD x_ray:upper loper lung collapse+diaphragmatic hernia+active ricket+1 heart slide Examiner_name: ا.د/ ايمان سعود Group_number: (1) Questions: autosomal dominant(character+examples) obligatory vaccination in egypt complication of acyanotic heart complication of nephrotic syndrome pathogeneses of persistant diarria Send_Oral_Questions: Send *** Sun Jun 11 16:14:46 2006 Submitting Host: 196.218.90.229 Case_and_Diagnostic_Tools: cp-rickets (short) nephrotic (long) x-rays (active rickets-flask shape cardiomegaly-hydropneumothorax- pneumothorax & compression collapse Examiner_name: nadia badrawy Group_number: 3 Questions: first oral: diagnosis of rheumatic fever + dd of generalized edema 2nd oral: complication of gastroenteritis+ causes of neonatal convulsions+ complications of congenetal heart Send_Oral_Questions: Send *** Fri Jun 16 13:36:07 2006 Submitting Host: 196.221.5.180 Case_and_Diagnostic_Tools: diagnostic tools TGA , right upper lope collapse,diaphragmatic hernia, active ricketes mixed acidosis , bacterial infiction&anemia long cases rhumatic,thalasemi short cases ricketes , cp only Q within subjict Examiner_name: صلاح الدين Group_number: 3 Questions: oral 1 indication of renal biobsy thorombocytopenia neonatal convulsions recurrent whezzez oral 2 lenghth of childern at birth & wight most common cause of anemia & its ttt Send_Oral_Questions: Send ***