Mock Exam 2

A 13-day old baby was noted to have circumoral cyanosis at home and was brought to your emergency room. Which of the following test will help differentiate if the cyanosis of this baby is due to a cardiac or pulmonary cause?

An infant was noted to have a soft murmur on 1st week of life and was diagnosed to have a VSD. The child was initially asymptomatic. Based on the normal neonatal transitional circulation, when do we expect this child to develop symptoms of heart failure? *

A 10 year old child was brought to the er because of chest pain and difficulty of breathing. He refuses to lie down despite repeated prodding. On examination, his blood pressure was inconsistent 70-100/60-65mmHg, the heart rate was 145beats per minute, respiratory rate of 35 cycles per minute. On auscultation, the heart sounds were muffled and there was no murmur appreciated. Based on the clinical findings, what is the likely condition?

A newborn infant was noted to be bradycardic at birth. EKG done noted to have atrial rate of 125 beats per minute, ventricular rate of 50 beats per minute. What maternal condition is commonly associated with this finding?

In patients with Rheumatic heart disease, which valve is the most commonly affected?

Inborn error of amino acid metabolism associated with sweaty feet urine odor?

The most reliable test for the diagnosis of males with X-linked adrenoleukodystrophy is:

Which is not true of Constitutional Growth Delay

Newborn screen is best done after the 24th hour of life because:

This condition is common in neonates between 12 and 72 hours of life especially in premature infants, in infants with asphyxia and in infants of diabetic mothers.

The paranasal sinuses in children:

An 18-month-old girl has a 2 day history of rhinorrhea, pharyngitis and low grade fever. During the night, she wakes with a barky cough, hoarseness and inspiratory stridor. Which of the following is the most likely etiologic agent? croup

A 2 year old boy is presented to the emergency room at 3AM with a chief complaint of fever and cough. His respiratory rate is 36/min, temperature at 39C and his pulse oximetry reading is 96%. On physical examination he has a barky cough and stridor only with crying. He is well hydrated, able to drink and consolable. What is the appropriate next step in patient management?

A 5month old male came to the emergency room due fast breathing. His illness started 2 days ago when he developed clear rhinorrhea, and low-grade fever until he started coughing then became tachypneic. His 4-year-old sibling had cold symptoms a week ago. On examination patient was irritable, RR 55/min, temperature of 38C and O2 saturation of 90% with wheezing and crackles on both lung fields. What is the mostly likely diagnosis?

Which of the following is the most appropriate next step in the management of the patient described in Question 14? *