Study Partner 196👨🏻⚕️👩🏻⚕️
An 11 year old girl has a 4 month history of abnormal behavior in the form of repeated crying and abnormal movements. On the examination she has jerky involuntary, arrhythmic movements especially in the upper limbs. No history of previous drug intake. The…
What is the next best step?
Anonymous Quiz
25%
CT brain
25%
Detailed cardiac examination
25%
EMG
25%
Prescribe haloperidol
A 4 year old boy's parents complain that their child has difficulty walking. The child first walked at 13 months of age. On examination, the child is oriented and has enlargement of his calves has been noticed. Family history revealed that the elder son of his aunt has the same condition.
Study Partner 196👨🏻⚕️👩🏻⚕️
A 4 year old boy's parents complain that their child has difficulty walking. The child first walked at 13 months of age. On examination, the child is oriented and has enlargement of his calves has been noticed. Family history revealed that the elder son of…
Which is true regarding the prognosis of this case?
Anonymous Quiz
0%
Distal muscles is affected very early in the disease
0%
Heart failure never occur
100%
Most cases die in the 2nd decade
0%
The condition is intermittent
A 7 year old female presents to the emergency room with lower limbs weakness One week prior, she had a fever of 38.5 with vomiting and diarrhea that resolved within 3 days. Neurological examination revealed bilateral symmetrical weakness of the lower limbs.
Study Partner 196👨🏻⚕️👩🏻⚕️
A 7 year old female presents to the emergency room with lower limbs weakness One week prior, she had a fever of 38.5 with vomiting and diarrhea that resolved within 3 days. Neurological examination revealed bilateral symmetrical weakness of the lower limbs.
Which of the following is best line of treatment?
Anonymous Quiz
0%
Immediate physiotherapy
67%
IV gamma globulins
0%
Mechanical ventilation
33%
Plasmapharesis
A 6-year-old boy appears in a clinic with history of hyperactivity and poor school performance. He cannot watch television for a few minutes at a time.Physician also noted a reduced attention span and impulsive behavior.What is the most likely diagnosis?
Anonymous Quiz
100%
ADIID (attention deficit hyperactivity disorder)
0%
Drug ingestion
0%
Normal child
0%
Schizophrenia
A 3-year-old boy is brought to you, as his mother is concerned about his attention span. You note that he has very poor eye contact and poor verbal skills (having only a four-word vocabulary). His weight and height are appropriate for his age.
Study Partner 196👨🏻⚕️👩🏻⚕️
A 3-year-old boy is brought to you, as his mother is concerned about his attention span. You note that he has very poor eye contact and poor verbal skills (having only a four-word vocabulary). His weight and height are appropriate for his age.
Which one of the following is the most likely diagnosis?
Anonymous Quiz
0%
Attention deficit hyperactivity disorder
100%
Autism spectrum disorder
0%
Depression
0%
Temper tantrums
A newborn infant is noted to be profoundly hypotonic at birth; he has a good heart rate but is in respiratory distress. He has a tongue fasciculations. Which of the following investigations is recommended to reach a diagnosis?
Anonymous Quiz
0%
EMG
50%
Karyotyping
25%
MRI
25%
Muscle enzymes
Which is not a cause of obstructive hydrocephalus?
Anonymous Quiz
0%
Aquiductal stenosis.
0%
Dandy-Walker malformation
0%
Posterior fossa tumor
100%
Subarachnoid hemorrhage
In spastic cerebral palsy, which of the following is not commonly present?
Anonymous Quiz
0%
Exaggerated deep tendon reflexes is common
0%
Mental retardation
40%
Sensations are free
60%
True bulbar palsy.
Cerebral palsy is characterized by:
Anonymous Quiz
0%
Acquired in late childhood
0%
Inherited as autosomal recessive
100%
Non-curable
0%
Slow progression
Causes of mental retardation include
Anonymous Quiz
0%
Fragile X syndrome
0%
Galactosemia
0%
Tuberous sclerosis
100%
All of the above
Management of status epilepticus should include:
Anonymous Quiz
50%
Intramuscular diazepam immediately on arrival in hospital
50%
IV Phenytoin if appropriate initial therapy is ineffective.
0%
No need for oxygen at any time during therapy
0%
IV'diazepam is contraindicated because of respiratory centre depression
Find the statement which does not characterize bacterial meningitis:
Anonymous Quiz
0%
In newborns, the only feature may be bulging of anterior fontanel
50%
Neck rigidity is absent in infancy
0%
Neisseria meningitides is commonest cause in pediatric age groups
50%
Convulsions are common
An absence seizure is usually not characterized by?
Anonymous Quiz
0%
EEG findings are characteristic.
0%
Precipitated by hyperventilation.
0%
There is no aura
100%
Typically the child falls to the ground during an attack.
Which is not true about febrile convulsions?
Anonymous Quiz
0%
Occurs in children aged from six months to five years.
0%
Often involve other children in the family
0%
Simple febrile seizures are more common
100%
Usually occurs after drop of fever.
The following anticonvulsant treatment is not appropriate?
Anonymous Quiz
50%
ACTH for infantile spasm.
0%
Ethosuximide for absence seizures
50%
Phenytoin as first choice for absence seizures
0%
Sodium valproate for primary generalized tonic clonic seizures
Find the statement which characterizes bacterial meningitis in infancy.
Anonymous Quiz
0%
Convulsions never occur
0%
CSF protein may be normal
100%
Neck rigidity is absent
0%
Neisseria meningitides is commonest cause