1. A4 years old child presented to the hospital with bilateral pitting edema, Weight for height lt -3Z score, and no clinical sign of anemia Finally you diagnose severe acute malnutrition . What will be the next management? B. Treat as an outpatient treatment program and give Iron , amoxicillin and F-75 C. Admit to inpatient and give Vitamin A Iron, amoxicillin and F-75 D. Admit to inpatient give amoxicillin and F-75 E. Admit to inpatient and give Vitamin A , amoxicillin and F-100 2. Bekele is a 3 years old male child from rural area who came to the Pediatric ER with a complaint of cough and SOB more prominent at night of 2 days duration. He was treated for a similar complaint and improved after treatment with salbutamole puff. His father is an asthmatic and Bekele has history of egg allergy. P/E - diffuse wheeze all over the lung fields. What is the most likely Diagnosis of the case? A. Bronchial asthma B. Pneumonia C. Tonsilitis D. pharyngitis 3. Baby of Almaz is 13 weeks of li fe. This baby has an appointment at 14 weeks . He has been taking vaccination according to a routine schedule of immunization . What vaccines should be given to him? A. Measles 1 and Vitamin A B. Penta -1 , PCV-1, Rota -1 and OPV -1 C. Penta -2 PCV-2 Rota -2 and OPV -2 D. Penta -3 PCV-3 , IPV and OPV - 3 4. Which childhood vaccine provides some protection against bacterial meningitis & bacterial pneumonia? A. Hib vaccine B. Hepatitis B vaccine C. Varicella vaccine D . Influenza vaccine 5. A 4-year-old child complains of ear pain for 3 days duration . He has a temperature of 38.9^circ C and has had a cold for several days but he has been eating well and his activity has been essentially normal. Or examination with otoscopy, the ear drum was red, inflamed , bulging and opaque . What is the most likely diagnosis? A. Acute otitis media C. Chronic otitis media B. Mastoditis D. Diphtheria 6. One of the following is Not Major Modified Framingham clinical criteria for diagnosis of heart failure. A. Crepitations C. Acute pulmonary edema B. Hepatomegaly D. S3 gallop 7. Encephalopathy , convulsion, permanent brain damage is most likely the side effects of: A.BCG B. DPT C. Measles D.OPV 8. The most common cause of bacterial sore throat is: A. Group B streptococci C. Staph. aureus B. Group A streptococci D. Moraxella catarrhalis

Question

1. A4 years old child presented to the hospital with bilateral pitting edema, Weight for height lt -3Z score, and no clinical sign of anemia Finally you diagnose severe acute malnutrition . What will be the next management? B. Treat as an outpatient treatment program and give Iron , amoxicillin and F-75 C. Admit to inpatient and give Vitamin A Iron, amoxicillin and F-75 D. Admit to inpatient give amoxicillin and F-75 E. Admit to inpatient and give Vitamin A , amoxicillin and F-100 2. Bekele is a 3 years old male child from rural area who came to the Pediatric ER with a complaint of cough and SOB more prominent at night of 2 days duration. He was treated for a similar complaint and improved after treatment with salbutamole puff. His father is an asthmatic and Bekele has history of egg allergy. P/E - diffuse wheeze all over the lung fields. What is the most likely Diagnosis of the case? A. Bronchial asthma B. Pneumonia C. Tonsilitis D. pharyngitis 3. Baby of Almaz is 13 weeks of li fe. This baby has an appointment at 14 weeks . He has been taking vaccination according to a routine schedule of immunization . What vaccines should be given to him? A. Measles 1 and Vitamin A B. Penta -1 , PCV-1, Rota -1 and OPV -1 C. Penta -2 PCV-2 Rota -2 and OPV -2 D. Penta -3 PCV-3 , IPV and OPV - 3 4. Which childhood vaccine provides some protection against bacterial meningitis & bacterial pneumonia? A. Hib vaccine B. Hepatitis B vaccine C. Varicella vaccine D . Influenza vaccine 5. A 4-year-old child complains of ear pain for 3 days duration . He has a temperature of 38.9^circ C and has had a cold for several days but he has been eating well and his activity has been essentially normal. Or examination with otoscopy, the ear drum was red, inflamed , bulging and opaque . What is the most likely diagnosis? A. Acute otitis media C. Chronic otitis media B. Mastoditis D. Diphtheria 6. One of the following is Not Major Modified Framingham clinical criteria for diagnosis of heart failure. A. Crepitations C. Acute pulmonary edema B. Hepatomegaly D. S3 gallop 7. Encephalopathy , convulsion, permanent brain damage is most likely the side effects of: A.BCG B. DPT C. Measles D.OPV 8. The most common cause of bacterial sore throat is: A. Group B streptococci C. Staph. aureus B. Group A streptococci D. Moraxella catarrhalis

Answer 1

1. **Answer: C. Admit to inpatient and give Vitamin A, Iron, amoxicillin, and F-75** - Severe acute malnutrition with bilateral pitting edema and weight for height < -3 Z score requires inpatient management. Treatment includes Vitamin A, Iron, amoxicillin, and F-75.2. **Answer: A. Bronchial asthma** - Bekele's symptoms of cough, shortness of breath, diffuse wheezing, and family history of asthma are consistent with bronchial asthma.3. **Answer: B. Penta-1, PCV-1, Rota-1, and OPV-1** - At 13 weeks, the baby should receive Penta-1, PCV-1, Rota-1, and OPV-1 according to the routine immunization schedule.4. **Answer: A. Hib vaccine** - The Hib vaccine provides protection against bacterial meningitis and bacterial pneumonia.5. **Answer: A. Acute otitis media** - The child's symptoms of ear pain, fever, and otoscopic findings of a red, inflamed, bulging, and opaque eardrum are consistent with acute otitis media.6. **Answer: C. Acute pulmonary edema** - Acute pulmonary edema is not a major modified Framingham clinical criterion for the diagnosis of heart failure.7. **Answer: D. OPV** - Encephalopathy, convulsion, and permanent brain damage are potential side effects of the oral polioOPV).8. **Answer: B. Group A streptococci** - Group A streptococci are the most common cause of bacterial sore throat.

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