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9. If the child makes immunity after exposure to measles, the type of immunity is: A. Naturally acquired active immunity B. Artificial acquired active immunity C. Naturally acquired Passive immunity D. Artificial acquired Passive immunity 10. A 6 months child is presented to your setup with the complaint of cough with fast breathing and fever developing over days and getting worse On physical examination you found RR=60bpm, PR=120bpm Temp=38^circ c . So what is the most likely diagnosis of the child? A. Pneumonia B. Diphtheria C. Cholera D. Asthma 11. In the SGH Obstetrics ward delivery room mother was born term 3000g male neonate with SVD and the midwife gave immediate newborn care and followed for short periods unfortunately , the neonate still does not cry or initiate normal breathing.On Physical examination . his APGAR score in the first 5th minute is 3. There is no Crying . Pulse Rate , Central blush skin color and the Muscle tone is floppy.Based On the above information which following is/are statement correct? A. Provide 60 breaths per minute immediately. B. Provide fluid-clearing Care before cord care C. Provide care to breathe at any place D. Re -assessing and physical adjustment are essential 12. The term neonate was admitted to Sabian General Hospital at the NICU ward with a developec yellow skin color after 12 hours of birth . On physical examination , neonatology observed.yellowish discoloration on skin. mucosal and palm sole,seizure signs and weak suck of his gloved fingers. After sending a laboratory sample, the result revealed that the peak total serum bilirubin was 13mg/dl and the level of conjugated bilirubin level is gt 5mg/dl per 24hrs Based on the above information . Based on the above information . correct about the above cases? A. It is categorized under physiologic : jaundice B. It is categorized under pathologic jaundice C. The neonate developed kernicterus syndrome D. Treatment action changes from Conjugated to Unconjugated form 13. A 34-week gestational age Neonate was born at Sabian General Hospital labor ward and the neonate had Gastrointestinal , Umbilical, and Intracranial bleeding within 124 hours. What do you think about this neonate the best management? A. Vit K 1mg and 10-20ml/kg blood transfusion B. Vit K 0.5 mg and 20-30ml/kg blood transfusion C. 10-20ml/kg Blood transfusion and Vit K 0.5mg IM D. 20-30ml/kg Blood transfusion and Vit K 1mg IM 14. A mother had a successful home delivery history for her first baby and did not have any ANC follow-up. But for the second pregnancy, she had a peaked ultrasound in the third trimester and the result showed that the fetus had developed Fetal Hydrops Based on the above data which of the following is the most likely risk factor? A . Chromosomal abnormalities B. Intrauterine infections C. Rh factor isoimmunization D. Congenital hematological disorders

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

Choice the correct answer from the given alternatives. 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 C. Tonsilitis D. pharyngitis 3. Baby of Almaz is 13 weeks of life 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. Per ita -2,PCV-2, Rota -2 and OPV -2 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. On 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

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48. A 48-year-old diabetic patient diagnosed as first degree uterine prolapsed, was admitted for an elective surgery. She has complaints of urinary frequency , urgency and incontinence . Physical examinatior result shows that she has skin rash at the area of perineum and upper part of her thigh. What is the priority intervention for the woman? A. Catheterization B. Kegel exercises C. Restriction of fluid intake D. Use skin protection product 49. You see a 20-year-old G1PO with a diagnosis of genital herpes in pregnancy . What is the gestational age at which a primary infection occurs that the risk of transmission to the baby is greatest? A. First trimester (8-13) weeks) B. Second trimester (14 -22 weeks) C.Third trimester (29-34 weeks) D.Third trimester (34-40 weeks) 50. You admit a woman at 40 weeks of gestation in labour with confirmed genital herpes. This is thought to be a primary infection . She is offered an emergency CS that she refuses. How will you manage this patient? A. Administer herpes immunoglobulin to the mother and baby after birth B. Administer herpes immunoglobulin to the baby after birth C. Allow vaginal delivery and offer baby prophylactic aciclovir D. Commence her on intravenous aciclovir and also offer the neonate intravenous aciclovir 51. An elective caesarean section is being performed on a 30-year-old Rhesus D negative pregnant woman at 37 weeks of gestation for placenta praevia (major). Arrangements were made and she is receiving intraoperative cell salvage (ICS) transfusion. What would be the plan with regard to Rhesus D prophylaxis in this woman assuming the baby's blood group is unknown? A. Administer 500 IU anti-D Ig and then take a sample of maternal blood 30-45 min after (ICC) infusion