** MIDTERM EXAM ANSWER **

1- infant reach object and transfer it from one hand to other 6-8 mo. 2- case of 2y , HC=40 cm Down syndrome . 3- indirect hyperbilirubinemia in case of ABO incompatibility . 4- which statement is correct about hyper natremic dehydration Na > 150 5- case of nephritic syndrome . 6- black child present with hand and foot swelling SCA 7- 2y boy , he can walk and carry toys in his hand while walk , scribble , he can only say Dad speech delay need to assist the hearing . 8- regarding live attenuating vaccine CI in immune compromised pt. 9- 7y boy has hematuria ( red urine ) , Hx of sore throat (URTI) 2w ago post streptococcal glomerulonephritis. 10- purpra due to thrombocytopenia ITP ( immune thrombocytopenic purpra). 11- HC in 1st year by 12 cm . 12- age of teathing 6-8 m 13- fluid maintenance in 30 kg 1700 ml/day . 14- metabolic match : Ca rickets . 15- HF hepatomegaly . 16- case of convulsion in pt. has otitis media , he will has a good prognosis if convulsion last < 15 min.

17- regular BT in sickler pt. indicated in case of stroke . 18- most common cause of diarrhea (GE) Rota virus . 19- pathology in prematurity periventricular leukomalacia (PVL). 20- most common cause of pneumonia strepto. Pneumonia 21- cause of cyanotic congenital heart disease pulmonary atresia 22- early sign of Rickets in infant craniotabes . 23- colstrum ( in compare with mature milk ) is rich in protein . 24- 6% dehaydration in 20 kg child calaulate the defecit 1200 ml . 25- DKA pt. has kussmal breathing severe partially compensated metabolic acidosis . 26- BCG vaccine intradermal 27- primitive reflex present in full term neonate assymtrical tonic neck reflex. 28- pencil grasp appear at 9 month . 29- In Down syndrome translocation and non disjunction . 30- 3 month , wheezing RSV . 31- stridor, drooling of saliva , fever epiglotitis . 32- cause of peripheral hypotonia is GBS ( Gulian Buirre syndrome ) . 33- Microcytic anemia in 18 month baby drink large amount of un modified cow's milk .

34- TB could be asymptomatic in younger child . 35- large amount diarrhea and respiratory symptom chloride sweat test. 36- sign of child abuse symmetry buttock scald . 37- Bronchial asthma precipitated by URTI . 38- awake alert child , sunken eye's , depressed fontanels , have Hx of vomiting ( case of dehydration ) the % of dehydration is 5-9% 39- infant have blood in stool (case of bleeding ) due to vitamin K . 40- sign of meningitis in infant is lethargy .

* GOOD LUCK *