Ebstein anomaly:

Is a common cause of cyanosis in the newborn period True False

Is associated with maternal warfarin therapy True False

May present in the newborn period with gross cardiomegaly True False

If severe will need palliative heart surgery in the first few weeks of life True False

May be associated with Wolff Parkinson White syndrome True

An 15-year-old student presents to his GP with a 1-day history of rash, which has
followed a 3-day history of cold-like symptoms and conjunctivitis. The rash began as a
maculopapular eruption in the postauricular region, but has rapidly spread to his face and
upper body. On examination white papules are visible inside his mouth. What di agnosis
fits best with this clinical picture?

Scarlet fever
German measles
Measles
Enterovirus infection
Adenovirus infection

A 12-year-old girl is admitted to the hospital with a history of an epileptic fit. The admitting
doctor has documented hypopigmented macules on her abdomen and acne-like eruption on her
face. Examination of her fingers shows small periungal fibrous papules. She is also known to
have learning disabilities.

What is the most likely diagnosis?

Tuberous sclerosis (Bournevilles disease)

Neurofibromatosis
Refsums disease
 Oslers disease

Blooms syndrome

A child recently returned from India, presents with a 10-day history of a fever, cough,
constipation and headache. His blood culture grows a Gram-negative rod.

What is the most likely diagnosis?

Typhoid
Malaria
Infectious mononucleosis
Streptococcus pneumoniae infection
Mumps
Which of the following endocrine abnormalities are associated with anorexia nervosa?

Raised cortisol True False

Low T3 True False

Increased GH level True False

Low FSH level True False

High testosterone True False

16-year-old is bought into A&E by friends after she had taken an overdose of an unknown
quantity of a non-steroidal anti-inflammatory drug, thought to be mefenamic acid.

Which of the following statements is true concerning NSAID overdoses?

Gastrointestinal symptoms are due to the stimulation of cyclo-oxygenase

Mefenamic acid is the NSAID most likely to cause convulsions
 Alkalosis can occur following large ingestions of NSAIDs
Convulsions occurs in 50% of patients following NSAID overdose
Survivors of acetaminophen-induced hepatotoxicity always experience residual liver
damage

Which of the following may be useful in the diagnosis of a swollen joint in a child but no
other features suggestive of mixed connective tissue disorders?

Factor IX assay True False

Serum C3 level True False

C reactive protein True False

Anti-double stranded DNA antibody level True False

Isotope bone scan True False

Which of the following are indications for influenza vaccination in children?

Spastic diplegia True False

AIDS True False

Acute lymphoblastic leukaemia True False

Splenectomy True False

Bronchiectasis True False

Intracellular organelles containing self-replicating DNA include which of the following?

Lysosomes True False

Golgi apparatus True False

Mitochondria True False

Rough endoplasmic reticulum True False

Nucleolus True False

Fluorescence in situ hybridisation (FISH) is routinely used in the diagnosis of all

EXCEPT:

In diagnosis of micro-deletion syndromes

For mapping genes of interest
In prenatal diagnosis
In routine chromosome analysis
In bone marrow study of various malignancies
Pertussis vaccination is absolutely contraindicated in which of the following?

A child who has had a previous febrile convulsion True False

A child where both parents have epilepsy True False

A child where one parent is mentally handicapped True False

A child where convulsion has occurred with past vaccinations True False

A child who was born extremely prematurely True False

Which of the following is/are true regarding haemolytic uraemic syndrome?

Microthrombi occur in the coronary arteries True False

Endothelium is abnormal True False

In sporadic form, verotoxin producing E coli has been implicated True False

C3 levels are low True False

The familial form has the best prognosis True False

The following are true about Situs abnormalities:

Situs inversus is usually associated with a structurally normal heart True False

Right atrial isomerism is part of the Ivemark syndrome with polysplenia, True False
malrotation and complex heart disease

The pulmonary veins sometimes connect abnormally in right atrial True False
isomerism

In left atrial isomerism the lungs have normal lobar arrangement True False

In the scimitar syndrome, the heart is usually right sided, but has situs True
solitus, with abnormal pulmonary venous drainage to the IVC