1. Tetralogy of FallotA. Presence of VSD murmur FB. Anaemia causes hypercynotic spell TC. associated with cerebral abcess TD. Chest X-ray – Lung plethora F

2. Common associationA. Downs Syndrome - AVSD TB. Turner Syndrome - TOF FC. Coartation of aorta – radio-femoral delay TD. Supracventricular thrill– Wolf Parkinson White Syndrome TE. Tricuspid atresia – parasternal heave F

3. Causes of hypoglycemiaA. Reye Syndrome TB. Galactosemia TC. DKA FD. Diabetic Insipidus FE. Paracetamol poisoning T

4. AsthmaA. LRTI is a triggering factor TB. 3 precipitating factors : mucosal edema, mucosal hypersecretion, Skeletal muscle contraction

F

C. decrease functional residual volume FD. Chest X-ray - atelectasis TE. Positive family history of allergic rhinitis T

5. Complication of meningitisA. Hearing loss TB. subdural effusion TC. SIADH TD. Focal epilepsy TE. hydrocephalus T

6. TrichuriasisA. Adult infected by skin penetration FB. Causes bloody diarrhea TC. Causes megaloblastic anaemia FD. Cx – prolapse rectum TE. Finally residue in human is rectum

7. HypothyrodismA. constipation TB. high pitch cry FC. prolonged jaundice with pale stool FD. hypothermia TE. umbilical hernia T

8. Major Jones criteriaA. Carditis TB. Polyathralgia FC. Subcutaneous nodule TD. Erythema nodusa F

11. Padanan yang sesuai, A. CMV infection – Intracranial calcification T B. Varicella zoster – Cerebellar ataxia T C. Thyphoid fever – Intestinal ( ileum ) perforation T D. Cholera - Bloody stool F E. Plasmodium vivax – Black water fever F

12. Vaccines

A. BCG-live vaccine T B. Pertussis – Toxoid T C. Measles – Killed vaccine F D. Hib – live F E. Rubella – Killed F

13. Causes of polyuria and polydypsia

A. Hypokalaemia T B. Hypercalcaemia T C. UTI F D. Chronic renal failure T E. Nephrogenic diabetes insipidus T

14. Nephrotic syndrome in children A. Commonest cause is focal segment glomerulosclerosis F B. Onset < 1 year – poor prognosis T C. Renal vein thrombosis is a complication T D. Hep B and Mycoplasma infection are known causes T E. Most frequent between 1-5 years old T

15. Electrolytes and water hemostasis in New Born

A. NB – water is 75 % of body weight T B. Normal osmolality of NB = 350 mili osm/L F C. In metabolic acidosis, potassium highly positive T D. Loss of body heat in first week of life is 10 % T E. Loss of water d/t immature kidney. T

16. Regarding thalassemia major

A. Can cause hydrops fetalis T B. More prominent symptoms after 2 years old F C. Hypochromic microcytic T D. Cause angular stomatitis F E. Serum feritin is low F

17. Differential dx in 4 years old child with fever and maculopapular rash

A. Dengue fever T B. Kawasaki disease T C. Chicken pox F D. Rheumatic fever F E. Drug reaction T

18. Regarding febrile fit

A. High risk of developing mental retardation F B. A cause for status epilepticus T C. Common age between 6 month to 6 years T D. Complex febrile fit a/w focal seizure T E. EEG is needed for dx F

19. Causes of wheezing in children A. acute brochiolitis T B. FB aspiration T C. acute laryngotracheobronchitis F D. vascular ring T E. subglottic stenosis F

20. Jaundice A. severe jaundice can cause hearing impairment T B. 1st baby of mother with Rh –ve have HDN T C. exchange transfusion is done through UACatheter F/T D. breast milk jaundice is due to inadequate breast feeding F E. high risk in preterm baby T