Exam paper

Soalan Exam phase II on 5-6th april 2010
Essay: 1 ½ hour
1 Long Essay:
Explain regarding use of IVIG in this condition:
- Kawasaki disease (20marks)
- ITP (20marks)
- Neonatal sepsis (10marks)
4 Short notes:
1. Outline management of PDA in neonate baby (25marks)
2. Brain death: define and list the brainstem function test and findings in brain death (25marks)
3. Regarding Nocturnal Eneuresis
- Define primary and secondary nocturnal eneuresis (4 marks)
- Predisposing factors (5 marks)
- Use of DDVAP and nocturnal alarm (16marks)
4. Explain regarding screening test in population using hypothyroidism screening in newborn as an example (25marks)
2 Long MEQ (1 hour, 3 components each):
1. Acute Hepatic Encephalopathy/ Rye Syndrome
2. Bartter Syndrome
4 Short MEQ (1 hour, 2 component each):
1. Recurrent UTI secondary to patent umbilical urachus
2. Multisystemic Langerhan Cellls Histiocytosis
3. ?
4. ?
Data Interpretations (1 hour):
1. Wiskott Aldrich, x linked recessive
2. EEG: periodic burst suppression, differential: HIE, severe neonatal myoclonic epilepsy
3. ECG: sinus bradycardia (pt near drowning), outline management
4. Pedigree: x linked recessive, example
5. Late onset HDN, outline your management
6. PEFR variability
7. Development (4y.o) and features of autism
8. BUSE/ Urine and serum osmolality: Cerebral salt wasting
9. ABG: BPD with intercurrent chest infection
10.
Slide (30mins, 3min each slide):
1. X-ray: osteosarcoma features
2. Neonatal x-ray: right pneumothorax
3. CVL in x-ray: Lt diaphragm eventration
4. FBP: aueur rods i.e AML
5. Picture: bilateral ptosis i.e myasthenia gravis
6. Picture: left foot capillary hemangioma, give 2 complications
7. Picture: hypomelanosis of Ito
8. Picture: Allagile syndrome
9. ?
10. ?