28/10/2025
Medical licesing Exam Pearsonvue
Exam .Resident Specialist Paediatrics
OSMB Oman ,DOH UAE ,SMLE,DHA,KMLE
MOH,DHP Plab.AMC.EPR
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1.Rocker bottom foot, prominent occipital, waiting for genetic testing, what’s the possible syndrome?
A. Edward Syndrome✅
Child with celiac disease not responding to gluten free diet , you suspect non compliance of the patient how will you confirm your suspicion?
A- Food diary
B- Biopsy
C- Tissue transglutaminase antibody ✅
D- Anti-endomysial antibody
This Q came in my last exam in pediatrics section.
4 YO A boy temperature was 39.5. Erythema on his hands and feet. And a desquamating rash at the tips of his fingers, his head and neck exam demonstrated erythema around the mouth, cracked lips, conjunctivas and enlarged cervical nodes on the left side only. Which life threatening complication is associated with this disease?
a. coronary artery aneurysm✅
b. Raynaud’s phenomenon
c. necrotizing granulomas
b. blindness.
Neonate delivered at 31 weeks and has labored breathing after birth.suspected of having neonatal respiratory distress syndrome, which of the following characteristics of the neonate’s lungs?
a. increased alveolar tension✅.
b. increased lung compliance
c. deficiency of a lung substance produced by type 1 pneumocytes.
d. bacterial infiltrates in the lung.
- Surfactant ( produced by type 2) >reduce alveolar surface tension which leads to increased lung compliance🌟.
- NRDS > deficieny of surfactant > increased alveolar tension + decreased lung compliance🌟.
7_ 9yo girl with bilateral ankle pain, a headache and a fever, gross hematuria, rash on both legs. according to the child’s mother, she had diarrhea about two weeks ago and recovered without any treatment. Urinalysis shows red blood cell casts and 2.5g/24hrs protein. What is responsible for symptoms?
a. vacuities from IgA immune complex accumulation✅
b. necrotizing granulomatous vacuities
c. necrotizing vacuities only
d. accumulation of white blood cells, macrophage and fibrin in the bowman’s capsule
-Clear case of HSP.
16YO withcamping presents after 7 days of Flatulence and greasy foul-smelling diarrhea, when asked about his camping activities, he reports that his friend collected water from a stream but did not boil or chemically treat the water before they drank it, reports nausea, weight loss and abdominal cramps followed by sudden diarrhea, what is the most appropriate treatment?
a. Metronidazole✅
b. Erythromycin
c. cephalexin
d. vancomycin
-Giardiasis.
5y boy with pain, swelling and tenderness with passive motion of the left knee, lab findings include neutrophilic leukocytosis and elevated ESR. Synovial fluid obtained after a joint aspiration is opaque and yellowish and has a WBC count >100.000/, gram statins reveals gram positive cocci in clusters, which of the following is most likely to be found in the synovial fluid culture?
a. staphylococcal aureus✅
b. Neisseria gonorrhea
c. streptococcus group B
an infant born via vaginal birth has an abdominal appearance of the right arm, which hangs limply by his side and is rotated medially the forearm is extended and pronated and the infant is unable to raise it. Which of the following muscles is still functional in this patient?
a- triceps✅
b- supraspinatus
c- biceps
d- deltoid
-Erb palsy.
Case of clear turner (no doubt), hight in the 5th percentile and wight in the 90th
- constitutional stature
- endocrine stature
- syndromic short stature ✅
8 years old boy. Mother complained of poor training to bathroom which muscles is targeted in therapy?
A- Perianal
B- Pelvic floor
C- Re**us muscle
D- Detrusor ✅ 💯
8 yrs old failure to thrive in divorce parent , lives w mother and she’s on antidepressants medication what to do?
A. Reassurance
B. Increase caloric intake ✅
Other option was not related
⭐️Nutritional management is the cornerstone of treatment. Children with FTT who are anorexic and picky eaters may have difficulty consuming the amount of calories and protein needed for catch-up growth, and require calorie dense foods. For formula-fed infants, the concentration of formula can be adjusted appropriately. For toddlers, dietary changes should include increasing the caloric density of favorite foods. High-calorie oral supplements (30 cal/oz) are often well tolerated by toddlers.
Child with headache, bloody diarrhea, generalized edema, gastroenteritis (something) Labs:
Blood - low platelet - high cr Urine - ketone +ve - protein +ve - blood +ve ( case of HUS)
What test to do reach diagnosis?
1-urine
2-blood
3-LP
4-Stool culture ✅
⭐️HUS.
Child c/o fever, bloody stool and tenesmus, abdominal examination showed abdominal distention, Dx?
A. Ascaris
B. Amebiasis ✅
C. Giardiasis
D. Rotavirus
Pediatric case h/F sore throat & fever then 3 days he develops body rash on the thighs and buttocks. Lab finding suggest renal insult with anemia and normal Plat count) plus ll edema +black tea urine.
A. -post streptococcal GN
B -HUS
C -HSP (Henoch-Schonlein Purpura)✅
Patient diagnosed with thalassemia major and you decide to start regular blood transfusion. Which of the
following is the most important vaccine?
A. Hepatitis A,
B. Hepatitis B ✅
C. DTP,
D. MMR,
E. Influenza
333. Which of the following nutrients fail to get absorbed in a patient with cystic fibrosis?
A. Vitamins A, D, E, and B complex
B. Vitamins A, B, E, and K
C. Vitamins B1, B2, B12
D. Vitamins A, D, E, and C
E. Vitamins A, D, E, and K✅
A mother comes with her 9-month old baby girl. She took all vaccines and now comes for the planned vaccinations of 9 months:
A measles, mumps, rubella
B measles, meningococcal conjugate ✅
C Hib, dtap
D last option is wrong
New
Pregnant female has PPROM at 31 weeks of gestation and got conservative treatment, now she comes at 35 weeks of gestation with labor. What is the most common neonatal complication for her condition?
A- Neonatal sepsis
B- Skeletal deformity
C- Respiratory distress syndrome✅
- Mostly RDS as a common complication of prematurity.
- There are no hints for chorioamnionitis except PPROM which was treated.
- This is incomplete question, I hope the full recall can lead you to the correct answer.
- Need double check⭐️
Pregnant lady with active hepatitis b ,
What will you give tha baby after birth ?
A- hepatitis b vaccine
B- hepatitis b vaccine and IG ✅
C- IG
Paediatrics by Mahdi:
Child came with dark urine , fever ,, history of
constipation , Urine showed High WBC , high RBC and
protein
Most likely cause ?
A-UTI ✅
B-Acute post infectious GN
C-HSP
D-Nephrotic syndrome
A 6 year old girl presents with reddish urine. Her parents state that she had constipation for 2 weeks and now has incontinence (Not specified if urine or stool). Examination reveals abdominal tenderness with no organomegaly.
Vitals:
BP 115/76
HR 76
RR 27
T 38.9 C
Labs:
WBC 9.5 WNL
Hgb 79 Low
Urine:
Leukocytes 20-25 High
RBC 30-35 High
Protein + High
Blood +++ High
What is the most likely diagnosis?
A- UTI ✅
B- HSP
C- Autoimmune hemolytic anemia
D- PSGN
A Child patient presented with respiratory symptoms, with previous history of 5-6 respiratory infections, 3-4 gastroenteritis with giardiasis, also there was greasy foul smelling stool, PE normal except for small tonsils, what is the most likely diagnosis?
A- X-linked agammaglobulinemia. ✅
B- Severe combined immunodeficiency (SCID).
C- IgA deficiency.
Baby with kernicterus and has neurological sequelae. what you will expect on his physical examination?
A- Spasticity
B- Ataxic
C- Hypotonia
4- Dyskinetic✅
6 years old boy with p***c hair , bone age 6 years , testicular size 2 cm , Serum DEAS slightly high
Most likely cause ?
A-Brain tumor
B-Premature benign pubarche ✅
C-Congenital adrenal hyperplasia
D-Testicular tumor
child 6 months old who is eager to drink, alert oriented depressed fontanelle,
sunken eyes normal vitals
Percentage of dehydration?
A- oxygen
M> monitoring
E > easing nasal congestion and pain.
-CPAP or intubation and mechanical ventilation > if deterioration with exhaustion or persistent apnea.
Pediatric patient presented after 1 week of UTI and URTI. Now has dark urine, puffiness, edema. What is the initial investigation?
A. Urinalysis✅
B. Renal ultrasound
C. Urine culture and sensitivity.
