1] A 12 year old boy has a recent H/O excessive sweating , palpitations & an increased appetite . O/E , he is found to have exophthalmous , hyperkinetic movements and 3+ palpable nodule of the thyroid gland . The most ideal way to treat this patient is :

1. Propylthiouracil 100-200mg daily

2. Total thyroidectomy

3. Radioactive iodine therapy

4. Subtotal thyroidectomy

Ans : A

2] Which of the following conditions is commonly encountered in female newborn & usually requires no treatment ?

1. Enlarged clitoris

2. Labial fusion

3. Mucoid vaginal discharge

4. Prolapsed urethra

Ans : C

3] A 10 month old infant developed a severe watery diarrhea 2 days after a routine visit to the pediatrician . Most likely diagnosis :

1. Rota virus infection

2. Entrotoxigenic E-Coli infection

3. Lactase deficiency

4. Ulcerative colitis

Ans: A

4] All the following maneuvers or treatments are suitable for control of cyanotic spells in a child with Fallot's tetrology except :

1. Squatting position

2. Isoprenaline administration

3. Morphine administration

4. Emergency palliative surgical procedure [subclavian pulmonary artery shunt] 

Ans : B

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