81 - Earliest manifestation of tuberous sclerosis ?
a- ashleaf macules
b- shagreen patches
c- periungual fibroma
d- adenoma sebaceum
82 - Enzyme deficient in fabry disease ?
a- alpha galactosidase A
b- alpha fructosidase
c- beta galactosidase
d- aryl sulfatase
83 - Infant with down's syndrome will have all except ?
a- VSD
b- duodenal atresia
c- leukemia
d- normal intelligence
e- delayed skeletal maturation
84 - which of the following are normal findings in a neonate ?
a- erythema toxicum
b- erythema nodosum
c- ebstein' s pearl
d- bilateral cryptorchidism
e- subconjunctival hemorrhages
85 - SSPE is associated with ?
a- variola
b- mumps
c- measles
d- rubella
e- varicella
86 - Hair on end is clinically seen on x ray skull in ?
a- thalassemia
b- hydrocephalus
c- chronic malaria
d- sickcle cell anemia
87 - The following syndromes are associated with AML except
a- down's syndrome
b- klinefelter's syndrome
c- patau syndrome
d- turner syndrome
88 - A child with microcytotic hypochromic anemia - not responding to oral iron therapy ? the disease that can be excluded ?
a- thalasemia
b- hydrocephalus.
c- hemophilia
d- renal falire
89 - Bag mask ventilation is contraindicated in ?
a- cleft lip
b- meconium aspiration
c- diaphragmatic hernia
d- multicentric bronchogenic cyst
90 - Most common causative organism responsible for lobar pneumonia ?
a- staphylococcus aureus
b- streptococcus pyogenes
c- streptococcus pneumoniae
d- hemophilus influenza
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