RECALL SESSION of #FMGEJULY2023

discussion is going on in main group @FMGEgroupstudents

Correct Answer - A
Ans. is 'a' i.e., Coartaction of aorta

Disorders Associated with Turner Syndrome

Short stature
Congenital lymphedema
Horseshoe kidney
Patella dislocation
Increased carrying angle of elbow
Madelung deformity (chondrodysplasia of distal radial epiphysis)
Congenital hip dislocation
Scoliosis
Widespread nipples
Shield chest
Redundant nuchal skin (in utero cystic hygroma)
Low posterior hairline
Coarctation of aorta
Bicuspid aortic valve
Cardiac conduction abnormalities
Hypoplastic left heart syndrome
Gonadal dysgenesis (infertility, primary amenorrhea)
Gonadoblastoma (if Y chromosome material present)
Learning disabilities (nonverbal perceptual motor and visuospatiaskills) [in 70%]
Developmental delay (in 10%)
Social awkwardness
Hypothyroidism (acquired in 15-30%)
Type 2 diabetes mellitus (insulin resistance)
Strabismus
Cataract
Red-green colorblindness (as in males)
Recurrent otitis media
Sensorineural hearing loss
Inflammatory bowel disease
Celiac disease

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Correct Answer - A
Ans. is 'a' i.e., Chickenpox
In this question, infant had develop rash on first day offever &
distribution of rash is in favour of chickenpox, or varicella.
Mnemonic for Day of appearance of rash in a febrile patient is
Very Sick Person Must Take Double Tablets
Very - Varicella (day 1)
Sick - Scarlet fever (day 2)
Person - Pox-small pox (day 3)
Must - Measles (day 4)
Take - Typhus (day 5)
Double - Dengue (day 6)
Tablets - Typhoid (day 7)
Chicken pox (Varicella ):
Caused by virus
Child develop fever with rash
Rash are macular, maculo-papular, vesicular (pleomorphic)Distribution is usually centripetal
Complication include - more seen in immunocompromised child.
a. Mild thrombocytopenia
b. Hematurea
c. GI Bledding
d. Encephalitis
e. Pneumonia


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Correct Answer - B
Answer- B. Immediate attempt to reduction using barium edema
Correction of intussusception by barium enema is the initial
management of choice. If it fails, surgical correction is done.

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Correct Answer - D
Answer- D. Attenuated SI

Increased flow after passing through lung reaches the left atrium and causes volume overload → Left atrial dilatation and hypertrophy.

Increased blood volume passes from left atrium to left ventricle
through mitral valve, i.e., increased flow through mitral
valve → Accentuation of S1 and delayed diastolic murmur.

Left ventricle receives larger amount of blood that results in volume overload → Left ventricle enlargement.

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Correct Answer - C
Answer- C. Pulmonary atresia
Timing of CHF in congenital heart diseases- Pulmonary, mitral and
aortic atresias

Hypoplastic left and right heart syndromes, transposition and
malposition of great ate ries.

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Correct Answer - C
Answer- C. Increase in 02 tension at birth

The mechanism producing the initial constriction of ductus arteriosus is not completely understood, but the increase in arterial 02 tension plays an important role.

One more factor which helps in closure of the ductus arteriosus is
the decrease in concentration of prostaglandins at the time of birth.


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Correct Answer - A
Answer- A. Term infant hemoglobin 7 gm%

Physiologic Anemia of Infancy
1. Hemoglobin drops to low point at age 6 to 8 weeks
2. Erythropoietin nadir drops Hemoglobin
3. Term Infants: Hemoglobin drops to 9-11 g/dl
4. Preterm Infants: Hemoglobin drops to 7-9 g/dl
[Ref Anemia in infancy, pediatric in review American academy of
pediatrics 2012]

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Correct Answer - B
Answer- B. ALL
ALL and small cell lung Ca are two major indications for cranial
irradiation, even prophylactically to prevent brain metastasis.
In children, ALL is the most common cause.

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Correct Answer - B
Ans. is 'b' i.e., Surgery for congentital heart disease

In children, the most common cause of permanent acquired
complete AV block is surgery for congenital heart disease.

Postsurgical completer atrioventricular block (A VB) is the most common cause for acquired AV block in children, resulting from
trauma to the AV node at time of surgery (i.e., hemorrhage,
ischemia, necrosis, inflammation, traumatic disruption). The second most common cause is congenital herat disease associated with complete AV block.

Other etiologies of acquired AV block are often reversible and
include :
Digitalis and other drug intoxications.
Viral myocarditis.
Acute rheumatic fever, Lyme disease, and infectious mononucleosis