PEDIATRICS HUBs

161.explanation Correct Answer - D Ans. is 'd' i.e., Two words with meaning. * A child can transfer the objects from one hand to another by 5-7 months. * A child can build a tower of 6 cubes by 21 months * A child can pull himself up by the age of 10 months. * A child makes a simple sentence for the first time by the age of 2 years. * Pincer grasp develops by 9 months. Join @PEDIATRICShubs

160.explanation Correct Answer - B Ans. is 'b' i.e., Urea cycle enzyme deficiency. ••Urea cycle enzyme defect *Catabolism of amino acid leads to free ammonia which is highly toxic. *Free ammonia is converted into urea by a group of 5 enzymes. *A newborn is usually asymptomatic but later on becoming symptomatic after giving protein. *Treatment is dietary protein restriction. ••MSUD (maple syrup urine disease) *Defective decorboxglation of branch chain amino acid (leucine,Isoleucine, valine). *Autosomal recessive. *Smell of maple syrup in urine. ••Phenyl ketonuria *Autosomal recessive *Deficiency of phenylalanine hydroxylase. *Defect in conversion of phenylalanine to tyrosine. *This leads to an increased level of phenylalanine. *This increases phenylalanine converted into phenylpyruvate and phenyl acetate. *This phenyl acetate gives mousy or musty odour in urine/body. ••Other point to remember: *Sweaty feat odour -Isovaleric academia. *In Alkaptonuria - Urine become darkish brown when exposed to air while purplish brown in porphyria. *Smoky sweat - MSUD *Mousy or Musty - Phenylketonuria *Boiled cabbage - Tyrosinemia. Join @PEDIATRICShubs

159.explanation Correct Answer - D Ans. is 'd' i.e., Stop breast tad and prepare for exchange blood transfusion. *In hemolytic disease, immediate exchange transfusion indication : a) Cord bilirubin is > 4.5 mg/dl and Hb < 11 gm% b) Bilirubin rising > 1 mg/dl/hour despite phototherapy c) Hb level 11-13 gm/dl and bilirubin rising more than 0.5 mg/dl/hour d) Bilirubin is rising inspite of phototherapy Join @PEDIATRICShubs

158.explanation Correct Answer - B Ans. is 'b' i.e., Male sexual characteristic with ovary ••Female pseudo hermaphroditism *Have internal genitalia female type *Katy() type XX *Masculinisation of external genitalia *Most common - CAN ••Congenital adrenal hyperplasia M-C. 21 hydroxylase deficiency *Other cause excess maternal androgen due to - o Maternal ovarian tumor. *Maternal drug intake *Treatment *Hormonal therapy Join @PEDIATRICShubs

157.explanation Correct Answer - D Ans. is 'd' i.e., All of the above Causes of hypocalemia *Hypo parathyroidism *Digeorge syndrome *PTH receptor defect (pseudo hypoparathyroidism) *Magnesium deficiency *Exogenous organic phosphate excess *Vit D deficiency Join @PEDIATRICShubs

156.explanation Correct Answer - C Ans. is `c'i.e., Congenital heart disease *Approximately 30% of infants with a single umbilical artery have congenital abnormalities. *Trisomy 18 is one of the more frequent abnormalities. *The most common congenital anomalies in chromosomally normal fetuses and neonates were. *Genitourinary (6.48%) *Cardiovascular (6.25%) *Musculoskeletal (5.44%). Join @PEDIATRICShubs

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Hello Docopsians ! We're Excited To Introduce Our New " Docopsy Point " channel on WhatsApp! 🩺📰 If you've been following us on Telegram , Instagram , YouTube and our Subject wise HUBs for daily questions , you already know that we're committed to bringing you the latest Questions , Cases , Scenarios based on CBME pattern . Now, we're expanding our reach to make it even easier for you to stay informed. Join Our WhatsApp channel to receive daily updates To join, simply click the link below and hit "Join Channel." 📲💡 https://whatsapp.com/channel/0029Va9KbVM2v1ItPgPgO73V Thank you for your continued support Regards Dr Pavan ( @TheNeuros ) Cheif Mentor , Docopsy Point

Because of some security concern telegram may ban in India after 12 PM so must follow WhatsApp channel for all updates Follow the 🎯 Docopsy Point 🎯 channel on WhatsApp: ⬇️ https://whatsapp.com/channel/0029Va9KbVM2v1ItPgPgO73V Share this link to your colleagues

Hello Docopsians ! We're Excited To Introduce Our New " Docopsy Point " channel on WhatsApp! 🩺📰 If you've been following us on Telegram , Instagram , YouTube and our Subject wise HUBs for daily questions , you already know that we're committed to bringing you the latest Questions , Cases , Scenarios based on CBME pattern . Now, we're expanding our reach to make it even easier for you to stay informed. Join Our WhatsApp channel to receive daily updates To join, simply click the link below and hit "Join Channel." 📲💡 https://whatsapp.com/channel/0029Va9KbVM2v1ItPgPgO73V Thank you for your continued support Regards Dr Pavan ( @TheNeuros ) Cheif Mentor , Docopsy Point

Because of some security concern telegram may ban in India after 12 PM so must follow WhatsApp channel for all updates Follow the 🎯 Docopsy Point 🎯 channel on WhatsApp: ⬇️ https://whatsapp.com/channel/0029Va9KbVM2v1ItPgPgO73V Share this link to your colleagues

155.explanation Correct Answer - D Ans. is 'd' i.e., All of the above *Mildly elevated bilirubin especially indirect and normal liver enzyme seen in hemolytic anemia. *In the above question all causes hemolytic anemia. Join @PEDIATRICShubs