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31. What is the source of first exposure to violence of children?a. domestic violenceb. separation from parentsc. community violenced. harassment

31. What is the most common cause of death from physical abuse?a. burnsb. shakingc. head traumad. retinal hemorrhages

32. What is the most common manifestation of child abuse?a. fracturesb. bruisesc. cigarette burnsd. alopecia

33. What syndrome used to falsify their own symptoms?a. Robertsonianb. Angelmanc. Munchausend. Wolf-Hirschham

34. The term used to describe individual with 2 different cell lines derived fromsingle zygote:

a. Mosaicismb. Polymorphismc. Albinismd. Piebaldism

35. What is the most common abnormalities of chromosome number?a. Aneuploidyb. Polyploidyc. Trisomyd. Monosomy

36. A disorders resulting from a partial or nearly complete deficiency of theenzymes of the heme

Biosynthetic pathway:a. Porphyriasb. Mucopolysaccharidosesc. Lipidosesd. Galactasialidoses

37. What genetic disorders characterized by microcephaly, severe mental

retardation, cataracts,Micrognathia, syndactyly and widespread ears?

a. Zellweger syndromeb. Refsum diseasec. Schindler diseased. Smith-Lemli-Opitz syndrome

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38. An autosomal recessive disorder characterized by ochronosis and arthritis:a. Alcaptonuriab. Hawkinsinuriac. Tyrosinemia

d. Piebaldism

39. The most common lysosomal storage disease characterized by hematologicproblems,

Organomegaly and skeletal involvement:a. Niemann-Pick diseaseb. Gaucher diseasec. Fabry diseased. Farber disease

40. The following are caused by chromosomal trisomy, except:a. Down syndromeb. Patau syndromec. Alagille Syndromd. Edwards syndrome

41. A chromosomal trisomy characterized by LBW, short sternum, rocker bottomfeet, closed

Fists with index overlapping the 3rd digit and 5th digit overlapping the4th:

a. Patau syndromeb. Mosaicismc. Edwards syndromed. Down syndrome

42. The following are inborn error of amino acid metabolism associated withabnormal odor,

Except:a. Hawkinsinuriab. Tyrosinemiac. Isovaleric academiad. Sandhoff disease

43. What enzyme is deficient in Hurler disease?a. L- Iduronidaseb. Galactose-6-sulfatasec. Galactosidased. Hyaluronidase

44. An excessive amount and increased duration of uterine bleeding occurring

regularly:a. Metorrhagiab. Menometrorrhagiac. Menorrhagia

d. Merorrhagia

45. The following are the differential diagnosis of primary amenorrhea, except:a. imperforate hymenb. hematocolpos

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c. hematometriumd. none of the above

46. Hypotonia, short stature, moonlike face, mental retardation withcharacteristic cry is seen ina. Cri-du-chat syndromeb. Piader-Willi syndromec. Williams syndromed. Miller Deeker syndrome

47. The following statements are true, except:a. Severe hypokalemia results in weakness of skeletal musclesb. Salt poisoning may occur in accidental ingestion of excessive amounts

of sodium chloridec. Patients with serum sodium level below 120mEq/L are often

symptomaticd. Prolonged hypokalemia results in pathologic changes in the kidney and

decreased function may persists even after potassium repletione. None of the above

48. The following are causes of hyponatremia, except:a. vomiting and diarrheab. burnsc. prematurityd. only a and ce. none of the above

49. The following are true about sodium, except:a. The amount of sodium in the body is determined by the balance

between intake and excretionb. Sodium is absorbed throughout the gastrointestinal tract minimally in

the stomach and maximally in the jejunumc. The important factors regulating the renal handling of sodium is the

renin-angiotensin systemd. None of the above

50. The following are causes of metabolic acidosis, except:a. diabetic ketoacidosisb. inherited aminiaciduriasc. methyl alcohol poisoningd. none of the above

51. The following are chronic conditions in childhood, except:

a. seizure disorderb. asthma (moderate and severe)c. diarrhead. congenital heart disease

52. The following are true about Abetalipoproteinimia, except:a. It is a rare autosomal recessive diseaseb. Characterized by fat malabsorption, spinocerebellar degeneration and

pigmented retinopathy

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c. The majority of the clinical symptoms are the result of defects in theabsorption and transport of fat soluble vitamins, especially vitamin E

d. None of the above

53. The following are inborn error of metabolism causing hyperammonemia,except:

a. Hartnup diseaseb. Propionic academiac. Ketothialase deficiencyd. Lysinuric protein intolerance

54. What lipidoses is associated with cherry red spot of the macula but has novisceral involvement?

a. Sandhoff diseaseb. Niemann-Pick diseasec. Tay-Sachs diseased. Gangliosidosis

55. What are the five disorder seen in Newborn Screening test?a.b.c.d.e.