ASSIGNED POSSIBLE ASWER AND
NUMBER QUESTION AND CHOICES REFERENCE
7 yr old, came with pallor, physician told to CBC came
with low hemoglobin and with 60fl of mcv
A. Microcytic anemia
B. Macrocytic anemia
2 C. Megaloblastic anemia A. Microcytic anemia
9. 1 year old southeast Asia with pallor, jaundice
nasal...skull maxillary overgrowth with severe anemia
marked hypochromia and microcytosis, lab test shows
abundant fragments rbc, and undergone multiple
transfusions, what is the most likely diagnosis?
A. Iron deficiency anemia
B. Chronic anemia
9 C. Beta thalassemia C. Beta thalassemia
What refer to hemoglobin per red blood count
A, MCH
B, MCHC
10 C, MCV A, MCH
3 year brought by mother due to hematuria. PE: palpable,
nontender abdominal mass on left peri umbilical area. BP:
130/90. What is the most likely diagnosis?
Neuroblastoma
Hepatoblastoma
Wilms tumor
11 Colon cancer
Etiology of abdominal mass in adolescent
1 Edwin sarcoma
2 Williams tumor
3 Germ cell tumor
12 4 Rhadbosarcoma
most common etiology of abdominal mass
a. wilms tumor
b. germ cell tumor
c. retinoblastoma
12 d. Ewings tumor A. wilds tumor
Most common etiology of abdominal mass in adolescents
A. Wilmâs tumor
12 C. Germ cell tumor
B. Ewing sarcoma
C. Germ cell tumor
D. Retinoblastoma
What is the reliable tumor marker in neuroblastoma?
A. VMA
B. AFP
C. B-HCG
13 D. AMYLASE A. VMA
refers to hgb amount per rbc
mch
mchc
mcv
14 anc mch
Which of the following tumor marker is almost always
elevated in hepatoblastoma?
A. AFP
B. VMA
C. b-HCG
16 D. C3
Q.Filipino case study
G6pd deficiency
Q. Diagnostic for tumor
Ct scan
X ray
MRI
PET scan
Q. Tumor lysis syndrome except
Hyperuricemia
Hypocalcemia
Hyperphospatemia
17 Hyperkalemia
What is the most common histological type of
18 rhabdosarcoma in children ? A.embryonal
A fifteen year old came in to your clinic due to right leg
pain. Upon Xray, you see a distinct sclerotic pattern on the
metaphysis of the femoral bone. What is the likely
C. Osteosarcoma (Nelson
diagnosis?
Textbook of Pediatrics 21st Ed,
Chap. 528, page 2690 - table
A. Ewing Sarcoma
19 528.1)
B. Rhabdomyosarcoma
C. Osteosarcoma
D. Acute Myelogenous Leukemia
20 Pattern ewing sarcoma Onion skinning
Which of the following chemotherapy drugs with cardiac
toxicity
A. Doxorubicin
B. Vincristine
C. Ifosfamide
23 D. Cyclophosphamide A. Doxorubicin
What type of lymphoma has a bimodal distribution and is
associated with viruses such as CMV and EBV?
A. Hodgkinâs Lymphoma
B. Burkitt lymphoma
C.Diffuse Large B cell lymphoma
29 D.Retinoblastoma A. Ppt
Laboratories for tumor lysis syndrome except:
A. Hyperkalemia
B. Hyperuricemia
C.Hyperphosphatemia
30 D. Hypercalcemia D
Which of the following is not a mechanism of
predisposition to cancer?
a. defect in tumor suppressor gene
b. defect in DNA repair
c. inactive RNA
31 d. defect in immunesurveillance
The following are FFP guidelines, except:
A.
B. Support DIC treatment
C. Coagulation factor deficiency, if specific factor
replacement not possible
35 D. Reversal of warfarin if with bleeding
Which of the following fluid is compatible with rbc and can
be given concomitant
A, plr
B. D5imb
C. Pns
39 D. Volvuen
what type of lymphoma has a bimodal distribution and is
associated with viruses such as CMV and EBV?
39
a.Hodgkin
b.Burkitt's
c.Diffuse Large B cell
d.Retinoblastoma
Which of the following adversely affect the outcome in
patients with ALL?
A. Age at diagnosis between 1 to 10 years old
B. Presence of Philadelphia chromosome
C. Hyperdiploidy and Trisomy 4, 10 and 17 on
chromosomal analysis A. Age at diagnosis between 1
42 D. WBC count of <50,000/UI to 10 years old
A.Good response to initial
therapy B.Hyperdiploidy
C.Lower number
chromosomes (ans)D. 8 years
43 Which of the following is a high risk feature of ALL? old
8yr old Female presented with abdominal pain, increase
Lactate Dehydrogenase and uric acid with multiple
lympadenopathies.
A. Rhabdo
B. Neuro
C. Non hodgkins
45 D. Wilms c
True Hemophilia:
A. Hemophilia B can be diagnose at brith
B. Hallmark of hemophilia bleeding is hematoma
C. Earliest joiny hemorrhage appear most often knee
46 D. 50% spontaneous mutation
What is the most common hematologic malignancy in
childhood?
a. Acute Lymphocytic Leukemia
b. Chronic Myelogenous Leukemia
c. Hodgkin Lymphoma
49 d. Non Hodgkin Lymphoma
65 Most common red cell membrane defect Spherocytosis
Set B
1- most common red cell membrane defect causing
Answer - Hereditary
1 hemolysis
Spherocytosis
15 yo f. Right leg pain. Sclerotic destruction on
metaphysis of femur. Differential?
9
Ewing
Rhabdo
Osteo
AML
Which of the following fluids is compatible and can be
given concomitant with RBC?
a. PLR
b. D5IMB
c. PNSS
10 d. Volvulen C. PNSS
Laboratories req. to diagnose tumor lysis sundrome
EXCEPT
A. HYPERURECIMEA
B. HYPERKALEMIA
C. HYPERPHOSPHATEMIA
14 D. HYPERCALCEMIA D (chatgpt)
16. What is the most common etiology of abdominal mass
in adolescents?
A. Wilmâs Tumor
B. Ewingâs Sarcoma
C. Germ Cell Tumor
16 D. Reticuloblastoma C. Germ Cell Tumor
Features of Ewing Sarcoma in Xray
A. Sunburst Appearance
B. Onion skinning
17 C. Sclerosis
8 month old boy, pallor, anemic, drinks goat milk
23 excessivelyâ¦â¦â¦. Megaloblastic anemia
What refers to hemoglobin per RBC
A. MCV
B. MCH
29 C. MCHC
The peripheral blood findings of thrombocytopenia,
fragments and, spherocytes is most indicative of which
kind of anemia is
a. Autoimmune
b.Megaloblastic
c. Sideroblastic
30 d.Microangiopathic a/d?
Which of the following is not a mechanism of
31
predisposition to cancer?
a. defect in tumor suppressor gen
b. defect in DNA repair
c. inactive RNA
d. defect in immune surveillance
35 The FF are the complications of blood transfusion, except: D. Mental Retardation
These are the complications of blood transfusion,
EXCEPT:
A. Infection
B. Acute hemolytic reaction
C. Febrile reaction
35 D. Mental retardation D
The Ff are the complications of blood transfusion, except:
35 Answer: Mental Retardation
Which of the following is the physiologic adjustment to
anemia?
B. Shunting of blood flow
A. Decreased cardiac output towards vital organs and
B. Shunting of blood flow towards vital organs and tissues tissues (Letters A & D should
C. Decreased concentration of 2,3-DPG within RBC be increased; letter D should be
37 D. Increased respiratory rate heart rate)
Rose 8 year old female with severe abdominal pain was
initially diagnosed with intussusception on the further
evaluation she was noted with increased lactate
dehydrogenase, uric acid and have multiple
lymphadenopathies on the cervical areas
What is the most likely diagnosis?
A Rhabdomyosarcoma
B. Neuroblastoma
C. Non hodgkin Lymphoma
40 D. Wilms Tumor C. Non hodgkin Lymphoma
7yr old with pallor low Hb, low MCV............. Which type of
anemia?
A macrocytic
B Normocytic
C microcytic
42 D megaloblastic C
Patient has low hemoglobin, MCV is 60fL. What type of
43 anemia?
The following are phases of chemotherapy, Except-
44 d. Remission
a. Induction
b. Consolidation
c. Intensification
d. Remission
Phases of chemotherapy
Induction
Consolidation
Intensification
44 Remission
Whcih of the folowing is true about Hemophilia?
a. Hemophilia Bcan be diagnosed with certainty at birth.
b. The hallmark of hemophilic bleeding is hemaloma.
c. The earliest joint hemorrhages appear most often ni the
ankle.
d. Fifty percent of hemophilia occurs by spontaneous
48 mutation. d
A 3 month old male infant was brought to E.R.for
hematoma on the left thigh following a DPT
vaccination. History revealed a strong family history for
Hemophilia.Bleeding screening tests
would reveal
a. Normal aPTT,PT&platelet count,prolonged bleeding
time
b. Normal aPTT,bleeding time & plateletcount, prolonged
PT
c. Normal PT,bleeding time&platelet count,prolonged
aPTT
d. Normal PT &platelet count, prolonged aPTT & bleeding
50 time D
Down syndrome associated with ...
Ans :- Acute Myelogenous
Cant recall Ans :- Acute Myelogenous Leukemia Leukemia
