Constrictive pericarditis secondary to radiation exposure with sings of increase in pulmonary pressure. The child received a course of irradiation which leads to

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Question 1 of 5

Constrictive pericarditis secondary to radiation exposure with sings of increase in pulmonary pressure. The child received a course of irradiation which leads to

Correct Answer: B

Rationale: Radiation (B) is a known cause of constrictive pericarditis, supported by Kussmaul sign and right-sided signs. TB (A) is rare, others (C, D) less likely given history.

Question 2 of 5

The urgency for packed cell transfusion in childhood anemia should be dictated by

Correct Answer: B

Rationale: Functional impairment (B) (e.g., tachycardia, hypoxia) dictates transfusion need, not just hemoglobin level (A).

Question 3 of 5

A 13-month-old girl presented with progressive pallor for the last 3 months. The mother noticed that she started to eat a non-nutritive and dirty substance. She is on breast feeding till this age. On examination, she is pale, apathetic looking, no LAP, no organomegaly, and no skin bleeds. Of the following, the MOST likely diagnosis is:

Correct Answer: A

Rationale: Iron deficiency anemia (A) fits pallor, pica, and prolonged breastfeeding without solids, common at this age.

Question 4 of 5

Which percent of iron deficient children develop Iron deficiency anemia?

Correct Answer: B

Rationale: About 30% (B) of iron-deficient children progress to anemia, depending on severity and duration.

Question 5 of 5

The increment in hemoglobin after instituting oral iron therapy for iron deficiency anemia is about

Correct Answer: D

Rationale: Hemoglobin rises by 0.1-0.3 gm/dl/day (E is closest) with effective iron therapy.

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