Paediatrics by Mahdi

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Updated: May 12, 2026 at 8:55 PM

Paediatrics by Mahdi

حلول اسئلة البيديا اللي واجهتني في SMLE؛ إذا مانزلت سؤالك معناته ماجاني او ماني متأكد منه🙏🏻🤍. اكتب سؤالك : https://forms.gle/tWHsvBdg5ZEbgH2A7

@smlepaediatrics is a dedicated channel for httpsformsgletwhsvbdg5zebgh2a7 and smle with regular updates in Medical

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Paediatrics by Mahdi

May 11, 2026, 09:40 AM

Pediatric age patient presented with his mom to ED she said that her child ingested a
large amount of paracetamol, the pt was healthy with no signs of any toxicity on
presentation, and they observed the pt for 4 hours with no any change in health no signs
and symptoms of toxicity, the mom then mentioned that she found some of the drugs was
spilled on his clothes and in the floor, what is next?
A. Reassure
B. Watch for another 4 hours✅
C. Give antidote

4 year old boy brought by his mother she said he drink a bottle of paracetamol after 4h of monitoring the child examination was normal the mother said the bottle has little in it before he drunk it and she found some in his clothes, There was no investigation ordered, What's the next step?
A - Give N- acetyle cysteine
B- Monitor for more 4 hours more✅
C- discharge home with instructions

The safest option is to monitor the patient for another 4 hours.
Basically we should draw blood at 4 hrs to see the level if it is toxic or not, if the missing option is to measure serum APAP then it is the right answer, otherwise with these options choice B is the closest answer.

In phase 1 (0.5-24 hours after ingestion), patients may be asymptomatic or report anorexia, nausea or vomiting, and malaise.

31,400

Paediatrics by Mahdi

May 11, 2026, 09:40 AM

A child knows the colors and can articulate words properly, what is the age of the child?

A-3 years
B-4 years✅
C-5 years
D-6 years

#milestone

27,400

Paediatrics by Mahdi

May 11, 2026, 09:40 AM

New #milestone Q:

Child can count to 5, dresses up by himself and hop on one leg, what’s the expected age?
–3 years
–4 years✅
–5 years
–6 years

Dress without help > 4 years
Hops on one foot > 4 years
Counts to 4 or 5 > 4 years
Counts to 10 or more > 5 years

25,200

Paediatrics by Mahdi

May 11, 2026, 09:40 AM

A child with mild respiratory infection increase symptoms & fever,
develop respiratory distress. X-ray shows lobar infiltration, CBC shows
low HB and high Retic.
A- SCA ✅
B- Mycoplasma pneumonia
C- pneumococcal pneumonia

This Q came in my exam, there was also chest pain, systolic and pulmonic murmurs.

25,300

111

Paediatrics by Mahdi

May 11, 2026, 09:40 AM

pinned Deleted message

Paediatrics by Mahdi

May 11, 2026, 09:40 AM

12 years old found to have klebsiella with in 100,000
colony from mid stream urine, no sign or symptoms
A. no need for treatment✅
B. treat as acute UTI
C. give ABx as prophylaxis
D. repeats culture

Asymptomatic bacteriuria.

22,400

Paediatrics by Mahdi

May 11, 2026, 09:40 AM

📷 Photo

A child came with severe dehydration and started on IV fluid. After 8 hours started to sieze • Serum sodium came and found to be 162 Most likely cause for his seizures
A-Cerberal edema ✅
B-Central pontine neurolysis
C-Renal failure
D-Metabolic acidosis

I believe this is Hypernatremic dehydration + development of seizure in such rapid time ( 8 hours) supports cerebral edema.

25,300

Paediatrics by Mahdi

May 11, 2026, 09:40 AM

A child starts to develop an awareness for strangers and separation anxiety. How old is the child in months?
A- 6 months
B- 7 months
C- 12 months✅
D- 24 months

Better recall: Child started to develop sense of individuality. She recognize strangers and frightens when separated from her parents.
A- 6
B- 7
C- 10✅
D- 12

Stranger > 6 months
Separation> 9 months

#milestone

23,600

109

Paediatrics by Mahdi

May 11, 2026, 09:40 AM

107- Child sits in tripod position, reaches out to things, flips from prone to supine and vice versa, cannot hold cereal properly between two fingers how old is he?
A- 3 months
B- 6 months ✅
C- 9 months

This is raking grasp.

#milestone

22,000

Paediatrics by Mahdi

May 11, 2026, 09:40 AM

📷 Photo

22,400

Paediatrics by Mahdi

Apr 1, 2026, 05:06 AM

Baby sitting in tripod position,  can change his position from supine and prone and vice versa, immature pincer grasp, his age in months ?
2
4
6
9 ✅

Raking (palmar grasp) > 6 months
Immature pincer grasp > 9 months
Mature pincer grasp > 12 months

#milestone

23,200

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