ENAM Practice (Peru National Medical Examination) · Paediatrics, Obstetrics and Public Health

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10 practice questions, each with the answer and an explanation.

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All 10 questions

  1. A 3-year-old child has abdominal distension and a flank mass crossing the midline, with raised urinary catecholamines. What is the diagnosis?
  2. A 6-year-old has haematuria, hypertension and a smooth flank mass that does not cross the midline. What is the diagnosis?
  3. A newborn has bilious vomiting on the first day and a double bubble sign on the abdominal radiograph. What is the diagnosis?
  4. A newborn has delayed passage of meconium, abdominal distension and a transition zone on contrast enema. What is the diagnosis?
  5. A 28-year-old woman at 38 weeks has regular contractions and the cervix is 4 cm dilated. In which phase of labour is she?
  6. A woman at 41 weeks has a Bishop score of 3 and requires induction of labour. What is the preferred method?
  7. Which is the most common cause of anaemia in pregnancy?
  8. A 35-year-old woman has a mammogram with BI-RADS 5. What is the next step?
  9. In a community, 50 new cases occur in a population of 10,000 over one year. What is the incidence?
  10. Which type of bias occurs when cases remember past exposures better than controls?

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