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Total Posts: 11

Posted: Fri Feb 01, 2008 04:38 am

1.Which vitamin deficiency is likely to occur in infants fed on goat's milk?
a. vitamin A
b. Vitamin D
c. Vitamin C
d. Folic acid

2. Fainting spells in a deaf child suggest a cardiac conduction defect. What is the abnormality in ECG?
a. Prolonged PR interval
b. Prolonged QT interval
c. T wave inversion
d. Absent P waves

3. A child with Tuberous sclerosis is found to have arrythmia and congestive cardiac failure. What is the likely mechasism?
a. Ventricular fibrillation
b. Atrial fibrillation
C. Rhabdomyoma
d. Pericarditis

4. A child is found to have hyperextensible joints. What is the most likely echocardiographic abnormality?
a. Aortic regurgitation
b. Mitral regurgitation
C. Mitral valve prolapse
d. Pulmonary stenosis

Total Posts: 42

Posted: Fri Feb 01, 2008 06:13 pm

Goats milk should not be used during infancy because it is low in iron, folate, and vitamins B, C, and D. And it has a solute concentration even higher than in cow milk.I think the best answer is vitamin d.

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Total Posts: 60

Posted: Fri Feb 01, 2008 10:09 pm

i don't know much about got milk but this ques. has been askd in sgpgi with the option vit b12.and the only guide of sgpgi gives vit b12 as the ans with authentic reference.

Total Posts: 60

Posted: Fri Feb 01, 2008 10:13 pm

fainting spell in a deaf child may be seen in following chanellopathy
jorvell-lange neelson syndrome(given in harrisson)
it also has prolonged qt interval
so i think that could be the answer

Total Posts: 60

Posted: Fri Feb 01, 2008 10:24 pm

it points more towards ehler danlos or less to marfans:
ans. can very well be mvp,ar,mr.
AR is common in marfans.
MR is a complication in marfans.
BUT MVP is the most frequent abnormality(though not clinically significant) in is also common in eds type1.see marfans in robbins and eds in best ans can be MVP

Total Posts: 60

Posted: Fri Feb 01, 2008 10:34 pm

but the problem is most books mention AR first.anybody help.

Total Posts: 11

Posted: Sat Feb 02, 2008 02:30 pm

1. Folic acid deficiency is the best answer. Infants fed on goat milk develop megaloblastic anemia either due to deficiency of folic acid or vit B12. (Reference Nelson pediatrics)
2. Prolonged QT interval
3. Rhabdomyoma
4. Hyperextensible joints occurs in ehler danlos syndrome. Marfanoid features are not mentioned, so it is not Marfan syndrome. MVP is the most commmon abnormality in these pts.

Total Posts: 273

Posted: Sat Oct 11, 2008 02:38 am

Nice discussion....where have u gone..?? tulai.. Shocked
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