PAST QUESTIONS: SURGERY FINAL MBBS PAPER 1 ESSAY SEPTEMBER, 2014

PAEDIATRICS: PRACTICE 23

SINGLE BEST OPTION SERIES

                       INSTRUCTION: SELECT THE SINGLE BEST OPTION

1.               Nephrotic syndrome is characterized by the following except:
   a.       Massive proteinuria
   b.      Generalized oedema
   c.       Hypoalbuminuria
   d.      Hypolipidaemia
   e.      None of the above
   2.       Histological finding of “starry sky” appearance in a specimen is a key diagnostic feature of:
   a.       Rhabdomyosarcoma
   b.      Burkitt lymphoma
   c.       Sarcoma botryoides
   d.      Acute leukaemia
   e.      Retinoblastoma
   3.       Burkitt lymphoma pathogenesis involve the following except:
   a.       Malaria
   b.      Ebstein Barr virus
   c.       Cytomegalovirus
   d.      Immunodeficiency
   e.      None of the above
   4.       Complications of sickle cell anaemia does not usually include:
   a.       Sensorineural deafness
   b.      Porphyria
   c.       Avascular necrosis of the fermoral head
   d.      Stroke
   e.      Hyposthenuria
   5.       Which of the following is incorrect?
   a.       Septic arthritis and osteomyelitis usually occur together in children less than 18 years because of the presence of transphyseal vessels which connect epiphysis to joints
   b.      Pseudoparalysis and refusal to walk is a common presentation of septic arthritis in children
   c.       Amniocentesis is used to diagnose sickle cell anaemia in-utero
   d.      In osteomyelitis, radiographs obtained usually show soft tissue swelling and periosteal reaction in the first week of the disease
   e.      Widening of the joint space, soft tissue oedema and periarticular erosions are radiographic findings in septic arthritis
   6.       Concerning  urinary protein estimation, which of the following is inconsistent with the definition of nephrosis?
   a.       Urinary protein greater than 3grams per day
   b.      Urinary protein greater than 40miligram per metre square per hour
   c.       Urinary protein greater than 50miligram per kilogram body weight per day
   d.      Urinary protein greater than 1gram per metre square per day
   e.      None of the above
   7.       Which of the following is incorrect about acute glomerulonephritis in children?
   a.       The least common form is post streptococcal
   b.      It usually occurs one to three weeks after pharyngitis  or 4 to 6 weeks after skin infection
   c.       Passage of “coca cola” coloured urine is a usual presentation
   d.      There is need to rule out features of complications like pulmonary oedema or hypertensive encephalopathy
   e.      Sudden onset of facial swelling may occur
   8.       The modified Zeigler’s regimen for treating Burkitt lymphoma involves the use of the following except:
   a.       Cyclophosphamide
   b.      Vincristine
   c.       Methotrexate
   d.      Tacrolimus
   e.      Prednisolone
   9.       Components of tumour lysis syndrome include the following except:
   a.       Hyperuricaemia
   b.      Hyercalcaemia
   c.       Hyperphosphataemia
   d.      Hyperkalaemia
   e.      None of the above
   10.   Ocular manifestations of sickle cell anaemia does not include:
   a.       Hyphaema
   b.      Glaucoma
   c.       Cataract
   d.      Aniridia
   e.      Retinopathy 
   
   
   ANSWERS:
   Please click on the comment section below to reveal the answers.
   Have a great time here
   
   
   

PAEDIATRICS: PRACTICE 22

SINGLE BEST OPTION SERIES

         INSTRUCTION: SELECT THE SINGLE BEST OPTION

1.        Salmonella typhi organisms are sequestered in the ------------------organ of chronic carriers:
   a.       Kidneys
   b.      Gall bladder
   c.       Reticular dermis
   d.      Aqueous humour
   e.      Spleen
   2.       Jaw radiograph in a patient with Burkitt lymphoma does not usually reveal:
   a.       Loss of lamina dura
   b.      Soft tissue swelling
   c.       Dental anarchy
   d.      Endosteal reaction
   e.      None of the above
   3.       Major biochemical findings in patients with endemic Burkitt lymphoma include the following except:
   a.       Hyperuricaemia
   b.      Lactic acidosis
   c.       High lactate dehydrogenase
   d.      High antibodies to early antigens of Ebstein Barr virus
   e.      None of the above
   4.       Which of the following is incorrect about sickle cell anaemia?
   a.       Autosplenectomy occur by the age of 10 years
   b.      Leg ulceration is usually seen over the lateral malleolus
   c.       Splenomegaly is seen within 2 years of age
   d.      Patients may present with painful and purposeless penile eruption
   e.      It is a recognized cause of cardiomegaly with biventricular hypertrophy
   5.       The commonest cause of osteomyelitis in patients with sickle cell anaemia is:
   a.      Kingella kingae
   b.      Pseudomonas aeruginosa
   c.       Salmonella
   d.      Staphylococcus albus
   e.      None of the above
   6.       Complications of shunt procedures in the management of hydrocephalus does not usually include:
   a.       Osteomyelitis
   b.      Ventriculitis
   c.       Peritonitis
   d.      Cerebrospinal fluid ascites
   e.      None of the above
   7.       The laboratory criteria for defining severe anaemia does not include the presence of:
   a.       Prostration
   b.      Packed cell volume less than 15%
   c.       Random blood sugar less than 2.2 millimole per litre
   d.      Total serum bilirubin greater than 50 milligram per decilitre
   e.      Hyperlactaemia
   8.       Usual presentations of heart failure in infants does not include:
   a.       Feeding difficulty with easy fatigability
   b.      Strong lusty cry
   c.       Excessive sweating
   d.      Poor weight gain
   e.      None of the above
   9.       Oedema is conspicuously absent in a child with:
   a.       Marasmus
   b.      Kwashiorkor
   c.       Marasmic kwashiorkor
   d.      Underweight kwashiorkor
   e.      None of the above
   10.   The usual clinical presentation of acute glomerulonephritis include the following except:
   a.       Haematuria
   b.      Polyuria
   c.       Oedema
   d.      Hypertension
   e.      Proteinuria 
   
   
   ANSWERS:
   Please click on the comment section below to reveal the answers.
   Have a great time here