PAEDIATRICS PRACTICE 2.

                                      SINGLE BEST OPTION SERIES
                   INSTRUCTION: SELECT THE SINGLE BEST OPTION

1. The following radiological signs usually indicate the presence of pneumonia in a child except:
   a.       Lobar/segmental consolidation with air bronchograms
   b.      Peribronchial infiltrates
   c.       Mild hilar lymphadenopathy
   d.      Upper lobe vascular diversion
   e.      Air space obliteration
   2.       The following are rationale to conclude that pneumonia is of staphylococcus aureus aetiology except:
   a.       Leucocytosis with a left shift
   b.      Presence of pneumatocoele on chest radiograph
   c.       The patient is less than 2 years of age
   d.      Right upper lobe consolidation with a bulging fissure
   e.      The patient is malnourished
   3.       A preschool child with pneuumonia started passing dark coloured urine some days later. The most likely aetiology of this pneumonia is:
   a.      Mycoplasma pneumonia
   b.      Staphylococcus pyogenes
   c.       Klebsiella pneumonia
   d.      Respiratory syncytial virus
   e.      Haemophilus influenzae
   4.       Which of the following definition of tachypnoea is inaccurate considering the age of the patients:
   a.       50 breaths per minute or more in a child aged 2 months  to 12 months
   b.      40 breaths per minute or more in a child aged 12 months to 5 years.
   c.       60 breaths per minute or more in a child aged less than 2 months of age.
   d.      Greater than 20 breaths per minute in an adolescent.
   e.      None of the above.
   5.       Which of the following clinical sign is unusual in an infant less than 3 months of age with severe pneumonia:
   a.       Wheezing
   b.      Distended or tensed abdomen
   c.       Central cyanosis
   d.      Slow breathing
   e.      Grunting respiration
   6.       Important differential diagnosis in a child with pneumonia does not include:
   a.       Bronchial asthma
   b.      Cardiac asthma
   c.       Bronchiolitis
   d.      Bronchiectasis
   e.      None of the above
   7.       The following are usual complications of pneumonia except:
   a.       Congestive heart failure
   b.      Pneumothorax
   c.       Pneumatocoele
   d.      Deep vein thrombosis
   e.      Pleural effusion
   8.       Which of the following antibiotics provides the most adequate treatment for
   Mycoplasma pneumoniae:
   a.       Amoxicillin
   b.      Azithromycin
   c.       Augmentin
   d.      Ampicillin
   e.      Cloxacillin
   9.       The following are good reasons to admit a child with pneumonia except:
   a.       Evidence of malnutrition
   b.      Living close to medical facility
   c.       Suspected staphylococcal or Gram negative aetiology
   d.      Presence of signs of dehydration
   e.      Presence of immune-compromise and complications
   10.   The most important rationale for giving antipyretics to a child with pneumonia is to prevent:
   a.       Hypoxia
   b.      Pneumothorax
   c.       Convulsion
   d.      Lethargy
   e.      Osteomyelitis
   
   
   
   
   
   
   ANSWERS:
   1. d
   2. d
   3.  a
   4. e
   5. d
   6. e.
   7. d
   8. b
   9. b
   10. c
   
   
   

                         REMEMBER
   ” Some people sin by not working diligently for six days whereas, others – because of greed, unbelief or powerlessness- sin by working also on a day of rest and worship. Either way of breaking this   command results in poverty.”   By  Vishal Mangalwadi.