PAEDIATRICS PRACTICE 3

                                              SINGLE BEST OPTION SERIES
                                      INSTRUCTION: SELECT THE SINGLE BEST OPTION

1.     Appropriate supportive treatment of a child with pneumonia does not usually include:
   a.       Oxygen therapy and antipyretics administration
   b.      Appropriate feeding and chest physiotherapy
   c.       Trial of bronchodilators
   d.      Monitoring by using pulse oxymetry or arterial blood gas studies
   e.      None of the above
   2.       The following are causes of dehydration in a child with pneumonia except:
   a.       Poor oral intake
   b.      Constipation
   c.       Fever
   d.      Increased fluid loss from the respiratory tract
   e.      Vomiting
   3.       The following are indicators of good prognosis in a child with pneumonia except:
   a.       Streptococcus pneumoniae aetiology
   b.      Lobar type of pneumonia
   c.       The patient is an infant
   d.      Haemophilus influenzae aetiology
   e.      None of the above
   4.       Important causes of treatment failure when managing a child with pneumonia include the following except:
   a.       Incorrect diagnosis
   b.      Good absorption of oral drugs
   c.       Additional diagnosis like immuno-compromise
   d.      Presence of complications like empyema or lung abscess
   e.      Secondary nosocomial infection
   5.       Nosocomial pneumonia is also known as:
   a.       Community acquired pneumonia
   b.      Aspiration pneumonia
   c.       Hospital acquired pneumonia
   d.      Pneumonia in the immunocompromised
   e.      Mendelson syndrome
   6.       Important preventive approach to pneumonia does not include:
   a.       Vaccination
   b.      Breast feeding in infants
   c.       Avoiding air pollution
   d.      Kissing of children
   e.      Reduction of overcrowding
   7.       The following are causes of recurrent pneumonia except:
   a.       Malnutrition
   b.      Hypergammaglobulinaemia
   c.       Cystic fibrosis
   d.      Trachea-oesophageal fistula
   e.      Congenital heart diseases
   8.       Infants and malnourished children with measles are particularly prone to pneumonia caused by:
   a.      Streptococcus pneumoniae
   b.      Haemophilus influenzae
   c.       Staphylococcus aureus
   d.      Respiratory syncytial virus
   e.       Mycoplasma pneumoniae
   9.       A child withpneumonia was found to have pneumatocoele on chest radiograph. Which of the following organism is not linked with this finding?
   a.      Legionella pneumophila
   b.      Staphylococcus aureuss
   c.       Klebsiella pneumoniae
   d.      Proteus mirabilis
   e.      None of the above
   10.   The usual dose of paracetamol to treat pyrexia in a child is:
   a.       10 to 15 mg per kg 4 hourly
   b.      10 to 15 mg per kg 6 hourly
   c.       20 to 30 mg per kg 4 hourly
   d.      20 to 30 mg per kg 6 hourly
   e.      40 to 50 mg per kg 12 hourly
   
   
   
   
   ANSWERS:
   1. e
   2. b
   3. c
   4. b
   5. c
   6. d
   7. b
   8. c
   9. a
   10. b