Wednesday, 22 October 2014

PAEDIATRICS PRACTICE 5

                                    SINGLE BEST OPTION SERIES
                   INSTRUCTION: SELECT THE SINGLE BEST OPTION 
  1.        A child whose pet is a parrot presented with pneumonia. From this scenario, the most likely cause of the pneumonia is:
    a.      Mycoplasma pneumoniae
    b.      Respiratory syncytial virus
    c.       Legionella pnemophila
    d.      Chlamydia psittaci
    e.       Staphylococcus aureus
    2.       Bilateral interstitial infiltrates beginning in the perihilar region is classic chest radiographic finding in pneumonia caused by:
    a.      Chlamydia trachomatis
    b.      Legionella pneumophila
    c.       Pneumocystis jiroveci
    d.      Mycoplasma pneumoniae
    e.       Staphylococcus albus
    3.       The commonest fungal cause of pneumonia is:
    a.      Pneumocystis jiroveci
    b.      Candida albicans
    c.       Cryptococcus neoformans
    d.      Aspergillus spp
    e.       Candida glabrata
    4.       A child with pneumonia developed acute chest syndrome on admission. The most likely genotype of this patient is:
    a.       AS
    b.      SS
    c.       AA
    d.      All of the above
    e.      None of the above
    5.       Organisms implicated in acute chest syndrome include the following except:
    a.      Mycoplasma pneumoniae
    b.      Streptococcus pneumoniae
    c.       Haemphilus influenzae type b
    d.      Chlamydia psittaci
    e.      None of the above
    6.       Pneumocystis jiroveci pneumonia is not usually treated with
    a.       Erythromycin
    b.      Intravenous cotrimoxazole
    c.       Intravenous pentamdine
    d.      Only option (b) and (c).
    e.      None of the above
    7.       Usual complications of viral pneumonia does not include:
    a.       Heart failure
    b.      Atelectasis
    c.       Pneumatocoele
    d.      Bronchiectasis
    e.      Interstitial fibrosis
    8.       Rusty brown sputum is usually produced by patients with:
    a.       Staphylococcal pneumonia
    b.      Pneumococcal pneumonia
    c.       Bronchial asthma
    d.      Tuberculosis
    e.      Paragonimiasis
    9.       Maintenance intravenous fluid is usually given at 75% in patients with pneumonia, mainly because of :
    a.       Tachycardia
    b.      Tachypnoea
    c.       Syndrome of inappropriate ADH secretion
    d.      Acute respiratory distress syndrome
    e.      Dehydration
    10.   Risk factors for fungal pneumonia include the following except:
    a.       Prolonged intravenous cannulation
    b.      Immunocompromised state
    c.       Prolonged use of antibiotics
    d.      Prolonged neutropenia
    e.      Prolonged intake of goitrogens 



    ANSWERS:
    1. d
    2. c
    3. d
    4. b
    5. d
    6. a
    7. c
    8. b
    9. c
    10. e
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