PAEDIATRICS PRACTICE 10

                          SINGLE BEST OPTION SERIES
     INSTRUCTION: SELECT THE SINGLE BEST OPTION.

   

1.         Redistribution of blood flow in an asphyxiated newborn is usually done to maintain or increase perfusion of the following except:
   a.       Heart
   b.      Kidneys
   c.       Adrenals
   d.      Brain
   e.      None of the above
   2.       The following are known manifestations of birth asphyxia except:
   a.       Syndrome of inappropriate ADH secretion
   b.      Hypoglycaemia
   c.       Hyponatraemia
   d.      Hypomagnesaemia
   e.      None of the above.
   3.       The following are complications of birth asphyxia except:
   a.       Persistent pulmonary hypertension of the newborn
   b.      Cerebral palsy
   c.       Adrenal haemorrhage
   d.      Acute tubular and cortical necrosis in the kidneys
   e.      None of the above
   4.       Which of the following is incorrect about Apgar score?
   a.       The 5-minute score determines the need for resuscitation
   b.      Newborn with acrocyanosis carry a score of one on the appearance parameter
   c.       A total score of 3 or less suggest severe birth asphyxia
   d.      Neonatal resuscitation may precede scoring.
   e.      Healthy preterms with no evidence of asphyxia may inappropriately receive low score because of immaturity.
   5.        The following parameters are included in Apgar score except:
   a.       Respiration
   b.      Pupillary size
   c.       Grimace
   d.      Activity
   e.      None of the above
   6.       Considering the most correct, the main use of Apgar score is to:
   a.       Determine the need for resuscitation
   b.      Grade birth asphyxia severity
   c.       Prognosticate in cases of birth asphyxia
   d.      Document to avoid litigation
   e.      Monitoring response to oxygen therapy
   7.       Professor Virginia Apgar who devised the APGAR score in 1952, is also famous for being the first to:
   a.       Separate Siamese twins
   b.      Cannulate the umbilical artery
   c.       Perform phototherapy
   d.      Use chloroform in anaesthesia
   e.      Write extensively on Nezelof syndrome.
   8.       Considering the most correct, neonatal resuscitation usually does not require:
   a.       AMBU bag
   b.      Thoracotomy tube
   c.       Oxygen
   d.      Mucous extractor
   e.      10% dextrose water.
   9.       Which of the following is incorrect about asphyxiating thoracic dystrophy
   a.       It is a ciliopathy
   b.      The affected individual may breath rapidly and slowly
   c.       It is inherited in an autosomal dorminant pattern
   d.      It is also known as Jeune syndrome
   e.      Renal failure may result from cystic renal diseases
   10.   Manifestations of asphyxiating thoracic dystrophy does not usually include:
   a.       Rhizomelic brachymelia
   b.      Narrow bell-shaped chest
   c.       Polydactyly
   d.      Short ribs
   e.      None of the above.
   
   
   
   
   
   
   
   
   ANSWERS:
   1. b
   2. e
   3. e
   4. a
   5. b
   6. a
   7. b
   8. b
   9. c
   10. e
   
            
   
   

                                        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.