PAEDIATRICS PRACTICE 8

                    SINGLE BEST OPTION SERIES
     INSTRUCTION: SELECT THE SINGLE BEST OPTION

   

1.   The following are features of neonatal Bartter’s syndrome except:
   a.       History of gestational polyhydramnios
   b.      Polyuria
   c.       Polydipsia
   d.      Hypocalciuria
   e.      Nephrocalcinosis
   2.       The following disorders are channelopathies except:
   a.       Bartter’s syndrome
   b.      Hypokalaemic periodic paralysis
   c.       Romano-Ward syndrome
   d.      Cystic fibrosis
   e.      Odine’s curse
   3.       Considering the most correct, congenital long QT syndrome, syndactyly and autism spectrum disorders are known constellation in:
   a.       Bartter’s syndrome
   b.      Romano-Ward syndrome
   c.       Timothy syndrome
   d.      Andersen-Tawil syndrome
   e.      Jervell and Lange-Nielsen syndrome
   4.       Which of the following is incorrect about the physiology of pregnancy?
   a.       In utero, the foetus depends on the placenta for gas exchange.
   b.      Foetal tissues are perfused with blood at lower rate than in adults.
   c.       The Pco₂ of the foetus is slightly higher than adult levels
   d.      Elimination of carbon dioxide from the foetus is enhanced by maternal hyperventilation and relative hypocarbia during pregnancy.
   e.      The ductus arteriosus remains patent during pregnancy because of foetal production of prostaglandins and a relatively low Po₂.
   5.       The following are important concepts in the definition of birth asphyxia except:
   a.       Hypoxaemia
   b.      Hypercarbia
   c.       Metabolic acidosis
   d.      Failure to initiate and maintain spontaneous respiration
   e.      None of the above.
   6.       The following are usual antepartum risk factors for birth asphyxia except:
   a.       Post-term gestation
   b.      Polyhydramnios
   c.       Oligohydramnios
   d.      Singleton pregnancy
   e.      Premature rupture of membranes.
   7.       Intrapartum risk factors for birth asphyxia does not include:
   a.       Chorioamnionitis
   b.      Maternal drug therapy with narcotics 3 days before delivery
   c.       Precipituous labour
   d.      Emergency caesarean section
   e.      Uterine rupture.
   8.       Newborns subjected to partial prolonged asphyxia usually begin:
   a.       Diving reflex
   b.      Ferguson reflex
   c.       Hoffman reflex
   d.      Snout reflex
   e.      Parachute reflex
   9.       The following are usual features of acute near-total birth asphyxia except:
   a.       Has as abrupt
   b.      Usual causes include uterine rupture, complete abruption and severe cord compression.
   c.       There is usually significant multisystem organ damage from shunting of blood away from non-vital organs.
   d.      It usually last 5 to 30 minutes
   e.      None of the above.
   10.   Which of the following is the most important target when resuscitating the asphyxiated newborn?
   a.       Return of spontaneous circulation
   b.      Adequate ventilation
   c.       Adequate albumin production
   d.      Expulsion of meconium
   e.      Umbilical cord clamping.
   
   
   
   
   
   
   ANSWERS
   
   
   1. d
   2. e
   3. c
   4. b
   5. e
   6. d
   7. b
   8. a
   9. c
   10. b
   
   
                               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.