PAEDIATRICS CLINICALS: PRACTICE 1

SINGLE BEST OPTION SERIES

         INSTRUCTION: SELECT THE SINGLE BEST OPTION


        

1.       Components of biodata during history taking from paediatric patients include the following except:

a.       Name

b.      Tribe of parents

c.       Informant

d.      Religion of the newborn

e.      Address of parents/caregivers

2.       Which of the following was inappropriately done by a candidate who was told to summarize the history and review of systems during paediatric clinical examination?

a.       Including the age and sex of the child in the summary

b.      Listing the presenting complaints with duration

c.       Including important positives and negatives from the history

d.      Stating any improvement since admission

e.      Using less than four sentences for the summary

3.       Which of the following clerking points is irrelevant in a child with weightloss?

a.       History of blood transfusion

b.      History of chronic cough

c.       History of chronic diarrhoea

d.      History of contact with camphor

e.      History of measles infection

4.       Which of the following history findings is not contributory to the diagnosis of hydrocephalus?

a.       High pitched cry

b.      Prematurity

c.       Prolonged labour

d.      Family history of hydrocephalus

e.      Barky cough

5.       The components of the mnemonic “VACTREL” does not include:

a.       Vertebra

b.      Renals

c.       Endobronchial

d.      Cardiac

e.      Lower limbs

6.       Risk factors for neural tube defects in newborns does not usually include:

a.       Maternal refusal to take folic acid periconceptually

b.      Maternal drug history of phenytoin or valproic acid during pregnancy

c.       Maternal consumption of blighted potatoes during pregnancy

d.      Maternal cigarette smoking during pregnancy

e.      Maternal irradiation during pregnancy

7.       Usual findings from lumbar puncture studies in a patient with bacterial meningitis does not include:

a.       Elevated  cerebrospinal fluid opening pressure

b.      Cerebrospinal fluid protein greater than 40mg/dl in infants above 28 days old

c.       Relative hypoglycorrhacia

d.      Gram positive diplococci in meningococcal meningitis

e.      Cerebrospinal fluid cell count greater than 5 per mm³ with greater than 75% as lymphocytes

8.       Which of the following is incorrect about the management of acute bacterial meningitis?

a.       If there is suspected cerebral oedema with raised intracranial pressure in children less than 4 years of age, 10% mannitol is given

b.      Dexamethasone may be given before or simultaneously with antibiotics to reduce the risk of deafness in Haemophilus influenzae aetiology

c.       If there is seizures, it should be aborted with diazepam or paraldehyde while the child is commenced on long acting anticonvulsant such as phenobarbitone

d.      Intravenous fluids are restricted to two-thirds of maintenance

e.      There is need to wait for culture results before commencing antibiotics to reduce polypharmacy

9.       Malaria is said to be severe/complicated when the following are present except:

a.       Cold clammy extremities

b.      Chills and rigors

c.       Rectal temperature greater than 40⁰C

d.      Kerley B lines on chest radiogragh

e.      “coca-cola” colour urine

10.   Hypoglycaemia in a neonate is defined as blood glucose less than ..............mg/dl

a.       30

b.      40

c.       50

d.      60

e.      70

  ANSWERS:

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