PAEDIATRICS CLINICALS: PRACTICE 2

SINGLE BEST OPTION SERIES

         INSTRUCTION: SELECT THE SINGLE BEST OPTION

1.       Which of the following is incorrect about the investigation of malaria?

a.       Thick blood film is for speciation and parasite density

b.      Quantitative buffy coat is a microscopy test

c.       Plasmodium falciparum histidine rich protein-2 (pfHRP-2) is a slow diagnostic non-microscopic test

d.      Plasmodium lactate dehydrogenase detects the parasites that are still alive

e.      Polymerase chain reaction may be used to confirm the diagnosis

2.       The following causes of heart failure in children are paired with appropriate suggestive clinical findings except:

a.       Congenital heart disease........................................recurrent pneumonia

b.      Anaemia ................................................................bounding pulse

c.       Ventricular septal defect.......................................radiofemoral delay of pulses

d.      Pneumonia............................................................fever, cough and tachypnoea

e.      None of the above

3.       Usually, the normal apex beat in children less than 4 years of age is located at the............................left intercostals space midclavicular line

a.       Third

b.      Fourth

c.       Fifth

d.      Sixth

e.      Second

4.       Which of the following is incorrect about pneumonia in paediatric patients?

a.       Grunting is a sign of severe lower airway disease

b.      Percussion is often not informative in infants

c.       Bronchial breathing suggest lobar consolidation

d.      Homogenous opacity with air bronchogram is a usual  finding in bronchopneumonia

e.      Tuberculosis and Klebsiella are usual causes of cavitations in the lung fields

5.       The most important investigation modality to confirm suspected pneumonia is:

a.       Blood culture

b.      Chest X-ray

c.       Full blood count

d.      Pleural fluid microscopy, culture and sensitivity

e.      Arterial blood gas analysis

6.       Which of the following does not suggest life threatening asthma as a diagnosis?

a.       Coma or confusion

b.      Silent chest

c.       Tachypnoea  

d.      Peak expiratory flow rate less than 33% of predicted

e.      Feeble respiratory effort

7.       Hyperoxia test is used to detect the cause of...........................

a.       Plethora

b.      Cyanosis

c.       Pallor

d.      Jaundice

e.      Pleural effusion

8.       Which of the following definition of tachypnoea is inappropriate considering the age of patients:

a.       Respiratory rate of greater than 60 cycles per minute in infants less than two months of age

b.      Respiratory rate of greater than 20 cycles per minute in school age children

c.       Respiratory rate of greater than 40 cycles per minute in preschool children

d.      Respiratory rate of greater than 50 cycles per minute in infants of 2 to 12 months of age

e.      None of the above

9.       According to the Gomez classification of protein-energy malnutrition, a child with percent weight for age between 76 to 70 is classified as:

a.       Normal

b.      First degree malnutrition

c.       Second degree malnutrition

d.      Third degree malnutrition

e.      None of the above

10.   Common anthropometric measurements in paediatrics include the following except:

a.       Weight

b.      Height

c.       Abdominal girth

d.      Mid arm circumference

e.      Occipitofrontal circumference 

ANSWERS:

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