PAEDIATRICS CLINICALS: PRACTICE 3

SINGLE BEST OPTION SERIES

         INSTRUCTION: SELECT THE SINGLE BEST OPTION

1.       Which of the following is incorrect about presenting complaints during history taking?

a.       It should be arranged in chronological order

b.      Symptoms that developed during admission may be included

c.       Symptoms like convulsion are best reported in terms of the number of days

d.      Usually, it should not exceed 3 to 5 complaints

e.      None of the above

2.       Concerning developmental milestone, which of the following is paired with the wrong age of normal attainment?

a.       Pincer’s grasp.............................................................7 months

b.      Sitting with support....................................................6 months

c.       Loss of palmar grasp....................................................4 months

d.      Social smile..................................................................4 weeks

e.      Standing without support............................................12  months

3.       For children less than 24 months of age, their age can be estimated from the number of teeth plus:

a.       4

b.      5

c.       6

d.      7

e.      8

4.       Nutritional history involve asking about the following except:

a.       Frequency of feed

b.      Adequacy of feed

c.       Density of feed

d.      Utilization of feed

e.      None of the above

5.       A child presented with a past medical history of painful hand and foot swelling, recurrent jaundice, and bone pains to Modik Children hospital. The most likely diagnosis is:

a.       Malaria

b.      Bronchial asthma

c.       Sickle cell disease

d.      Cystic fibrosis

e.      None of the above

6.       Concerning dental development, the first set of teeth to erupt are the:

a.       Canines

b.      Incisors

c.       First premolars

d.      First molars

e.      Wisdom teeth

7.       The occipitofrontal circumference of a preterm equalizes with that of term infants at.................................of age

a.       40 months

b.      18 months

c.       24 months

d.      30 months

e.      36 months

8.       Which of the following is incorrect is incorrect about birth weight?

a.       The birth weight of a normal newborn is usually between 2.5 to less than 4 kilograms

b.      Preterm babies lose 10% of their body weight and regains it by the 10^th day of life

c.       By the end of the 7^th year of life, the adult occipitofrontal circumference of 56±2 centimetres  is attained

d.      Length of a newborn is taken while the baby is supine

e.      At birth, chest circumference is about 2 to 4 centimetres less than the occipitofrontal cirmference

9.       Unarousable coma is a Glasgow coma scale total score of:

a.       Less than 10

b.      Less than 13

c.       Less than 15

d.      Less than 3

e.      Zero

10.   Which of the following is incorrect about mid arm circumference?

a.       It is relatively constant in children above 5 years of age

b.      It is estimated half way between the acromion and olecranon process

c.       There is need to palpate landmarks before estimating it

d.      Shakir’s strip is used to estimate it

e.      The colour code “yellow” signify borderline malnutrition 

ANSWERS:

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