PAEDIATRICS CLINICALS: PRACTICE 4

SINGLE BEST OPTION SERIES

         INSTRUCTION: SELECT THE SINGLE BEST OPTION

1.       Concerning symptomatology, pain is not:

a.       Sudden

b.      Colicky

c.       Brassy

d.      Referred

e.      None of the above

2.       Which of the following is incorrect about fever?

a.       It is said to be remittent when daily fluctuation exceeds 2⁰C but never returns to normal

b.      Continuous fever does not fluctuate for greater than 1⁰C in 24 hours

c.       Fever occurring within intervals of 24 hours in patient with malaria is known as quotidian fever

d.      Perl Ebstein fever occur in patients with typhoid and swinging pyrexia occur in salmonella septicaemia

e.      Intermittent fever is present only for several hours a day with intervening afebrile periods

3.       When describing the history of presenting complaint in a child who had several convulsions before coming to the hospital, which of the following is irrelevant:

a.       Duration of each episode

b.      Postictal sleep

c.       Inability to move some parts of the body after each episode

d.      Interventions so far

e.      None of the above

4.       The verbal responses obtained from paediatric patients using Glasgow Coma Scale and its modifications are paired with appropriate points/scores except:

a.       Cries to pain.......................................   3

b.      Cools and bables................................    5

c.       Irritable cry.........................................   2

d.      No response.......................................    1
e. none of the above

5.       The following are usual causes of dark coloured urine except:

a.       Desferoxamine

b.      Quinine

c.       Sulphonamides

d.      Primaquine

e.      Ampicillin

6.       The normal occipitofrontal circumference at birth is ......................centimetres

a.       77 ± 2

b.      35 ± 2

c.       40 ± 2

d.      20 ± 2

e.      18 ± 2

7.       The following are findings from the general examination of a child except:

a.       Jaundice

b.      Microcephaly

c.       Reduced breath sounds

d.      Febrile

e.      Underweight

8.       Components of the prenatal, natal and postnatal history taking include the following except:

a.       Maternal immunisation with tetanus toxoid

b.      Any seizures in the neonatal period

c.       Booking of pregnancy

d.      Phototherapy in the neonatal period

e.      None of the above

9.       The history of presenting complaints is analyzed using the following headings except:

a.       Symptomatology

b.      Care received so far

c.       Cause of complaints

d.      Complications

e.      Circumstantiality

10.   Which of the following is incorrect about the Blantyre coma scale?

a.       It is used for assessing children less than 5 years of age

b.      It was developed in Nigeria for assessing coma in adolescents with cerebral malaria

c.       Inappropriate cry carries one point

d.      A total score of less than 3 is interpreted as unarousable coma

e.      A baby following the mother’s face will receive one point on the eye movement parameter

  ANSWERS:

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