PAEDIATRICS: PRACTICE 15

SINGLE BEST OPTION SERIES

         INSTRUCTION: SELECT THE SINGLE BEST OPTION

1.              Associated findings in a child with myelomeningocoele does not usually include:
   a.       Spastic paralysis of the lower limbs
   b.      Patulous anus
   c.       Hyporeflexia
   d.      Lack of pain and touch sensations in the lower limbs
   e.      Negative transillumination of the protruding mass
   2.       Hypoglycaemia in a newborn is consistent with following risk factors except:
   a.       Maternal diabetes mellitus
   b.      Neonatal inability to suck
   c.       Maternal postpartum haemorrhage
   d.      Family history of galactosaemia
   e.      None of the above
   3.       The cardinal signs of heart failure in children does not include:
   a.       Tachypnoea
   b.      Polyuria
   c.       Tachycardia
   d.      Tender hepatomegaly
   e.      Gallop rhythm
   4.       Concerning pneumonia, which of the following is incorrect?
   a.       Neonates usually present with chest pains  
   b.      Measles is a predisposing factor
   c.       Blood culture even though highly specific but the sensitivity is usually about 30%
   d.      Lung aspiration is rarely done to make diagnosis
   e.      A child with pneumonia may initially present with respiratory alkalosis but later develops respiratory acidosis
   5.       The modified Wellcome classification of protein energy malnutrition recognizes the following classes except:
   a.       Kwashiorkor
   b.      Pre-obese
   c.       Obese
   d.      Underweight kwashiorkor
   e.      Marasmic kwashiorkor
   6.       Which of the following is incorrect about intestinal perforation in a patient with typhoid fever?
   a.       Patients are toxic looking
   b.      Chest X-ray shows air under the right side of the diaphragm
   c.       It most commonly occur in children of less than 2 years of age because of highly developed Peyer’s patches
   d.       It is suggested by leucocytosis on full blood count
   e.      High grade fever occurs long before abdominal pains
   7.       Supportive treatments in nephrotic syndrome does not include:
   a.       Low salt diet
   b.      Generous fluid intake
   c.       Treating concomitant infection
   d.      Control of oedema using diuretics like frusemide
   e.      Salt poor albumin to control resistant oedema
   8.       Usual complications of acute glomerulonephritis include the following except:
   a.       Acute renal failure
   b.      Congestive cardiac failure
   c.       Hypertensive encephalopathy
   d.      Chronic glomerulonephritis
   e.      Thrombocytopaenic purpura
   9.       The highest incidence of Burkitt lypmphoma is reported to be in:
   a.       Kampala, Uganda
   b.      Blantyre, Malawi
   c.       Ibadan, Nigeria
   d.      Harare, Zimbabwe
   e.      Bamako, Mali
   10.   Which of the following is incorrect about acute leukaemias?
   a.       There is normocytic normochromic anaemia with low reticulocyte index
   b.      Blast cells are visible on blood film
   c.       Splenomegaly is a commoner presentation than hepatomegaly
   d.      Proptosis from chloromatous deposits may occur in acute myeloid leukaemia
   e.      Remission of induction is usually achieved with asparaginase, prednisolone and hydrocortisone
   
   
   ANSWERS:
   Please click on the comment section below to reveal the answers.
   Have a great time here