PAEDIATRICS: PRACTICE 16

SINGLE BEST OPTION SERIES

         INSTRUCTION: SELECT THE SINGLE BEST OPTION

1.             The inheritance of two abnormal haemoglobin genes in which at least one is haemoglobin ‘S’, defines:
   a.       Sickle cell anaemia
   b.      Sickle cell disease
   c.       Balanced polymorphism
   d.      Sickle cell trait
   e.      Thalassaemia major
   2.       Recognized precipitants of sickle cell crisis does not include:
   a.       Exposure to cold
   b.      Stress and acidosis
   c.       High altitude
   d.      Overhydration
   e.      Infection
   3.       Common causes of febrile convulsion include the following except:
   a.       Malaria
   b.      Pharyngotonsilitis
   c.       Otitis media
   d.      Bronchopneumonia
   e.      None of the above
   4.       Positive physical findings in an infant with hydrocephalus include the following except:
   a.       Craniofacial disproportion
   b.      Sunset appearance of the eyes
   c.       Normotensive anterior fontanelle
   d.      Cracked-pot sign
   e.      Poor neck control
   5.       Which of the following findings is inconsistent with investigation of a neonate with neural tube defect?
   a.       Elevated serum α-fetoprotein
   b.      Reduced 5-hydroxyacetic acid
   c.       Spinal X-ray revealing failure of closure in the posterior arches and lamina
   d.      CT-Scan revealing dilated cerebral ventricles
   e.      None of the above
   6.       The commonest cause of neonatal hypoglycaemia is:
   a.       Delayed feeding
   b.      Prematurity
   c.       Exchange blood transfusion
   d.      Perinatal asphyxia
   e.      Polycythaemia
   7.       Investigations of heart failure in a child does not usually require:
   a.       Full blood count
   b.      Electrolyte, urea and creatinine
   c.       Genotype
   d.      Urinalysis
   e.      None of the above
   8.       When empirically treating suspected isolated bacterial pneumonia in preschool children, aminoglycoside and penicillin combination is usually given for atleast..................days
   a.       2 to 3
   b.      5 to 7
   c.       7 to 10
   d.      21
   e.      2 to 5
   9.       The Wellcome classification uses percentage weight for age and ...................... to classify nutritional status
   a.       Percent weight for height
   b.      Presence or absence of oedema
   c.       Mid upper arm circumference
   d.      Waist ratio
   e.      Height
   10.   Usual features of enteric fever does not include:
   a.       Fever of about two weeks duration with a step ladder pattern
   b.      Diarrhoea alternating with constipation
   c.       Anorexia, vomiting and abdominal pains
   d.      Psychosis and rose spots
   e.      Oval-shaped ulcers on the mesenteric borders of the gut wall
   
   
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