PAEDIATRICS: PRACTICE 17

SINGLE BEST OPTION SERIES

         INSTRUCTION: SELECT THE SINGLE BEST OPTION

1.         Which of the following is incorrect about steroid therapy for nephrotic syndrome?
   a.       The mainstay steroid therapy is prednisolone in divided doses
   b.      Steroid dependent nephrotic syndrome relapses shortly after stopping or switching to alternative therapy
   c.       Steroid responsive nephrotic syndrome remits usually after 3 months of treatment
   d.      Steroid resistant nephrotic syndrome is one with two plus(2+) proteinuria or more after eight weeks of steroid therapy
   e.      None of the above
   2.       Which of the following is incorrect about the epidemiology of endemic  Burkitt lymphoma?
   a.       It is the commonest childhood malignancy in the tropics
   b.      The peak incidence is usually at five years of age
   c.       It is uncommon before one year of age
   d.      Most cases occur in children between four to nine years of age
   e.      It occurs more commonly in females than in males
   3.       The recognized types of Burkitt lymphoma include the following except:
   a.       Immunodeficiency associated
   b.      African
   c.       Sporadic
   d.      Congenital
   e.      None of the above
   4.       Unfavourable prognostic factors in children with acute lymphoblastic leukaemia does not include:
   a.       Patient’s age greater than 10 years or less than 2 years
   b.      Haemoglobin concentration greater than 10g/dl
   c.       Being a female patient
   d.      Karotype showing hyperdiploidy
   e.      Presence of organomegaly
   5.        Clinical manifestations of sickle cell anaemia usually starts around six months of age because the presence of haemoglobin......................................in significant quantity during this period.
   a.       A
   b.      F
   c.       C
   d.      S
   e.      Gower
   6.       The commonest crisis in patients with sickle cell anaemia is:
   a.       Hyperhaemolytic
   b.      Aplastic
   c.       Vaso-occlusive
   d.      Acute splenic sequestration
   e.      None of the above
   7.       Which of the following is an inappropriate step in the management of febrile convulsion?
   a.       Giving paraldehyde intravenously to abort seizures
   b.      Giving diazepam intravenously or rectally
   c.       Bag and mask ventilation for children who are not breathing
   d.      Giving prophylactic anticonvulsant to children with a positive family of febrile convulsion
   e.      Giving paracetamol for pyrexia
   8.       Which of the following is incorrect about hydrocephalus?
   a.       The patients may present with occipitofrontal circumference greater than 97^th percentile for age and sex
   b.      Transillumination of the occiput is usually negative in Dandy-Walker syndrome
   c.       In patients less than two years of age, optic disc pallor is difficult to identify
   d.      Cranial bruit may signify arteriovenous malformation of the Great vein of Gallen
   e.      Chorioretinitis in affected infants suggests intrauterine infection
   9.       Complications of neural tube defects does not usually include:
   a.       Meningitis
   b.      Peritonitis
   c.       Ventriculitis
   d.      Seizure disorder
   e.      Learning disability
   10.   The features of hypoglycaemia in a newborn does not usually include:
   a.       Convulsions
   b.      Inconsolable cry
   c.       Jitteriness
   d.      Plethoric conjunctiva
   e.      Limpness/lethargy 
   
   
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