PAEDIATRICS: PRACTICE 18

SINGLE BEST OPTION SERIES

         INSTRUCTION: SELECT THE SINGLE BEST OPTION

 

1.        Which of the following is incorrect about the management of anaemic heart failure in children?
   a.       Before the arrival of blood for transfusion, there may be need to give frusemide to decrease blood volume
   b.      Digoxin should be given to improve myocardial contractility
   c.       Packed cells are usually given over 2 to 3 hours
   d.      Because of hypoxia which may lead to metabolic acidosis, there may need to administer sodium bicarbonate
   e.      None of the above
   2.       Which of the following is incorrect about the management of bacterial pneumonia?
   a.       Fluid is usually given at two-thirds of maintenance fluid in severe pneumonia because of syndrome of inappropriate ADH secretion
   b.      Thoracocentesis is usually needed to control peritoneal effusion
   c.       Oxygen therapy may be necessary
   d.      Sodium bicarbonate is necessary to correct metabolic acidosis
   e.      None of the above
   3.       Which of the following is incorrect about childhood malnutrition?
   a.       Tuberculin skin test may be false negative in these patients
   b.      Marasmic kwashiorkor is percentage weight for age less than 60 and absence of oedema
   c.       Hypophosphataemia may cause death when recovering from malnutrition due to sudden increase in metabolism
   d.      Rickets occur during recovery due to rapid depletion of vitamin D stores
   e.      Resuscitation, consolidation and rehabilitation are usual steps in the management
   4.       Which of the following is incorrect about the investigation of enteric fever?
   a.       Blood culture is best done in the first week of illness in patients with suspected typhoid fever
   b.      Bone marrow culture result in patients with typhoid fever is not usually affected by prior antibiotics therapy
   c.       Widal test is usually diagnostic of typhoid fever
   d.      Full blood count shows leucopaenia with relative lymphocytosis
   e.      Peripheral blood film may show normochromic normocytic anaemia
   5.       Alternative therapy to poor response to initial corticosteroid therapy in patients with nephrotic syndrome include the following except:
   a.       Cyclophosphamide
   b.      Chlorambucil
   c.       Cyclosporine
   d.      Paclitaxel
   e.      Levamisole
   6.       Which of the following is incorrect about Burkitt lymphoma?
   a.       It is associated with loose tooth at early stage
   b.      Patients usually present with a red herring history of trauma
   c.       The mandible is more commonly affected than the maxilla in patients presenting with jaw swelling
   d.      Abdominal Burkitt lymphoma is seen more often in older children
   e.      The presenting mass is usually painless and fast growing
   7.       The characteristic chromosomal translocation in Burkitt lymphoma is that between chromosomes...............?
   a.       2  and 8
   b.      8 and 14
   c.       8 and 22
   d.      1 and 8
   e.      None of the above
   8.       Features of neuroblastoma usually include the following except?
   a.       Chronic constipation
   b.      Sympathetic mass crossing the midline of the body
   c.       Increased urinary homovanillic and vanillymandelic acid
   d.      Metastasis to bone
   e.      Horner’s syndrome may be present
   9.       Usual presentations of sickle cell disease does not include:
   a.       Recurrent jaundice
   b.      Plethora
   c.       Body weakness
   d.      Severe pallor
   e.      Failure to thrive
   10.   Which of the following crisis in patients with sickle cell anaemia is matched with inappropriate predominant clinical finding?
   a.       Vaso-occlusive crisis....................................body pains
   b.      Hyperhaemolytic crisis................................deepening jaundice and pallor
   c.       Acute sequestration crisis............................abdominal distension and shock
   d.      Aplastic crisis................................................convulsions and diaphoresis
               e.   None of the above
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