PAEDIATRICS: PRACTICE 19

SINGLE BEST OPTION SERIES

         INSTRUCTION: SELECT THE SINGLE BEST OPTION

1.              Investigations of a three years old boy with febrile convulsion include the following except:
   a.       Random blood sugar
   b.      Full blood count
   c.       Urinalysis and urine microscopy, culture and sensitivity
   d.      Transfontanelle ultrasound
   e.      Blood culture
   2.       Investigations necessary to confirm the diagnosis of hydrocephalus in a 5 years old girl, does not usually include:
   a.       Cerebrospinal fluid 5-hydroxyacetic acid estimation
   b.      Cranial CT-Scan
   c.       Lumbar puncture
   d.      Gastric washings or sputum for acid and alcohol fast bacilli
   e.      None of the above
   3.       Which of the following is incorrect about bacterial meningitis?
   a.       Neonates usually present with fever, refusal to feed, irritability and convulsion
   b.      Petechiae and purpura occur in meningococcal meningitis
   c.       History of recent travel to the meningitic belt is necessary to make the diagnosis
   d.      There is usually positive Kernig’s and Brudzinski signs in infants
   e.      Bulging tense anterior fontanelle is a usual presentation in neonates
   4.       The following causes of neonatal hypoglycaemia are paired with appropriate suggestive features except:
   a.       Polycythaemia......................................................plethora
   b.      Beckwith-Wieddemann syndrome.......................gastroschisis
   c.       Maternal diabetes mellitus...................................macrosomia
   d.      Neonatal sepsis.....................................................fever
   e.      Congenital adrenal hypoplasia..............................ambiguous genitalia
   5.       Which of the following is incorrect about the management of cardiac failure in paediatric patients?
   a.       There is need to exclude hypokalaemia before starting digoxin therapy
   b.      If frusemide is given for more than 24 hours to reduce preload, potassium supplement is required
   c.       Captopril reduces afterload by increasing vascular resistance
   d.      The patient should be nursed in cardiac position for strict bed rest
   e.      There is need to regularly weigh the affected child to detect loss of oedema fluid
   6.       Which of the following is incorrect about the management of acute severe asthma?
   a.       High flow humidified oxygen is usually given at 1 to 2 litre per minute in infants
   b.      Inhaled salbutamol is given every 20 minutes via an oxygen driven nebulizer usually for 5 times in an hour
   c.       Intravenous hydrocortisone is given at 4mg per kg 6-hourly
   d.      Mucolytic agents are highly beneficial in these patients
   e.      Aminophylline is started at 5mg per kg if child was not previously on a theophylline medication
   7.       The following are associate with poor prognosis in a patient with protein energy malnutrition except:
   a.       Hypothermia
   b.      Intractable seizures
   c.       Altered sensorium
   d.      Hypoglycaemia
   e.      None of the above
   8.       Concerning enteric fever, which of the following is incorrect?
   a.       The aetiologic agents are transmitted via the faeco-oral route
   b.      It is most commonly caused by lactose fermenting Gram negative organisms
   c.       It is uncommon in children  4 to 5 years of age
   d.      Quinolones may be used to treat older children
   e.      The fever in these patients usually resolve by lysis
   9.       The commonest complication of nephrotic syndrome is:
   a.       Arterial thrombosis
   b.      Malnutrition
   c.       Spontaneous bacterial peritonitis
   d.      Growth retardation
   e.      Hypovolaemia
   10.   Which of the following is an unusual feature of endemic Burkitt lymphoma presenting as a jaw mass?
   a.       Paraplegia
   b.      Dental anarchy
   c.       Gingival swelling
   d.      Lymphadenopathy
   e.      Proptosis 
   
   
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