PAEDIATRICS: PRACTICE 20

SINGLE BEST OPTION SERIES

                     INSTRUCTION: SELECT THE SINGLE BEST OPTION

1.        Staging of Burkitt lymphoma can be performed using the following systems except:
   a.       Ann Arbor
   b.      St. Jude/Murphy
   c.       Melbourne
   d.      Uganda cancer Institute
   e.      None of the above
   2.       Which of the following is incorrect about nephroblastoma?
   a.       Presents as a firm mass usually discovered accidentally
   b.      Hypertension is a usual feature
   c.       Intravenous urography may reveal intra-renal mass with distorted pelvicalyceal system
   d.      Incidence is higher in males than in females
   e.      The presenting mass does not usually cross the midline
   3.       Which of the following is incorrect about dactylitis in patients with sickle cell anaemia?
   a.       It involves hand and foot swelling
   b.      It usually starts in the neonatal period
   c.       It may be seen up till two years of age
   d.      It is usually painful
   e.      None of the above
   4.       Which of the following is incorrect about sickle cell anaemia crises?
   a.       Management  of vaso-occlusive crisis mainly require hydration, analgesia and treating the precipitants
   b.      In hyperhaemolytic crisis, blood film shows reticulocytosis
   c.       Splenectomy is used to prevent recurrent aplastic crisis
   d.      In acute sequestration crisis, packed red cell may be transfused in aliquots
   e.      Inappropriate low reticulocyte count occur in aplastic crisis
   5.       The following parameters are used to differentiate simple and complex febrile convulsions except:
   a.       Frequency of seizures
   b.      Electroencephalogram
   c.       Type of seizure
   d.      Duration of seizure
   e.      Presence of post-ictal sleep
   6.       Considering investigation of hydrocephalus, which of the following is wrongly paired?
   a.       Cerebrospinal fluid cytology.......................................hypoglycorrhacia
   b.      CT-Scan........................................................................dilated ventricles
   c.       Transfontanelle ultrasound.........................................intraventricular haemorrhage
   d.      Skull X-ray....................................................................periventricular calcifications
   e.      None of the above
   7.       For malaria to be defined as severe/complicate, which of the following is not required to be compulsorily present?
   a.       Cold and clammy extremities
   b.      Chills and rigors
   c.       Rectal temperature greater 40 degree Celcius
   d.      Presence of Kerley ‘B’ lines on chest radiograph
   e.      Passage of dark/’coca-cola’ coloured urine 
   8.       Which of the following is incorrect about the correction of neonatal hypoglycaemia?
   a.       About 2mL per kilogram of 10% dextrose or 4mL per kilogram body weight of 50% dextrose is usually used
   b.      The 50% dextrose solution is usually triple diluted to avoid thrombophlebitis but 10% dextrose water may need no dilution before use
   c.       After giving the initial bolus dose of glucose containing fluid, there is the need for maintenance fluid
   d.      The blood sugar should be monitored hourly until two consecutive normal values are recorded and subsequently four-hourly
   e.      After weaning the neonate off intravenous fluid, the blood sugar is monitored during oral feeds to confirm normoglycaemia
   9.       Which of the following is incorrect about bacterial pneumonia?
   a.       The commonest cause in preschool children is usually Streptococcus pneumoniae
   b.      Neck stiffness is seen in apical lung consolidation
   c.       Abdominal pain may be referred from lower lung lobe involvement
   d.      Exposure to cigarette smoke is a risk factor for pneumonia
   e.      Grunting is usually a sign of mild lower airway disease
   10.   Post-tussive vomiting is highly characteristic of:
   a.       Tuberculosis
   b.      Pneumocystis jiroveci pneumonia
   c.       Pertusis
   d.      Protein energy malnutrition
   e.      Croup 
   
   
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