PAEDIATRICS: PRACTICE 14

SINGLE BEST OPTION SERIES

         INSTRUCTION: SELECT THE SINGLE BEST OPTION

1.         Which of the following is incorrect about pneumonia?
   a.       Patchy opacities on chest radiograph is seen in bronchopneumonia
   b.      Children with chronic fungal pneumonia are usually toxic-looking
   c.       Staphylococcus aureus is a usual cause of cavitations on the lung fields
   d.      Positive antigen detection may be necessary to confirm pneumococcal pneumonia
   e.      Toxic granulations occur when associated with septicaemia
   2.       Cutaneous manifestations of protein energy malnutrition does not usually include:
   a.       Flaky paint dermatosis
   b.      Dry wrinkled inelastic skin
   c.       Pavement ulcers
   d.      Flag sign
   e.      None of the above
   3.       Which of the following is incorrect?
   a.       Children with kwashiorkor are usually miserable but alert
   b.      Wizened old man facie is seen in marasmus
   c.       Hepatomegaly is usually absent in children with marasmus
   d.      Patients with kwashiorkor usually have poor appetite
   e.      During recovery from malnutrition, heart failure may result from fluid shift into the intravascular space
   4.       Usual presentations of nephrotic syndrome includes the following except:
   a.       Anarsaca
   b.      Difficulty in breathing
   c.       Gross haematuria
   d.      Dilutional anaemia
   e.      Scrotal oedema
   5.       Monitoring of patients being treated for acute glomerulonephritis usually require the following except:
   a.       Daily weighing
   b.      Daily electrolyte, urea and creatinine measurements
   c.       Daily throat swab
   d.      Keeping fluid input and output chart
   e.      None of the above
   6.       The commonest presentation of Burkitt lymphoma in African children is:
   a.       Loosening of molar or premolar
   b.      Intra-abdominal tumours especially retroperitoneal lymph nodes or ovarian lesion
   c.       Extradural lesion causing spinal cord compression
   d.      Swelling of the mandible or maxilla
   e.      Vomiting and constipation
   7.       Considering the most correct, common presentations of acute leukaemia in children does not usually include:
   a.       Pyrexia
   b.      Paraplegia
   c.       Pruritus
   d.      Petechiae
   e.      Peripheral lymphadenopathy
   8.       Contraindications to renal biopsy include the following except:
   a.       Solitary kidney
   b.      Bleeding diathesis
   c.       Uncontrolled hypertension
   d.      Small scared kidneys with end-stage renal disease
   e.      Steroid resistant nephrotic syndrome
   9.       Patients with sickle cell anaemia usually require the following to maintain prolonged steady state except:
   a.       Daily folic acid
   b.      Daily proguanil
   c.       Pneumococcal vaccine
   d.      Daily selenium supplementation
   e.      Ascorbic acid
   10.   Which of the following is incorrect about febrile convulsion?
   a.       Usually occurs in children aged 6 months to 6 years
   b.      Metabolic and intracranial causes must be excluded for the definition to be valid
   c.       Lumbar puncture is usually required in all children with this disorder
   d.      Cold saline lavage is a management option
   e.      It should be managed using medical emergency protocols 
   
   
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