Saturday, 24 January 2015

PAEDIATRICS CLINICALS: PRACTICE 5



SINGLE BEST OPTION SERIES
         INSTRUCTION: SELECT THE SINGLE BEST OPTION




1.       Symptomatology of vomiting include the following except:
a.       Bilious or non-bilious
b.      Effortless or projectile
c.       Associated abdominal distension
d.      Occurring postprandial and post-tussive
e.      Colicky or non-colicky
2.       Which of the following is incorrect about fluid and electrolytes in the body?
a.       Water accounts for about 75-80% of birth weight in a term neonate
b.      Foetuses and newborns have larger intracellular fluid than extracellular fluid
c.       Term neonates lose 10% of their birth weight in the first week of life while preterms lose about 15% of their birth weight within two weeks of life
d.      Total body water decreases with increasing body fat
e.      None of the above
3.       Children taking only maintenance fluid in the hospital are expected to lose about what percentage of their body weight daily?
a.       0.5-1%
b.      2-2.5%
c.       3-3.5%
d.      4.5-5%
e.      1.5-8.5%
4.       Usual causes of hypokalaemia include the following except:
a.       Chronic use of diuretics
b.      Constipation
c.       Laxative abuse
d.      Cushing syndrome
e.      Nasogastric tube drainage
5.       Which of the following statements is incorrect?
a.       Hypocalcaemia is defined as serum ionized calcium less than 4 milligram per decilitre
b.      While giving calcium gluconate by intravenous infusion slowly, there is need to monitor the heart rate as it causes cardiac arrest in diastole
c.       Hypocalcaemia may occur following exchange blood transfusion(EBT)
d.      Vitamin A and vitamin D intoxication may cause hypercalcaemia
e.      Hypercalcaemia is treated using normal saline plus or minus loop diuretics
6.       The parts of a sphygmomanometer include the following except:
a.       Bulb inflator
b.      Adjustment knob
c.       Mercury reservoir
d.      Cuff and bladder
e.      Mercury gauge
7.       Usual causes of Faget’s sign include the following except:
a.       Typhoid fever
b.      Brucellosis
c.       Yellow fever
d.      Cardiac conduction defects due to Lyme disease
e.      Acute malaria
8.       Indications for nasogastric tube include the following except:
a.       Gavage feeding
b.      Oral rehydration
c.       Gastric lavage in cases of corrosive poisoning
d.      To obtain sample during investigation of suspected tuberculosis
e.      None of the above
9.       Concerning suctioning machine, which of the following is incorrect?
a.       It is necessary to check the rubber tubing to ensure that it is leak proof
b.      Disposal of fluid in the suction bottle is necessary while in use to prevent backflow
c.       Retropharyngeal abscess and bulbar poliomyelitis are indications to use this device
d.      It should not be used for patients with status epilepticus to prevent worsening of seizures
e.      It may be needed for on-table suctioning during surgery
10.   Complications of using AMBU-bag (bag and mask) ventilation include the following except:
a.       Gastric distension from aerophagia
b.      Alveolar rupture
c.       Retinopathy of prematurity
d.      Circum oral and nasal trauma due to firm pressure of grip
e.      Introduction of infection

ANSWERS:

Please click on the comment section below to reveal the answers.
Have a great time here



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1 comment:

  1. 1. e

    2. b

    3. a

    4. b

    5. b

    6. b

    7. e

    8. c

    9. d

    10. c

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