PAEDIATRICS CLINICALS: PRACTICE 8

SINGLE BEST OPTION SERIES

         INSTRUCTION: SELECT THE SINGLE BEST OPTION


 

1.       Serial weight monitoring is crucial in the following conditions except:

a.       Protein-energy malnutrition

b.      Febrile convulsions

c.       Nephrotic syndrome

d.      Failure to thrive

e.      Tuberculosis

2.       Properties of ideal sphygmomanometer cuff and bladder include the following except:

a.       The cuff should cover at least two-thirds of the arm

b.      The bladder should surround at most 90% of the arm circumference

c.       Cuffs that are too big gives false low blood pressure

d.      The cuff should be placed at about two centimetres above the cubital fossa

e.      Cuffs that are too small gives false high blood pressure

3.       Parts of an oxygen cylinder for oxygen therapy include the following except:

a.       Pressure gauge

b.      Flow metre

c.       Indicator light

d.      Bubble humidifier

e.      Tank

4.       Nasogastric tube is usually used to make diagnosis of the following conditions except:

a.       Choana atresia

b.      Asherman’s syndrome

c.       Trachea-oesophageal fistula

d.      Infantile hypertrophic pyloric stenosis

e.      None of the above

5.       Which of the following parts of an endotracheal tube is paired with the wrong function?

a.       Cuff......................................prevents aspiration of fluid into the lungs

b.      Murphy’s eye.......................prevents leakage of gas

c.       Tube.....................................connected to oxygen source

d.      Pilot......................................for inflating the cuff

e.      None of the above

6.       The benefits of nebulizer compressor unit include the following except:

a.       It delivers larger dose of medication than would be received from several puffs of an inhaler

b.      It is useful in patients too ill to handle inhalers

c.       Useful for patients that are too young to handle inhalers

d.      It is useful when drugs such as pentamidine are not available in hand held inhalers

e.      None of the above

7.       The following are appropriate statements about examination of the eye with an ophthalmoscope except:

a.       Papilloedema is a common finding in paediatric patients with meningitis

b.      It helps to exclude raised intracranial pressure before a lumbar puncture is done

c.       The rule for using the ophthalmoscope is using the right hand and right eye to examine the right eye of the patient and vice versa

d.      Ideally, dilation of the pupil with mydriacyl such as tropicamide is necessary

e.      None of the above

8.       Indications for placing paediatric patients in radiant warmer include the following except:

a.       For observation

b.      Hypothermia in patients with protein-energy malnutrition

c.       Neonatal sepsis

d.      Hypothyroidism

e.      None of the above

9.       Samples collected with fluoride oxalate vacutainer bottle can be used to aid the diagnosis of the following except:

a.       Neonatal hyperbilirubinaemia

b.      Beckwith Wiedemann syndrome

c.       Protein-energy malnutrition

d.      Bacterial meningitis

e.      Severe malaria

10.   Which of the following is incorrect about correcting fluid and electrolytes in the body?

a.       Bicarbonate deficit is corrected using sodium bicarbonate with half of the calculated concentration being double diluted and given slowly by intravenous route over 15 to 20 minutes

b.      Mild dehydration can be corrected orally except where contraindication to oral feeding exists

c.       A boy weighing 9Kg with severe dehydration will need a maintenance fluid of 900mL

d.      Patients with hypernatraemic dehydration are usually well nourished infants fed with hyperosmotic formula feeds

e.      None of the above

ANSWERS:

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