DOC-20230624-WA0022 Year 4 Paediatrics Notes OmpathStudy

DOC-20230624-WA0022 Year 4 · Paediatrics Collection: 4TH YEAR ALL NOTES / PAEDS / OTHER NOTES -- ORA SAID \nersh \nMount Kenya University\nUNIVERSITY EXAMINATION 2018/2019 \nMEDICAL SCHOOL\nDEPARTMENT OF PAEDIATRICs AND CHILD HEALTH \nEND OF FOURTH YEAR EXAMINATION FOR BACHELOR OF MEDICINE AND\nBACHELOR OF SURGERY UNIT CODE: MBPE4300 UNIT TITLE: JUNIOR CLERKSHIP IN PAEDIATRICS\nAND CHILD HEALTH DATE: 13 JULY, 2019 8.00AM MAIN EXAM TIME: 2 HOURS\n\nINSTRUCTIONS: SECTION A: (100 Marks) SECTION A INSTRUCTIONS \nThere are 100 multiple choice questions with five responses each. Choose\nthe most appropriate response.\nThere is no negative marking. .Write your university registration number\nAttempt all questions.\n\nPaper One Page 1 \n\n 1) A previously well 1-year-old infant has had a running nose and has Dee\nsheezing and coughing for 2 days. Two other members of the family had simiia\nsymptoms. Four hours ago, his cough became much worse. On physical\nxamination, he is in moderate respiratory distress with nasal flaring, hyper\nThe most\nexpansion of the chest, and easily audible wheezing without rales.\nlikely diagnosis is\n(A) Bronchiolitis\nB. Viral croup\nC. Asthma\nD. Epiglottitis\nE. Diphtheria \n2) Which of the following is true of tetanus?\nA. Failure to culture Clostridium tetani from the wound would make the\ndiagnosis doubtful\nB. Infection confers lifelong immunity\nC. There is a characteristic EEG\nD. Clostridium-specific intravenous immunoglobulin is of no benefit once a \nspa[m has started .Cephalic tetanus causes severe dysphagia \nEXCEPT:\n3) Stiff neck in a young child is a feature in the following conditions\nA. Acute poliomyelitis\nB. Retropharyngeal abscess\nC Rubeola ( measles)\nD. Subarachnoid hemorrhage\nE. Tuberculosis \nto the clinic with\n4) Two weeks after a viral iliness, Mukiri, a 9-year-old girl presents\na complaint of several days of drooping from her mouth. In addition to the\ndrooping of the left side of her mouth, you note that she is unable to completely\nshut her left eye. Her smile is asymmetric, but her examination is otherwise\nnormal. This girl likely has\nA. Guillain-Barre syndrome\nB. Botulism\nC. Cerebral vascular accident\nBrainstem tumor\n(E, Bell's palsy\nwhich one of the following is most helpful\n5) In diagnosis of acute rheumatic fever,\nPage 2 Paper One \n\n A. A generalized papular rash\nB. Elevated ASOT titers\n(CPolyarthritis\nD. Splinter hemorrhages\nE. Positive blood culture of viridans streptococci \n6) An infant can move his head from side to side while following a moving object,\ncan lift his head from a prone position 45° off the examining table, smiles when\nencouraged, and makes cooing sounds. He cannot maintain a seated position.\nThe most likely age of the infant is\nA. 1 month\n3 months\nC. 6 months\nD. 9 months\nE. 12 months \n7) Origi, an 11 year old boy from Makutano presents with bilateral cervical\nlymphadenopathy. His ymph node biopsy reveals nodular sclerosing Hodgkin's\ndisease. Which one of the following features indicates a poorer prognosis?\nA. Fatigue\nB. Mediastinal mass of 3cm\n(C.)Night sweats\nD. Pruritis\nE. Recent Epstein- Barr virus infecticn \n8) An 8-month-old infant has a 2-day history of diarrhea and poor fluid intake. You\ndiagnose 10 to 15% dehydration. Which of the folowing fiuids is appropriate to\nbegin immediate resuscitation?\nA. Oral rehydration solution\nB. 5% dextrose with 12 normal saline\nCNormal saline\nD. Ringer's lactate solution\nE. Half strength Darrow's solution. \n9 Juma, a four year old boy from Mwea is found to have the classical murmur of a\npatent ductus arteriosus. Which one of the following is characteristic of this\nmurmur?\n(AContinuous\nB. Mid-diastolic\nC. Pan-systolic Paper Onne Page 3 \n\n D. Ejection\nE. Early diastolic. \n10) Hepatitis C virus\nThe incubation period is 7-9 weeks\nB. Food is the usual mode of\ntransmission.\nC. Has a DNA\ngenome\nD. Commonly transmitted through breastmilk.\nEIs a predominantly non-cytopathogenic virus that causes injury by\nimmune-mediated processes \n11)The following is consistent with brainstem death\nA. absence of consensual pupillary light reflexes\nBabsence of cold caloric reflex\nC. periodic breathing\nD. absent tendon reflexes\nE. Cheyne Strokes breathing \n12)Metabolic alkalosis is characteristically found in one of the following\nA Pyloric stenosis\nB. Mineralocorticoid deficiency\nC. Cholera\nD. Salicylate poisoning\nE. An infusion of Ringers lactate \n13)The following is true of chromosomal disorders\nA Down's syndrome is most commonly due to an extra copy of chromosome 21\ninherited from the father.\nB A haploid cell has 46 chromosomes\nCA fetus with triploidy will have 47 chromosomes\nD The normal human karyotype consists of 44 pairs of autosomes\nE)Robertsonian translocation involving chromosome 21 accounts for 3-4 % of\nDown's syndrome. \n14)A 1-year-old infant is known to have heart disease and is noted to be cyanosed.\nWhich of the following