Mount Kenya-2 Year 4 Paediatrics Notes OmpathStudy

Mount Kenya-2 Year 4 · Paediatrics Collection: 4TH YEAR ALL NOTES / PAEDS / PAEDS REVISION -- Mount Kenya University END OF 3 TRIMESTER EXAM JUNIOR CLERKSHIP IN PAEDIATRICS MBPE 4300. 11T JANUARY2022. Time 1 hour, Part 1-Essay 1. Discuss the congenital cardiac conditions y . List 5 eyanotic congenital heart conditig b. List 5 Acyanotic congenital heart congj E 4 Discuss the presentation and the manag d with tetralogy of fallot. (20 marks) Part 2-Multiple choice questions. Choose the most correct answer. 1. The following are features of infective endo A. Fever B. Migratory polyarthiris C. Positive blood culture D, Elevated erythrocyte sedimentation r Migratory murmur 4o 2. To make a diagnosis of infective endocard using the modified Dukes criteria, choose the correct combination that can be used to makea definite diagnosis. A. 2 major B.1 major 3minor . 5 minor All the above E. None of the above The most common organism that causes infe A. Strep pyogenes v Staph aureus C. E.coli . Group B strep Hacek group 4. The following form part of the major catego except? a. Polyarthritis b. Carditis ¢. Syndenhams chorea (d) Erythema murtiforme "€ Subcutaneous nodules 5. A new born baby presents with worsening ¢ high flow oxygen. Which of the following Ppresent. A. Tricuspind atresia Ttransposition of the great vessels ¢ endocarditis on native valves is? w 1 the Jone’s criteria for acute rheumatic fever s. The cyanosis doesn’t seem to respond to genital heart conditions is least likely to be\n\nE. Hypopl ld diagnosed 1o have tetralogy of Fallot except? 6. The following are Atrial sept 7. In the managemet the following medica A. Propranolol B. Sodium bicarbo Morphine @ Phenobarbital . Oxygen likely cardiac lesion p A. Ventricular septal defect B. Aortic regurgitation Pulmonary regurgitation Patent ductus arteriosus f fallot who ha 4 acute cyanotic spell,which of erm is found to have 4 mach;: ding pulses and wi i E. Aortic regurgitation. 9. A 10 year old girl diagnosed to have rheum; department with history of difficulty in breath; has a gallop thythm, a loud murmur due to most appropriate next steps of manageme; A. Do intense exercise to help with bre He should be advised to take diet } @ Start on oxygen and diuretics, . Start antibiotics, j E. Do a lumbar puncyre, 3 10. Tn a child with coarctation of the aorta, A. Radio-femoral delay Blood pressure difference betwe @ Severe central cyanosis Weak pulses in the lower limbs circulation failure i, atic heart discase presents to th ling, swollen legs and face. On ey nitral regurgitation and o tender it should be? ithing and quicken recovery h in salt\n\nkgs is diagnosed to have a patent which is most correct step in the the ductus can vbe closed odynamically significant. see if the ductus shall close ed. vamergency department with a 2 '; ow grade fever. The most likely 100 numerous to count 20 WBC/HPF and many bacteria artment with a seizure. On initial tal signs are significant for blood pressure d urine a few days ago, and was seen by infection. Over the last few days prior me is a hkely diagnosis in v.h\s child a glomcrulouephnus is likely to be the diagnosis here ogram and plan to & ansfuse should be the immediate next step as the 10 an upper respiratory infection, occurring skin infection, usually observed In warm ction with specific nephritogenic strains of group A beta-hemolytic streptococcus. D.The incidence of GN is approximately 50% in persons with pharyngitis and 35% in those with skin infections. E. None of the above. 17.1n 3‘9 management of children with acute post infectious glomerulonephritis,which statement 1s true? A. Antibiotic therapy with penicillin in the ear {: i restll)'icfion e hase of illness improves the outcomes Prognosis in most cases is guarded Haematuria resolves in about a excellent in most cases of AGN E. None of the abo 18. A 3-year-old boy is previously healthy. Pl lung sounds in the bila bilateral pleural effusi witha value of 2 g/dl. A 24 akidney biopsy woul A @ ACE inbibitor, furosemide. . Prednisone, ACE inhibitor, C. Prednisone, furosemidc, all D. Furosemide, spironolactone, E. Furosemide, ACE inhibitor, 20. In the pathophysiology of inant ent: A the predor L s Orckeno ). s Valve ¢leasesy ol =o% ao-t 9 00m with edema and shortness of breath. He was S mild tachypnea, periorbital edema, decreased ©ma of bilateral lower extremities. CXR reveals protein. Serum albumin is markedly decreased reveals 3 grams of protein. Light microscopy of erular basement membrane sion of podocyte foot processes ologist, what would be the most appropriate e patient in the previous question? in in children, which statement is true? a which s attributed to progressive nephron loss nd is associated with coagulation defects plication in patients with ascites e are attributable to progressive loss of nephrons o if)/m ls €% ~ Foqu Bty 2 RQuime~et Taka L Anemaloy '/(:'(.' queet vessly avemal 25 pu {of@‘f“ \ A ’g Mo AgGomy. hose ToA