paed (1) Year 4 Paediatrics Notes OmpathStudy

paed (1) Year 4 · Paediatrics Collection: 4TH YEAR ALL NOTES / PAEDS / PAEDS REVISION -- \n \n\n. K(HOECT\n\n Mount Kenya University\nUNIVERSITY EXAMINATION 2018/2019 \nMEDICAL SCHOOL\nDEPARTMENT OF PAEDIATRICS AND CHILD HEALTH\nEND OF FOURTH YEAR EXAMINATION FOR\nBACHELOR OF MEDICINE AND\nBACHELOR OF SURGERY UNIT CODE: MBPE4300 UNIT TITLE: JUNIOR CLERKSHIP IN PAEDIATRICS\nAND CHILD HEALTH DATE: AUGUST, 2019\nSPECIALSUPP TIME: 2 HOURS INSTRUCTIONS: SECTION A: (100 Marks) INSTRUCTIONS\nThere are 100 multiple choice\nquestions with five responses each. Choose\nthe most appropriate response.\nThere is no negative marking. .Attempt all questions.\n1. The following are signs\nof circulatory shock except\na. Cold extremities\nb. Slow capillary tefill\nStrong peripheral pulse\nd. Responds only to voice\ne. Weak peripheral\npulse\n\nPaper One Page 1 \n\n in\nUnexe e aku \nS L e pA e g n d\ l e e p r\n\n 2. New\nparents ask you how to reduce the\nudden chance of their baby\nthe\ninfant death syndrome (SIDs). You tell suffering from them to place the child in\nfollowing positions for sleep?7 which of\nSupine position\nD. Prone position\nC. Seated position\nd. Trendelenburg position\ne. A hammock\n\n 3. The following is true about\nHepatitis A7 \nChildren commonly recover\nb. spontaneously.\nDiagnostic laboratory tests should\nC.\nDiagnosis should not be consideredinclude IGM antibodies to all viral Hepatitis\nif history of\ncontacts jaundice exist in family\nd. Vaccine is approved for ve\nchildren older than2\ne.\nIncubation period is 10-14days3weet) years X7ye Rt e r\nm e e\no\n\n The following are true\nregarding streptococcus\nidentified in culture by itspneumonia\na. This\nbacterium is EXCEPT\ncapacity partial alpha haemolytic\nb. Children with sickle cell\ndisease are\ndue to its deficits in the\nproperdin\nsusceptibfe to pneumococcal infection\nC. Virulent\npneumoçoccucal are resistant to\npathway\nmacrophages phagocytosis by alveolar\nd. The\nanti-phagocyctic properties of the pneumococcal\nto its invasive\ncapacibility capsule contributes\n(eNaso pharyngeal carnage consistently induces\nsystemic immunity\n5. With regards to diagnosing\nthe following syndrome of inappropriate ADH\nstatements is an\nunlijkely secretion, which of\nerum Serum sodium e y finding9?\ntinding?\n<135meq/l ADH wcter\nSerum\nUrine.osmolarity 1009mosm/kg\nosmolarity 290mosm/l XCc\nd. Euvolemic hyponatremia\ne. Excess urine sodium with\nnormal intake C q K s i e n t r o l t e s h u\n\n Coue\nse b\nTKD H pt Iecby dnu na Gmofalhh<i\nechpc pvc AD) mal cell (ur Ca\nIhnlehv Kelnty 9enc mutetod Giluli\nN2e\nPaper One N drefenggotintalt \na\niniu an,Page 2 dKidn\newelemra\nBUN <10maAmsld \n\n knob-like swellings on the anterior chest 6. In a twelve month old presenting with\nwall, bones and delayed motor milestones,\nsoftcranial\nwhich of the following wing\nworkup findings are expected\na. High serum calcium levels\nb. Low alkaline phosphatase\nC. High inorganic phosphate levels des\nDecreased osteoblastic activity\nalkaline phosphatase levels\neHigh\nShe\nand difficulty in breathing for 1 day. 7. An 11 month old girl presents with cough\nis in respiratory distress and the chest is hyperresqnant on\npercussion. Which of\nthe following is FALSE gneur\nis recommehd OLtkma.\na. Oxygen treatment\ncauttt+t+ttt++++t+t++t+++-se\nRSV is most likely. \nC. Her prognosis is good\nnot be commenced\nd. V antibiotics should on aminophylline\ne.She should be started\nHe has a respiratory\n8. Onyango a 3year old boy presents with a cough for 2days.\nHe is noted to have\nrate of 66 breathes per minute andfemperatur of 39.C.\nWhich of the\nis well nourished.\nchestin drawing. There is nocyanosis and\nfollowing is true\nMantoux test is recommended\nb. Course of ceftriaxone is recommend\nC. He should be put on oxygen usinga non-rebreather mask\nd. He should be isolated\ne. Course of meropenem is recommended r \nhepatitis B surface Ag, a negative\n9.(A 6 month oldinfan?is noted to have a positive\nHepatitis Bsurface Ab.la positive Hepatitis B.core Ab and positive Hepatitis Be\nstatement regarding HBV infection or\nits treatment in this child is; plcehu\ng. true\nActive and passive immunization should beginimmediately\nActive replication of HBV is not occurring\nC. Exposure to HBV\noccurred in the past but the infection has cleared \nd. Infection was transmitted horizontally\neradicate the virus\ne. Treatment with interferon-alpha may\n\n Page 3 Paper One \n\n T0.Jaspn, a7 year old HIV infected child presents with nuchal\nStain is positive. rigidity and CSF India\nC M\na. Amphotericin B The acute phase of treatment for this child consists of:\nb. Fluconazole\nItraconazole\nAmphotericin\ne. Pentamidine B and Flucytosine \n11.Which one of\nmore the-following is a differential for a child with\nthan21days? fever persisting for\na.\nPrevious drug\nC.\nb.\nPsycho-somaticadministration\nOccult infectionillness in\nyoung infants\n \n\n Munchausen's disease-MA G\nSystemic l