paed 2 Kudra Year 4 Paediatrics Notes OmpathStudy

paed 2 Kudra Year 4 · Paediatrics Collection: 4TH YEAR ALL NOTES / PAEDS / PAEDS REVISION -- Mount Kenya 2 University I END OF 2" SEMESTRR EXAM MBPE 4300 - JUNIOR CLERKSHIP IN PAEDIATRICS AND CHILD HEALTIH MULTIPLE CHOICE QUESTIONS 5t Qctober 2021, Time 1 hour 30 min INSTRUCTIONS Choose the best answer Answer all question 1. Ann aged 3 years old presents with a three day history of cough and body hotness. On examination she has lower chest wall in drawing, She is unable to feed and drink. A chest x ray shows diffuse opacities in the right lower lobe. Choose the best option A. She has pneumonia according to WHO and should be given Amoxicillin and come back for review in 24 hours B. She needs oxygen at 10-15 liters by nasal prongs }‘//‘@ She should be admitted and be put on iv crystalline penicillin and oxygen D. The disease is on the rise because of lack of vaccines. 2. A 10 year old child is brought to the emergency department with history of difficulty in breathing, on examination she has diffuse wheezes bilaterally and no fevers. The doctor decides to give fast acting bronchodilators and the child responds very well. The most likely condition the child has is? A. severe pneumonia B. Bronchiolitis Asthma D. Foreign body aspiration E. Tuberculosis 3. Causes of pulmonary hemorrhage may include the following except A. Foreign bodies in the airway B. Tuberculosis\n\nC temic lupus erythematosus \//@ Obstructive sleep apnea K Factor VIIT deficiency o; 3y 4. The causes of interstitial lung diseases in infants include all except A. Surfactant protein B deficiency Surfactant protein A deficiency C. Surfactant protein C deficiency D. ATP Binding Cassette protein deficiency E. Neuroendocrine cell hyperplasia 5. The following dysfunctions are commonly expected in child with cystic fibrosis expect? A. Failure to thrive B. Vitamin A,D E K deficiency C. Chronic lung diseases D. Exocrine Pancreatic insufficiency Severe Vitamin B,C deficiency. 6. The genetic dysfunction in cystic fibrosis is inherited as? A. Autosomal dominance B. X-linked recessive Autosomal recessive Autosomal dominance E. Multifactorial. 7. John’s father and mother are both carriers for cystic fibros is. Which statement js true in regards to the inheritance of this condition? A. There is 50% probability of each child getting the disease The probability of having an infected child is 25 9% Each sibling has a 100% chance of being affected by the disease D. This condition is not inherited and therefore the children born from this couple will not E. All the males from this family will suffer from cystic fibrosis, .% 8. Concerning pulmonary ‘haemorragic syndromes, which statement s true? e and supplies the conducting irways The pulmonary circulation is high capacitance and supplies the respiratory airways presents to the facility E. Foreign bodies can cause localized bleeding in the airways, 9. Inregards to the prognosis of children wih interstitial lung diseases, which statement is true? is of children with immune without treatment. D. Immune suppressants should not pe used because they will suppress the immune system. 1 E. Heart lung transplant improves 5 year suryival o almost 100%. ‘mediated vasculitis s fair and tends to resolve 2 e ——— \nThe diagnosis of cystic fibrosis is suspected if the following results are found in the patient’s work up. A. Sweat chloride of 30mmol/l . Sweat chloride of 120mml/ . Stool fecal elastase of 500g/gram of stool D. Sweat sodium of 140mmol/l E. Sweat sodium of 20mmol/ 11. In the management of cystic fibrosis, which statement is false? A. There is role for timely use of antibiotics with good outcomes® B. Physiotherapy improves lung function and is key in the management + All children develop diabetes mellitus and need insulin by 5 years Pf age. . Enzyme replacement therapy improves weight gain and stool consistency. N E. The type of organisms that colonize the child’s airway matter and some a role in reducing lung health if not treated well. Use the diagram below to answer the subsequent questions. NogM.AL. E‘LCG 12. Which wave on the ECG represent atrial repolarization 7 Q? A. R wave: W,B’. p wave V/ C. T wave D. J wave V/@ U wave: 13. What's the ideal interval of the PR duration on the ECG A 12 seconds q’) L-o 73 seconds i i) Ol B, Sems ang - 0 vE—oct Y 02 seconds b e ok\n\nNorMaL IECGE R [£3 14. What does the QRS complex represent A. Atrial repolarization B Ventricular repolarization Ventricular depolarization D. Atrial depolarization E. Both atrial and ventricular repolarization 15. dentify the rhythm below A. Supraventricular tachycardia " Ventricular fibrillation é/ Ventricular tachycardia . Atrial fibrillation E. Sinus tachycardia I 16, Alwmld is broughtwmeemergcncymthaveryhlghfieverandthebnnmexs\n\n' — ZA' About lirschsprung’s disease, Which statement is false? A. Classic triad is of neonatal bilious vomiting, abdominal distension, and delayed passage of meconium ( 48 hours) is the typical presentation v A7 A small