paed 2021 (1) Year 4 Paediatrics Notes OmpathStudy

paed 2021 (1) Year 4 · Paediatrics Collection: 4TH YEAR ALL NOTES / PAEDS / PAEDS REVISION -- eftePorus Mount Kenya MKU University\n\nEND OF SECOND SEMESTER EXAM 4TH OCTOBER 2021. SENIOR CLERKSHP IN PAEDIATRICS AND CHILD HEALTH INSTRUCTIONS Answer all questions There is one correct answer,Choose the best option\n\n 1. Allan is a 3 year old boy diagnosed to have cystic fibrosis. Which ofthe following is not a\ncommon presentation of the disease?\nA. Failure to thrive\nB. Loose stools\nC. Recurrent chest infections\nD. Severe mental retardation\nE. Diabetes mellitus\nThe genetic dysfunction in cystic fibrosis is inherited as?\nA. Autosomal dominance\nB. Autosomal recessive\nC. X-liuked dominant\nD. X linked recessive\nE. Multifactorial.\n3. The diagnosis of cystic fibrosis is suspected ifthe following results are found in the patient's\nwork up.\nA. Sweat chloride of30mmol/l\nB. Sweat chloride of 120mml/1\nC. Stool fecal elastase of 500g/gram of stool\nD. Sweat sodium of 140mmol/1\nE. Sweat sodium of 20mmol/l\n4. Ir the management of cystic fibrosis, whicl1 statement is false?\nA. There is role for timely use of antibiotics with good outcomes.\nB. Physiotherapy improves lung function and is key in the management\nC. All children develop diabetes mellitus and need insulin by 5 years of age.\nD. Enzyme replacement therapy improves weight gain and stool consistency\nE. The type of organisms that colonize the child's airway matter and some a role in reducing\nlung health if not treated well. \n\n the following except? .Secondary causes of vasculitis in children can include\nA. Infections\nB. Malignancy\nC. Drugs\nD. Other rheumatological conditions\nE. Consuming too much sugar in the diet 6. An example of ANCA associated vasculitis with granulomatosis is?\nA. Rheumatoid arthritis\nB. Churg strauss\nsyndrome\nC. Systemic lupus\nD. Henoch schonlein\nerythematosus\npurpura\nE. Good\npastures disease 7. Mary, a 16 year old female presents with a malar Rash,\nmultiple joint pains.She was recently\ndiagnosed to have anemia and a pleuritis and is on medication. The most\ncould have is? likely condition that she\nA. Dermatomyosistis\nB. Juvenile rheumatoid arthritis\nC. Systemic\nlupus erythematosus\nD. Sjogren's syndrome\nE. Good\npastures disease. 8 Whiehvesettitis disorder is associated with pulselessness?\nA. Kawasaki disease\nB. Takayasu disease\nC. Henoch schonlein purpura\nD. All the above\nE. None of the above 9. Which statement is true about the\nrheumatoid arthritis in children\nA. Rheumatoid factor is\nB. Conversion of\nalways positive\npauci articular arthritis to poly articular is associated with a\nC. Joint pains and good prognosis\nstiffness occur late in the\nD. May be associated with evening and rarely in the morning\nother\nE. Rheumatological conditions\nSevere bone destruction is a 10. Concerning the key feature.\nmanagement\nA. Non-steroidal\nof juvenile rheumatoid arthritis, which statement is true?\nB. anti-inflammatory medication should be avoided since\nExtensive exercises should be they cause acidity.\nC. Systemic performed during flair ups\nmanifestations and chronic uveitis are associated\nD. with good outcome\nPolyarticular\narthritis involves 2 or more\njoints.\nE. As many as 20-40\njoints can be affected. 11. Cardiovascular\nfindings in systemic lupus erythematosusinclude the following?\nA. Pericarditis\nB. Endocarditis\nC. Myocarditis\nD. All the above\nE. None of the above 12.\nHaematological findings\nA. Thrombocytopenia expected\nin SLE include all\nexcept?\nB. Anemia\nC. Leucopenia \n\n D. Polycythemia\nE. Lymphopenia 13. Coagulopathies expected in SI.E include\nA. Hypercoagulable state\nB. Hypocoagulable states\nC. Thrombotic thrombocytopenic purpura\nD. All the above\nE. None of the above. \ninduced SLE such as from\n14. Which antibodies are likely to be positive in a child with drug\nprocainanmide or hydrazaline\nA. Anti SM antibodies\nB. Anti-phospholipid antibodies\nC. Anti-histone antibodies\nD. Anti gromerular basement antibodies\nE. Rheumatoid factor\non the feet, lower legs\nand buttocks.\n15. A 5 year old child presents with small bluish purplish spots\nthe urine dipstick. What is the likely diagnosis?\nShe also has abdominal pains and haematuria on\nA. Sleroderma\nB. Henoch schonlein purpura\nC. Dermatomyosistis\nD. Juvenile rheumatoid arthritis\nE. Kawasaki disease\nwhich statement is true?\n16. Concerning the condition mentioned in number 18 above,\nof being diagnosed with the condition\nA. Most children don't recover and die within a few days\nB. This condition affects large vessels in the body\nC. The condition is IGG mediated\nmediated\nD. The condition is a small vessel vasculitis that is IGA\nE. None of the above.\n17. The following are expected findings in the acute phase of Kawasaki disease except?\nA. High fevers\nB. Red eyes\nC. Cervical lymphadenopathy\nD. Swollen hands\nE. Desquamation of fingers and toes\n18. Which statement is true in regards to Kawasaki diseas