paed cat21 (1) Year 4 Paediatrics Notes OmpathStudy

paed cat21 (1) Year 4 · Paediatrics Collection: 4TH YEAR ALL NOTES / PAEDS / PAEDS REVISION -- Mount Kenya University END OF 2D SEMESTRR EXAM MBPE 4300-JUNIOR CLERKSHIP IN PAEDIATRICS AND CHILD HEALTH MULTIPLE CHOICE QUESTIONS th October 2021. I ime I hour 30 min\n\nINSTRUCTIONS Choose the best answer\n\nAnswer all question \nAnn aged 3 years old presents with a three day history of cough and body hotness. On\nexamination 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\nS h e has pneumonia according to WHO and should be given Amoxicillin and come back\nfor review in 24 hours\nB. She needs oxygen at 10-15liters by nasal prongs\nC. She should be admitted and be put on iv crystalline penicillin and oxygen\nD. The disease is on the rise because of lack of vaccines. 2. A 10 yecar old child is brought to\nthe emergency department with history of ditticulty in\nbreathing, on examination she has difuse wheezes bilaterally ánd no fevers The doctor\ndecides to give tast acting bronchodilators and the child responds very well. The most likely \ncondition the child has is?\nA. severe pneumonia\nB. Bronchiolitis . Asthma \nD. Foreign body aspiration\nE. Tuberculosis 3. Causes of pulmonary hemorrhage may include the following except\nA. Foreign bodies in the arway\nB. Tuberculosis \n\n CSystemic lupus erythematosus\nObstnuctive\nE Factor\nsleep apnea\nVIl deficiency\nT h e causes of\nnterstitial lung\ndiseases in infants nclude all except\nA Surfactant protein B\nB\nSurfactant protein A deficieney\nC Surfaclant protein C delieiency\nD deficiency\nATPBinding Cassette protein\nE\nNeuroendocrine cell hyperplasiadeficiency\nThe following\ndysfunctions are\ncommonly expected in child with cystic fibrosis\nA Failure to thrive expect\nB Vitamin A,D K deficiency\nChronic lung diseases\nD.\nExocrine Pancreatic insulliciency\nL Severe Vitamin B,C deficiency\n6. The\ngenelic dysfunction in cystic fibrosis is inherited\nas\nA. Autosomal dominance\nBX-linked recessive\nAutosomal recessive\nD Autosomal dominance\nE. Multifactorial.\n7. John's father and mother are both\ncarriers lor cystic fibrOSIs. Which statement is true\nto the inheritance of this condition? in regard\nA.\nThere is 50% probability ol each child getting the disease\nThe probability of having an infected child is 25 %\nC. Each\nsibling has a 100% chance of being affected by the disease\nD. This\ncondition is not inherited and theretore the children born from this\nbe altected coupie will not\nE. All the males from this\nfamily will suffer Irom cystic fibrosis.\n8.\nConcerning pulmonary haemorragic syndromes, which statement is true'?\nThe bronchial circulation is low\ncapacitance and supplies the conductiug airways\nB. The pulmonary circulation is high\nC. Infections rarely cause\ncapacitance and\nsupplies respiratory airways the\npulmonary haeiorthage and should not be suspected as a cause\nD. It is important to stop the\nblecding immediately with surgery as soon as the child\npresents to the facility\nE. Foreign bodies can cause localized 9.\nbleeding in the airways.\nIn regards to the prognosis of children with interstilial\nlung diseases, which statement is true"\nA. Children with protein surfactant B deficiency tend to have a\nvery good prognosis\nChildren with heimer's syndrome due cow milk allergy do very well as long as the cow\nmilk is withdrawn.\nC. The prognosis of children with immune mediated vasculitis is fair and tends to resolvc\nwithout treatment.\nD. Immune suppressants should not be used because they will suppress the iminuie\nsystem.\nE. Heart lung transplant improves 5 year survival to almost 100% \n\n hedingnosis ot cystuc tibrus1s is suspected it the tollowing results are found in the painent \nworkup \nASweat chloride of 3Ommol/l\nSweat chloride of i120mml/\nBCStool tecal elastase of 500g/gram of stool\nD Sweat sodium ot\n140mno\nE. Sweat sodum ot 20mmol/l 11 In the management of cystie fibrosis, which statement is false? \nA There is role for timely use of antibiotics with good outcomes\nB h y siotherapy improves lung function and is key in the management\nA l l children develop diabetes mellitus and need insulin by 5 years ot agge \nimproves weight gain\nand stool\nconsistency\nDEnzyne replacement theraPy\nthat colon1ze the child's airway matter and some a role in reducing\nE.The type ot organisms\nung health it not treated well \nUse the diagram below to answer the subsequent questions.\n\n NORMAL ECG \n9RS\n\n the ECG represent atrial repolarization\n12. Which wave on\nA Rwave \nB. P .IwaVe \nD Jwave\nE. UwaVe duration on the ECG\n13. What's the ideal interval of the PR\nA. 1.2 seconds\nB. seconds\n\n C. Tminute\nD. 5 seconds\nE. 0.2 seconds \n\n NoRMaL ECG\n\n4 h a t does the QRS complex represent \nA. Atrial repolarization\nB Ventricular repolari7ation\nC. Ventricular depolarization\nD Atrial depolarization\nE Both atrial and venir