PAEDS END SEM 2 2022 OCT Year 4 Paediatrics Notes OmpathStudy

PAEDS END SEM 2 2022 OCT Year 4 · Paediatrics Collection: 4TH YEAR ALL NOTES / PAEDS / PAEDS REVISION -- B. Mitral C. Tricuspid @ Aortaand Mitral E. Pulmonary 6. In the diagnosis of acute rheumatic fever, the following form part of the majot cfi teria except? A. Sydenham’s chorea 4 B. Migratory polyarthritis C. Erythema marginatum P Fever E. Carditis/ 7. A child who has a significant Ventricular septal defect will need prophylaxis for infective endocarditis for the following. A. Combing hair aggressively B. Brushing teeth 8. Tooth extraction D. Minor Lip injury E. Swimming 8. The causative agent linked to acute rheumatic fever is? A. Group B streptococcus B Lancefied group A beta haemolytic streptococcus C. Staphylococcus aureus D. Lancefied Group A alpha haemolytic streptococcus 9. Inregards to a child diagnosed with acute rheumatic fever, choose the most correct A. Children with vulvular damage should be on lifelong monthy benzathine be P Children without valvular involvement should receive prophylaxix up to age C. Children with penicillin allergy should be given amoxicillin x D. Macrolides have no role in prophylaxis « s E. Risk of throat infections is lower after 8 years of age and many chilc come for monthly injections. ¢:; 10, Identify the thythm below:\n\nBk oca frepey tcular tachycardia D. Ventricular fibrillation E. Atial flutter 12. The following are present in a child with tetralogy of fallot except? grw“““) ‘“‘7‘;.4 P ke i@?fimfiafluontflow obstruction bomi Z,,,./,qal B. Rigt ventricular hypertrophyy v &4 A aorta” D. Ventricular septal defect” ¥ Aortic stenosis 13. In the management of tetralogy of fallot, which of the following has no role A. Sodium bicarbonate v/ [ % Lo B. Morphine + Ks O«L s C. Propranolol v/ o q;’r ras et ¥ Phenobarbitone; fi — E. Knee chest positioning s < "'f ¢ ‘0“& o The following is an ECG. Look at it and answer questions 14-17. 7% 3 “e o4\n\nD. Atrial fibrillation E. Normal sinus rhythm. 16. What does the P wave signify? Ventricular repolarization Atrial depolarization Ventricular depolarization Atrial repolarization Atrio-ventricular conductance time moUomp 17. What does the QRS signify? A. Atrial repolarization B. Ventricular depolarization C. Atrial depolarization D. Ventricular repolarization E. Atrial relaxation 18. In a child with right ventricular hypertrophy, the following ECG features are expected except? A. Peaked P waves B. Right axis deviation ¥ C. Long R waves in lead V1 R. Right bundle branch block y. E. Deep S waves in lead V1. 19. John is diagnosed to have renal failure. A blood sample was taken and showed a potassium level of 7.6mmol/l. The expected ECG changes will include? Hepedtelena M. Depressed T waves B. Peaked T waves C. Narrow QRS complex D. U waves E. Prolonged PR interval 20. The ideal PR interval should be? A. 1.2 Seconds B. S seconds C. 1 minute D. 25 seconds K. 0.12 seconds 21. The radiograph below is in keeping with which cardiac condition? Bmf/?u;t /7{,;/ 77 anomalous pulmonary venous return of fallot Arteriosus ricuspid atresia nsposition of the great vessels 22. A newbomn ivered at term and is noted to have severe respitatory distress and cyanosis. % ‘PD,‘\ murmur is heard. Which prostaglandin is used to keep the PDA open to sustain the life of this child as awaits definitive surgery. A. Prostaglandi E2 'B. Prostaglandin E1 C. Prostaglandin D D. Prostaglandin 12 E. Prostacyclin ¥ 23. The following features can help in suspecting a child with coarctation of the aorta. Bounding peripheral pulses Easily palpable dorsalis pedis pulse Radio-femoral delay, Pistol shots at the femoral artery Collapsing pulse mOOW 424, The most common cardiac lesion found in children with Down syndrome is? A. Atrial septal defect B. AVSD C. Pulmonary stenosis D. Mitral regurgitation E. Aortic regurgitation 25. The most appropriate management for a child with a very large VSD would be? A. Monitor closely as the defect is likely to close as the child grows up B. Primary suture by the surgeon even if stitches are under tension. C. Introduce a closure device such as an umbrella to obstruct the defect 5 D. Open heart surgery and closure of defect by a patch under cardiopulmonary bypass E. Palliative care as this lesion is inoperable. 26. The most correct statement concerning the PDA murmur is? It’s a diastolic murmur best heard at the left lower sternal border It’s continuous machinery murmur best heard at the upper left stemnal border A grade 6 murmur is accompanied by a thrill its best heard at the apex It radiates to the back. MO Ow 27. In regards to a Patent Ductus Arteriosus (PDA), the following statement is the most correct. A PDA the preterm babies should always be closed as it is unlikely to close on its own. —Tew. Presence' of a PDA in the first 24 hours is uncommon.x Term children who have a persistent PDA should be monitored for as spontaneous closure is very likely.« Preterm infants with respiratory distress anda PDA and should not have fluid restriction as