PAEDS PAPER Year 4 Paediatrics Notes OmpathStudy

PAEDS PAPER Year 4 · Paediatrics Collection: 4TH YEAR ALL NOTES / PAEDS / PAEDS REVISION -- 1. The following children are recommended to receive vitamin A e{(cept. A. Children above 6 months to children 2 years of age B. Immunodeficiency C. Impaired intestinal absorption D. Moderate to several malnutrition /@ Obesity 2. Anormal 3 year old should be able to ‘A Copyatriangle\n\n- Kemunto who was bom with a birth Weight of 2.7kgs at term has been exclusively breast fed. At the age of 5 months she weighs 8.5kgs and has no other medical problem. The following is true regarding [ Kemunto She should continue exclusive breastieeding for 6 months./ . Endocrinology review is indicated { lost commor omplications, whe 7.0bject permanence i @ Staring momentariy atthe spotth s the ball descends e ball was dropped B, Eyeslowering & C. Crying when the ball hits the ground D. Smiling at the game of hide-and-seek Nqfie of the above grasp is usually noted at age: b ity to manipulate small objects with the pincer D. 2024 mg E. 8648 mo 1-The bestfomula or approximating average weight n kilograms for a 9-mo-ofd is (R 1Age (mo) +9/2 B. Age (mo) + 11 C. Age(y)x2+8 D. Age (ynx5+17 E. Age(y)x7+5 12.All of the following statements regarding growth in the first month of lfe are true except: A Weight may decrease 10% in the first week 3 'B. Weight should equal or exceed birthweight by 2 wk\n\no following except ow's milk 1o showallof th E. 2% Jow-fat 15, 4-mo-0ld child with yitamin D defic A Craniotabes Bowleg C. Rosary D. Lowserum phosphate levels E. Highalkaline phosphatase [evels 16.All of the following are advantages of breast-feeding except: A Reduced incidence of allergy B, Reduced incidence of otitis media C. Reduced incidence of colic D. Increased psychologic comfort (9 Vitamin K content‘ ,,!& 17.Problems assocnated with breast 3 Less than optimal nutrients forinfants <1000 feeding include al of the following except: ne jat/’a"flm fepartment with hyponatremia and on, the physical findings are EX DAX4 19.Hyperka\em‘la N Severa diabetic ketoacidosis is due to: A Rena failure Hemolysig C. Hyperglycemia el D. Artifact % e ¢ N @ Acidosis - [ f)\w? anasarca. The urinalysis shows 4+ g%L and serum 4; <o therapy foré ; )Cominue high-dose prednisore therapy 1072 y 4 i i e next ¢, Changeto altemate-day prednisone dosing for D, Add cyclophosphamide therapy’ closporine therapy ¥y, o s syndrome. Which ofthe following clinical findings is 2A j-y/r-old boy presents with ngw-onset @ggfli/m ) mostlikely? A Gross hematuria (9 Periorbital edema onsad® C. Hypertension aph dowo(° D. P!eural effusions A y E. Fever A\L( tand demonstrafes a nwme over 24 A fullterm newborn infant boy has poor urine outputa pedeain the Wfie Physical examination revea&sfn/enlarged bladder and m/conge/m@nomalles The e mostlikely cause of his acute renal failures: P..(pl 26, Which i €Ndocarg = = of thefo\lomng org anisms i not Commanly implicated i infective % A S\reptococcus SPecies = I w’(’ ‘tf e B. S‘aphvlococcus SPecies L oigey & « Limels W 3o Entergeq, @ ; Coceys Species ‘?V\ Qfi?/ \G‘@\(s ’gzsm \§ N 4 Nal \ ) @andlda Spec o5 SL«VW <§ ¢ E.All of the aboy, ) %6. A12yeargy 9 presens tq th arthralgias, He, A.viridang streptococy, B. Staphylococcus aureus, C. Enterococeys fecalis,\n\nT : L ude thefollowing EXCEPT 29.Proven ntervent ons that prevent giarhea and pneumona in chidren indude 1125 A \/accmauon agalns measles pefiuss;s PCv,Hib and rotavirus f s .reventlon of Hl»‘ln chlldren C cotrimoxazole pvophylaxus for HIV infected children” D Hand washing vith s0ap — E Oral Zinc o i 30, The main difference between oral rehydration solution and RESOMAL is 3 A The ORS has less sodiun T - }L é\ " @‘RESO‘MAL has more potassium 2 C.ORS has higher sugar EiRé’somaI has less eneray Fa u need to inage a,e?day infant of a hepa/utfimfher Yol fier epatms B vaccine gt 6 months. A.In the absence of intravenos access drinking water is given through NG tube. g “ 3 { BV mis/kg of no%r salm i8 given as initial bolus S@ \;}r 9}'( f. C. Calcium rep\acemen\ 1S mandatory; / /(" \Uf @ Intraosseous is an alternate route for rehydration / ’ EIntravenous insulin with glucose is indicated to lower the high potassium U 34 Aaron, a six year/o\d from Maua presents with a history of diarrhea and vomiting for two days, non- "’.mj bloody stool, and fever and on examination he's found notto be alert, aHR of 56b/min, dewng‘,’C‘J‘ cold hands and a weak ra/tal %e In managing this child \(\0\)1/\ j’ a) Fever of more than 37.3C should be a priority during treatment (\9 @ Immediate action is to open the ainway and administer oxygen A ¢) Anintraosseous line at the proximal fibula should be attempted after 2 failed attempts to get an intravenous line. <;. n's soluh should be given over the: nexnwn hours ol §v\nshould be inflised within 15 minutes = 6'(\ \b ‘Osll. ‘Q& Nc i @ Gastro esophageal reflux is a self-limiting condition in most infants. ‘c) Abarium meal is necessary to make the diagnosis of GERD. d) Prone position is