Tuesday, March 25, 2008

20 - Paediatrics Mcqs - 152 to 165

152 - Which of the following does not establish a diagnosis of congenital CMV infection in a neonate?
A. Urine culture of CMV
B. IgG CMV antibodies in blood
C. Intra-nuclear inclusion bodies in hepatocytes
D. CMV viral DNA in blood by polymerase chain reaction

(Ref: Cloherty’s Manual of Neonatal Care 5th Ed/P-257)

153 - All of the following are true of β thalassemia major, except:
A. Splenomegaly
B. Target cells on peripheral smear
C. Microcytic hypochromic anemia
D. Increased osmotic fragility

(Ref: Manual of Pediatric Hematology and Oncology, 4th Ed/P-184)

154 - Transient synovitis (toxic synovitis) of the hip is characterized by all of the following, except:
A. May follow upper respiratory infection
B. ESR and white blood cell counts are usually normal
C. Ultrasound of the joint reveals widening of the joint space
D. The hip is typically held in adduction and internal rotation

(Ref: Nelson’s Textbook of Pediatrics 17th Ed, Ch. 148, P-809)

155 - A 3-year-old boy presents with fever, dysuria and gross hematuria. Physical examination shows a prominent suprapubic area which is dull to percussion. Urinalysis reveals red blood cells but no proteinuria. Which of the following is the most likely diagnosis?
A. Acute glomerulonephritis
B. Urinary tract infection
C. Posterior urethral valves
D. Teratoma


156 - Which of the following statements is true of primary grade IV-V vesicoureteric reflux in young children?
A. Renal scarring usually begins in the midpolar regions
B. Postnatal scarring may occur even in the absence of urinary tract infections
C. Long-term outcome is comparable in patients treated with either antibiotic prophylaxis or surgery
D. Oral amoxicillin is the choice antibiotic for prophylaxis

(Ref: Nelson’s Textbook of Pediatrics 17th Ed—Ch. 531-Vesicoureteric Reflux, P-1791-1793)

157 - 15-year-old boy presented with one day history of bleeding gums, subconjunctival bleed and purpuric rash. Investigations revealed the following results:
Hb-6.4 gm/dL; TLC-26,500/mm3 Platelet-35,000/mm3; prothrombin time–20 sec with a control of 13 sec; partial thromboplastin time-50 sec; and Fibrinogen 10 mg/dL. Peripheral smear was suggestive of acute myeloblastic leukemia. Which of the following is the most likely?
A. Myeloblastic leukemia without maturation
B. Myeloblastic leukemia with maturation
C. Promyelocytic leukemia
D. Myelomonscytic leukemia

*The type of AML, which is most commonly associated with DIC is AML M3.
(Ref: Manual of Pediatric Hematology and Oncology, 4th Ed/P-306, 443)

158 - The defective migration of neural crest cells results in:
A. Congenital megacolon
B. Albinism
C. Adrenogenital hypoplasia
D. Dentinogenesis imperfecta

(Ref: Schwartz’s Principles of Surgery 8th Ed. 2005— Part II- Specific Considerations; Ch. 38-Pediatric Surgery)

159 - A premature infant is born with a patent ductus arteriosus. Its closure can be stimulated by administration of:
A. Prostaglandin analogue
B. Estrogen
C. Anti-estrogen compounds
D. Prostaglandin inhibitors


160 - The loading dose of Aminophylline is:
A. 50-75 ug/kg
B. 0.5-1.0 mg/kg
C. 2.0-3.5 mg/kg
D. 5-6 mg/kg


161 - Cushing’s Triad includes all except:
A. Hypertension
B. Bradycardia
C. Hypothermia
D. Irregular respiration

(Ref: Current Pediatric Diagnosis and Treatment 17th Ed. 2005—Ch. 11-Emergencies and Injuries)

162 - All of the following drugs are used for managing status epilepticus except:
A. Phenytoin
B. Diazepam
C. Thiopentone sodium
D. Carbamazepine

(Ref: Current Pediatric Diagnosis and Treatment 17th Ed. 2005—Ch. 23-Neurologic and Muscular Disorders; Table 23.9-Status epilepticus treatment)

163 - Administration of glucose solution is prescribed for all of the following situations except:
A. Neonates
B. Child of a diabetic mother
C. History of unconsciousness
D. History of hypoglycemia

(Ref: Rudolph’s Pediatrics 21st Ed. 2003—24. The Endocrine System; 24.9-Hypoglycemia)

164 - Which organ is the primary site of hematopoiesis in the fetus before midpregnancy?
A. Bone
B. Liver
C. Spleen
D. Lung

(Ref: Nelson’s Textbook of Pediatrics 17th Ed/
P-1599)

165 - All of the following are the complications in the new born of a diabetic mother except:
A. Hyperbilirubinemia
B. Hyperglycemia
C. Hypocalcemia
D. Hypomagnesemia

(Ref: Cloherty’s Manual of Neonatal Care 5th Ed./P-13-1.

McQs in Paediatrics (Pocket MCQs)
Paediatric McQs for Postgraduate Examinations: Practice Examinations
McQs in Paediatrics: With a Tactical Guide on How to Approach Clinical Examinations (PMCQ)

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