PEDIATRIC MCQS: MISCELLANEOUS

QUESTION # 01

The preferred diagnostic study in patients with a sinus disease is:

A. AP x-ray of the sinuses
B. Lateral x-ray of the sinuses
C. PA x-ray of the sinuses
D. CT-scan of the sinuses
E. Ultrasonography of the sinuses

QUESTION # 02

A 5-month-old boy appears with respiratory distress for the last 24 hours. He had two episodes of pneumonia and four episodes of otitis media and six episodes of diarrhea. He is delayed for his growth and development. A physical examination reveals bilateral rales and right otitis media. 

All of the following findings are true for this patient except:

A. Total CBC lymphocyte counts are 1600/cmm.

B. Chest x-ray reveals bilateral infiltrates.

C. Blood culture is positive for Streptococcus pneumoniae.

D. Serum immunoglobulin levels are elevated.

E. Conductive hearing loss in the right ear.

QUESTION # 03

A full-term newborn appears with thick meconium stain. Her Apgar scores are 2 and 8 at 1 and 5 minutes respectively. The meconium is removed from the oropharynx. However, no meconium is visualized below the vocal cord. 

Most likely, this child will develop:

A. Meconium aspiration

B. Transient tachypnea of the newborn

C. Pneumothorax

D. Pneumomediastinum

E. No meconium aspiration

QUESTION # 04

The orchiopexy is performed for an undescended testis between:

A. 1-3 months of age

B. 3-6 months of age

C. 6-9 months of age

D. 9-15 months of age

E. 15-24 months of age

QUESTION # 05

A 9-year-old girls appears with fatigue, irritability, low-grade fever, arthralgia, abdominal pain, weight loss, and rash. A physical examination reveals erythema over the malar areas and bridge of the nose. She also has violaceous (heliotropic) discoloration of the upper eyelids and mild facial edema. 

All of the following laboratory findings are present in this patient except:

A. Coombs-positive anemia

B. Presence of antinuclear antibody

C. Absence of antibodies to DNA

D. Negative rheumatoid factor

E. Elevated serum creatine kinase