FCPS/MRCPH PEIATRICS MCQS PART 2

FCPS/MRCPH PEIATRICS MCQS PART 2

PEDIATRIC MCQS

Quiz

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1. The true statement about pyloric stenosis:
   1.   More common in first-born female child.
   2.   Incidence of pyloric stenosis is 20% if father has pyloric stenosis.
   3.   Usually presents with bilious vomiting.
      .
   4.   Hypochloremic metabolic alkalosis is present.
   5.   Ultrasonographic finding is not conclusive
2. A newborn boy appears with anemia and jaundice. Physical examination reveals severe jaundice and absence of splenomegaly. The serum bilirubin level is 18 mg/dL. CBC reveals hemoglobin 8 g/dL, hematocrit 24 g/dL, WBC 12,000, platelet 300,000, and reticulocyte 16%. Peripheral smear reveals spherocytes. Maternal past history reveals splenectomy. Most likely diagnosis:
   1.   ‘ABO’ hemolytic anemia
   2.   Hereditary elliptocytosis
   3.   Hereditary spherocytosis
   4.   G6PD deficiency
   5.   Rh-incompatibility
3. Step-by-step development of normal puberty in male:
   1.   Testes, thining of scrotum, growth of penis, pigmentation of scrotum, pubic hair, deepening of voice, erection, and ejaculation.
   2.   Testes, growth of penis, thining of scrotum, pigmentation of scrotum, pubic hair, deepening of voice, erection, and ejaculation.
   3.   Testes, pubic hair, growth of penis, thining of scrotum, pigmentation of scrotum, deepening of voice, erection, and ejaculation.
   4.   Pubic hair, testes, growth of penis, thining of scrotum, deepening of voice, pigmentation of scrotum, erection, and ejaculation.
   5.   Testes, thining of scrotum, pigmentation of scrotum, growth of penis, pubic hair, deepening of voice, erection and ejaculation.
4. A 12-month-old girl is diagnosed with Werdnig-Hoffman disease. The cranial nerve involved in this disease.
   1.   VII
   2.   IX
   3.   X
   4.   XI
   5.   XII
5. The onset of routine screening for hypertension should be:
   1.   6 months
   2.   12 months
   3.   3 years
   4.   6 years
   5.   12 years
6. A 6-year-old girl appears in the ER with rashes over the lower extremities and buttocks for the last 24 hours. She had fever and malaise for the last 3 days. She also stated the right knee and the left ankle pain. Physical examination reveals erythematous maculopapular lesions on skin. The true statement about this clinical condition:
   1.   Low platelet count
   2.   Reduced IgA and IgM
   3.   Biopsy of skin lesions confirms the diagnosis of vasculitis
   4.   Intussuception is present in all cases.
   5.   Hematuria and proteinuria are present in all cases.
7. A pregnant mother took valproic acid in early first trimester. She was not sure about her pregnancy at that time. She is worried. Most likely complication:
   1.   VSD
   2.   Limb defects
   3.   Spina bifida
   4.   Hydrops fetalis
   5.   Hypoplastic nose
8. A female child is diagnosed with hyperkalemia. Physical examination reveals irregular and rapid heart rates. The serum K level is 7.5 mEq/L. The rest of the SMA 6 results are normal. The first drug of choice in this patient:
   1.   Intravenous glucose and insulin
   2.   Oral kayexalate
   3.   Slow intravenous calcium gluconate with ECG monitoring
   4.   Intravenous sodium bicarbonate
   5.   Intravenous salbutamol
9. A 6-month-old female infant appears with watery diarrhea and failure to gain weight. She is receiving soy formula. The infant does not have recurrent abdominal pain. The stool specimens do not contain reducing substance. Physical examination reveals bloated abdomen. Most likely diagnosis:
   1.   Lactase deficiency
   2.   Sucrase-isomaltase deficiency
   3.   Glucose-galactose malabsorption
   4.   Glucose malabsorption
   5.   Galactose malabsorption
10. A 4-year-old girl was brought to the ER with history of diarrhea for the last 5 days. She had 8 to 9 watery stools per day. She has been drinking home-made liquid. She has no fever. Mother denies history of vomiting. Physical examination reveals irritability, doughy skin, but absence of obvious clinical signs of dehydration, The child weighs 16 kg. SMA6: Na = 160, K= 3.6, BUN = 32. The next appropriate intravenous fluid therapy should be:
    1.   D5 water plus Nacl and NaHCO3 total (25 mEq/L) 20 mL/Kg over 1 hour in emergency phase.
    2.   D5 water should be given over 48 hours; total 200 mL/Kg, no sodium should be added to the fluid.
    3.   D10 water plus Nacl (40 mEq/L) should be given over 24 hours, total 100 mL/Kg.
    4.   D5 water plus Nacl and NaHCO3 (25 mEq/L) should be given over 48 hours; calculate 10% dehydration.
    5.   D5 water plus NaHCO3 should be given over 48 hours; calculate 5% dehydration.