MRCPH/FCPS PEDIATRIC MCQS

DAILY FRESH MRCPH/FCPS PEDIATRIC MCQS
1. A 6-year-old boy is diagnosed to have a coagulation abnormality-----------------?
2. A 14-year-old girl with blond hair and wearing sunglasses--------------------------?
3. A 1 -month -old neonate with horizontal nystagmus and optic nerve hypoplasia-----? and many more interesting MCQS


MRCPH/FCPS PEDIATRIC MCQS

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1. A 6-year-old boy is diagnosed to have a coagulation abnormality. He was bleeding heavily after the tonsillectomy. Laboratory results reveal decreased factor VIII C, increased bleeding time, normal PT, and increased PTT. Most likely diagnosis:
   1.   Hemophilia A
   2.   Hemophilia B
   3.   Hemophilia C
   4.   Carrier hemophilia
   5.   von-Willebrand disease
2. A 14-year-old girl is fair skinned with very blond hair. She reports the sun bothers her eyes and she always wears sunglasses. She has a history of multiple pneumonias, recurrent gingivitis, and poorly healing skin ulcers. She underwent menarche at age 12 and describes heavy menses. She states on occasion she notices she is bleeding without realizing she had cut herself. At the time of her visit she complains of feeling off balance. Her examination is significant for a wobbly gait and a slapping motion of her feet when she walks.
   Of the following, what is the mechanism of this patient's most likely diagnosis?
   1.   Decreased complement levels
   2.   Low levels of immunoglobulin (Ig)G, IgM, and IgA
   3.   Impaired neutrophil chemotaxis and degranulation
   4.   Micro deletion on chromosome 22q 1 1 .2 leading to thymic aplasia
   5.   Inappropriate Ig class-switching
3. A 1 -month -old neonate is following up in his pediatrician's clinic after being evaluated by an ophthalmologist for horizontal nystagmus. The ophthalmology report states that the patient has been diagnosed with optic nerve hypoplasia. On examination, the boy is a small-sized, sleeping baby with a wide, mildly sunken fontanelle and a micropenis. His testes are descended bilaterally. He has no murmur or abdominal masses. Of the following, abnormality of which test is most consistent with this patient's diagnosis?
   1.   Pituitary hormone levels
   2.   Head ultrasound
   3.   Urine toxicology screen
   4.   Abdominal computed tomography (CT)
   5.   (E) Serum chemistries
4. A 14-year-old boy with a history of recurrent renal calculi and behavioral problems is admitted from the emergency department to the general pediatrics ward with generalized abdominal pain. He also complains of several months' duration of constipation, generalized body aches, and
   frequent urination. His physical examination is normal except for mild diffuse abdominal tenderness to palpation without hepatosplenomegaly, masses, or hernias. His blood pressure is noted to be normal for height and age, and his blood glucose is within normal limits. Of the following laboratory results, which best explains the underlying
   etiology of this patient's symptoms?
   1.   Adrenal insufficiency
   2.   Recurrent pancreatitis
   3.   Hypothyroidism
   4.   Primary hyperparathyroidism
   5.   Secondary hyperparathyroidism
5. A 6-year-old girl is brought to the emergency department with complaints of abdominal pain and rash. The abdominal pain has been ongoing for about 1 week. The family initially attributed her pain to a viral infection, but today she developed a purplish raised rash on her
   legs and buttocks, which prompted her visit to the emergency department. Of the following, which is the most worrisome complication related to her pain that could develop overnight for this patient?
   1.   Ileo-ileal intussusception
   2.   Ileo-colic intussusception
   3.   Progression of the rash to Stevens-Johnson syndrome
   4.   Bacteremia progressing to sepsis
   5.   Symptomatic anemia due to hematuria