PEDIATRICS MCQS

MCQ#01

Patients with IgA deficiency should be given which of the following with caution?

A. Packed RBCs

B. Intravenous Immunoglobulin

C. GM-CSF

D. Pneumococcal immunization

E. Folic acid supplementation

MCQ#02

A 6-year-old male with juvenile idiopathic arthritis is brought to your office by his mother because she is worried that his arthritis medicine “keeps making him sick.” He is currently taking naproxen, calcium, and vitamin D. On review of his medical records, you note that he has had multiple respiratory infections in the past several years, as well as a history of chronic otitis media requiring tympanostomy tube placement which pre-dates his arthritis diagnosis. You suspect that he might have an underlying immunodeficiency.

Your advice to the mother would be which of the following?

A. The arthritis medication is worsening his immunodeficiency and will need to  be stopped

B. The arthritis and the immunodeficiency are unlikely to be related

C. More aggressive treatment of his arthritis may increase the patient’s risk of infection

D. Treatment of the arthritis will result in an improvement in his immunodeficiency

E. The patient will require IgA supplementation

MCQ#03

Recurrent infection with Neisseria is related to which of the following complement deficiencies?

A. C5 deficiency

B. C1-inhibitor deficiency

C. C2 deficiency

D. C3 deficiency

E. C1q deficiency

MCQ#04

Given the underlying defect in Ataxia Telangiectasia (AT), which of the following tests should be avoided in patient with the disorder?

A. Chest radiography

B. Bone marrow biopsy

C. In vitro lymphocyte proliferation assays

D. Flow cytometry for T-cell subsets

E. MR imaging of the brain

MCQ#05

Patients with disorders of B-cell development are susceptible to infections from encapsulated organisms and enteroviral infections. 

These patients typically become symptomatic at what age?

A. In the second decade of life

B. Between the ages of 5 and 10

C. In the first three months of life

D. Between the first 6 and 12 months of life

E. In the immediate postpartum period

ANSWERS ON 5/9/2019