FCPS MCQS FOR IMM AND FCPS FINAL PART 2

MQC#01

A 4-day-old 26 weeks gestational age preterm infant on a mechanical ventilator developed PDA murmur. The fluid was restricted. However, the murmur was audible and PDA was confirmed by an echocardiogram.

Indomethacin therapy is contraindicated when:

a) BUN value is 18 mg/dL

b) Platelet count is 55,000

c) Creatinine level is 1.9 mg/dL

d) Necrotizing enterocolitis

e) Urine output is 1.1 mL/Kg/hour

MQC#02

A 6-week-old 26 weeks gestational age preterm infant is on a mechanical ventilator. The ventilator setting is IMV 30, PIP 20, PEEP 5, FiO2 35%, inspiratory time 0.45 second, and flow rate 8 L/minute. ABG reveals pH 7.50, PCO2 59, PO2 80, HCO3 34, base excess +3.5.

Most likely diagnosis:

a) RDS (RD syndrome)

b) Pneumothorax

c) Pulmonary hemorrhage

d) PIE (pulmonary interstitial emphysema)

e) BPD (bronchopulmonary dysplasia)

MQC#03

A pregnant mother is diagnosed with HIV positive. She delivered a 3.4 kg healthy male newborn.

The next step in management:

a) Start zidovudine 6 mg/kg/day divided Q.6.hours, orally for first 6 weeks.

b) Start zidovudine 8 mg/kg/day divided Q.6.hours, orally for first 6 weeks

c) No therapy is indicated.

d) Perform a HIV test for the newborn and wait for the result.

e) Start zidovudine 8 mg/kg/day divided Q.6.hours, orally for first 1 month

MQC#04

The best diagnostic study in HIV infection:

a) HIV RNA PCR

b) HIV DNA PCR

c) HIV culture

d) P 24 antigen

e) IgM anti-HIV

MQC#05

A pregnant mother has been receiving an anticonvulsant medication throughout this pregnancy. The newborn P/W hypertelorism, flattened nose, and hypoplastic nails.

The anticonvulsant medication is:

a) Phenobarbital

b) Carbamazepine

c) Lorazepam

d) Paraldehyde

e) Phenytoin

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