PEDIATRIC QUIZ: FOR YOUR CLINICAL EXAMS

PEDIATRIC QUIZ

PEDIATRIC QUIZ

Quiz

 

1. The peripheral blood smear in a child with sore throat large, vacuolated lymphocytes. The most likely diagnosis is:
   1.   Thyrotoxicosis
   2.   Addison disease
   3.   Tuberculosis
   4.   Brucellosis
   5.   Infectious mononucleosis
2. An ultrasonographic examination of an infant with Biliary atresia reveals all of the following except:
   1.   Small gallbladder
   2.   ‘Triangular cord sign’
   3.   Absent gallbladder
   4.   Increased echogenicity of the liver
   5.   Nonvisualization of the common bile duct
3. The preferred diagnostic test in patients with an early in the course of enteric fever is:
   1.   Blood culture
   2.   Stool culture
   3.   Urine culture
   4.   CSF culture
   5.   Bone marrow culture
4. The most sensitive culture in patients with an enteric fever is:
   1.   Blood
   2.   Stool
   3.   Urine
   4.   CSF
   5.   Bone marrow
5. The most common type of organism in patients with a bacillary dysentery is:
   1.   Shigella dysenteriae
   2.   Shigella flexneri
   3.   Shigella boydii
   4.   Shigella sonnei
   5.   Salmonella ser Typhi
6. A patient with a paroxysmal nocturnal hemoglobinurea can be treated with all of the following except:
   1.   Prednisone
   2.   Fluoxymesterone
   3.   Erythropoietin
   4.   Splenectomy
   5.   Bone marrow transplantation
7. A pregnant mother has a normal platelet count. She is carrying a fetus with alloimmune thrombocytopenia. All of the following therapies are indicated except:
   1.   Monitoring of fetal platelet counts by PUBS (percutaneous umbilical blood sampling)
   2.   Give IVIG to the mother beginning in the second trimester.
   3.   IVIG should not be continued throughout the pregnancy.
   4.   If the newborn develops thrombocytopenia, one unit of washed maternal platelets should be given.
   5.   Genetic counseling is indicated to inform parents about the high risk of thrombocytopenia in future pregnancies.
8. The diagnosis of neonatal alloimmune thrombocytopenic purpura is made by:
   1.   Presence of maternal autoantibodies directed against the father’s platelet
   2.   Presence of maternal autoantibodies directed against the baby’s platelet
   3.   Presence of maternal autoantibodies directed against the mother’s platelet
   4.   Presence of maternal autoantibodies directed against the baby’s platelet that are shared with the mother.
   5.   Presence of maternal autoantibodies directed against antigens present on fetal platelets that are shared with the father.
9. The most common tissues involved in cancers of children are:
   1.   Nervous system
   2.   Embryonal
   3.   Connective tissue
   4.   Cardiac
   5.   Lymphohematopoietic
10. A mother noticed an abdominal mass while bathing the infant. The mass is smooth and firm. The infant is asymptomatic. Hypertension is noted in this patient. The most likely cause of hypertension in patients with a Wilms tumor is:
    1.   Renal artery thrombosis
    2.   Renal vein thrombosis
    3.   Renal ischemia
    4.   Obstructive uropathy
    5.   Tumor causing pressure on the aorta