UHS MD Paediatric Abridge exam

McQ 30
Quad screen is the four maternal serum tests that should be done for all pregnant women in second trimester as a screening for Down syndrome, which includes the following tests EXCEPT

A .free beta human chorionic gonadotropin

B . unconjugated estriol

C .androsterone

D .inhibin

E .alpha fetoprotein

McQ 29
A 5 yrs old child with down syndrome complaining of intermittent symptoms of torticollis, weakness of the lower limbs and gait disturbances.
Of the following, the next important step is to
A .reassure the family

B .send for radiological assessment of the neck

C .send for thyroid antibodies

D.send for radiological assessment of the airway

E .send for thyroid function test

McQ 28
A highly educated couple has their first baby with Down syndrome, they are asking about his development .
Of the following the most appropriate answer is

A . programs of stimulation will achieve eventual normal development

B .motor development is the mostly affected domain with fair cognitive delay

C .developmental delay will be in the initial first few years,but it will normalize later on

D . developmental delay is universal, all domains of development almost equally affected

E . developmental delay is universal, social development is relatively spared but will have problems with expressive language

McQ 27

You are treating an 8 month old baby in intensive care unit with cold shock .in the first 15 min he received adequate fluid therapy and. Colleague had started dopamine for him.The baby condition is still unresponsive.

Of the following,the best option now is to start

A . epinephrine

B . hydrocortisone

C . norepinephrine

D .terlipressin

E . angiotensin

McQ 26
You were engaged in CPR for 3 year old child found unresponsive in the ward.you were performing cycles of 15 chest compressions and 2 breathings alternatively with another medical personnel.This means that pulse is in status of

A .pulseless electrical activity

B . asystole

C .VT

D .AF

E .SVT

McQ 25
All of the following are true about treatment of organophosphorus poisoning EXCEPT

A .activated charcoal is unlikely to be of benefit

B .without treatment , symptoms can persist for weeks

C . atropine is primarily targeted to correct bradycardia

D .washing exposed skin and removing exposed clothing

E .pralidoxime breaks the bond between the enzyme and the organophosphate

McQ 24
Clinical manifestations of organophosphate toxicity relate to the accumulation of acetylcholine at peripheral nicotinic and muscarinic synapses and in the CNS .
ALL the following sympy of cholinergic excess at muscarinic receptors EXCEPT

A . meiosis

B . emesis

C . salivation

D . bradycardia

E .urine retention

McQ 23

A 2.5 yr old child brought to emergency room immediately upon finding the boy with open bottle of some drugs (used by his grandfather).the child has vomited once ,fussy and lethargic.physical evaluation reveals a 13 kg child who has tachypnea and tachycardia. Laboratory results include a blood sugar =255, pH =7.5 ,pco2=20 ,Hco3=20 mEq/L

Of the following most likely drug is

A .iron

B .atropine

C . salicylate

D .methylxanthine

E .tricyclic antidepressant

McQ 22
The baby that is least vulnerable to develop vitamin K bleeding tendency is

A .a three day old neonate of a healthy mother that started immediate breastfeeding after birth

B .a 3 day old child spent 21 days in intensive care unit recieving total parenteral nutrition

C .a 9 month old infant with prolonged history of diarrhea and multiple antibiotic therapy

D .a 6 month old infant with cystic fibrosis missed to b diagnosed during early neonatal period

E .a 6 hr neonate of epileptic mother that recieved phenobarbital during pregnancy

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McQ 21
In evaluating the cause of rickets which test is convenient if malabsorption is a consideration

A .PT

B .PTT

C .stool PH

D .barium study

E .hydrogen breath test

McQ 20
The most specific but late radiographic feature of scurvy is

A . ground glass appearance of the shafy of the long bones

B .pencil outlining of the epiphysis and diaphysis

C .the white line of frankelat the metaphysis

D .trummerfeld zone at the metaphysis

E .pelkan spur at cortical ends

McQ 19
Radiological features of scurvy are similar to that of

A .copper deficiency

B .megnisium deficiency

C . vitamin A excess

D .vitamin D excess

E . mercury exposure