TOTW # 7 - Paediatrics Start QuizPage 1 of 24 Which of the following is not one of the five moments of hand hygiene? Before a procedure After touching a patient After a procedure or body fluid exposure risk Before touching a patient’s surroundings Page 2 of 24 Which fraction of inspired oxygen delivered to the baby is incorrectly matched with the administration device? Nasal prong standard flow rate - 45% oxygen Nasal prong high flow rate - 50% oxygen Nasal catheter - 40% oxygen Face mask with non-rebreather mask - 80-95% Page 3 of 24 Which of the following is true concerning treatment of convulsions in children? 1st line for convulsions lasting longer than 5 minutes is IM phenobarbitone 15mg/kg A loading dose of phenobarbitone should be given to a patient with epilepsy on maintenance phenobarbitone Levetiracetam is an acceptable alternative for a patient having short multiple convulsions Children having up to 2 fits lasting less than 5 minutes require emergency treatment Page 4 of 24 Which of the following is not a parameter defining severe malaria? Fever Hypoglycaemia of glucose less than 4mmol/L More than 2 convulsions Respiratory distress with severe anaemia or acidotic breathing Page 5 of 24 Select the false statement regarding anti-malarial drugs: Artesunate for injection should NOT be prepared with water for injection AL formulation consists of 20mg Artemether and 120mg Lumefantrine Artesunate should be used within 2 hours of preparation Dihydroartemisinin and Piperaquine are acceptable for use as a 2nd line Page 6 of 24 A 6-year-old girl has hematuria 2-3 days whenever she gets an upper respiratory tract infection. She is likely to develop in the future: IgA nephropathy Poststreptococcal glomerulonephritis Acute Kidney Injury Chronic renal failure Page 7 of 24 A 15-year-old girl with short stature, neck-webbing, and sexual infantilism is found to have coarctation of the aorta. A chromosomal analysis would demonstrate: Mutation at chromosome 15q21.1 Trisomy 21 XO karyotype Normal chromosomal analysis Page 8 of 24 At what age does a Babinski reflex usually disappear? 3 months 4 months 6-12 months 2 years Page 9 of 24 Which of the following is a freeze-sensitive vaccine? BCG Oral polio Measles Hepatitis B Page 10 of 24 Which of the following is true about Kawasaki disease? The rash is maculopapular with a sand-like texture Presents with unilateral conjunctivitis ESR is normal Paracetamol is the drug of choice Page 11 of 24 If a child has diarrhea, visible blood in the stool is enough to conclude that the child has dysentery True False Page 12 of 24 What clinical signs are used to determine the level of dehydration? Child’s general condition (lethargy, unconsciousness, restlessness and irritability) Child’s reaction when offered a drink (not able to drink, drink poorly, drink eagerly) Elasticity of the skin and sunken eyes All of the above Page 13 of 24 The immediate goal of diarrheal treatment is to: Replace fluids and electrolytes until the diarrhea stops Prevent the diarrhea causing pathogen from reproducing in the body Prevent malnutrition Initiate zinc treatment Page 14 of 24 Antibiotics are effective against most diarrhea causing organisms and should be used routinely True False Page 15 of 24 Feeding (or breastfeeding) should not be continued during diarrhea and oral rehydration True False Page 16 of 24 At what age does a Babinski reflex normally disappear? 3 months 4 months 6-12 months 2 years Page 17 of 24 A 7 year old has a maculopapular rash which starts from the hip to the lower limbs. This same child has abdominal pains and has renal insuffiency. The most likely condition this child is suffering from is: Measles Steven Johnson disease Henoch-Schonlein purpura Idiopathic thrombocytopaenia purpura Page 18 of 24 A 14 year old boy is diagnosed with mumps orchitis. The most likely complication is: Testicular hypertrophy Encephalitis Meningitis Testicular atrophy Page 19 of 24 An infant has the following findings at 5 minutes of life: pluse - 130bpm, cyanotic hands and feet, good muscle tone and a strong cry and grimace. The Apgar score is: 9 8 6 5 Page 20 of 24 Necrotising enterocolitis commonly affects the: Distal colon and proximal ileum Distal ileum and proximal colon Rectum and distal colon Proximal jejunum and distal ileum Page 21 of 24 On a physical exam, a 12 hour old newborn is noted to have nontender welling of the head that does not cross the suture line. what is the most likely diagnosis? cephalohematoma caput succedaneum subgaleal hematoma ganglion cyst Page 22 of 24 Which of the following parameters is NOT considered when making a diagnosis of severe acute malnutrition? bilateral edema birth weight weight for height < -3SD MUAC <11.5cm Page 23 of 24 An infant can sit up with its back straight, has started crawling, has a pincer grasp, and plays peek-a-boo. what is the appropriate age for this baby? 6 months 9 months 12 months 15 months Page 24 of 24 A mother brings in her baby with complaints of a fever, runny nose, cough, red teary eyes and a rash. she describes the rash as beginning from the head moving downward. tiny white dots are also seen on the inner sides of the cheeks. what is the most likely diagnosis? rubella varicella scarlet fever measles Multiple Authors | WebsiteTOTW #26 - MicrobiologyTOTW #25 - PsychiatryTOTW #24 - BiochemistryTOTW #23 - Haematology Previous Post Impression Management: how confidence and first impressions can earn you a positive bias in your clinical years Next Post TOTW #8 - Haematology