Random OBA Flashcards
10 yo girl with u/l VSD had prolonged fever for 2 weeks & passing of smoky coloured urine for 3 days before admission.
The most important investigation to arrive at the diagnosis is
A. 2 bl culture at lea 30 minutes apart
B 3 bl culture w spike of fever
C 3 bl culture from central venous catheter
D 3 bl culture at least 30 minutes apart
D Because patients develop IE
3 y/o boy presents w a 5-day history of intermittent fever spiking to 40C & irritability. PE reveals presence of bilateral conjunctivitis, oropharyngeal injections and dry & cracked lips. He also has a maculopapular truncal rash & rt ant cervical LN is enlarged The most serious complication is A ischemia of bowel B interstitial nephritis C hydrops of gall bladder D coronary artery aneurysm
D this pt had Kawasaki ds and can leads to rupture of aneurysm of coronary artery
An 18mo girl is admitted to paediatric assessment unit with a 3 wk history of SOB and difficulty feeding accompanied by weight loss. On examination, T - 37.8 C n So2 is 98%. There is systolic murmur loudest at lower sterna border & gallop rhythm. Liver is palpable 4cm below rt costal margin The most likely do A supraventricular tachycardia B pneumonia w hyperinflation of thorax C viral myocarditis D VSD w heart failure
D
A 6yo girl presents w fever & vomiting for 3 days. She has right hypochondriac pain, generalised erythematous maculopapular rashes on her body and one eps of epistaxis. Liver palpable 4cm below rt costal margin
Which of following investigations is most helpful in mx of this child
A hct
B Ns1 ag
C peripheral. Blood smear
D platelet count
A
A 2yo fully immunised boy is referred with suspected measles. He has a week long history of fever and malaise and has develop generalised erythematous rash. On PE temp 40C, conjunctiva is red, cervical lymphadenopathy and desquamation over palm present
Which of the following options is most appropriate first line mx of this pt?
A aspirin
B aspirin n immunoglobulin
C immunoglobulin
D prednisone
B
A 4 mo is referred to the outpatient clinic w faltering growth. Baby is thin w soft ejection murmur. Which of following investigation is most likely to confirm diagnosis of this child? A cxray B fbc C echocardiogram D ECG
C
A 3 yo boy presented w acute watery diarrhoea for 3days. On examination, he was lethargic with markedly sunken eyes and loss of skin turgor.his pulse rate was 120/min with low volume.
Which of the following is the most appropriate immediate mx?
A oral rehydration therapy
B oral zinc supplements
C IV NS bolus
D oral diosmectite (smecta)
C
A 2 yo baby boy weighing 2.5kg is born at term to a 26 yo lady. She complained that baby has had several eps of bile stained vomiting after feeds and has not pass meconium. Clinically he has features of DOWN syndrome.
Which of the following statement indicates best most important next step in mx of baby?
A arrange for Karyotype to confirm dx of DS
B Arrange for abdominal X-ray to exclude duodenal atresia
C refer to paediatric surgeon for possible hirscsprung ds
D trace result of neonatal screening to exclude cong hypothyroidism
B
Which of the following feature is the most significant sign of cardiac failure in a 6 wk old infant A bilateral basal crepitation B hepatomegaly C jugular venous distension D oedema of LL
B
A 5yo child has multiple bruises on her extremities and oral mucosa bleeding for 3 days durations. She had mild upper respiratory tract infection 2 wk ago. Physical examination was normal except for multiple ecchymoses & petechia. The next diagnosis step is A CBC B prothrombin time C bleeding time D partial thromboplastin time
A dx is ITP so want to see platelet count
1 yo child is diagnosed to have severe haemophilia A after developed haemarthosis on rt knee. The standard of care for him should be
A preventive by factor VIII replacement therapy to prevent bleeding
B aggressive tx by FVIII replacement therapy when significant bleeding occurs
C avoid asthma
D Avoid aspirin n other NSAIDs
A
A 6 yo develops haematuria 1 week after an upper respiratory tract infection. The findings that indicate the haematuria is glomerular origin is
A gross haematuria that is bright red and pink in colour
B normal urinary RBC morphology
C presence of leukocytes cast
D urinary microscopic RBC cast
D
A one month old baby boy has intermittent stridor which has been present since 2 week of age. It increased during feeding and crying but disappears during rest and sleep. Choose the most likely diagnosis A epiglottitis B laryngotracheomalacia C viral croup D subglottic hemangioma
B because of floppy muscles
A 10 month old female infant presents with a 5 day history of high grade fever, vomiting and cloudy urine. The doctor in paediatric clinic suspects that she has pyelonephritis. The most reliable method of urine collection for the diagnosis of UTI in this child is from A urine bag B mid stream urine sample C catheterisation sample D random urine collection
C or could also suprapubic sample
