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Dicm 201: Child Health &Amp; Paediatrics 1 Question Paper
Dicm 201: Child Health &Amp; Paediatrics 1
Course:Clinical Medicine, Surgery & Community
Institution: Kenya Methodist University question papers
Exam Year:2012
KENYA METHODIST UNIVERSITY
END OF 3''RD ''TRIMESTER 2012 EXAMINATIONS
SCHOOL : MEDICINE & HEALTH SCIENCES
DEPARTMENT : CLINICAL MEDICINE, SURGERY & COMMUNITY
HEALTH
UNIT CODE : DICM 201
UNIT TITLE : CHILD HEALTH & PAEDIATRICS 1
TIME : 3 HOURS
INSTRUCTIONS
Attempt all questions.
Use pen not pencil except when drawing.
For MCQs – correct answer earns a mark
Incorrect answer attracts a negative mark.
SHORT ANSWER QUESTIONS (5 Marks each)
Question One
Outline the clinical features found in measles.
Question Two
What is pulmonary hypoplasia?
Question Three
List the causes of neonatal apnoea.
Question Four
Outline the factors associated with pulmonary hypertension.
Question Five
List the clinical signs in kwashiorkor which suggest need for admission to hospital.
Question Six
Analyze the parameter used in Alogar Score.
Question Seven
Make a comparison between complicated and uncomplicated malaria.
Question Eight
Outline common causes of neonatal hypoglycaemia.
Question Nine
List causes of abdominal distension in the neonatal period.
Question Ten
Analyze five causes of neck swelling in children.
LONG ANSWER QUESTIONS (15 Marks Each)
Discuss the risk factors and complications of neonatal sepsis.
Discuss rickets under the following;
Clinical features.
Management.
MULTIPLE CHOICE QUESTIONS
Question One
The following are minor disorders in nonates
Milia rubra.
Possetling.
Encopresis.
Enuresis.
Pulmonary hypoplasia.
Question Two
True or False
Paraphimosis causes obstruction to venous return of the glans.
Balanoposthitits is usually due retention of smegma within the urethra.
Pain in the scrotum is normal in young boys.
Small babies are obligate mouth breathers.
Polydactyl abnormality is a serious condition.
Question Three
Causes of respiratory depression in newborn include;
Prematurity.
Birth trauma.
Intrapartum asphyxia.
Syphilis.
None of the above.
Question Four
The volume of breast milk produced relates to
Frequency of sucking.
Duration of sucking.
Intensity of sucking.
The size of the baby.
Mother’s breast size.
Question Five
The following are indications of parenteral nutrition;
Necrotizing enterocolitis.
Severe recurrent apnoea.
Gastro intestinal obstruction.
Neonatal sepsis.
Cleft lip/palate.
Question Six
The following cause respiratory distress.
Cardiac failure.
Broncho pulmonary dysplasia.
Trachea-esophageal fistula.
Malaria.
Intestinal worms.
Question Seven
True or False concerning Chlamydia pneumonia;
Systemic erythromycin is indicated.
Chest radiograph shows diffuse infiltration through both lungs.
Infants present initially with fever.
Ophthalmia neonatorum is an association.
Gentamicin is the drugs of choice.
Question Eight
Neonatal anemia may be as a result of
Hypoglucaemia.
Patent ductus ateriosus.
High environmental temperature.
Polycythaemia
Leukemia.
Question Nine
Vitamin A deficiency signs and symptoms include;
Hyperkeratosis.
Bitot’s spots on the sclera.
Soft, smooth skin.
Pseudoparalysis.
Chest pain.
Question Ten
Prematurity is associated with;
Polyhydramnios.
Antepartum haemorrhage.
Hyperemisis gravidarum.
Cervical incompetence.
Threatened abortion.
Question Eleven
True or False concerning cephalohaematoma
Requires surgical drainage.
Is associated with mental retardation
Hydrocephalus is a complication.
Always leads to subdural abscess.
Firm mass in the brain
Question Twelve
True or False
Whooping cough is caused by gram positive bacteria.
Young infants with pertussis always whoop.
The drug of choice for pertussis is amoxicillin.
Schistosoma mansoni affects the intestines.
Drinking unchlorinated water is the cause
Question Thirteen
Complications of cleft palate include;
Snoring.
Hearing impairement.
Poor dental development.
Unclear speech.
Nose breathing.
Question Fourteen
Causes of neonatal jaundice include
Cystic fibrosis.
Hypothyroidism.
Septicaemia.
Oral candidiasis.
Otitis external.
Question Fifteen
Common Down’s syndrome abnormalities include;
Brushfield spots in iris.
Present moro reflex.
Hypotonia and lax joints.
Single planter crease.
Microtia.
Question Sixteen
Causes of stridor include
Choanal otresia.
Nasal septal deviation.
Laryngomalacia.
Subglottic Stenosis.
None of the above.
Question Seventeen
True or False
Cancrum oris is associated with protein-energy malnutrition.
Xerophthalmia is a feature in marasmus.
Children with kwashiorkor present with jaundice always.
Meningocele is a feature of HIV/AIDs infection.
The specific treatment of cancrum oris is paracetamol.
Question Eighteen
Common injuries associated with birth trauma include;
Bone fractures.
Paraphimosis.
Imperforate vagina.
Intra-abdominal injuries.
Nervous system.
Question Twenty
True or False
HIV is a retrovirus.
HIV infection is of low infectivity compared to hepatitis B.
Seroconversion occurs at anytime after transmission of the HIV.
HIV binds to monocytes and lymphocytes.
HIV is not the same as AIDs.
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