PEDIATRICS MCQ PDF
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PDF. Book review. MCQs in Paediatrics for MRCPCH Part I. Free The format is of MCQs as used in the part I of the MRCPCH examination and the. Nelson Pediatrics Review (MCQs) 19ed. for a late-component or alternative pathway deficiency with CH50 and AP50 Nelson pediatrics review (mcqs) 19ed Watch This Video ○○○ yazik.info PDF | In Press | ResearchGate, the professional network for scientists.
By increasing ventricular contractility b. By increasing heart rate c. By increasing ventricular end-diastolic volume d. By decreasing heart rate e. The earliest sign of congestive heart failure on a chest X-ray is: a.
Increased heart size. Central pulmonary vascular congestion. Documenting name of transport agency and the time that the transport occurred Question.
General Pediatric MCQs
Emergencies involving children are stressful for the child, parent, and EMS-C providers. All of the following are useful in decreasing stress to children and their families in emergency settings except: Keeping the parents away during procedures or resuscitation Explanation: Indeed, most parents can provide additional calming and distraction during procedures, and their presence should be encouraged.
The question of parents being present during resuscitation is controversial, but most physicians find that it usually does no harm and may be of value later to grieving parents. See Chapter 51 in Nelson Textbook of th Training staff in calming and distraction techniques Separating the child from other frightening sights and sounds in the treatment area Communicating clearly, with written instructions accompanying verbal information whenever possible Screening for mental health needs Question.
The safest and quickest manner to transport a critically ill child from a community hospital to the regional pediatric center is: Have the parents drive the child from their local hospital Request that the local paramedics transport the child Accompany the child in the ambulance with the local paramedics Request that the tertiary pediatric facility assist and transport the patient Explanation: The care and transport of a critically ill child requires staff with specific experience and knowledge of the pediatric population and the illnesses necessitating transportation.
In addition, the equipment, medications, and means to monitor children require pediatric-specific expertise. Coordinated efforts with a pediatric transport program yield the safest methods of transport. See Chapter 53 in Nelson Textbook of Pediatrics, 17th edition.
MCQ's in paediatrics
The transport team from the tertiary hospital is composed of all of the following except: A parent who can assist in the care of the child Explanation: Parents are not expected to provide care during pediatric transports.
Nonetheless, if room is available in the transport vehicle, a parent may accompany the child. Usually this is not possible, and the parent follows the transport van in another vehicle. Team members skilled in various aspects of pediatric critical care A dispatch service that facilitates communication with the referring hospitals A medical control physician who is available for telephone consultation Question.
Appropriately trained and equipped pediatric transport teams should be able to: Perform major surgical procedures at the referring hospitals Provide appropriate medical care during the transport Explanation: Appropriately trained and prepared based on information from the referring hospital transport staff should be able to care for the patient en route to the PICU.
This does not mean that a patient's condition cannot deteriorate during transport as part of the natural history of the disease.
Special transports ECMO are not common and are used for only unusual circumstances. The mother of a 5-yr-old near-drowning victim arrives at the pediatric intensive care unit PICU. She is highly upset and emotional, and forcefully demands to see her child.
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The best response of the PICU staff to the mother would be: To sit with her and explain the procedures of the PICU, including times permitted for visitation, the number of visitors permitted To direct her to a social worker who would provide a description of the rules for visitation in the PICU To require that she speak with the child's physician before being permitted to visit the bedside To direct her to the parents' waiting area, and inform her that she will be summoned when the time is right To take her as soon as possible to the bedside, after having provided a brief description of what the room might look like, what medical devices will be present, and what level of response she might expect from her child Explanation: It is not always possible for a parent to immediately be brought into a child's PICU room.
A health care provider should be there for the parent to explain the patient's condition and facilitate ongoing communication. Nonetheless, this process should be brief, as any delay increases anxiety and possibly mistrust. See Chapter 54 in Nelson Textbook of Pediatrics, 17th edition.
A child has been in the PICU for 10 days and still faces at least a week of further treatment. Various family members have consulted with a variety of treating medical staff about prognosis.
As a result, the family has heard several contradictory versions of what the treatment plan will be. You should now: Advise the family to speak only to you in the future Explanation: All of these answers have been suggested except the letter to the administrator and depend on the circumstances in the PICU and the patient. Although "B" has value, once confusion has taken over it is important for one person to communicate with the family.
Practically, this is not always possible. Schedule regular meetings where representatives of the different services are present and consensus can be reached Advise the family to write a letter to the hospital administrator Advise the family not to speak to consulting physicians Advise the family that this degree of ambiguity is unavoidable in this setting Question. IQ between indicates a Mild mental retardation b Moderate retardation c Severe retardation d Profound retardation.
Preference of use of one hand handedness is evident by a 6 months b 1 year c 2 years d 3 years. Neonatal period extends up to a 21 day s of life b 30 days of life c 28 days of life d 35 days of life.
First permanent tooth to erupt is a 1 st Premolar b 1 st Molar c 1st Incisor d 2nd premolar. How many digits can a five year old child remember a 4 b 5 c 8 d The average B. Delayed speech in a 5 year old child with normal motor and adaptive development is most likely due to a Mental retardation b Cerebral palsy c Kernicterus d Deafness.
Anthropometric assessment which does not show much change in years a Mid arm circumference b Skin fold thickness c Chest circumference: Head circumference ratio d Height. A 5 year old child is assessed to have developmental age of one year.
His developmental quotient would be a b 80 c 60 d True breath holding attacks generally do not occur after a 1 year b 5 years c 2 years d 18 months. When a child is not able to perform the following motor functions such as skipping, walking on heels, hopping in place or going forwards in tandem gait, his motor development is considered to be below a 3 years b 4 years c 6 years d 7 years.
Birth weight of a child doubles at five months of age while the birth length doubles at the age of a 1 year b 2 years c 3 years d 4 years. Child is not expected to do at 40 weeks of life a Creeps crawl b Walks with one hand held c Sits up alone d Pulls to standing position. Breast feeding is recommended at least for a 4 months b 6 months c 9 months d 1 year. The most important factor to overcome protein energy malnutrition in children less than 3 years is. A 2 year old child has a weight of 6.
What is the grade ofmalnutrition in this child? Breast feeding is contraindicated if the mother is taking a Propranolol b Broad spectrum antibiotics c Sulfonyl ureas d Insulin.
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Fatty Acid necessary during 0to6 months of age is a Linolic acid b Linolenic acid c Arachidonic acid d Palmitic acid. One of the following is not reported to be a clinical manifestation of zinc deficiency state in children a Dwarfism and hypogonadism b Liver and spleen enlargement c Impaired cell mediated immunity d Macrocytic anaemia. The composition of breast milk, per ml a 67 calories, 3.
The following are radiographic features of Rickets except a Increased in width of growth plate b Decreased bone density c Rickety rosary d Subperiosteal bleeding.
Breast milk at room temperature stored for a 4 hrs b 8hrs c 12hrs d 24hrs. Which vitamin deficiency is not seen in newborn? A 4 year old boy derives most of his caloric requirements from a Carbohydrates b Proteins c Fats d d Minerals.Killed vaccine.
Nelson Pediatrics Review(MCQs)17ed
Moist tongue b. Acidosis d. A fourth degree marasmic infant is characterized by.
All of the following are useful in decreasing stress to children and their families in emergency settings except: Keeping the parents away during procedures or resuscitation Explanation: Indeed, most parents can provide additional calming and distraction during procedures, and their presence should be encouraged.
In which patient is oral rehydration NOT indicated? The parameter that indicates chronicity of malnutrition is a Height b Weight c Head circumference d All the above Exclusion criteria have included coagulopathy, bleeding, and hemodynamic instability.