Pediatric Board Review Multiple Choice Questions & Answers Vol. 2

Q11. Mode of transmission of HDR syndrome is:

1. Autosomal recessive
2. Autosomal dominant
3. X-linked recessive
4. X-linked dominant
5. Multifactorial

Q12. The first sign noted is patients with abetalipoproteinemia is:

1. Loss of deep tendon reflexes
2. Loss of vision
3. Hypotension
4. Cardiac failure
5. Edema

Q13. A female child was diagnosed to have selective IgA deficiency. She suffered from an anaphylactic reaction after a blood transfusion that was properly matched. The appropriate blood for her transfusion should be:

1. Rh (-)ve
2. O (-)ve
3. O (+)ve
4. AB (-)ve
5. Washed erythrocytes

Q14. A male child lives in a shelter. He has atopic dermatitis. Most serious viral infection in atopic dermatitis is:

1. Cytomegalovirus
2. Rhinovirus
3. Rubella
4. Rubeola
5. Herpes simplex virus (HSV)

Q15. The following statement is not true about urine culture:

1. In a catheterized specimen, urine colony count is significant if it is 1,000 organisms/mL or greater.
2. In a clean-catch (midstream voided) specimen, urine colony count is significant if it is 100,000 organism/ML or greater.
3. In a suprapubic specimen, any bacterial growth is significant.
4. A urine specimen collected by placing a bag on the perineum is not acceptable because of contamination.
5. Urine specimens should be delivered to the laboratory within 2 hours of collection.

Q16. The last dose of hepatitis B vaccine should not be given before age:

1. 2 months
2. 3 months
3. 4 months
4. 5 months
5. 6 months

Q17. The best diagnostic clue of pulmonary tuberculosis (TB) is:

1. Isolation of Mycobacterium tuberculosis
2. Positive chest x-ray results
3. Positive PPD test results
4. Mother has active TB
5. Father has active TB

Q18. The following statement is not true about the diagnosis of pulmonary TB in children:

1. Negative cultures exclude the diagnosis of TB.
2. Early morning gastric aspirate is the best specimen for younger children.
3. Sputum specimens are the best for older children an adolescents.
4. Three consecutive morning gastric aspirates yield the organisms in less than 50% of cases.
5. The culture yield from bronchoscopy is less than that of gastric aspirates.

Q19. A child appears with systemic lupus erythematosus (SLE)-like syndrome without characteristic SLE serology. Most likely complement deficiency is:

1. C 5
2. C 6
3. C 7
4. C 8
5. C 1q

Q20. The following treatment in spinal cord injury improves the motor outcome:

1. Methylprednisolone
2. Intravenous immunoglobulin (IVIG)
3. Vigorous physiotherapy
4. IV antibiotics
5. Spinal splint

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