Paediatric HO quiz no.2

which is cyanotic heart disease

coarctation of aorta

tricuspid atresia

VSD

tricuspid stenosis

which is not a sign of heart failure in an infant

tachypnoea

hepatomegaly

failure to thrive

pitting pedal oedema

A 10 year old child presented with fever and multiple migratory joints pain, on examination she also has multiple subcutaneous nodules at elbow. her heart sound is muffled, what is the diagnosis?

septic arthritis

Kawasaki

infective endocarditis

acute rheumatic fever

A child presented with bouts of seal-like cough by parents. On examination, he was alert SPO2 95%, with marked recession. What is your initial management?

Nebulised budesonide

Neb adrenaline

Neb Salbutamol

IV hydrocortisone

Refer anaes

lumbar puncture are contraindicated in the following except

immediate post seizure

hypotension

persistent fever

unequal pupils

followings are criteria for DKA except

Blood glucose >11mmol/l

Venous pH <7.3

Serum bicarbonate < 24

Ketonuria

Nephrotic syndrome is characterised by followings except

anasarca

hypertension

hypoalbuminaemia

proteinuria

which is the following is false regarding beta thalassaemia major

iron chelator should be started concurrently with 1st blood transfusion

autosomal recessive inheritance

post transfusion Hb should be 13.5-15.5g/dl

Annual ECHO is required later in life

what is not true regarding Kawasaki disease

Usually affecting children less than 5 years old

Paracetamol if effective treatment for controlling fever and its complications

flaring of BCG scar is a recognised finding

IVIG is a treatment of choice

which of the following is live attenuated vaccine

Hepatitis B

Acellular pertussis

Tetanus

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