Wednesday 26 July 2017

Daily mcq

MCQ: Indicate True or False for ALL the options in the questions below.

1. A 28 day old boy with a birth weight of 4.5kg has been having recurrent hypoglycemia. He also has pits in the ear helix bilaterally. The parent request an audience with you to explain their child's condition. You mentioned that the child is at increased risk of having the following tumors

(A) Hepatoblastoma
(B) Neuroblastoma
(C) Wilma tumour
(D) Rhabdomyosarcoma
(E) Gonadoblastoma

2. A 5yr old boy with chief complaint of excessive urination, voiding of large volume urine, failure to thrive, has normal blood sugar.
You make some of the following conclusions

(A) His condition can be caused by hypokalaemia
(B) Hypokalaemia may result from this condition
(C) Diabetes mellitus is a likely cause
(D) The likely deficient hormone has 9-amino acids
(E) C-peptide assay is neccesary for diagnosis

3. A 15year old girl with chief complaint of amenorrhea was observed to have a low posterior hairline, red green colour blindness and a height below two standard deviations from the mean.
The following hold true for this patient
(A)  Parental age is a risk factor for this concondition (B) The lost chromosome is of paternal origin in most cases
(C) 99% of fetus with this condition end up in spontaneous abortion
D.This patient may have blood pressure that is higher in upper limbs that in the lower limbs
(E) lyphedema of the extremities is an expected finding

4. A newborn was noticed shortly after birth to have a an erythematous plaque on the left side of the face, the plaque persists on blanching, not tender though warm,an assesment of facial hemangioma is made.
The following hold true
(A) 50% of cases reach maximal involution by age of one
(B)This condition is commoner in boys than girls
(C)the lesion is more likely to get bigger in the next few days
(D)Occurrence is higher in preterms
(E)sodium bicarbonate is useful in the management of this patient.

(5) polydactyly
(A) bilateral involvement in 50% of cases
(B) Mostly pre axial
(C) repair is best at 3rd month of life
(D) may be tied off
(E) Seen in Ellis van creveld syndrome


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