MCQ: 28/07/17

1. A 4yr old BOY with  severe infectious mononucleosis was investigated for immune deficiency , the result shows deficiency in certain adhesive proteins  on b and t lymphocytes.
The following is true of this patient immune deficiency.

a).  It is an X linked reccesive condition
b).  Affected patient may develop acquired                     hypogamaglobinaemia
c.)  This is Duncan disease
d.) Stem cell transplant offers no benefit
e.)  Prognosis is very poor.

2. A 5yr old boy rushed into CEW with history of repeated episodes  of convulsion  of an hour duration, he has had red urine that has being progressively reduce in quantity in the last  12hrs
Examinations reveal an unconscious child , with periorbital fullness and severely elevated blood pressure.
The following are true of this patient

a). C3 hypo complementemia is an expected         finding
b)  ricketsial is a known cause
c)   group B hemolytic streptococcus serotype 12 is a known cause
d.). congestive heart failure is a feature
e)   lumpy bumpy deposit of immune complex is seen on light microscopy

3. The serology result of a 7yr old boy is as shown below : 
              Anti HbC IgG positive 
             Anti HbS positive

The following are true of this patient
a. He has an acute infection
b. He is a chronic carrier of the infection
C. He is highly infective at this stage
d. He is safe throgh immunization against hepatitis b
e. He is previously infected but has recovered.

4. Molluscum contagiosum

a. A self limited condition
b. Caused by Pox virus
c. Curettage is the treatment of choice
d. Infection is life long
e. Coccidiomycosis is a differential

5. A 2 yr old boy was found with the container of red pills that belongs to his pregnant mother, he has swallowed some of the pills, if the toxic dose is exceeded the following will be True

a)  hematemesis within 6hrs of ingestion is expected
b.  This patient will benefits from administration of activated charcoal
c.  The boy will benefit from whole bowel irrigation
d. penicillamine is the antidote for the ingested pill
e)  the antidote is preferably given subcutaneously.

 7.5min time allowed
0.5 mark deducted as penalty for wrong options
Score above 20 is excellent
15 to 20 good
10 to 15 is average