MCQ2/8/17

1 . A 5yr old girl  referred to you on account of Vaginal bleeding noticed following development of breast about 4month prior, she deny use of oestrogen containing creams, she has genus vagum and an irregular sharp edged rash on the the trunk , her pulse rate is fast and bounding.
The following conclusions are likely to be true of this condition

A). The average age of affectation in girls is 3yrs
B). In patients with associated cushing syndrome the      ACTH level is low
C). Clinical hyperthyroidism is uncommon in this condition
D). Phosphaturia is the commonest extra glandular manifestation
E). A missense mutation occured in this patient.

2.Growth hormone is indicated in the following conditions
A) Turner syndrome
B)Prader Willis syndrome
C)End stage renal disease
D)Growth hormone deficiency
E) intra uterine growth restriction

3. The mother of a new born(1hr old) has called your attention to teeth in her baby's mouth , she knows this is unusual and wants an explanation, some of the valid points  you told her include

A) This is an abnormal condition and the teeth as a rule must be extracted.
B) her child's condition is called neonatal teeth
C) cleft palate must be ruled out
D). Usually occur on the mandible
E) attachment of the teeth is deep rooted

4. A 6mo old boy seen at the out patient department with nasal discharge of few days to which the care giver procured decongestant from OTC, the attending resident noticed the heart rate to be 210bpm despite normal Temperature and respiratory rate , child is otherwise normal , you are invited to review and corroborate the above findings

A) This condition is likely not to need treatment.
B). This condition may rapidly progressed to heart failure
C) The over the counter decongestant may have a role in development of this condition
D)deep intranasal suctioning may reduce the heart rate
E) Digitization may be needed.

5.The result below was obtained from a 4yr old boy with Loss of consciousness.
Sodium ion:152mmol/l
Potassium ion : 3.8mmol/l
Random blood sugar,: 162mg%
BUN: 6mmol/l
Bicarbonate : 17mmol/l
Chloride ion :118mmol/l
The following conclusion is/are true

A) he has metabolic acidosis
B)plasma osmolality is 425Mosmol/l
C.) The anion gap is normal
D) Has renal tubular acidosis
E).May have diabetes insipidus