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MCQ Paper 4
1.

Concerning brain tumours in children:

A. A sixth cranial nerve palsy can be the presenting feature.
B. The majority are metastatic from other tumors.
C. They are the most common solid organ tumor.
D. Brain stem glioma usually present with personality change.
E. Medulloblastomas can metastasize to the spine.

A.True False DK
B.True False DK
C.True False DK
D.True False DK
E.True False DK

2.

In depression in childhood:

A. A family history is common.
B. Suicide attempts are likely to be successful.
C. Sleep is typically impaired.
D. Is more common in pre-pubertal boys than pre-pubertal girls.
E. Antidepressant medication is ineffective.

A.True False DK
B.True False DK
C.True False DK
D.True False DK
E.True False DK
3.

Risk of developmental dysplasia of the hips is increased by:

A. Male sex.
B. Asian ethnic origin.
C. Positive family history.
D. Oligohydramnios.
E. Breech presentation.

A.True False DK
B.True False DK
C.True False DK
D.True False DK
E.True False DK
4.

The following exhibit autosomal dominant inheritance:

A. Gilbert syndrome.
B. Becker muscular dystrophy.
C. Turner syndrome.
D. Tuberous sclerosis.
E. Cystic fibrosis.

A.True False DK
B.True False DK
C.True False DK
D.True False DK
E.True False DK
5.

Compared with cow's milk, human breastmilk contains:

A. Less sodium.
B. Less calcium.
C. Less protein.
D. Less fat.
E. Less carbohydrate.

A.True False DK
B.True False DK
C.True False DK
D.True False DK
E.True False DK
6.

Regarding cystic fibrosis:

A. It is most common in sub-Saharan Africa.
B. The most common mutation is called delta-F508.
C. The responsible gene is located on chromosome 14.
D. Can present in neonates with intestinal obstruction.
E. Can be investigated by measuring sweat electrolytes.

A.True False DK
B.True False DK
C.True False DK
D.True False DK
E.True False DK
7.

An 8 month old child would be expected to:

A. Roll from back to front.
B. Sit unsupported.
C. Transfer objects between hands.
D. Build a tower of 3 blocks.
E. Have full head control.

A.True False DK
B.True False DK
C.True False DK
D.True False DK
E.True False DK
8.

The following are recognised causes of clubbing:

A. Cystic fibrosis.
B. Familial.
C. Bacterial endocarditis.
D. Fallot's tetralogy.
E. Ulcerative colitis.

A.True False DK
B.True False DK
C.True False DK
D.True False DK
E.True False DK
9.

The following are causes of short stature:

A. Klinefelter syndrome.
B. Marfan syndrome.
C. Emotional deprivation.
D. Hypothyroidism.
E. Achondroplasia.

A.True False DK
B.True False DK
C.True False DK
D.True False DK
E.True False DK
10.

Concerning systemic lupus erythematosus (SLE):

A. It causes a characteristic "butterfly rash".
B. Is more common in males.
C. Arthralgia is a rare feature.
D. Maternal SLE can cause heart block in the neonate.
E. Anti-nuclear antibodies are usually present.

A.True False DK
B.True False DK
C.True False DK
D.True False DK
E.True False DK
 
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