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Screening for hypercholesterolaemia.
Wald and colleagues propose a screening stratergy for familial hypercholesterolaemia.
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MCQ Paper 5
1.

Concerning epilepsy in children:

A. There is an association with cerbral palsy.
B. Most forms of childhood epilepsy require lifelong treatment.
C. Infantile spasms may respond to corticosteroid treatment.
D. Consciousness is usually impaired in absence seizures.
E. A post-ictal hemi-paresis may occur.

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

2.

The following are common findings in Trisomy 21:

A. Learning difficulties.
B. Protruding tongue.
C. Congenital heart defects.
D. Single transverse palmar crease.
E. Hypertonia.

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

Regarding rheumatic fever:

A. It occurs following a staphylococcal infection.
B. May present with chorea (a movement disorder).
C. Erythema marginatum is a "major" diagnostic criterion.
D. It requires treatment with immunoglobulin.
E. Renal impairment is the most serious long-term risk.

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

UK infants are routinely immunised against:

A. Meningococcus type B.
B. Diphtheria.
C. Cholera.
D. Polio.
E. Pertussis.

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

These neuromuscular disorders are inherited conditions:

A. Duchenne muscular dystrophy.
B. Becker muscular dystrophy.
C. Spinal muscular atrophy Type 1 (Werdnig-Hoffmann disease).
D. Guillain-Barre Syndrome.
E. Dystrophia myotonica.

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

Concerning ADHD (attention deficit hyperactivity disorder):

A. Impulsive behaviour is a feature.
B. Is associated with a higher rate of expulsion from school.
C. Is associated with a higher rate of teenage pregnancy.
D. Is associated with a higher rate of tic disorders.
E. May respond to treatment with stimulants such as amphetamines.

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

The following are causes of jaundice:

A. Prune belly syndrome.
B. Wilson's disease.
C. Pityriasis rosea.
D. Alagille Syndrome.
E. Alpha-1-antitrypsin deficiency.

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

The following drugs used in asthma are beta-agonists:

A. Salmeterol.
B. Salbutamol.
C. Ipratropium bromide.
D. Fluticasone.
E. Terbutaline.

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

Neonates in the UK are routinely screened for the following:

A. Hirschprung's disease.
B. Phenylketonuria.
C. Fragile X syndrome.
D. Hypothyroidism.
E. Congenital rubella infection.

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

Regarding the condition of patent ductus arteriosus (PDA):

A. Chest CT is the optimum radiological investigation.
B. May cause a "collapsing pulse".
C. May be treated by open surgical ligation.
D. May be treated medically using indomethacin.
E. May be treated by catheter trans-venous umbrella occlusion.

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