Respiratory
1.
Croup.
???) Croup could be caused by
all of the following, except:
Laryngomalacia
Foreign body
Tracheomalacia
Laryngitis
Tetany
Answer: 5* Tetany
???) Differential diagnosis of
croup in children includes each of the following, except:
Foreign body
Cystic fibrosis
Laryngitis
Epiglottitis
Retropharyngeal abscess
Answer: 2* Cystic fibrosis
???) Which of the following
groups of viruses cause respiratory infection mainly in babies and infants:
Adenoviruses
Parainfluenza viruses
Enteroviruses
Coronaviruses
Rotaviruses
Answer: 2* Parainfluenza viruses
2.
Bronchiolitis.
***) The most common cause of
bronchiolitis is:
Respiratory syncitial virus
Adeno virus
Rhino virus
Metapneumo virus
Coxsakie virus
Answer: A* Respiratory syncitial
virus
***) Concerning bronchiolitis
all are true, except:
Affects children during the
first year of life
More common in winter time
Caused by respiratory syncytial
virus
Tachypnea and cyanosis are
presenting features
Males are more affected than
females
Answer: 5* Males are more
affected than females
***) Concerning bronchiolitis
all of the following are true, except:
The onset is sudden with dyspnea
Cough is present and severe
always
Changes of developing cyanosis
and acidosis is high
All of the diagnosed cases
should be admitted and treated in the hospital
The drug of choice is
cloxacillin
Answer: 5* The drug of choice is
cloxacillin
3.
Asthma.
***) Concerning bronchial asthma
in children all of the following is true, except:
A.
Common disorder in children
B.
Usually precipitated by viral infections in the toddler age
group
C.
Is characterized by alveolar collapse
D.
Is common at night
E.
Bronchospasm may be precipitated by house dust or mite in
the bed clothes
Answer: C* Is characterized by
alveolar collapse
***) A 5 years old boy admitted
as a case of status asthmatics. All of the following are of value in the acute
management of this patient, except:
A.
Chest X-ray
B.
IgE level
C.
Sinus X-ray
D.
CBC (Complete blood count)
E.
Arterial blood gases
Answer: C* Sinus X-ray
***) Appropriate treatment of
status asthmatics includes all of the following, except:
A.
Aminophyllin
B.
Mist tent
C.
Oxygen by nasal catheter
D.
Intravenous fluids
E.
Corticosteroids
Answer: B* Mist tent
???) Regarding bronchial asthma
in childhood all are true except:
Inflammatory respiratory
disorders
Most children can out grow it by
puberty
Prognosis depend on severity
Bronchiolitis is important
differential diagnosis
B agonist are more effective
orally than by inhalation
Answer: 5* B agonist is more
effective orally than by inhalation
???) Concerning asthma all are
true, except:
Inhaled steroids are useful in
the treatment
Wheeze on auscultation is one of
the symptoms
It is seldom a cause of hospital
admission
Exacerbation of symptoms can
occur with exercise
Patients should be excluded from
sport at school
Answer: C* It is seldom a cause
of hospital admission (It is the most common cause of hospital admission)
***) The commonest respiratory
symptom is:
Sputum production
Hemoptysis
Cough
Breathlessness
Wheeze
Answer: 3*Cough
4.
Cystic Fibrosis (CF).
***) All of the following are
presentations of cystic fibrosis, except:
Meconium ileus
Reccurent chest infections
Failure to thrive
Steatorrhea
Congenital heart disease
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