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(MBCHB) 2024 oct pediatrics and child health practice exam questions and answers
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(MBCHB) 2024 oct pediatrics and child health practice exam questionsand answers
medicine and surgery (The Copperbelt University)
, Practice Exam Questions and Answers
2021 October DWE
Paediatrics & Child Health
Instructions:
• This document contains the questions and answers from the DWE Paediatrics &
Child Health Practice Exam
• The correct answer for each question is in bold type.
Question 1
A 2-year-old with acute abdominal pain has been diagnosed with pancreatitis. An ultrasound
is performed, which reveals a significantly dilated common bile duct, tapering distally with
dilatation of intrahepatic ducts.
Results of liver function tests are shown below.
What is the most likely cause of her pancreatitis?
Answer options:
A. Bile duct adenoma. B.
Choledochal cyst.
C. Neonatal sclerosing cholangitis.
D. Sphincter of Oddi dysfunction.
Question 2
Which of the following is the most common clinical feature at presentation in acute rheumatic
fever (ARF)?
, Answer options:
A. Arthritis.
B. Carditis.
C. Erythema marginatum.
D. Subcutaneous nodules.
Question 3
What is the most important serious side effect that parents should be warned about before
commencing atomoxetine?
Answer options:
A. Cardiac toxicity.
B. Depression.
C. Potential for abuse.
D. Suicidal ideation.
Question 4
Which renal condition is most commonly associated with congenital hepatic fibrosis?
Answer options:
A. Autosomal recessive polycystic kidney disease.
B. Horseshoe kidney.
C. Multicystic dysplastic kidney.
D. Nephronophthisis
Question 5
You are called after hours by the mother of a 14-year-old girl with well-controlled type 1
diabetes, who has been recently started on insulin pump therapy. The mother states that she
has recorded a capillary blood glucose level of 20.2 mmol/L, and ketones of 1.2 mmol/L [<
0.5]. Earlier in the day her blood glucose level was normal at 6.5 mmol/L, and she had been
correctly given insulin with her dinner meal through the insulin pump. Her mother reports that
apart from feeling thirsty, her daughter is well, with no nausea or vomiting.
With respect to her hyperglycaemia, what is the best advice you should give?
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