MCQs in Paediatrics for the MRCPCH, Part 1

P. Ramaranyan

• Publisher: CRC Press
• Year: 2017
• eBook ISBN: 9781351432917
• Edition: 1
• Topic: Medicine
• Subtopic: Medical Theory, Practice & Reference

Here is a collection of multiple-choice questions for the Membership of The Royal College of Paediatrics and Child Health Part 1 examination. There are over 300 questions organised into 10 sections and the mixture of questions attempts to reflect the wide range of topics in the current syllabus. Each question has an explanatory answer, making this book an ideal revision guide for the MRCPCH examination.

Section 1

1.1 Regarding fluid and electrolyte homeostasis in a child:

1. Normal maintenance requirement in a child weighing 20 kg is 1.5 litre/day
2. A fluid deficit of 50ml/kg produces a body weight loss of 10%
3. Hypotension is a useful sign, which indicates moderate dehydration
4. Normal maintenance needs of sodium are 5-6mmol/kg/day
5. The characteristic metabolic abnormality in a child with pyloric stenosis is hyperkalaemic hypochloraemic metabolic alkalosis

1.2 Sequelae of a complete posterior cord section between C3 and Tl include:

1. Muscle fasciculation
2. Loss of sensation below the lesion
3. Loss of deep tendon reflexes
4. Athetoid movements
5. Sympathetic pseudomotor problems

1.3 The following conditions are associated with hyperammon-a ernia:

1. Reye syndrome
2. Citrullinaemia
3. Methylmalonic acidaemia
4. Homocystinuria
5. Isovaleric acidaemia

1.4 Membranous glomerulonephritis:

1. Is typically associated with immune complex deposition
2. Presents with nephritic syndrome
3. Is associated with highly selective proteinuria
4. Deposits of IgG on the glomerular membrane
5. Carries a worse prognosis than minimal change disease

1.5 Common causes of jaundice in a 12-hour-old neonate include:

1. Glucose-6-phosphate dehydrogenase deficiency
2. Rhesus isoimmunisation
3. Crigler-Najjar syndrome type II
4. Choledochal cyst
5. Breast-milk jaundice

1.6 Urinary tract infection:

1. Usually leads to vesico-ureteric reflux
2. Is more common in boys than girls under a year of age
3. In boys, is most commonly caused by Proteus mirabilis
4. Is associated with constipation
5. Prevention is best achieved by long-term amoxycillin

1.7 Liver failure in children:

1. Is always chronic in nature
2. Wilson's disease is a common cause
3. Leads to failure to thrive
4. One of the causes is Reye syndrome
5. Can result from unrecognised extrahepatic biliary atresia

1.8 Usual indications for an exchange transfusion in a child with sickle cell disease include:

1. Painful vaso-occlusive crisis
2. Splenic sequestration crisis
3. Acute chest syndrome
4. Dactylitis
5. Priapism

1.9 Complications of an infant of a diabetic mother include:

1. Hypoglycaemia
2. Hypocalcaemia
3. Hyperinsulinaemia
4. Jaundice
5. Hypomagnesaemia

1.10 Concerning SLE:

1. Antibodies against double standard RNA are a typical finding
2. Haematoxylin bodies occur in areas of inflammation
3. Usually progresses to renal failure within two years
4. Alopecia is a recognised finding
5. Psychosis is a recognised presentation

1.11 Rett syndrome is characterised by:

1. Social withdrawal
2. Self-mutilation
3. Macrocephaly
4. Wringing hand movements
5. Seizures

1.12 The following contribute to the natural immunity trans mitted in breast milk:

1. Macrophages
2. Natural killer cells
3. Lysozyme
4. Mast cells
5. Secretory IgA

1.13 Clubbing is found in:

1. Crohn's disease
2. Bronchiectasis
3. Rheumatic fever
4. Inf...

Table of contents

• Cover Page
• Title Page
• Copyright
• Contents
• Preface
• Abbreviations
• Questions
• Section 1
• Section 2
• Section 3
• Section 4
• Section 5
• Section 6
• Section 7
• Section 8
• Section 9
• Section 10
• Answers
• Section 1
• Section 2
• Section 3
• Section 4
• Section 5
• Section 6
• Section 7
• Section 8
• Section 9
• Section 10
• Scoring Sheets