PAEDIATRICS MCQS COMPILATION 2
1. Concerning examination of the newborn
a. It is important for medicolegal reasons F
b. It is important for detecting acquired anomalies T
c. It is first done by the 2nd day of life F
d. Recording the findings is not necessary if examination is thoroughly done F
e. Only abnormal findings should be recorded F
[EXAMINATION OF THE NEWBORN: IMPORTANT IN DETECTING CONGENITAL
ANOMALIES, ACQUIRED ANOMALIES, DONE WITHIN 24HRS OF LIFE, EXAMINE HEAD
TO TOE, AND ALWAYS RECORD YOUR FINGDINGS]
2. The following are normal examination findings of a term newborn
a. Small and upturned patent nostrils T
b. Heart rate of 110 beats per minute F [120-160beats/min]
c. Respiratory rates of 30 cycles per minute F [40-60cycles/min]
d. Umbilical vessels: 2 veins and 1 artery F [2 arteries, 1 vein]
e. Occipitofrontal circumference below the 10th centile F [BETWEEN 10th and 9th
centile]
3. In infant feeding
a. Hind milk does not contain water F [Mature milk contains foremilk and hindmilk…
the foremilk is grey and contains more water while the hind milk is yellow and
contains more fat for satiety]
b. Colostrums has more fat than matured milk F [Less fat]
c. Human milk contain higher protein than cow’s milk F [higher protein in colostrum
and lesser protein in breast milk]
d. Human milk contains lactoferrin which is not present in cow’s milk T
e. Prelacteal feeds are never indicated in correct infant feeding T
4. Concerning breastfeeding, the following are correctly matched:
a. Exclusive breastfeeding: Giving only breast milk to babies from birth to 4 months F
[up to 6 months]
b. Predominant breastfeeding: breast milk and plenty of water F [little water]
c. Mixed feeding: feeding a baby above six months some breast milk and some artificial
feeds, either milk or cereal, or other foods F [not above six months]
, d. Token breast feeding: constant breast feeding, with non-human milk and food
occasionally. F [occasional breast feeding]
e. Bottle feeding: Feeding a baby from a bottle, whatever is in the bottle, including
expressed breast milk T
5. Concerning Breast feeding
a. Inhibin helps to protect the breast from the effect of being too full F [inhibitor of
breast milk]
b. The local control of breast milk production is independent of each breast T [If
baby suckles on one breast, it produces more milk and becomes bigger than the
other…..the baby’s suckling controls the production of milk, through prolactin
production, the oxyrocin relex and the inhibitor within the breast]
c. The amount of breast milk produced depends of the size of the breast F [both small
and large breasts contain same amount of gland tissue, so can both make enough
milk]
d. Preterm milk contains more lactose fats and energy F [less lactose, and energy with
high protein, sodium and IgA]
e. Colostrum contains more fats and energy F [less fat and energy with high
immunoglobulins and fat soluble vitamins]
6. The following are associated deficits of cerebral palsy:
a. Swallowing difficulties T
b. Seizure disorder T
c. Malnutrition T
d. Speech disorders T
e. Learning disabilities T
[Mental Retardation, Epilepsy, Hearing Impairment, Visual Defects- (strabismus,
optic atrophy, nystagmus, refractive errors, cortical visual impairment), Speech
Defects- (delayed, poor-articulation, loss of voice modulation), Learning disability,
ADHD, Failure to thrive, feeding problems, Gait abnormalities, Hip subluxation, other
skeletal deformities, dental problems, Bladder and bowel control problems]
7. If a couple are both carriers of sickle cell gene:
a. The will produce an SS child out of every 4 deliveries F
b. All their children may be AA T
c. None of their children may be SS T
d. They have a 50% chance of having a carrier child per pregnancy T
1. Concerning examination of the newborn
a. It is important for medicolegal reasons F
b. It is important for detecting acquired anomalies T
c. It is first done by the 2nd day of life F
d. Recording the findings is not necessary if examination is thoroughly done F
e. Only abnormal findings should be recorded F
[EXAMINATION OF THE NEWBORN: IMPORTANT IN DETECTING CONGENITAL
ANOMALIES, ACQUIRED ANOMALIES, DONE WITHIN 24HRS OF LIFE, EXAMINE HEAD
TO TOE, AND ALWAYS RECORD YOUR FINGDINGS]
2. The following are normal examination findings of a term newborn
a. Small and upturned patent nostrils T
b. Heart rate of 110 beats per minute F [120-160beats/min]
c. Respiratory rates of 30 cycles per minute F [40-60cycles/min]
d. Umbilical vessels: 2 veins and 1 artery F [2 arteries, 1 vein]
e. Occipitofrontal circumference below the 10th centile F [BETWEEN 10th and 9th
centile]
3. In infant feeding
a. Hind milk does not contain water F [Mature milk contains foremilk and hindmilk…
the foremilk is grey and contains more water while the hind milk is yellow and
contains more fat for satiety]
b. Colostrums has more fat than matured milk F [Less fat]
c. Human milk contain higher protein than cow’s milk F [higher protein in colostrum
and lesser protein in breast milk]
d. Human milk contains lactoferrin which is not present in cow’s milk T
e. Prelacteal feeds are never indicated in correct infant feeding T
4. Concerning breastfeeding, the following are correctly matched:
a. Exclusive breastfeeding: Giving only breast milk to babies from birth to 4 months F
[up to 6 months]
b. Predominant breastfeeding: breast milk and plenty of water F [little water]
c. Mixed feeding: feeding a baby above six months some breast milk and some artificial
feeds, either milk or cereal, or other foods F [not above six months]
, d. Token breast feeding: constant breast feeding, with non-human milk and food
occasionally. F [occasional breast feeding]
e. Bottle feeding: Feeding a baby from a bottle, whatever is in the bottle, including
expressed breast milk T
5. Concerning Breast feeding
a. Inhibin helps to protect the breast from the effect of being too full F [inhibitor of
breast milk]
b. The local control of breast milk production is independent of each breast T [If
baby suckles on one breast, it produces more milk and becomes bigger than the
other…..the baby’s suckling controls the production of milk, through prolactin
production, the oxyrocin relex and the inhibitor within the breast]
c. The amount of breast milk produced depends of the size of the breast F [both small
and large breasts contain same amount of gland tissue, so can both make enough
milk]
d. Preterm milk contains more lactose fats and energy F [less lactose, and energy with
high protein, sodium and IgA]
e. Colostrum contains more fats and energy F [less fat and energy with high
immunoglobulins and fat soluble vitamins]
6. The following are associated deficits of cerebral palsy:
a. Swallowing difficulties T
b. Seizure disorder T
c. Malnutrition T
d. Speech disorders T
e. Learning disabilities T
[Mental Retardation, Epilepsy, Hearing Impairment, Visual Defects- (strabismus,
optic atrophy, nystagmus, refractive errors, cortical visual impairment), Speech
Defects- (delayed, poor-articulation, loss of voice modulation), Learning disability,
ADHD, Failure to thrive, feeding problems, Gait abnormalities, Hip subluxation, other
skeletal deformities, dental problems, Bladder and bowel control problems]
7. If a couple are both carriers of sickle cell gene:
a. The will produce an SS child out of every 4 deliveries F
b. All their children may be AA T
c. None of their children may be SS T
d. They have a 50% chance of having a carrier child per pregnancy T
