PAEDIATRIC AND CHILD HEALTH PAST PAPER QUESTIONS | CMT NTA LEVEL 5 | DOWNLOAD

 PAEDIATRIC AND CHILD HEALTH PAST PAPER QUESTIONS | CMT NTA LEVEL 5 | DOWNLOAD

1. The most likely age of a child that is currently able to do pincer grasp, sit with no support and crawl, recognizes his parents and says one word with no meaning (ta’ta) is:

a. 4months

b. 6 months

c. 9 months

d. 2 year

e. Above 5 years

 

2. Umbilical cord stump:

a. Usually falls on its own

b. Needs to be pulled by the physician

c. Has foul smelling discharge

d. Swollen with greenish color

e. Not part of postnatal history

 

DOWNLOAD HERE PAEDIATRIC AND CHILD HEALTH PAST PAPERS QUESTIONS | CMT NTA LEVEL 5

 

3. Concerning growth and development in pediatrics:

a. Body weight decreases by 5 to 10% in the first 7 to 10 days of life

b. Head circumference at birth is normally about 40cm

c. Assessment of growth is done using milestones observation

d. Weight is a more accurate way of measuring growth that length/height

e. The arm circumference is taken at the upper 1/3 of the arm

 

4. Concerning Upper Respiratory Tract Infections (URTI) in children:

a. Mode of transmission is mostly fecal oral route

b. Viruses are the most common causative agents

c. Coryza is not a common clinical feature

d. There are no vaccines for URTI

e. Example include Pulmonary TB

 

5. A child presents at the dispensary with features of fever (390c), history of vomiting once, general malaise and joint pains, only. The most likely diagnosis is:

a. Malaria

b. Measles

c. Severe Malaria

d. Otitis media

e. Uncomplicated malaria

6. The commonest cause of Anemia in Tanzania is:

a. Ascaris infestation

b. Schistosomiasis

c. Megaloblastic Anaemia

d. Hook worms infestation

e. Hemorrhage

 

7. A patient is brought to the hospital post severe trauma, on examination you note that he has severe bleeding from open fracture of his lower limb. What is the most likely Anemia the child will suffer from secondary to his wounds?

a. Microcytic Hypochromic anemia

b. Macrocytic Hypochromic anemia

c. Macrocytic Normochromic anemia

d. Normocytic Normochromic anemia

e. Microcytic Normochromic anemia

8. In regards to classification of Anemia morphologically iron deficiency anemia is known as:

a. Microcytic Hypochromic anemia

b. Macrocytic Hypochromic anemia

c. Macrocytic Normochromic anemia

d. Normocytic Normochromic anemia

e. Microcytic Normochromic anemia

 

9. A 3 years old child presents to the clinic with her mother who complaints her child is suffering from fever, nausea and general body weakness, on review of systems the mother reports that there is purulent discharge from the left ear. What is the most likely diagnosis:

a. Mumps

b. Whooping cough

c. Shingles

d. Acute otitis media

e. Chronic otitis media

 

10. In relation to malaria infection, anemia as a complication is a result of:

a. Sickling of the red blood cells

b. Accumulation of toxins from plasmodium

c. Hemolysis of red blood cells

d. Damage of red blood cells by female Anopheles mosquito

e. High grade fever of the patient

 

SECTION B: MULTIPLE TRUE/FALSE QUESTIONS -  10

1. A child living in a malaria endemic region is likely to have:

a) …………….. a humoral innate immunity against malaria due exposure to plasmodium

b) …………….. severe form of infection compared to one living in non-endemic regions

c) …………….. basic understanding of malaria when at school level

d) …………….. history of being affected and/or infected by malaria

e) …………….. never be totally clear of plasmodium in their bodies

2. In clinical assessment of anemia in children:

a)    ……………..You compare the doctors palm to that of the child

b) …………….. Crying child’s conjunctiva is the best place to asses pallor

c)    ……………..The tongue is not used to asses pallor

d) ……………..Pallor can help predict the degree of anemia

e)    ……………..The weight of the child helps determine anemia

3.  In prevention of malaria, vector control is of outermost importance so as to stop spread of infection. Examples of vector control measures include:

a) ……………..Isolation of infected family members

b) ……………..Sleeping in Insecticides Treated Nets

c) ……………..Using insects repellant in housing areas

d) ……………..Destroying breeding grounds of mosquitos (bushes and stagnant water)

e) ……………..Wearing protective clothing at night time (eg long sleeves)

4. A child with 20kg of body weight is admitted unconscious, on examination you note the child to be severely pale and Hb is 3g/dl. The management should include:

a) ……………..Blood transfusion with 200mls of whole blood

b) ……………..Blood transfusion with 200mls of fresh frozen plasma

c) ……………..Blood transfusion with 400mls of whole blood with 20mg IV furosemide

d) ……………..Blood transfusion with 400mls of packed cells with 20mg IV furosemide

e) ……………..Blood transfusion with 400mls of fresh  plasma with 20mg IV furosemide

SECTION C: MATCHING ITEMS QUESTIONS  - 10

Match disease/infection in COLUMN A with its corresponding laboratory investigation in COLUMN B.

COLUMN A (disease/infection)

    COLUMN B (lab investigation)

1. …… Dysentry   

A.  Full blood picture

2. …… Malaria

B.  Erythrocyte Sedimentation

      Rate (ESR).

3. …… Pylonephritis

C.  Dried blood spot

4. …… Whooping cough

D.  Stool culture and sensitivity

5. …… Anemia

E.  Urinalysis

F.  Blood slide for parasite

      checking

G.  DNA polymerase chain

      reaction

H.  Chest X-ray

 

Match the disease in COLUMN A with its corresponding complication in COLUMN B.

COLUMN A

COLUMN B.

1. …… Malaria

A.  Phimosis

2. …… Anemia

B.  Deafness

3. …… Balanitis

C.  Disseminated  

      Intravascular

      Coagulation (DIC)

4. …… Schistosomiasis

D.  Uremic encephalopathy

5. …… Otitis media

E.  Portal hypertension

 

F.  Pneumothorax

 

G.  Heart failure

H.  Status asthmaticus

 

 

 

 

 

 

SECTION D: SHORT ANSWER QUESTIONS  -  40

 

1.  Explain uses/importance of Blantyre Coma Scale (03)

 

a. ........

b. .........

c. ........

2. Define the following terms (10)

a. Urinary Tract Infections

b. Malaria

c. Development

d. Measles

e. Paraphimosis

 

3. Mention five features of severe malaria (05 )

1. ……

2. ……

3. ……

4. ……

5. ……

3.    Mention four (4) ways of assessing Growth in children (04)

 

1. …….....

2. ………………

3. ………………

4. ………………

 

4.   List the 5 plasmodium species responsible for human malaria infection (05)

 

1. …….....

2. ………………

3. ………………

4. ………………

5.

 

5.  Write the Tetanus Toxoid vaccination schedule (05)

1. …….....

2. ………………

3. ………………

4. ………………

5. .......................................................

 

6. List 3 factors that promote growth in a child (03)

1. …….....

2. ………………

3. ………………

7. List 3 primitive reflexes that ensure neonate survival (03)

1. …….....

2. ………………

3. ………………

8. List the drug and dosage for Urinary Schistosomiasis infection (02 )

 

................
SECTION E: ESSAY QUESTIONS – 30

Instruction: Answer all questions in separate sheet of paper

1. John a 1 year old boy with weight of 15kg is brought to the clinic with high grade fever, generalized body weakness, red swollen eyes, cough and generalized rashes. On immunization history mother reports he only received OPV0 and BCG. Discuss in terms of diagnosis, management and possible complications.  (15 )

 

2. Aisha is a 3 years old child with 20kg body weight is brought to the dispensary by her mother with history of fever, inability to eat and vomiting everything, on family and social history mother reports Aisha’s older sibling whom they share a bed is currently being treated for malaria with oral tablets and they do not use Insecticides Treated Nets (ITN’s). Discuss your complete workup as Aisha’s health care provider with reasons for your actions. (15)

 

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