Quiz 13: Serious illnesses
Please choose the one, most correct answer to each question or statement.
- Acute rheumatic fever usually follows:
- Pharyngitis.
- Otitis media.
- Impetigo.
- Influenza.
- Repeated attacks of acute rheumatic fever may damage:
- The kidneys.
- The liver.
- The heart.
- The joints.
- What is a major criteria that is used in the diagnosis of acute rheumatic fever?
- Chest pain.
- Fever.
- Flitting polyarthritis.
- Cyanosis.
- How can a further attack of acute rheumatic fever be prevented?
- Give oral penicillin for 10 days whenever the child has a common cold.
- Give intramuscular benzathine penicillin every month.
- Give oral erythromycin for a week if the child has a tooth filled or pulled out.
- Unfortunately it cannot be prevented.
- Acute glomerulonephritis is usually caused by:
- Streptococcal skin infection.
- Klebsiella pneumonia.
- E. coli urinary tract infection.
- Miliary tuberculosis.
- What is an important sign of acute glomerulonephritis?
- Dehydration.
- Skin rash.
- Enlarged kidneys.
- Dark urine.
- What is a complication of acute glomerulonephritis?
- Hypotension.
- Hypertension.
- Acute liver failure.
- Damage to heart valves.
- Children with septicaemia:
- Are generally unwell with a fever.
- Have neck stiffness.
- Are oedematous.
- Are always shocked.
- A capillary filling time longer than 3 seconds is:
- Normal.
- Common in viral meningitis.
- Usually due to fever.
- A sign of shock.
- The first choice of antibiotics in septicaemia include:
- Oral ampicillin.
- Intravenous ceftriaxone.
- Intramuscular gentamicin plus intravenous amikacin.
- Oral nalidixic acid.
- In a seriously ill child with a rash always think of:
- Chorea.
- Gram positive meningitis.
- Meningococcal septicaemia.
- Urinary tract infection.
- What bacteria commonly cause meningitis in children?
- Staphylococcus.
- Pneumococcus.
- Pseudomonas.
- E.coli.
- What is a common symptom of meningitis in older children?
- Severe headache and vomiting.
- Shortness of breath.
- Sudden blindness.
- Earache.
- Can you tell clinically whether a child has viral or bacterial meningitis?
- Yes, it is easy.
- Only children with bacterial meningitis have neck stiffness.
- Children with viral meningitis often are much worse after a lumbar puncture.
- Usually you cannot be sure what type of meningitis is present.
- The emergency treatment of suspected bacterial meningitis is:
- Urgent transfer to hospital for treatment.
- Intravenous antibiotics before transferring the child.
- Wait for the results of the lumbar puncture before starting treatment.
- Steroids before the lumbar puncture.
- In a urinary tract infection the urine commonly contains:
- Blood only.
- Glucose.
- Crystals.
- Pus cells.
- Diabetes commonly presents with:
- Weight loss and polyuria (passing a lot of urine frequently).
- Abdominal pain.
- A sweet taste in the mouth.
- Red urine.
- Convulsions can be stopped by:
- Intramuscular phenytoin.
- Rectal diazepam.
- Giving oxygen.
- Holding the child down.
- Febrile convulsions:
- Are usually seen in children older than 5 years.
- Are commonly fatal.
- Should be treated by cooling the child.
- Can be prevented with oral anticonvulsants.
- A common malignancy in children is:
- Liver cancer.
- Leukaemia.
- Melanoma.
- Bone cancer.