MRCPCH Part 1 True / False MCQs
    Reading in a medical journal there was a study regarding
    stature in children; it indicated that girls are taller when they
    have taller brothers.
    (r =0.56, p<0.001).

    A- r refers to the correlation coefficient.
    B- As r is more than zero it indicates a positive correlation.
    C- p <0.001 it means very few measures were made.
    D- p stands for probability.
    E- p < 0.001 means that statistically the results are significant.
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    Indications for referral for further developmental assessment

    A- Persistent plantar grasp at 18 months.
    B- Persistent parachute reflex at 4 months.
    C- Persistent Moro reflex at 6 months.
    D- Persistent palmar grasp at 7 months.
    E- Disappearance of palmar grasp at 3 months.
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    A female with adult polycystic kidney disease;

    A- Will transfer the disease to her children.
    B- May die from subarachnoid hemorrhage.
    C- May have hepatic fibrosis.
    D- There is a risk of renal carcinoma.
    E- Recurrent hematuria is a recognized clinical feature.
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    In minimal change disease there will be;

    A- Normal GFR.
    B- Low C3 level.
    C- Normal blood pressure.
    D- Intermittent microscopic hematuria.
    E- No abnormality of the glomerulus at electron microscopy.
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    A decreased nerve conduction velocity can be found in;

    A- Werdnig-Hoffman disease.
    B- Vincristine therapy.
    C- Chronic fatigue syndrome.
    D- Guillain Barre syndrome.
    E- Cerebral palsy.
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    The transfer of HIV from mother to child is;

    A- Decreased by caesarian section.
    B- Increased by breast feeding.
    C- Managed by maternal antiretroviral monotherapy.
    D- Increased if the mother is HCV ab positive.
    E- Increased if fetal blood was sampled.
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    Examination of the amniotic fluid helps to detect the following

    A- Duodenal atresia.
    B- Congenital nephrotic syndrome.
    C- Maternal diabetes.
    D- Prediction of lung maturity.
    E- Severity of Rh incompatibility.
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    T lymphocytes;

    A- Can lyse tumour cells.
    B- Can differentiate to plasma cells.
    C- Play a major role in allograft rejection.
    D- Involved in the reaction to PPD.
    E- Constitute 20 to 30% of circulating lymphocytes.
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    Neonates born with conditions similar to their mothers;

    A- Myasthenia gravis.
    B- Autoimmune thyroiditis.
    C- Thyrotoxicosis.
    D- Diabetes mellitus.
    E- HIV infection.
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    In the spinal cord, the posterior columns convey the sensory
    fibers concerned with

    A- Pain.
    B- Proprioception.
    C- Temperature.
    D- Light touch.
    E- Vibration.
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    Polydipsia can be found in;

    A- Chronic vitamin D intoxication.
    B- Head injury.
    C- Untreated hypoparathyroidism.
    D- Nephrogenic diabetes insipidus.
    E- Mild dehydration.
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    Cystic fibrosis:

    A- Pseudomonas aeruginosa infection is more common in males.
    B- Males have better survival rates as adolescents.
    C- Females are infertile.
    D- Good relation between genotype and clinical manifestations.
    E- Anosmia is recognized feature.
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    Juvenile idiopathic arthritis:

    A- Etanercept (tumour necrosis factor receptor inhibitor) may
    prevent joint destruction.
    B- Polyarticular involvement at presentation indicates poor
    C- High level antinuclear antibodies suggest systemic lupus
    D- Normal x-ray findings exclude the diagnosis.
    E- Should be suspected in any child less than 16 years old who’s
    having unexplained arthritis for more than 6 months.
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    On a balance of probability child abuse is more likely if there is:

    A- A parietal skull fracture in a two years old boy.
    B- Vulvovaginitis in a 3 years old girl.
    C- inside bruises in the pinna of a three years old female.
    D- Rectal prolapse.
    E- Torn frenulum in a 6 motnhs old boy.
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