MCQS 262-264 :A seven year old child with chronic nasal obstruction has persistent disabling dysphagia causing sleep disturbance.

 

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Question:262
malignant pericardial involvement is most likely to be secondary to

a) postpericardiotomy Syndrome
b) pneumopericardium
c) uremic Pericarditis
d) constrictive pericarditis
e) mesothelioma
f) cardiac tamponade
g) congenital Pericardial Defects
h) acute viral Pericarditis
i) pericardial Cysts
j) bronchogenic carcinoma

 

 

Question:263
A seven year old child with chronic nasal obstruction has persistent disabling dysphagia causing sleep disturbance. On inspection there is an appeareance of a 'clusters of grapes' located in the passage that connects the nasopharynx to the oropharxynx.
The most appropriate treatment for this child would be

a) incision and drainage
b) tracheotomy
c) steroids
d) percutaneous drainage
e) focal radiation therapy
f) interferon therapy
g) open surgical excision
h) complete excision with lymph node clearance
i) laser treatment
j) adenoidectomy

 

 

Question:264
A 22 year old male soldier presents with a two week history of a swollen right knee, conjunctivitis and arthritis

a) Ankylosing spondylitis
b) Reactive arthritis
c) Gout
d) Haemochromatosis
e) Hyperparathyroidism
f) Joint sepsis
g) Medial cartilage tear
h) Osteoarthritis
i) Psoriatic arthropathy
j) Pyrophosphate arthropathy


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