Diarrhoea MCQ 17+

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• A child with chronic diarrhoea may have deficiency of the following nutrients
  ক

  Zinc

  খ

  Copper

  গ

  Thiamine

  ঘ

  Niacin

  ঙ

  Iodine
• In osmotic diarrhea
  ক

  There is presence of reducing substance

  খ

  Stool osmotic gap is high

  গ

  Example is lactose intolerance

  ঘ

  Stool in alkaline

  ঙ

  Stool sodium> 70 meq/L
• In case of osmotic diarrhoea
  ক

  Osmotic gap is high

  খ

  Food withholding ceases diarrhoea

  গ

  Stool sodium is high

  ঘ

  Cholera is an example of osmotic diarrhoea

  ঙ

  Reducing substance negative in the stool
• Composition of WHO-ORS is litre pack
  ক

  Glucose – 20 gm

  খ

  NaCl - 1.75 gms

  গ

  KCl - 0.75 gms

  ঘ

  Trisodium citrate - 1.25 gms

  ঙ

  Bicarbonate - 1.45 gms
• ORS
  ক

  Is given 75 ml/kg in 4 hour for treating mild dehydration

  খ

  Contains Sodium 75 meq/L

  গ

  Can be given orally and parenterally

  ঘ

  Is indicated in severe dehydration

  ঙ

  Contains NaCl 6.2 gm/L
• Indications for IV saline in a child with diarrhoea are
  ক

  High purging rate

  খ

  Persistent vomiting

  গ

  Paralytic ileus

  ঘ

  Neonatal diarrhea

  ঙ

  Blood mixed stool
• Antibiotic are required in the management of following diarrheal disease:
  ক

  Cholera

  খ

  Shigella dysenteriae type 1 infection

  গ

  ETEC diarrhea

  ঘ

  Rotavirus diarrhea

  ঙ

  Non-typhoidal salmonella enteritis in an infant below 3 months of age
• Indications of antibiotic in diarrhoea in children include
  ক

  Pseudomembranous colitis

  খ

  Cholera

  গ

  Shigellosis

  ঘ

  E coli infection

  ঙ

  Rota virus infection
• Antibiotics are needed in following diarrhoeal disease/s
  ক

  Shigellosis

  খ

  Cholera

  গ

  Enterotoxigenic E coli

  ঘ

  Rotaviral diarrhoea

  ঙ

  Adenovirus infection
• Indications for antibiotics in childhood diarrhoea are
  ক

  Cholera

  খ

  Shigellosis

  গ

  Pseudomembranous colitis

  ঘ

  Entero toxicogenic E coli diarrhoea

  ঙ

  Rota virus diarrhoea
• Signs of severe dehydration are:
  ক

  Unable to drink

  খ

  Very sunken eyes

  গ

  Irritability

  ঘ

  Skin pinch goes back slowly

  ঙ

  5-10% loss of body eight
• Signs of severe dehydration in a child are
  ক

  Skin pinch goes back very slowly

  খ

  Lethargy

  গ

  Repeated vomiting

  ঘ

  Very eager to drink

  ঙ

  Irritability
• Signs of severe dehydration include
  ক

  Lethargy

  খ

  Sunken eyes

  গ

  Inability of drink

  ঘ

  Slow return of skin pinch

  ঙ

  Absence of tears
• For the assessment of dehydration, the key signs to be considered are
  ক

  Sunken eye

  খ

  Thirst

  গ

  Skin pinch

  ঘ

  Blood pressure

  ঙ

  Mental status
• Following are features of dehydration
  ক

  Loss of perspiration

  খ

  Skin pinch goes back slowly

  গ

  Excessive thirst

  ঘ

  Altered consciousness level

  ঙ

  Anaemia