DISEASES OF CHILD MCQs _ Pedodontics MCQs _ Dental Pulse

DISEASES OF CHILD MCQs _ Pedodontics MCQs _ Dental Pulse

DISEASES OF CHILD (1-51)

1. All of the following statements about acute leukemia in children are true EXCEPT
a) It characteristically causes gross gingival swelling
b) It may be manifested by mucosal pallor
c) It can cause obvious purpura
d) It is usually of the lymphoblastic variety

2. A child patient suspected of leukemia is suffering from periapical abscess line of treatment is
a) Endodontic therapy
b) Extraction of the involved tooth
c) Obtain a blood count before extraction
d) Obtain medical consultation before treatment.

3. A preschool child has a definite yellow pigmentation of the primary teeth. Under ultraviolet light, the teeth have a faint overall yellow-green autofluorescence. The most likely diagnosis is
a) Amelogenesis imperfecta
b) Hypoplasia of the primary teeth
c) Pigmentation associated with Erythroblastic fetalis
d) Tetracycline pigmentation

4. In a child with a pre-existing cardio valvular disease, antibiotic prophylaxis should be administered before a dental extraction so as to prevent
a) Bacterial endocarditis
b) Congestive cardiac failure
c) Pneumonia
d) Rheumatic carditis

5. Which of the following is more common in children
a) Gingivitis
b) Periodontitis
c) ANUG
d) Pericoronitis

6. In a child a combination of malnutrition stearorrhea, chronic respiratory infection, thyroid deficiency, a great salt loss through the skin and functional disturbances in secretary mechanisms of various glands is indicative
a) Cystic fibrosis
b) Starch intolerance
c) Pierre Robin Syndrome
d) Immune deficiency syndrome

7. A child with a fever of 102°F and vesicles in the oral cavity is probably suffering from
a) Herpes simplex type-I
b) Juvenile periodontitis
c) Acute herpetic gingivostomatitis
d) Neutropenia

8. Fluoride in any form is contraindicated in:
a) Chronic renal failure
b) Osteoporosis
c) Hypertension
d) Thyrotoxicosis

9. Treatment of severe intraoral infections in children differs from that in adult because:
a) More children are allergic to penicillin
b) Dehydration occurs more rapidly and severely in children
c) Leucocytopenia develops more frequently in children
d) Incidence of bleeding disorders is greater in children

10. Flabby white lesions occur bilaterally on buccal mucosa of a five-year-old child. The lesions are asymptomatic, the child’s mother says this condition is seen in few other members of the family. The lesions are most likely:
a) Leukoplakia
b) Lichen planus
c) Submucous fibrosis
d) White sponge nerves

11. What unfavourable oral sequel is associated with prolonged use of antibiotics in children?
a) Aphthous ulcers
b) Acute necrotising gingivitis
c) Herpes simplex infection
d) Moniliasis

12. A 3-year-old child reports with fever. He has reddish yellow ulcers of the facial mucosa and tongue. He is most probably suffering from:
a) Erosive lichen planus
b) Acute herpetic gingivostomatitis
c) ANUG
d) Leukemia

13. Which of the following is rare in children?
a) Herpangiina
b) Dental cysts
c) Cherubism
d) Small pox

14. The most common cause of inflammation of gingiva in children is:
a) Juvenile periodontitis
b) Acute herpetic gingivostomatitis
c) Diphtheria
d) Leukemia

15. In a 6-month-old child, thick curd like white patch appears on the buccal mucosa. On rubbing it leaves an erythematous patch. Most likely diagnosis is:
a) Tuberculosis
b) Lichen planus
c) Lupus erythematous
d) Candidiasis

16. If tooth is present at the time of birth is known as
a) Neonatal tooth
b) Perinatal tooth
c) Natal tooth
d) Prenatal tooth

17. Root completion in primary teeth is by the age of
a) 1 – 3 years
b) 5 – 6 years
c) 3 – 4 years
d) 7 – 8 years

18. “Dentilia Tarda”
a) Resorption of the deciduous dentition
b) Premature loss of the deciduous dentition
c) Retarded eruption of deciduous dentition
d) Early eruption of deciduous dentition

19. The neonatal teeth in infants are
a) Teeth of normal series usually
b) Supernumerary teeth
c) Only calcified structures
d) Only keratinised structures

20. The teeth present in the oral cavity of a new born are called
a) Ghost teeth
b) Infantile teeth
c) Camel pearls
d) Natal teeth

21. Parrot like repetitive speech is found in
a) Autism
b) Cerebral palsy
c) Marfan’s syndrome
d) Mental retardation

22. A mother and her 4 year old son are seated alone in a reception area with the child staring off into space, rocking and constantly twisting a strand of hair about his fingers. Upon entry of another person, the child begins to beat his fist against the side of his face and behaves as though he does not hear his mother speaking to him. This behavior is most characteristic of:
a) An autistic child
b) A mentally retarded child
c) First dental appointment anxieties of a 4 year old child
d) A child with a chronic seizure disorder

23. A 3-year-old child presents with only deciduous canine and molars. The child has light fine hair, light complexion and overall appearance of an older person. The findings suggest:
a) Cleidocranial dysostosis
b) Osteogenesis imperfecta
c) Crouzan’s disease
d) Ectodermal dysplasia

24. In a type of cerebral palsy characterized by sudden violent involuntary contraction of a muscle or group of muscles there is
a) Spasticity
b) Ataxia
c) Athetosis
d) Rigidity

25. Which of the following statements about cerebral palsy is correct
a) Disturbances of balance and equilibrium – Ataxia
b) Slow, worm like, constant involuntary uncontrollable purposeless movement – Athetosis
c) Hypertonic muscles showing marked resistance to passive motion – rigidity
d) All of the above

26. The two most common types of cerebral palsy are
a) Spasticity and tremor
b) Athetosis and rigidity
c) Spasticity and Athetosis
d) Ataxia and Athetosis

27. Down’s syndrome patients shows:
a) Early exfoliation of deciduous teeth
b) Microdontia of teeth over retained teeth
c) Periodontitis
d) All of the above

28. Which is the typical facies of Down syndrome?
a) Hypoplastic maxilla
b) Prognathic maxilla
c) Retrognathic mandible
d) Prognathic mandible

29. Down’s syndrome is associated with all of the following except
a) Retrognathia
b) Periodontal disease
c) Premature exfoliation of teeth
d) Retained deciduous teeth

30. What are conditions occur more frequently in children with cerebral palsy?
a) Malocclusion
b) Bruxism
c) Dental caries and periodontal disease
d) All of the above are correct

31. Handicapped patients are usually taken care of by
a) Their families
b) Insurance companies
c) Sponsors of care programs
d) Themselves

32. In treating mentally retarded children, generally finds that they:
a) Respond inconsistently
b) Can be controlled in ways similar to normal children
c) Respond similarly to normal children of the same mental age
d) All of the above

33. Head shape in Down’s syndrome is typically
a) Mesocephalic
b) Dolicocephalic
c) Brachycephalic
d) Acephalic

34. Patients with Down’s syndrome normally have:
a) IQ score above 80
b) Brachycephalic skull
c) Stiff muscles
d) All of the above

35. Most common malignant tumor in child:
a) Osteosarcoma
b) Ewing sarcoma
c) Metastatic carcinoma
d) Osteoma

36. When natal teeth are present the most common and preferable approach is to:
a) Extract the teeth
b) Grind the sharp incisal edges
c) Take radiograph and determine the status of adjacent unerupted teeth
d) Retain the teeth if possible

37. According to Stanford-Binet test, non-trainable type of mental retardation has an IQ of:
a) Below 20
b) Between 36-51
c) Above 51
d) Between 90 – 130

38. Which of the following is not a type of cerebral palsy:
a) Spasticity
b) Autism
c) Ataxia
d) Athetosis

39. The patient’s ability to maintain an independent airway, and respond appropriately to physician stimulation and verbal commands is seen in:
a) General Anesthesia
b) Deep Sedation
c) Conscious Sedation
d) Deep Sedation and General Anesthesia

40. Kanner’s syndrome is also known as:
a) Autism
b) Osteogenesis imperfecta
c) Trigeminal neuralgia
d) Diabetes mellitus type I

41. The most common cause for gingival fistula in children is:
a) Acute apical abscess
b) Acute periodontal abscess
c) Periapical cyst
d) Chronic apical lesion

42. Chronic periapical infection in primary molars is first noted as:
a) Rarefaction of bony furcation
b) As internal resorption
c) As rarefaction of Periapical tissues
d) Widening of Periodontal ligament space

43. Alveolar grafting in a patient of cleft should ideally be placed:
a) Before maxillary expansion, cross bite correction and before cuspid eruption
b) Before maxillary expansion, cross bite correction and after cuspid eruption
c) After maxillary expansion, cross bite correction and after cuspid eruption
d) After maxillary expansion, cross bite correction and before cuspid eruption

44. All are seen in a child with cerebral palsy except:
a) Fluorosis
b) Increased caries
c) Increased salivation
d) Trauma

45. A 10 years old female patient diagnosed as a case of Down’s syndrome having mosaicism variety:
A) Which type of Head shape is commonly seen?
a) Oligocephaly
b) Dolicocephaly
c) Brachycephaly
d) Mesocephaly

B) Often IQ of the patient will be
a) IQ 140 – 170
b) IQ 120 – 139
c) IQ 110 – 119
d) IQ 25 – 50

C) The syndrome is usually associated with
a) Congenital heart lesions
b) Respiratory disorders
c) Endocrinal abnormalities
d) Cleft lip and palate

D) Following dental problems are usually associated with it, except
a) Retarded eruption
b) Late shedding of deciduous teeth

46. In interproximal plaque, pH drops for:
a) 20 minutes
b) 60 minutes
c) 120 minutes
d) 180 minutes

47. After treating the cleft palate the occlusion is:
a) Normal occlusion
b) Unilateral and bilateral crossbite
c) Anterior open bite
d) Anterior deep bite

48. In 8 years old child the drug of choice in the treatment of ANUG (Acute necrotizing ulcerative gingivitis)
a) Aminoglycoside
b) Penicillin
c) Tetracycline
d) Ciprofloxacin

49. Which of the following may develop as a result of juvenile diabetes mellitus?
a) Ataxia
b) Aphasia
c) Deafness
d) Blindness

50. Difficulty in grasping objects is characterised by which type of cerebral palsy
a) Dyskinetic
b) Ataxic
c) Spastic
d) Mixed

51. In which of the following patient, there is 10-20 fold increased risk of leukemia during infancy?
a) Pierre Robin syndrome
b) Fragile X syndrome
c) Down syndrome
d) None