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APRIL 2011 - Paediatric Neurology.

CPD questionnaires must be completed online via www.cpdjournals.org.za. after submission you can check the answers and print your certificate.

MANAGING FIRST-TIME SEIZURES AND EPILEPSY IN CHILDREN

1. The following childhood epilepsy is most often associated with a good outcome:

A. Infantile spasms

B. Severe myoclonic epilepsy of childhood

C. Lennox-Gestaut syndrome

D. Childhood absence epilepsy

E. Landau-Kleffner syndrome.

2. Benign focal epilepsy of childhood (choose one):

A. Most often occurs during daytime

B. EEG typically demonstrates 3 per second spike and wave discharges

C. Treatment is not always indicated

D. Unfavourable outcome is the rule

E. Events tend to occur very frequently.

PAEDIATRIC STROKE

3. True (A) or false (B):

Cranial ultrasound is the neuroimaging modality of choice for neonatal stroke.

4. Which one of the following does not play any role in the management of stroke in children?

A. Aspirin

B. Physiotherapy

C. Indirect revascularisation procedures

D. Blood transfusion

E. Thrombolysis.

NEUROLOGICAL COMPLICATIONS OF HIV/AIDS IN CHILDHOOD

5. True (A) or false (B):

An HIV-infected child with normal tone and reflexes in his/her lower limbs cannot have HIVE.

6. What is the first-line anti-epileptic agent for an HIV-infected child with epilepsy?

A. Lamotrigine

B. Carbamazepine

C. Sodium valproate

D. Phenobarbitone

E. Steroids.

COGNITIVE AND BEHAVIOURAL OUTCOMES AFTER TRAUMATIC BRAIN INJURY IN CHILDREN

7. True (A) or false (B):

There is a strong dose-response relationship between injury severity and cognitive outcome, and both the family environment and severity are important in predicting behavioural outcome.

8. Which one of the following predictors of outcome after pTBI has bi-directional influence?

A. Family environment

B. Pre-injury character disturbances

C. Access to rehabilitation

D. Secondary injury

E. Nature and location of injury.

WHEN TO CONSIDER AN INBORN ERROR OF METABOLISM

9. True (A) or false (B):

Previous miscarriage is a key feature in the history of a woman who has a child with an inborn error of metabolism.

10. True (A) or false (B):

Unexplained jaundice in the neonatal period is a feature of the clinical presentation of inborn errors of metabolism in the neonatal period.

NEUROFIBROMATOSIS

11. True (A) or false (B):

The genetic error for neurofibromatosis type 1 is located on chromosome 22 and occurs in all ethnic groups.

12. Plexiform neurofibromas (choose one):

A. Usually present in the second decade of life

B. Are responsive to chemotherapy

C. May undergo malignant transformation

D. Occur in 5% of individuals affected with neurofibromatosis type 1

E. Should always be resected.

A MEDICAL APPROACH TO THE CARE OF CHILDREN WITH DUCHENNE MUSCULAR DYSTROPHY

13. Duchenne muscular dystrophy (choose one):

A. Is an autosomal recessive condition

B. Should be managed with corticosteroids

C. Has its onset in the second decade of life

D. Has a normal creatine kinase level

E. Is associated with distal weakness.

14. True (A) or false (B):

All children with Duchenne muscular dystrophy should have DNA stored to direct future treatment options.

POST-STREPTOCOCCAL NEUROPSYCHIATRIC MOVEMENT DISORDERS OR SYDENHAM'S CHOREA SPECTRUM DISORDER

15. True (A) or false (B):

Sydenham's chorea requires notification as acute rheumatic fever.

16. The following should not be used in the management of Sydenham's chorea (choose one):

A. Haloperidol

B. Penicillin

C. Phenobarbitone

D. Sodium valproate

E. Prednisone.

APPROACH TO A SINGLE GRANULOMA ON CT SCAN

17. Tuberculomas may paradoxically (choose one):

A. Enlarge on treatment before reducing in size

B. Become smaller on treatment before increasing in size

C. Become smaller on treatment before further reducing in size

D. Enlarge on treatment before increasing in size even further.

18. True (A) or false (B):

Magenetic resonance imaging (MRI) is better than computed tomography (CT) in visualising intracranial parasitic cysts.

APPROACH TO HEADACHES IN CHILDREN

19. True (A) or false (B):

The majority of children presenting with headache will have a completely normal neurological examination.

20. True (A) or false (B):

Diet can play an important role in childhood headaches.
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Article Details
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Title Annotation:continuing professional development
Publication:CME: Your SA Journal of CPD
Date:Apr 1, 2011
Words:647
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