Reference Nelson, Textbook of Pediatrics, 17th edition：参考教材纳尔逊，儿科，第十七版.docVIP

Reference: Nelson, Textbook of Pediatrics, 17th edition Case I. Nos. 1-2 A 3 year old normal child was admitted to a hospital because of simple febrile convulsions Routine management of the case includes: careful search for cause of fever (0.5) short term anti-convulsant prophylaxis (0.5) Phenobarbital maintenance to prevent recurrence Lumbar puncture The anti-convulsant that may be effective in the acute management of prolonged febrile seizures is: rectal Diazepam (0.33) rectal Phenobarbital (0.33) Intravenous Phenobarbital (0.33) Intravenous Phenytoin Case II. Nos. 3-4 A two-week old baby was noted to have a rapidly increasing head circumference. At birth, head circumference was 40 cms, against a chest circumference of 34 cms. Present physical examination showed a head circumference of 45 cms, wide, bulging anterior fontanel, gaping sutures, dilated scalp veins and a (+) setting sun sign. 3. If the occiput is prominent, the primary consideration is: p 1489 Aqueductal stenosis (0.33) Chiari malformation (0.33) Dandy-Walker malformation (0.33) Hydranencephaly 4. This drug will reduce the rate of CSF production: p1490 Dexamethasone Acetazolamide (1.0) Prednisone Mannitol Case III. Nos. 5 – 9 A 9 year old child was brought to the OPD clinic because of deterioration in school preformance, frank dementia, myoclonic jerks and cerebellar ataxia. He had no immunization and contracted measles at 10 months of age, varicella at 2 years and mumps at 5 years 5. The most likely diagnosis is: p 844 progressive rubella panencephalitits subacute sclerosing panencephalitis (1.0) post-varicella encephalitis adrenoleukodystrophy The seizures are best controlled by: p 1498 Carbamazepine (0.5) Valproate (0.5) Phenytoin Lamotrigine Administration of this drug may prolong the child’s survival: p 844 Methisoprinol Inosiplex (0.5) Taurine Intraveno