Test Your Knowledge - Free MCQ PRACTICE
by Saksham Chaudhry : Paschim Vihar, New Delhi 110063 T: 1142316457, 9810570740
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A fresh set of 20 random questions is generated every time you open this page and every time you refresh it.
For each of the following multiple choice questions, choose the most appropriate answer :

1. In a rural clinic, a 3-year old girl child is brought by her mother and is emaciated. Her hemoglobin was 5g/dL. The girl also has edema over her knees and ankles with discrete rash on her knees, ankles and elbows. The most likely worm infestation causing these manifestations is
A. Hook worm
B. Round worm
C. Whip worm
D. Pin worm

2. A child with bigger limbs ( history suggestive of hemi-hypertrophy) and abdominal mass is suggestive of
A. Nephroblastoma
B. Neuroblastoma
C. Rhabdomyosarcoma
D. Wilm tumor

3. Bull-neck is seen in severe cases of which of the following?
A. Diphtheria
B. Tubercular lymphadenitis
C. Mumps
D. Goitre

4. Least common cause of neonatal sepsis in India-
A. klebsiella
B. E.coli
C. Staph aureus
D. Group B streptococcus

5. Which of the following babies has the least risk of developing hypoglycemia?
A. A baby born to mother treated with beta blockers
B. Infant of diabetic mothers
C. Appropriate for gestational age babies
D. IUGR babies

6. A 6-year old girl presents with fever for the past 5 days, generalized erythematous rash, strawberry tongue and cervical lymphadenopathy. The most likely diagnosis is
A. Kimura disease
B. Kawasaki disease
C. Scarlet fever
D. Rosie-Dorfman syndrome

7. A child with recurrent seizures, palpable plaques in the Ophthalmic and Maxillary distribution. Mother complaints, it is present since birth and not changed since then. Diagnosis is
A. Congenital Hemangioma
B. Sturge-Weber Syndrome
C. Infantile Hemangioma
D. Proteus syndrome

8. Enzyme replacement therapy is available for
A. Gaucher's disease
B. Pompe disease
C. San Philipo disease
D. Fabry's disease

9. A 7-year old boy presents with a right-sided hemangioma and left sided focal seizures. The most likely diagnosis is
A. Neurofibromatosis
B. Incontinetia pigmenti
C. Hypermelanosis of Ito
D. Sturge-Weber disease

10. A 1.5 year old female is brought to the clinic with complaints of excessive enlargement of head, intolerance to feeds and severe malnourishment. MRI imaging was suggestive of a medulloblastoma causing obstructive hydrocephalus. Which of the following is an example of irrational management of the patient?
A. Craniotomy and sub-total excision of the tumour. Surgeon leaves the layer of the tumour adherent with colliculus
B. First ventriculoperitoneal shunt was done
C. CCNU and vincristine were given as chemotherapy
D. Radiotherapy 35-40 Gy was given to the whole craniospinal axis

11. A Preterm baby with PDA will have all except:
A. CO2 washout
B. Pulmonary haemorrhage
C. Necrotising enterocolitis
D. Bounding pulses

12. A child presents will albinism. He should be evaluated for
A. ENT consultation
B. Eye consultation
C. Electrocardiography
D. Neurosurgery

13. A child is able to suckle and breathe simultaneously because of :
A. small tongue
B. high larygnx
C. small phyranx
D. small soft palate

14. A 6-year old girl presents with fever for the past 5 days, generalized erythematous rash, strawberry tongue and cervical lymphadenopathy. The most likely diagnosis is
A. Kimura disease
B. Kawasaki disease
C. Scarlet fever
D. Rosie-Dorfman syndrome

15. Which of the following will favor the diagnosis of RDS in new born?
A. Receipt of antenatal steroids
B. Air bronchogram in chest X-ray
C. Manifests after 6 hours
D. Occurs after term gestation

16. A 6-week baby presents with cough and cold for the past 3 days. Respiratory rate is 48/min. On examination, patient is febrile with wheezing but no chest in drawing. Which of the following is not true?
A. Child has pneumonia
B. Antibiotics are not required
C. Wheezing to be treated
D. Fever to be treated

17. A preterm baby has developed seizures on day 2 of life. The best investigation is :
A. CT scan
B. Transcranial USG
C. MRI
D. blood glucose

18. A 10- year old child presents with edema, oliguria and frothy urine. HE has no past history of similar complaints, On examination, his urine was positive for 3+ proteinuria, no RBCs/WBCs and no casts. His serum albumin was 2.5 g/L and serum creatinine was 0.5 mg/dL. The most likely diagnosis is
A. IgA nephropathy
B. Minimal change disease
C. Acute interstitial nephritis
D. Membraneous nephropathy

19. A 7 year old child is having steroid DEPENDANT Nephrotic syndrome. His weight is 30 kg and eight of 106 cm. he is having truncal obesity with subcapsular bilateral cataracts. Best drug for this patient:
A. Mycophenolate
B. Levamisole
C. Cyclophosphamide
D. Azathioprine

20. In a child with rickets with deformity, when should a decision to undertake corrective surgery be undertaken?
A. When vitamin D levels return to normal
B. when growth plate healing is seen radiographically
C. when bone speciic alkaline phosphatase is normal
D. when serum calcium is normal

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