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. Child with croup, well hydrated, feeding well, consolable. T/t is
A. Dexamethasone 
B. Racemic epinephrine 
C. Antibiotics 
D. Nasal washing for inluenza and RSV 

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. 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 

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

5. A very preterm baby on 30 mL/.kg of enteral feeding developed sudden severe abdominal distension with visible bowel loops on day 6 of life. The baby also showed temperature instability and lethargy. X-ray of the abdomen showed portal venous gas. The staging of NEC is
A. 1b 
B. 2a 
C. 2b 
D. 3a 

6. Recurrent URTI in 5 year old child with ear problems, mouth breathing. Treatment is
A. Myringotomy 
B. Myringotomy with Grommet insertion 
C. Adenoidectomy with Grommet insertion 
D. Tonsillectomy 

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

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

9. Which of the following is not a component of Kangaroo mother care (KMC)?
A. Exclusive breast feeding  
B. Early discharge and follow-up 
C. Supplementary nutrition  
D. Skin to skin contact 

10. 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 

11. 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. Antibiotics are not required  
B. Fever to be treated 
C. Wheezing to be treated 
D. Child has pneumonia  

12. Asymmetric Moro's reflex at birth is indicative of
A. HIE 
B. Brain damage 
C. Erb's palsy 
D. Kernicterus 

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

14. A 32-wee, 1400 g neonate is born to a primigravida. The baby did not require resuscitation and showed stable vitals. The baby was transferred to the NICU. How will you manage the feeding of the patient?
A. Start total enteral feeding and IV feeding not required  
B. Start IV feeding with minimal enteral feeding  
C. Start IV feeding and introduce feeding on 2nd day of life  
D. Start parenteral feeding and institute oral feeding on 2nd day of life 

15. 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 

16. A 34-week female fetus was born as shown below. Identify the congenital anomaly
A. Anencephaly 
B. Aneniniencephaly 
C. Iniencephaly 
D. Complete craniospinal rachischisis 

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

18. A neonate is diagnosed with Bell's Stage 1 Necrotizing Entercolitis and he is stable. Treatment is
A. Conservative and Antibiotics 
B. IV Antibiotics and Removal of necrosed portion of Intestine 
C. Drainage 
D. Resection Anastomosis 

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

20. 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. CCNU and vincristine were given as chemotherapy  
B. Craniotomy and sub-total excision of the tumour. Surgeon leaves the layer of the tumour adherent with colliculus 
C. First ventriculoperitoneal shunt was done  
D. Radiotherapy 35-40 Gy was given to the whole craniospinal axis 

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