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. 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
2. 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
3. Not a feature of Kluver-Bucy syndrome in children
A. Hyper-metamorphosis
B. Hyper-sexuality
C. visual agnosia
D. Seizures
4. 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
5. 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
6. A child has deficient bone mineralization with low serum calcium, high serum phosphorus, with decreased urinary excretion of calcium and phosphorus and elevated levels of alkaline phosphatase. The most likely diagnosis is
A. Nutritional rickets
B. Renal tubular rickets
C. Renal glomerular rickets
D. Celiac rickets
7. 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
8. A 32 week baby is born to a mother with eclampsia, who was given IV magnesium sulphate. The baby was resuscitated and transferred to the NICU. 12 hours later, the baby showed hypotonia, lethargy, constricted pupils and two episodes of seizures. The staging of HIE is
A. 1
B. 2
C. 3
D. There is no HIE
9. 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
10. 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
11. A child is able to suckle and breathe simultaneously because of :
A. small tongue
B. high larygnx
C. small phyranx
D. small soft palate
12. 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
13. A Preterm baby with PDA will have all except:
A. CO2 washout
B. Pulmonary haemorrhage
C. Necrotising enterocolitis
D. Bounding pulses
14. 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
15. Which of the following is not a component of Kangaroo mother care (KMC)?
A. Skin to skin contact
B. Supplementary nutrition
C. Exclusive breast feeding
D. Early discharge and follow-up
16. Bull-neck is seen in severe cases of which of the following?
A. Diphtheria
B. Tubercular lymphadenitis
C. Mumps
D. Goitre
17. 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
18. 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
19. Enzyme replacement therapy is available for
A. Gaucher's disease
B. Pompe disease
C. San Philipo disease
D. Fabry's disease
20. Which of the following is considered a developmental delay?
A. Pincer grasp not developed by 9 months
B. Moving up and downstairs by 21/2 years
C. Not able to sit at 9 months
D. Two word syllable at 1 ½ years
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