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 child with bigger limbs ( history suggestive of hemi-hypertrophy) and abdominal mass is suggestive of
A. Nephroblastoma
B. Neuroblastoma
C. Rhabdomyosarcoma
D. Wilm tumor
2. 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
3. A 34-week female fetus was born as shown below. Identify the congenital anomaly
A. Anencephaly
B. Iniencephaly
C. Aneniniencephaly
D. Complete craniospinal rachischisis
4. 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
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 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
7. 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
8. A child presents will albinism. He should be evaluated for
A. ENT consultation
B. Eye consultation
C. Electrocardiography
D. Neurosurgery
9. 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
10. 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
11. In Juvenile Myoclonic Epilepsy, most common presentation is
A. Absent Seizure
B. Myoclonus
C. Generalized Tonic-Clonic Seizure on going to sleep
D. Generalized Tonic-Clonic Seizure on awakening
12. 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
13. Bull-neck is seen in severe cases of which of the following?
A. Diphtheria
B. Tubercular lymphadenitis
C. Mumps
D. Goitre
14. A Preterm baby with PDA will have all except:
A. CO2 washout
B. Pulmonary haemorrhage
C. Necrotising enterocolitis
D. Bounding pulses
15. 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
16. A child was taken for CECT Chest and contrast was injected; child had swelling which gradually increase
A. There is numbness. There is pain on passive extension of fingers. He is not allowing you to touch the arm. Pulse was present. What will you do?
B. High Dose Prednisolone
C. Arterial Thrombectomy
D. Immediate Fasciotomy
17. A child is able to suckle and breathe simultaneously because of :
A. small tongue
B. high larygnx
C. small phyranx
D. small soft palate
18. Asymmetric Moro's reflex at birth is indicative of
A. HIE
B. Brain damage
C. Erb's palsy
D. Kernicterus
19. 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
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. 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
Dr K Chaudhry 5 Alpha Inmternational City, Fatehabad 125050 M: 9810570740, 9810571993facebook.com/doctorkc