Test Your Knowledge - Free MCQ PRACTICE
PAEDIATRICS
by Dr K Chaudhry
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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. 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

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

3. 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

4. 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

5. 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

6. 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

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

8. 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

9. 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

10. A Toddler has few drops of blood coming out of rectum. Probable diagnosis is
A. Juvenile Rectal Polyp
B. Adenoid Poliposis Coli
C. Rectal Ulcer
D. Piles

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

12. 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

13. 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

14. 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

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 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

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

18. The most common fungal infection in the neonates transmitted by caregiver's hands is
A. Candida albicans
B. Candida glabrata
C. Candida tropicalis
D. Candida parapsilosis

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

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

Dr K Chaudhry 5 Alpha Inmternational City, Fatehabad 125050 M: 9810570740, 9810571993facebook.com/doctorkc