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 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

2. 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

3. 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

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

5. 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

6. 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

7. 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

8. 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

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

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. Not a feature of Kluver-Bucy syndrome in children
A. Hyper-metamorphosis
B. Hyper-sexuality
C. visual agnosia
D. Seizures

12. 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

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

14. 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

15. 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

16. 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

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

18. 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

19. 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

20. 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

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