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 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

2. A child is able to suckle and breathe simultaneously because of :
A. small tongue
B. high larygnx
C. small phyranx
D. small soft palate

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 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

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

6. 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

7. 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

8. 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

9. 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

10. 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

11. 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

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. 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

14. 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

15. 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

16. 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

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

18. 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

19. 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

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

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