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 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
2. 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
3. Enzyme replacement therapy is available for
A. Gaucher's disease
B. Pompe disease
C. San Philipo disease
D. Fabry's disease
4. 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
5. 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
6. Not a feature of Kluver-Bucy syndrome in children
A. Hyper-metamorphosis
B. Hyper-sexuality
C. visual agnosia
D. Seizures
7. 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
8. 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
9. 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
10. A 34-week female fetus was born as shown below. Identify the congenital anomaly
A. Anencephaly
B. Iniencephaly
C. Aneniniencephaly
D. Complete craniospinal rachischisis
11. 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
12. 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
13. 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
14. Least common cause of neonatal sepsis in India-
A. klebsiella
B. E.coli
C. Staph aureus
D. Group B streptococcus
15. 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
16. 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
17. 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
18. 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
19. Bull-neck is seen in severe cases of which of the following?
A. Diphtheria
B. Tubercular lymphadenitis
C. Mumps
D. Goitre
20. 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
Dr K Chaudhry 5 Alpha Inmternational City, Fatehabad 125050 M: 9810570740, 9810571993facebook.com/doctorkc