PEDIATRICS
1. A neurosurgeon in parent
teacher meeting saw a child with precocious puberty and uncontrollable
laughing. He suggested the parent of child to get a MRI done to evaluate for
the possibility of
a. Hypothalamic Hamartoma
b. Pineo-germinoma
c. Pituitary adenoa
d. Craniophangioma
Answer: A HYPOTHALAMIC HAMARTOMA
2 A child presented to the
casualty with seizures. On examination an oval hypo-pigmented macules were
noted on the trunk, along with sub-normal IQ. Probable diagnosis of the
child is:
a. Neurofibromatosis
b. Sturge Weber
c. Tuberous sclerosis
d. IncontinentiaPigmenti
Answer (c) : TUBEROUS SCLEROSIS
3 At what age child can
eat food without spilling, identify her gender, say her full name, can dress
self with supervision
a. 2 yrs
b. 3 yrs
c. 4 yrs
d. 5 yrs
ANSWER (B)
: AGE 3 YEARS
4 A Pre-termer 32 weeks
baby after birth had a respiratory rate of 86/min with presence of grunting. On
examination there was no nasal flaring, mild chest in-drawing, noxiphisternal
recession and abdomen lags behind the chest .Thesilverman scoring for the
neonate shall be
a. 3
b. 4
c. 5
d. 6
Answer (b) : 4
5. In a child with rickets
with deformity, when should a decision to undertake corrective surgery be
undertaken :
a. When vitamin D levels
turn to normal
b. When growth plate
healing is seen radio-graphically
c. When bone specific
alkaline phosphatise is normal
d. When serum calcium
becomes normal
Answer (b) When growth plate
healing is seen radio-graphically
6 Reversal of shunt not
possible in natural history?
a. ASD
b. VSD
c. TOF
d. PDA
Answer( c) TOF
7. A preterm infant with
poor respiration at birth starts throwing seizures at 10 hours after birth.
Anti- epileptic of choice shall be:
a. Levetiracetam
b. Phenytoin
c. Phenobarbitone
d. Lorazepam
Answer : (c)Phenobarbitone
8. Correct about respiratory
distress syndrome is:
a. Seen after 6 hours of
birth
b. Ante natal steroid
c. Term pregnancy
d. Air bronchograms seen on
x-ray chest
Answer (d) Air bronchograms seen on x-ray chest
9 7 year old girl is
easily distracted in class and exhibits poor scholastic performance.
Seizures are precipitated by hyperventilation.
a. Myoclonic seizures
b. Absence seizures
c. Atonic seizures
d. Myoclonia
Answer: (b) Absence seizures
10 Best screening test to
evaluate hearing in a neonate
a. Pure Tone Audiometry
b. Stapedial Reflex
c. Oto –acoustic Emissions
d. Brain stem evoked
auditory response
Answer: (c) Oto –acoustic Emissions
11 One of the parents has a
balanced translocation between chromosome 15 and 21. What advice will u provide
to the couple to prevent a child being born with Down syndrome?
a. Prenatal diagnosis
& advice abortion
b. Artificial insemination
with donor's sperm
c. Adoption
d. Does not matter
Answer (c) Adoption
12. Trisomy 13 , all of the
following are true statement except:
a. Bilateral mircopthalmia
b. Neurofibroma
c. Capillary hemangioma
d. Dermoid cyst
Answer:
(a) Bilateral mircopthalmia
13 Which of the following is
true for Wilson disease?
a. High ceruloplasmin
b. Low serum and high urinary
copper
c. Low serum copper
d. Low urinary copper
Answer is
: B>C
14. A child with low blood
glucose is not able to do glycogenolysis or gluconeogenesis. Which of the
following enzyme is missing in the child?
a. Fructokinase
b. Glucokinase
c. Glucose 6 phosphastase
d. Transketolase
Answer (c) Glucose 6
phosphastase
15 Which of the following
does not require a lumbar puncture in children?
a. ALL
b. HL
c. NHL
d. AML
Answer (b) :Hodgkins lymphoma
16. Bilateral proptosis is
seen in
a. Neurofibromatosis
b. Leukemia
c. Cavernous hemangioma
d. Malignant fibrous
Histiocytoma
.
17. A child with fever and
tibial swelling exhibits on X-ray periosteal reaction and raised ESR .What is
the next step in diagnosis of the patient?
a. MRI
b. Pus culture
c. Bone biopsy
d. Blood culture
Answer: (a) MRI
18 A child presents with
seborrheic dermatitis, sinusitis and chronically draining ears. On examination
child has failure to thrive with hepato-splenomegaly and exophthalmos. Probable
diagnosis is
a. Histiocytosis-X
b. Wegenersgranulomatosis
c. x
d. Chediakhigashi syndrome
Answer (a) Histiocytosis-X
19. Most common cause of
sepsis in neonates in developing countries:
a. E.coli
b. Staph. Albus
c. Pseudomonas
d. Group B streptococcus
Answer: (a) E.coli
20. A preterm baby with
Patent ductus arteriosus all are true Except:
a. Narrow pulse pressure
b. Necrotizing
enterocolitis
c. Continuous murmur
d. Congestive heart failure
Answer (a) : Narrow pulse pressure
21. A 6yrs old child
belonging to Punjabi family with past history of blood transfusions presented
with Hemoglobin – 3.5 g/dl, MCV – 30 fl,MCHC – NOT RECALLED
Peripheral Smear
findings of Microcytic Hypochromic anemia with target cell and reduced
osmotic fragility. The probable diagnosis of patient:
a. Alpha thalassemia
b. Beta thalassemia
c. Sickle cell anemia
d. G6PD deficiency
Answer. (b) – Beta
Thalassemia
