Mcq Subject: Pediatrics

Coarctation of aorta is associated with all, except –

A. Turner's syndrome

B. Bicuspid aortic valve

C. Pulmonary stenosis

D. Atresia of aortic arch

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A 2-year-old child with fever and barking cough for last 2 days presented to the pediatric emergency at 2.30 am. On examination, respiratory rate is 36/ min, temperature of 39 degC and stridor heard only on crying. No other abnormality is found. What is the next best step in management?

A. High-dose dexamethasone

B. Racemic epinephrine nebulization

C. Reassurance

D. Intravenous antibiotics

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What is seen in severe AS –

A. Pulsus bisferiens

B. Late ejection systolic click

C. Heaving shifted apex

D. Loud S2

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An affected male does not have affected children but an affected female always has affected children. Type of inheritance?

A. X linked recessive

B. Autosomal recessive

C. X linked dominant

D. Mitochondrial

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A 3.5 kg male infant born at term after an uncomplicated pregnancy and delivery develops respiratory distress sholy after bih and requires mechanical ventilation. The chest radiograph reveals a normal cardiothymic silhouette but a diffuse ground glass appearance to the lung fields. Surfactant replacement fails to improve gas exchange. Over the first week life, the hypoxemia worsens. Results of routing culture and echocardiographic findings are negative. A term female sibling died at 1 month of age with respiratory distress. Which of the following is the most likely diagnosis?

A. Neonatal pulmonary alveolar proteinosis

B. Meconium aspiration

C. Total anomalous pulmonary venous return

D. Disseminated herpes simplex infection

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Following are true about bronchial cyst except –

A. Mostly mediastinal

B. 50–70% occur in lungs

C. Usually multiloculated

D. Are infected quite often

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Which of the following is the most common inherited malignancy :

A. Infant leukemia

B. Retinoblastoma

C. Wilm's tumour

D. Neuroblastoma

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A 2-day-old neonate in the neonatal ICU develops seizures. Which of the following would be the next best investigation for the child?

A. Transcranial ultrasound

B. CT Head

C. MRI brain

D. X-ray

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The chances of having an unaffected baby, when both parents have achondroplasia, are –

A. 0%

B. 25%

C. 50%

D. 100%

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All are signs of hydrocephalus in a neonate except –a) Enlarged headb) Sunset signc) Crack post signd) Depressed fontanelle

A. ab

B. cd

C. bd

D. ac

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