Mcq Subject: Pediatrics

An 8 year old boy complaints of increasing muscle weakness. On examination, his calves are bulky and show muscle tightening. His serum creatine kinase levels are increasing with age. Which of the following is the most likely diagnosis?

A. Hereditary sensorimotor neuropathy

B. Myelin deficiency

C. Dystrophin deficiency

D. Congenital myopathy

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About carey coombs murmur which is false –

A. Delayed diastole murmur

B. Seen in rheumatic fever

C. Can be associated with AR

D. Low pitched murmur

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After the delivery of an infant of diabetic mother, blood glucose of the infant was 60 mg/dt. Which other investigation docs the sister expects that the physician would ask her to do?

A. Serum potassium

B. CBC

C. Serum calcium

D. Serum chloride

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Which type of cerebral palsy is commonly associated with scoliosis and other orthopedic problems –

A. Spastic quadriplegia

B. Anterior cerebral palsy

C. Spastic deplegia

D. Atonic cerebral palsy

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A sick intubated neonate is having bilateral jerk of both right and left upper limbs with some occasional twitching of neck as well. Likely type of seizures:-

A. Focal clonic

B. Multifocal clonic

C. Multifocal tonic clonic

D. Focal tonic

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A newborn presents with congestive heart failure, on examination has bulging anterior fontanelle with a bruit on auscultation. Transfontanellar USG shows a hypoechoic midline mass with dilated lateral ventricles. Most likely diagnosis is –

A. Medulloblastoma

B. Encephalocele

C. Vein of Galen malformation

D. Arachnoid cyst

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Infective endocarditis is not seen in –

A. ASD

B. TOF

C. VSD

D. MR

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Earliest valvular lesion in a case of acute rheumatic fever is –

A. Mitral regurgitation (MR)

B. Aortic Regurgitation(AR)

C. Mitral stenosis (MS)

D. Aortic Stenosis (AS)

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A child who was normal at bih develops chronic liver failure and muscle weakness at 3 months of age. On investigations, serum glucose is low, along with ketoacidosis and decreased pH. ALT and AST are raised. Blood lactate and uric acid levels are normal. Intravenous glucagon given after meals raises the blood glucose levels, but does not raise glucose when given after an overnight fast. Liver biopsy shows increased glycogen in liver. Which is the enzyme likely to be defective in this child?

A. Glucose-6-phosphatase

B. Muscle phosphorylase

C. Branching enzyme

D. Debranching enzyme

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A child with 22-25 stool/day, 3 day old pneumonitis, no passage of urine from 36 hours. low B.P. Blood pH – 7.21. Urine Na+–18 meq/L, S. Urea 120, serum Creatinine 1.2 indicate –

A. Acute cortical necrosis

B. Acute tubular necrosis

C. Pre–renal Azotemia

D. Acute medullary necrosis

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