Mcq Subject: Pediatrics

A 4 – year – old child presented with painless genu valgum. X – ray bilateral knee was done and is shown below. Which of the following is most likely diagnosis?

A. Rickets

B. Scurvy

C. Congenital anomaly

D. Trauma to epiphysis

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Delayed neuronal migration and organization leads to ceain disorders. Which of the following is the least likely possibility?

A. Lissencephaly

B. Schizencephaly

C. Polymicrogyria

D. Focal coical dyplasia without balloon cells

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A 5–years old male child presents with episodic anaemia and jaundice since birth. He is least likely to have which of the following

A. Hereditary spherocytosis

B. Siclde cell anemia

C. PNH

D. G–6–PD deficiency

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Dengue shock syndrome is characterized by the following except :

A. Hepatomegaly

B. Pleural effusion

C. Thrombocytopenia

D. Decreased haemoglobin

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A child present with recurrent sinusitis and recurrent chest infections. Chest X–ray reveals dextrocardia and situs invertus. The diagnosis is –

A. Kartagener's syndrome

B. Good–pasture's syndrome

C. Ehlers–Danlos syndrome

D. William Campbell syndrome

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A 12 years old boy develops sore throat of 4 day s duration. On examination, yellow grayish patch seen over both the tonsils and foul smell coming from his mouth. Which of the following non-suppurative complication is of concern?

A. Acute rheumatic fever

B. Acute glomerulonephritis

C. Both acute rheumatic fever and acute glomerulonephritis

D. Scarlet fever

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A child is diagnosed to have acute gastroenteritis. The consulting pediatrician wants to send a stool sample to a lab which is 16-18 hours away. Which of the following mediums should he use to send this sample –

A. Charcol cotton bud

B. Carry Blair medium

C. Sterilized jar

D. A medium with high CO2 content

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An alert 6 months old child is brought with vomiting & diarrhea. RR–45/min, HR–130/min, S P–85 mm of Hg. Capillary refilling time is 4 secs. Diagnosis is –

A. Early compensated hypovolemic shock

B. Early decompensated hypovolemic shock

C. Late compensated hypovolemic shock

D. Late decompensated shock due to SVT

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A 5 year child is brought with brown coloured urine and oliguria since 3 days with mild facial puffiness and pedal edema with 3+ proteinuria, BP 126/90. Urine examination shows RBCs 100/hpf and granular casts. Which of the following doesn’t present with this finding?

A. Minimal change disease

B. Membranous glomerulonephritis

C. FSGS

D. IgA nephropathy

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A6 month old child with Tetralogy of Fallot develops cyanotic spell initiated by crying. Which one of the following drugs you would like to avoid –

A. Sodium bicarbonate

B. Propranolol

C. Phenylephrine

D. Isoprenaline

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