Mcq Subject: Pediatrics

Ponderal index is:

A. Square root of height in feet by weight in grams

B. Weight in kilograms by cube of height in meters

C. Mid-upper arm circumference to head circumference ratio

D. Head circumference to abdominal circumference ratio

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A 6 days old neonate weighing 2800 gm (bih weight 3200 gm) was brought with the complaints of fever, poor feeding and poor activity. There was no history of vomiting or diarrhea. Axillary temperature was 39degC with depressed fontenalle, sunken eyes, decreased urine output and decreased skin turgor. Her mother has the history of decreased milk production. What is your diagnosis?

A. Neonatal sepsis

B. Galactosemia

C. Fever & dehydration

D. Acute renal failure

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All of the following groups of newborns are at an increased risk of hypoglycemia except –

A. Birth asphyxia

B. Respiratory distress syndrome

C. Maternal diabetes

D. Post term infant

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Injection Glucagon is effective for management of persistent hypoglycemia in all, except –

A. Large for date baby

B. Galactosemia

C. Infant of diabetic mother

D. Nesidioblastosis

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In chronic renal failure : a) Urine output is more than 3 litres per dayb) Urine concentration is decreasedc) Sodium conservation is poord) Polycythemia is present

A. a

B. c

C. bc

D. ad

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All of the following are characteristic features of Tricuspid Atresia except –

A. Left Axis deviation

B. Right ventricular hypoplasia

C. Pulmonary vascularity is diminished

D. Splitting of S2

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A girl child with fever, cough, dyspnoea with x–ray showing right lower lobe patchy consolidation, for which treatment was given. After 8 weeks symptom improved but x-ray showed more dense consolidation involving the whole of the right lower lobe. What is the next best line of investigation ?

A. Bronchoscopy

B. Culture from nasopharynx

C. Barium esophagogram

D. Allergic skin test

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18 months old child, who has received one dose of DPT and OPV at 2 months of age. What will be your next immunization plan :

A. Restart immunization schedule, as per age

B. Measles, BCG, booster dose of DPT and OPV

C. Measles, booster dose of DPT and OPV

D. BCG, 2ND dose of DPT and OPV

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In a child with tetralogy of Fallot with fever and diarrhea, which of the following is the surest sign of a cyanotic spell?

A. Hepatomegaly

B. Absence of murmur

C. S3 gallop rhythm

D. Aerial oxygen saturation of less than 75%

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A 3 – month old infant presents with bilateral medullary nephrocalcinosis. All of the following can cause medullary nephrocalcinosis except :

A. Hyperoxaluria

B. Bartter's syndrome

C. Prolonged use of furosemide

D. ARPKD

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