Mcq Subject: Pediatrics

Macrocephaly is seen in which of the following syndromes ?

A. Metachromatic leucodystrophy

B. Adrenoleukodystrophy

C. Canavan's disease

D. Krabbe's disease

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A mother is exposed to Diethyl stilbesterol during pregnancy. All the following features may be seen in the child after birth except :

A. Clear cell carcinoma

B. Microglandular hyperplasia

C. Malformation of the vagina and uterus

D. Vaginal adenosis

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True about cow’s milk are all except –

A. Cow's milk contains 80% whey protein not casein

B. Cow milk has less carbohydrate than mothers milk

C. Has more K+ and Na+ than infant formula feeds

D. All of the above

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Vesicoureteric reflux is more common in –

A. Newborn females

B. Older girls

C. Older boys

D. Only during pregnancy

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Treatment of choice in childhood thyrotoxicosis :

A. Radio Iodine

B. Lugols Iodine

C. Carbimazole

D. Surgery

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Which of the following statements about cystic fibrosis (CF) is not true –

A. Autosomal recessive disorder

B. Abnormality in CFTR which leads to defective calcium transport

C. Mutation in cystic fibrosis transport regulator

D. All of the above

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A 5 year-old child presents with non-utatiening macules and pappules on the skin. Skin biopsy revealed a perivascular IgA deposition. Which of the following is the most likely diagnosis?

A. Henoch Shonlein purpura

B. Wegener's granulomatosis

C. Kawasaki disease

D. Drug-induced vasculitis

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Hyperkalemia in children may occur in all except –

A. Insulin deficiency

B. Metabolic acidosis

C. Acute renal failure

D. Cushing's syndrome

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A 6–month old boy weighing 3.2 kg presents with recurrent vomiting and polyuria. Investigations show blood area 60 mg/dl creatinine 0.7 mg/dL, calcium 12.8 mg/dL, phosphate 3 mg/dL, pH 7.45, bicarbonate 25 mEq/L and PTH 140 pg ml (normal <60 pg/ml). Daily urinary calcium excretion is reduced. Ultrasound abdomen show bilateral nephrocalcinosis. The most likely diagnosis is –

A. Bartter syndrome

B. Mutation of the calcium sensing receptor

C. Ps eudo–ps eudohypoparathyroidism

D. Parathyroid adenoma

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3.5 kg term male baby, born of uncomplicated pregnancy, developed, respiratory distress at birth, not responded to surfactant, ECHO finding revealed nothing abnormal, X–ray showed ground glass appearance and culture negative. Apgars 4 and 5 at 1 and 5 minutes. History of one month female sibling died before. What is the diagnosis ?

A. TAPVC

B. Meconium aspiration

C. Neonatal pulmonary alveolar proteinosis

D. Diffuse herpes simplex infection

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