Mcq Subject: Pediatrics

A 10 year old boy presents with midline swelling arising from cerebellum the diagnosis is –

A. Astrocytoma

B. Glioblastoma multiforme

C. Ependymoma

D. Medulloblastoma

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Regarding ASO titre all are seen except –

A. ASO can be increased in school children

B. May be negative in post streptococcal glomerulonephritis

C. ASO titre included in major criteria in jones criteria

D. May not be elevated in 20% cases of carditis

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A child with tetralogy of fallot uses which of the following positions –

A. Supine

B. Prone

C. Squatting

D. Leaning forwards

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A child presents to the emergency with a history of ingestion of button battery, on X-ray it was found in the stomach or duodenum. What is the next step?

A. Endoscopic removal of battery

B. Wait and watch

C. Repeat X-ray after 5 days

D. Immediate laparotomy

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A 1.5 kg child born at 32 weeks by LSCS presents with moderate respiratory difficulty (RR 70/ minutes). Which of the following is the appropriate management –

A. CPAP

B. Mechanical ventilation

C. Warm oxygen

D. Surfactant and ventilation

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Which one of the following is the most common tumor associated with type I neurofibromatosis –

A. Optic nerve glioma

B. Meningioma

C. Acoustic schwannoma

D. Low grade astrocytoma

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4 year old boy presented with recurrent chest infections. Sweat chloride test was done, showed values of 36 and 42. What is the next best investigation to confirm the diagnosis ?

A. 72 hour fecal fat estimation

B. CT chest

C. Transepithelial nasal potential difference

D. DNA analysis of delta F 508 mutation

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A neonate presents with jaundice and clay coloured stools. Liver biopsy shows giant cells diagnosis is –

A. Neonatal hepatitis with physiological jaundice

B. Neonatal hepatitis with extrahepatic biliary atresia

C. Physiological jaundice

D. Physiological jaundice with extrahepatic biliary atresia

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Complete the missing step in the flow cha shown below:

A. Intubate, spO2, ECG monitor

B. CPAP and ECG monitor

C. PPV, spO2 and ECG monitor

D. spO2 and ECG monitor only

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A 10–month old baby previously normal, suddenly becomes distressed in his crib. The external appearance of genitalia was normal, except hyperpigmentation. lood glucose showed a level of 30 mg%. What is the most probable diagnosis ?

A. 21 hydroxylase deficiency

B. Hyperinsulinism

C. Familial glucocorticoid deficiency

D. Cushing's syndrome

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