Mcq Subject: Pediatrics

A two year old girl child is brought to the out patient with features of hand wringing stereotype movements, impaired language and communication development, breath holding spells, poor social skills and deceleration of head growth after 6 months of age. The most likely diagnosis is –

A. Asperger's syndrome

B. Rett's syndrome

C. Fragile x–syndrome

D. Colarad syndrome

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All of the following are features of systemic Juvenile Rheumatoid Arthritis except –

A. Uveitis

B. Rash

C. Fever

D. Hepatosplenomegaly

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A case of jaundice with 50% direct bilirubin, other LFTs normal. Diagnosis is –

A. Rotor syndrome

B. Gilbert syndrome

C. Glucuronyl transferase deficiency

D. Primary biliary cirrhosis

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An un-immunized 13 months old child comes to you in OPD, according to the latest immunizations schedule, what vaccines will you advise??

A. OPV 3 doses, I IPV 3 Pentavalent and I measles

B. BCG, OPV 3 doses, 3 lPV, 3 Pentavalent and I measles

C. OPV 3 doses, I IPV 3 Pentavalent and 2 measles

D. OPV 3 doses, 3 IPV 3 DPI : Hep-B

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A 6-year old girl presents with fever tor the past 5 days, generalized erythematous rash, strawberry tongue and cervical lymphadenopathy. The most likely diagnosis is: (Asked twice)

A. Kimura disease

B. Kawasaki disease

C. Scarlet fever

D. Rosie-Dorfman syndrome

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A child has bilirubin of 4 mg. Conjugated bilirubin and alkaline phosphatase are normal, bile salts and bile in urine are absent. However urobilinogen in urine is raised. What is the likely diagnosis –

A. Obstructive jaundice

B. Rotor's syndrome

C. Biliary cholestasis

D. Hemolytic jaundice

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A child presented with abdominal distension, hepatomegaly, doll like facies and recurrent episodes of hypoglycemia. Which of the following is the most likely diagnosis?

A. Menkes disease

B. Down syndrome

C. Von gierke disease

D. Lesch nyhan syndrome

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A 5 years old child presented with continuous fever and features of sepsis with a BP of 90/60 mm Hg, Pulse rate 144/min and respiratory rate of 30/min. What is the initial fluid of choice for management?

A. 10 mL/kg of 10% dextrose

B. 10 mL/kg of hydroxyethyl starch

C. 20 mL/kg of 0.45% normal saline

D. 20 mL/kg of 0.9% normal saline

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Eisenmenger syndrome–True are A/E –

A. Pulmonary veins are not distended

B. RV & LV walls come back to normal size

C. Dilatation of central pulmonary artery

D. Peripheral pruning of pulmonary arteries

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A term gestation newborn developed respiratory distress. Which of the following would favour Respiratory distress syndrome (HIVID) ?

A. History of receiving antenatal corticosteroids

B. Air bronchogram on chest x–ray

C. Onset of distress after 6 hours of birth

D. Term birth

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