Mcq Subject: Pediatrics
4 day old breastfed neonate, otherwise well, term neonate presented with jaundice, on testing the bilirubin level was found to be 18 mg/dl. Which of the following is the best step of management?
A. Sta phototherapy and continue breast feeding
B. Sta iv fluids and given phototherapy
C. Initiate exchange transfusion
D. Stop breast feeding and do phototherapy
View DescriptionAbsent thumb, radial deviation of wrist, bowing of forearm with thrombocytopenia which investigation need not to be done ?
A. Echocardiography
B. Bone marrow examination
C. Platelet count
D. Karyotyping
View DescriptionHutchinson’s triad includes?
A. Interstitial keratitis, malformed molars, conductive deafness
B. Interstitial keratitis, malformed molars, sensorineural deafness
C. Conductive deafness, malformed incisors, interstitial keratitis
D. Interstitial keratitis, malformed molars, conductive deafness
View DescriptionMost common sequelae due to periventricular leukomalacia –
A. Spastic diplegia
B. Spastic quadriplegia
C. Mental retardation
D. Seizures
View DescriptionAll of the following are the complications in the new born of a diabetic mother except –
A. Hyperbilirubinemia
B. Hyperglycemia
C. Hypocalcemia
D. Hypomagnesemia
View DescriptionWhich of the following is the most appropriate method for obtaining a urine specimen for culture in an 8 month old girl –
A. Suprapubic aspiration
B. Indwelling catheter sample
C. Clean catch void
D. Urinary bag sample
View DescriptionA child can walk upstairs one step at a time, can ride cycle but can’t jump can also speak sentences, can tell his/her name gender but finds difficult to narrate the story.What is her actual developmental age
A. 1 yrs
B. 2
C. 3
D. 4
View DescriptionA child presented at 2 years of age with delayed motor development, mental retardation and finger biting. He was normal at bih. He subsequently develops cerebral palsy ahritis and dies due to renal failure at age of 25 years. What is the likely enzyme deficiency implicated?
A. Hexosaminidase deficiency
B. Adenosine deaminase deficiency
C. HGP deficiency
D. Ornithine transcarbamoylase deficiency
View DescriptionAn 8–day old breast–fed baby presents with vomiting, poor feeding and loose stools. On examination the heart rate is 190/minute, blood pressure 50/30 mmHg, respiratory rate 72 breaths/minute and capillary refill time of 4 seconds. Investigations show hemoglobin level of 15 g/dl. Na 120 mEq/l, K 6.8 mEq/l, Cl 81 meq/l, bicarbonate 15 mEq/l, urea 30 mg/dl and creatinine 0.6 mg/dl. the most likely diagnosis is –
A. Congenital adrenal hyperplasia
B. Acute tubular necrosis
C. Congenital hypertrophic pyloric stenosis
D. Galactosemia
View DescriptionYou have been called to declare a brain dead l2-year-ord chitd in pICU, all ofthe given are signs of brain death except?
A. Normal BP without pharmacological suppo
B. Positive spinal reflexes on stimulation
C. Sweating and tachycardia
D. Decoicate and decerebrate posturing
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