Mcq Subject: Pediatrics

What is NOT a major criteria for Rheumatic heart disease –

A. Arthritis

B. Carditis

C. Subcutaneous nodule

D. Raised ASLO titer

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Injection of 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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Most important prognostic factor in congenital diaphragmatic hernia –

A. Pulmonary hypertension

B. Size of hernia

C. Timing of surgery

D. Gestational age

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Which is not a feature of wilson’s disease in a child –

A. Fanconi syndrome

B. Sensory changes

C. Hemolytic anemia

D. Chronic active hepatitis

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A 2-year-old child was brought to the emergency depament at 3 AM. The child presented with fever and cough. On examination, respiratory rate was 36/ min, temperature was 39degC and saturation on pulse oximetry was 96%. The child had barking cough and stridor only on crying. Otherwise, the child was hydrated, able to drink and consolable. The nest step in management would be:

A. Racemic epinephrine nebulization

B. Single dose of dexamethasone

C. Complete blood count and culture

D. Nasal washings for Respiratory Syncytial Virus (RSV) and influenza

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Unconjugated bilirubin is increased in all, except –

A. Criggler Najjar syndrome

B. Dubin Johnson syndrome

C. Gilbert syndrome

D. Hemolytic anaemia

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A male child with coarse facial features, macroglossia, thick lips presents with copious mucous discharge from nose at 10 months of age. The child was absolutely normal at bih. On examination he was found to have enlarged Liver and Spleen. Diagnosis is:

A. Hurler's syndrome

B. Beckwith-Weidman syndrome

C. Hypothyroidism

D. Proteus syndrome

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A child with fever and sore throat developed acute cervical lymphadenopathy most likely investigation to be done is :

A. Open biopsy of node

B. Radical neck dissection

C. Neck X–ray

D. Complete hemogram

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Which one of the following is the earliest manifestation of Cushing’s syndrome :

A. Loss of diurnal variation

B. Increased ACTH

C. Increased plasma cortisol

D. Increased urinary metabolites of cortisol

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A newborn with eyes closed 6 hrs after birth lustily crying, no chest retraction and movements of all four limbs. Neonatal behavioral response grading –

A. State 1

B. State 3

C. State 5

D. State 6

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