Mcq Subject: Pediatrics
A 10 year old child presented with headache, vomiting, gait instability and diplopia. On examination he had papilledema and gait ataxia. The most probable diagnosis is –
A. Hydrocephalus
B. Brain stem tumour
C. Suprasellar tumour
D. Midline posterior fossa tumour
View DescriptionAn adolescent school girl complaints of dropping objects from hands, it gets precipitated during morning and during exams. There is no history of loss of consciousness and her cousin sister has been diagnosed with epilepsy. EEG was done and was suggestive of epileptic spikes. What is the diagnosis?
A. Juvenile myoclonic epilepsy
B. Atypical absence
C. Choreo - athetoid epilepsy
D. Centrotemporal spikes
View DescriptionTo establish the diagnosis of H-type trachea-esophageal fistula, which if the following is required?
A. Chest X-ray
B. Tracheo-bronchoscopy
C. CT scan
D. Esophagoscopy
View DescriptionPalpable purpura is seen in all. except –
A. H.S. Purpura
B. Mixed cryoglobulinemia
C. Giant cell arteritis
D. Drug induced vasculitis
View DescriptionA 5 years old child brought to the hospital with history of loose stools but no history of fever or blood in stools. Mother says he is irritable and drinks water hastily when given. On examination eyes are sunken and in skin pinch test, the skin retracted within two seconds but not immediately. What is the treatment for this child?
A. Administer the first dose of IV antibiotic and immediately refer to hither center
B. Give oral fluids and ask the mother to continue the same and visit again next day
C. Consider severe dehydration, sta IV fluids, IV antibiotics and refer to higher center
D. Give Zinc supplementation and oral rehydration solution only and ask mother to come back if some danger signs develop
View DescriptionA 5 year old child is rushed to casualty reportedly electrocuted while playing in a park. The child is apneic and is ventilated with bag and a mask. Which of the following will be the next step in the management –
A. Check pulses
B. Start chest compressions
C. Intubate
D. Check oxygen saturation
View DescriptionA 2 year old boy has vitamin D refractory rickets. Investigations show serum calcium 9 mg/dl. Phosphate 2.4 mg dl, alkaline phosphate 1040 parathyroid hormone and bicarbonate levels are normal. The most probable diagnosis is –
A. Distal renal tubular acidosis
B. Hypophosphatemic rickets.
C. Vitamin D dependent rickets
D. Proximal renal tubular acidosis
View DescriptionAll of the following are good progonostic factor for ALL except –
A. Age of onset between 2-8 years
B. Initial WBC count less than 50000
C. Hyperdiploidy
D. t (9 : 22), t (8 : 14), t (4 : 11)
View DescriptionAbsence of which of the following milestone in 3 yr old chitd is called delayed development?
A. Hopping on one leg
B. Drawing a square
C. Feeding by spoon
D. Passing a ball to someone
View DescriptionIn postductal coarctation of the aorta, blood flow to the lower limb is maintained through which of the following arteries –
A. Umblical artery and subcostal arteries
B. Thoracic and pericardiophrenic arteries
C. Intercostal arteries and superior epigastric artery
D. Ant and post circumflex arteries
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