Mcq Subject: Pediatrics

Pure left sided failure may be seen with –a) ASDb) Aortic stenosisc) Patent ductus arteriosusd) Pulmonary valvular obstruction

A. a

B. c

C. bc

D. ad

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A pregnant lady had no complaints but mild cervical lymphadenopathy in first trimester. She was prescribed spiramycin but she was noncompliant. Baby was born with hydrocephalus and intracerebral calcification. Which of these is likely cause ?

A. Rubella

B. Toxoplasmosis

C. CMV

D. Herpes

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A 6 weeks old baby presents with cough and cold for the last three days. Respiratory rate is 48/min. Patient is febrile, there are no chest retractions but wheezing is present. Which of the following statement is not true?

A. Antibiotics are not required

B. Child is suffering from pneumonia

C. Treat only wheezing

D. Treat only fever

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Which of the following inborn errors of metabolism is associated with mental retardation –a) Alkaptonuriab) Homocystinuriac) Pentosuriad) Galactosemia

A. c

B. d

C. bd

D. ac

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A child presented with respiratory distress was brought to emergency with bag and mask ventilation. Now child is intubated. Chest X–ray shows right–sided deviation of mediastinum with scaphoid abdomen. His Pulse rate is increased. What is the next step ?

A. Endotracheal intubation

B. Put a nasogastric tube

C. Surgery

D. End tidal CO2 to confirm intubation

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Dried blood spotes test in neonates is used in testing for:-

A. Inborn error of metabolism

B. Blood group

C. Total cell count

D. Creatinine and bilirubin

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Which of the following statements regarding Kawasaki disease is true –

A. Associated with coronary artery aneurysm in up to 25% of untreated cases

B. It is the most common cause of vasculitis in children

C. IV immunoglobulins are recommended only if coronary artery is involved

D. Lymph node biopsy is used for diagnosis

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An 8 year old boy during a routine checkup is found to have E. coli 1,00,000 cc/ml on a urine culture. The urine specimen was obtained by mid–stream clean–catch void. The child is asymptomatic. Which is the most appropriate next step in the management –

A. Treat as an acute episode of urinary tract infection

B. No therapy

C. Prophylactic antibiotics for 6 months

D. Administer long term urine alkalinizer

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In Rh lso Immunisation, exchange transfusion is indicated if –

A. Cord blood hemoglobin is less than 10 g %

B. Cord bilirubin is more than 5 mg

C. History of previous sibling affected

D. All of these

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A 10 year old boy is having polyuria, polydipsia,laboratory data showed (in mEq/lit) – Na– 154 K– 4.5 HCO3– 22 Serum osmolality – 295 Blood urea – 50 Urine specific gravity – 1.005 The likely diagnosis is –

A. Diabetes insipidus

B. Renal tubular acidosis

C. Barter's syndrome

D. Recurrent UTI

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