MCQ DNB PEDIATRICS THEORY JUNE 2014

" "

Recently MCQ's are introduced in DNB theory exams. Here are some recall based MCQ's asked in DNB June 2014 theory exam. Hope this will provide a fair idea about the pattern of MCQ's asked in this exam so that the preparation for the same can be directed appropriately. You can correct the questions and also add more question and their answers in the comment box
1.    Which virus is secreted in breast milk.
a.    Herpes simplex
b     CMV
c.
d.

2. Oxygen consumption in neonates
a. 6 ml/kg/min
b. 8 ml/kg/min
c. 10ml/kg/min
d. 12 ml/kg/min

3. Glucose consumption rate in neonate
a. 2-4mg/kg/min
b. 4-8ml/kg/min
c. 8-10 ml/kg/min
d. 10-12 ml/kg/min


4. Morrows reflex normally disappears by
a. 3 months
b. 4 months
c. 6 months
d. 8 months

5. Atomoxetine is primarily used in
a. Obesity
b. ADHD
c. Schizophrenia
d. Depression

6. Difference between proximal RTA and distal RTA
a. Hyperkalemia and bica
b. Hyperkalemia and
c. Hypokalemia and
d. Hypokalemia

7. Increased intracranial tension is a feature of
a. Cyclosporine therapy
b. Hypervitaminosis D
c. Vitamin A deficiency
d. Lead poisoning

8. Not a criteria for the diagnosis of SAM
a. Severe wasting
b. Decreased height for age
c.
d.

9. Biochemical feature of protein energy malnutrition
a. Low insulin
b. Low catecholamine level
c. Low cortisol level
d.

10. Ossification centre of distal end of femur appears by
a. 24 weeks
b. 28 weeks
c. 30 weeks
d. 36 weeks

11. which of d following is true about Salbutamol ?
a. For its actiom on lungs it has to be given by inhalation only
b. It is a selective b1 agonist
c. It causes decreased lung volume
d. It causes constriction of smooth muscles

12. All of d following are essential amino acids except
a. Methionine
b. Valine
c. Glutamine
d. Lysine

13. Absence seizures are pptd by which of d following.
a.  Ethosuximide
b.  Carbamazepine
c.  Benzodiazepines
d.  Valproate

14. Which of d following are seen in a child with protein energy malnutrition
A) low insulin
B) low cortisol
C) low catecholamines
D) normal growth hormone levels

15. Skin maturation gets completed by what gest age?
A)20
B)22
C)24
D)28

16. Vitamin K conc in breast milk?
A)0.5
B)0.7
C)1
D)1.5

17. Prolonged feeding of Hind milk leads to
A) abnormal weight gain
B) decreased lean mass
C) osteopenia
D)less fat

18. All of d foll are seen in Hypothyroidism except-
- Wormian bones
- stipulated ribs
- Beaking of vertebra
- Epiphyseal dysgenesis

19. Sensory neuropathy seen with all of d following except-
A) cidp?
B) Riley Day syndrome
C) GBS
D) Giant axonal neuropathy

20. Pasteurised donor milk , will be culture neg after thawing
A) 6hr
B) 12hr
C) 24hr
D) 72hr

21. O2 sats(SpO2) of neonates to be ensured at 5 min after birth (NRP 2010) –
a. 70-75%
b. 75-80%
c. 80-85%
d. 85-95%

22. Objective visual assessment method in newborns –
23. Upto what G.A should nutritional supplements be given to preterms –
a. 33 weeks
b. 36 weeks
c. 38 weeks
d. 40 weeks

24. All of the following would increase oxygenation in ventilated baby except–
a. Increase in inspiratory time
b. Increase in RR
c. Increase in PIP
d. Increase in peep

25. All of the following would wash out CO2 in ventilated child except –
a. Increased RR
b. Increased PIP
c. Increased PEEP
d. Increased

26. If lung resistance is increased and compliance kept same time constant would –
a. Increase
b. Decrease
c. Remains same
d.

27. Correct latching technique to breast is shown by all except –
a. Mouth wide open
b. Areola visible more on upper side than lower
c. Sucking with rest in between
d.

28. What is the only variable component in breast milk among the following –
a. Fat
b. Protein
c. Carbohydrate
d.

29. Drawback of donated breast milk includes all except –
a. Low nutritional status
b. Poor neurodevelopmental outcome
c. .
d. .

30. Which among the following CHDs is most likely to go in heart failure –
a. Hypoplastic left heart syndrome
b. VSD
c. ASD
d.

31. Caudal part of IVS is formed by –
a. Left ventricle
b. Right ventricle
c.
d.

32. Commonest form of ICH in preterms –
a. Subdural hematoma
b. Extradural hematoma
c. Intraventricular hemorrhage
d. .

33. Which parameter among the following is given a score of 5 in new ballard score
a. Arm recoil
b. Square window
c. Scarf sign
d.

34. Shape of upper airway of newborns –
a. Funnel shaped and wide subglottis
b. Funnel shaped and narrow subglottis
c. Funnel shaped and wide subglottis
d. Funnel shaped and narrow subglottis

35. Formula for calculating ET tube size –
a. Age x 2+8
b. Age
c. Age years /4 + 4
d. Age

36. Adrenaline ET tube dose –
a. 0.1mg/kg
b. 0.01 mg/kg
c. 1mg/kg
d. .

37. Respirable particle size to be deposited in airways
a. 1-2 micron
b. 2-5 micron
c. 5-10 micron
d. 10-15 micron

38. used in prevention of CLD
a. vit.A
b. .
c.
d.

39. severity of night blindness wid prevalence of
a. 4%
b. .
c. .
d. .

40. conjugated hyperbilirubinemia seen in
a. Dubin johnson syndrome
b. Crigler najar syndrome
c. .
d. .

41. scarring seen in which type of epidermolysis bullosa?
a.
b.
c.
d.

42. severe dengue char by all except.
a. torniquet test
b. falling hematocrit
c. liver sizeincrease by 2 cm
d. .

43. In HMD
a. compliance decreased
b. compliance increased
c. .
d. .

44. acne vulgaris Rx of choice is
a. Retinoic acid topical
b. Doxycycline oral
c.
d. Oral Doxycycline and topical retinoic acid

45. In congenital lupus heart block develops at week
a. .
b. ,
c. .
d. .

46. Gas shadow reaches in rectum of neonate appears at hours??
a. 8 hours
b. 12 hours
c. 24 hours
d. 30 hours

47. which is not quantitative anomaly of platelet
a. glanzmans
b. TTP
c. Hemangioma
d. .

48. In TPN –
a. fat = 3gm/kg
b. fat =6 gm/kg
c.
d.

49. Most common adverse effect of TPN
a. hypoglycaemia
b. hypocalcemia
c. hypomagnessemia
d.

50. 1gm of albumin binds how much bilirubin
a. 8mg
b. 6 mg
c. 10 mg
d.

51. All are AR inheritence except
a. OTC deficiency
b.
c.
d.

52. max urine osmolarity in neonates
a. 100
b. 150
c. 800
d. 1000

53. breast milk factors active against giardia n ameobiasis
a. Lactoferrin
b.
c.
d.

54. Mechanism of diarrhoea in giardiasis
a. Mechanical obstruction
b. Covering surface area
c.
d.

55. kidney attains adult level GFR by what age
a. 1 year
b. 2 year
c. 5 year
d. .

56. RBC life span in neonates
a. 30 days
b. 45 days
c. 90 days
d. 120 days

57. biophysical profile which is not included
a. stress test
b. fetal activity
c. breathing movement,
d. amniotic fluid volume

58. erythema toxicum fluid contains which cells
a. Basophil
b. Eosinophil
c. Neutrophil
d.

59. noonan's syndrome PS
a. supravulvular
b. Subvalvular
c. .
d. .

60. A female.....
a. Noonan syndrome
b. Klinefelter syndrome
c. Turner syndrome
d. .

61. hematopoesis shifts from liver to bone at what age
a. 8 weeks
b. 10 weeks
c. 12 weeks
d. 20 weeks

62. most common complication of measles
a. Meningitis
b. Pneumonia
c. Malnutrition
d. .

63. At what age gait of a child is matured as adult?
a. 1 year
b. 2 year
c. .
d. .

64. WHOs new growth chart contains which percentiles.....
a. 3rd, 10th, 90th and 97th
b. 3rd, 10th 50th, 90th and 97th
c. 3rd, 10th,50th,85th and 97th
d. .

65. Which of the following has high anion gap metabolic acidosis....
a. Renal tubular acidosis
b. Diarrhoea
c. .
d. .

66. hormone causing breastmilk jaundice....
a. 3,8 pregnanediol
b. .
c. .
d. .

67. diptheria causes all except.....
a. Myocarditis
b. .
c. .
d. .

68. crescentic glomerulitis is seen in...
a. mesangiocapillary
b. .
c. .
d. .

69. factor responsible for cardiac involvement apart from anti-RO and anti-LA...
a. ds-DNA
b. .
c. .
d. .

70. Activated charcoal is useful in all poisoning except...
a. Mercury poisoning
b. .
c. .
d. .
71. non necrotising granuloma is seen in....
a. micro-PAN
b. .
c. .
d. .
72. A child delivered normally and uneventfully. Her mother had mild placental abruption. On 2nd day child presented with vomiting which contains blood. Which test should be done
a. Apt Downey test
b. Klehar betke test
c. .
d. .

73. Which of the following is true about Parachute reflex ?
a. Disappears by 1 year
b. Appears before birth
c. Appears at age of months and persists throughout life
d. .

74. Which is the investigation of choice for choanal atressia
a. Rhinogram
b. MRI
c. CECT
d. .

75. A child presented with nonbilious vomiting since 6 weeks of life and electrolyte abnormality found- hypochloremic metabolic alkalosis, what could be the diagnosis
a. Pyloric stenosis
b. Intestinal obstruction
c. .
d. .

76. Physiologic closure of Ductus occurs at age of
a. 1 day
b. 2-3 days
c. 3-5 days
d. 1 months

77. Congenital inguinal hernia should be operated at
a. Intrauterine
b. At birth
c. 6 months
d. .

78. Omphalocele was detected at 11 weeks of gestational age. What advice should be given to the parents
a. Amniocentesis and genetic study
b. Termination of pregnancy
c. Reassurance
d. .

79. Edward syndrome
a. Trisomy 18
b. Trisomy 21
c. .
d. .

80. Downs syndrome
a. Trisomy 21
b. Trisomy18
c. .
d. .
81. Leishmania yield is highest from
a. Spleen
b. Liver
c. Bone marrow aspirate
d. Lymph nodes

82. A child with.......... anemia.....retic count-0.4, TLC-2800 ( neutrophil 20%)
a. Aplastic anemia
b. Pure red cell aplasia
c. Parvo virus b infection
d. Iron deficiency anemioa

83. Folic acid supplementation should be started to prevent neural tube defect
a. Before conception
b. At missed period
c. 2 months after missed period
d. In

84. Folic acid supplementation dose to prevent NTD
a. 4 mg daily
b. 0.4 mg daily
c. .
d. .

85. Most common cause of abdominal mass in neonate (2 months)
a. Teratoma
b. Wilms tumour
c. Neuroblastoma
d. Renal dysplasia

86. Which of the following is not a normal neonatal finding
a. Epsteins perl
b. Mongolian spot
c. Preauricular tags
d. .

87. In IMCI which is not a criteria for severe respiratory distress
a. Retraction
b. Cyanosis
c. .
d. .

88. Pupillary reflex normally present by
a. 20-22 wks
b. b. 22-24 wks
c. c. 24-30 wks
d. d. 30-36 wks

89. Nerve roots involved in suckling reflex
a. X, , IX, XII
b. b. X, IX, XII, X
c. c. V, VII, X, XII,
d. d. V, VII, IX, X, XII

90. Nuchal thickness > 6 mm in mid trimester s/o
a. Downs syndrome
b. b. Turners syndrome
c. c. Klinfelters syndrome

91. Maternal serum AFP is decreased in
a. Downs syndrome
b. neural tube defect

92. Which of the following structure forms the base of Fossa ovalis
a. Septum primum
b. b. Septum intermedium
c. c. Septum secundum

93. F100 contains
a. Prptein 2.4 gm, Lactose 3.1 gm
b. b. Protein 2.4 gm, Lactose 3.8 gm
c. Prptein 2.9 gm, Lactose 3.1 gm
d. Protein 2.9 gm, Lactose 3.8 gm

94. Congenital syphilis which is not present
a. Vaginal lesions
b. Periostitis
c. Nasal snufflers
d. .

95. Regarding pain management in neonate
a. Neonate doesn’t have pain sensation
b. Pharmacological method is only method
c. .
d. PIPS is the only validated pain management scale

96. Which permanent tooth appears first
a. 1st premolar
b. Incisor
c. 1st molar
d. 2nd molar

97. Neonatal evaporation is measured by
a. Tasometer
b. Tachometre

98. Most vital part of phototherapy
a. Distance of light source
b. Duration of phototherapy
c. Surface area of exposure
d. Spectral irradiance

99. A child is able to walk upstairs with holding rail, able to run and
a. 18 months
b. 2 years
c. 30 months
d. 36 months

100. A child able to draw cross
a. 2 years
b. 3 years
c. 4 years
d. 5 years

101. Nutritional rickets treatment step is
a. Calcium supplement
b. Vitamin d supplement
c. Magnesium supplement
d.

102. A child with road traffic accident has no vomiting, no LOC. CT scan shows bleed around right tympanic membrane
a. Subdural hemorrhage
b. Extradural hemorrhage
c. Fracture base of skull
d. Intraventricular hemorrhage

103. A child with multiple fractures, healing properly and abnormal development of long bones
a. Rickets
b. Osteogenesis imperfecta

104. Which of the following is not a diagnostic criteria of Kawasaki disease
a. Red tongue
b. Rashes
c. Fever for more than a month
d. Periungual squamation

105. Most common bleeding disorder
a. Von villebrand disease
b. Haemophilia
c. G6PD


Powered by Blogger.