MCQ DNB PEDIATRICS JUNE 2017 WITH OPTIONS

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PART A
Most of the answers can be found here 

1. Congenital hyperbilirubnemia - Galactosemia

2. Conjugated hyper bilirubinemia seen in
a) Dubin johnson syndrome
b) Criggler Nager synd
c) G6pd def

3. Miller fisher variant of GBS antibody -
a) GQ1a,
b) GT1a ,
c) GM1b,

4. Content of iodine in salt as per national Iodine def program iodine 15 ppm

5. Albendazole all are true except -
a) decreased absorption when taken with fatty meal,
b) causes cytopenia
c) excreated by kidney
d)

6. Multiple gene duplication and deletion is diagnosed by
a) CGH
b) FISH
c) PCR
d)

7. Anganwadi worker advised to deliver calorie for SAM child
a) 800cal ,protein 20 gm
b) 600 kcal. P 20gm
c) 400kcal, 20gm

8. Velocardiofacial syndrome associated with
a) transclocation
b )micro deletion 22q
c)

9. Breatux index Is - container with larvaes /100 house

10. Iron and folic acid supplimented for 6 yr old as per IPI
a) 30gm iron , 200 folic acid
b) 45gm iron 300 FA,
C) 45gm iron, 350 FA,
d) 45gm iron , 250 FA

11. Drug induced SLE antibody responsible is - Antihistone Ab

12. Drugs causing SLE all except -
a) Etanercept,
b) Minocycline
c) Hyralazine
d) Phenobarbitone

13. Drugs causing SLE all except - Phenytoin , minocycline, hyralazine, valproic acid

14. Drug responsible for increase in platelet count - Eltromboplog

15. Leimierres disease true is - caused by F. necrophorum

16. Cause of figure of 8 in flow volume curve -
a) obstructive disease
b) restrictive disease
c) air Starvation

17. Trummerfield zone is seen in def of
a) Vit A
b) Vit C
c) Vit D
d) Vit E

18. Calculate PPV with following details 90% sensitivity 90% specificity and 10 % prevalance of d disease
a) 40%
b)50%,
c)10%,
d ) 90%

19. SLE which of d following is true
a) decreased T cytotoxic cell activity and decreased B cell activity.
b) decreased B cell & increased T cytotoxic cell activity
c) increased B and T cell activity
d)

20. Lead chelation is indicated with lead level > 45 meq/dl

21. As per WHo which of the following is probably essential
a) mangnese,
b ) molybednum
c) cadmium
d) arsenic

22. CD4:CD8>4 elevated D dimer in BAL is diagnostic for- Sarcoidosis

23. Monophonic wheeze is seen in
a) Bronchial tumour
b) Br asthma
c) Bronchiolitis
d) Bronchomalacia

24. All of d following is seen in fetal alcohol syndrome except
a) small philtrum,
b) defective upper lip ,
c) limb aplasia,
d) def 3- 4th metacarpal

25. Resomal Na content - 45 Meq

26. Alagille syndrome involves
a) Pulm stenosis
b) VSD
c) PDA,
d) TAPVC

27. Boiled cabbage urinary odour seen in
a)Tyrosinemia,
b) Isovaleric Aciduria
c) PKU
d) MCD

28. Which of the following is mitichondriopathy
a) zellweger synd
b) reye syndrome
c) spingolipidosis
d)

29. Fabry disease def in
a) glucosidase A
b) aryl sulfatase
c) spingolipidosis
d)

30. Metachromatic Leucodistrophy def in -Aryl sulfatase A

31. Genetic materials for study were with cells arrest in
a)metaphase
b)telophase
c)Anaphase
d)premetaphase

32. JIA defined as arthritis of
a) > 6 weeks ,
b) > 12 weeks,
c) 10wk,
d ) > 8wk

33. JIA with ana positivity increases the complication risk for
a) Hemolytic anemia
b) Ant uveitis
c) pancreatitis
d) Ankylosing spondilitis

34. JIA along with RF positivity which one is considered to manifest as Aggressive Disease
Ans - CCP positive

35. mother with 7 day old neonate had varicella next line of Mx is
a) continue routine mother and baby care
b) isolation of mother from the baby
c) Give Acyclovir to the baby
d) give Varicella Immunoglobulin to d baby

36. Most common cause of cong Sensory neural hearing loss is
a) cong syphilis
b) CMV
c) Herpes
d) HIV

37. Recurrent Staph infection is seen in
Chediak Higashi syndrome

38. Chronic granulumatous infection def is in
a) Degranulation of Neutrophil
b) Generation of Oxygen dependant compound
c) Phagocytosis

39. For Complete heart block in fetus Promising line of treatment is with use of
a) HydroxyChloroquine,
b) quinine
c) hydrocort d)digoxin

40. GERD peak age of onset is
a)1m
b)2m
c)4m
d)6m

41. BFHI consist of
a) 8steps
b) 9 steps
c) 10 steps
d) 7steps

42. Causative agent of purulent conjectivitis and pneumonia in child 2 yr
a) legionella
b) chlamydia
c) Mycoplasma
d ) staph

43. Whipple disease DOC is
a) co-trimoxazole
b) Metronidazole
c)Albendazole
d) Pn

44. Diabetic with necrotising Pneumonia and skin infection with blood culture growing burkholderia true is
a) Cepoperazone + sulbactum is the drug of choice
b) piperacilin and tazobactum is DOC
c) observation
d) ceftriaxone is DOC

45. Erythromycin causing CHPS true is
Ans - stimulation of motilin receptor

46. Breath hydrogen test is used for
Ans -Carbohydrate malabsorption

47. Alpha 1 elastase level in stools is done for
a) Exocrine Pancreas,
b) ENdocrine Pancreas
c) gall bladder
d) liver functional test

48. Vit A dose in less than 6 month baby - 50,000 Iu

49. Which of the following is doesnot require admisssion
a) 8% burns without inhalational injury
b) 5% burns with suspected Inhalational injury
c) Deep dermal injury
d) Burns with suspected Child abuse

50. What is expected level of drop in serum Pottasium level to change the PH by o.1
a)0.1
b)0.2
c)0.4
d)0.6

51. Morgagnian hernia location is
a) Retrosternal,
b) paraoesophageal
c)paraseptal
d)peripheral diaphr

52. Homocystiene Treatment is
a) vit B6
b) Vit B 12
c) Folic acid
d) Thiamine

53. Norwagnian Scabies is seen in
a) Immunocompromised person
b)Diabetic
c)

54. True about Spo2 principal , It measures
a) functional oxygen concentraion
b) fractional oxygen
c) Refractional o2
d)Methhemoglobin o2

55. Drug used in Atrial flutter for vent rate control
a) Amidarone
b) Verapamil
c) Propranolol
d)

56. protein advised in preterm
a)3.5 gm/kg
b)3gm/kg
c)2.5gm/kg
d) 2gm/kg

57. Protein content in colostrum is
a)0.9gm/dl
b)1.4gm/dl
c)2.4gm/dl
d)3.5gm/dl

58. Blood volume in Preterm baby - Ans 90-110ml/kg

59. Clinical case of Encephalitis + skin rash + diarrhea and dehydration - Ans - Multiple caboxylase deficiency

60. Child with bronchospasm , hyper eosinphilia in blood
Ans: chaurg strauss syndrome

61. ANCA postivity in Ulcerative colitis
a)20%
b)30%
c) 70%
d) 50%

62. In Apneoa of Prematurity caffeine is chosen over Methylxanthine becos
a) Cause less tachycardia
b) More effective
c) Cost effective
d) Doesnot cause Feed intolerance and vomiting

63. Newborn stabilisation Units is located in
a) PHC
b)CHC
d) district place
d) Medical colleges

64. Cogan syndrome true is

a) IK+ HL+ cataract
b) IK+HL+glaucoma
c) IK +CSOM
d)

65. Ricketsial disease csf finding is
a) increased Protein and no cells and normal Glucose
b) increased protein and Normal glucose and pleocytosis
c) decreased protein and glucose , no cells
d) increased protein decreased glucose and Pleocytosis

66. Miltefosine true is
a) derivative of Antifosine
b) cure rate of 10-20% in Visceral leishmaniasis
c) relapse rate of 80-90% in VL
d) dose of 50-100mg/day orally

67. Micropenis is defines as stretche dpenile length
a)<1.9cm
b)< 2.4cm
c)< 2.8cm
d)< 3.2 cm

68. Ureteric Caliculi investigation of choice is
a) USG
b) Xray c
) CT scan
d) urine analysis

69. See- saw nystagmus is seen in
a) pendered syndrome
b) cerebellar disease
c) ICSOL
d) Optic chiasm defect

70. In a study of smoking as risk factor of RCC , 30 out of 50 pt were smokers and in controls 10 out of 50 had renal cancer calculate odd ratio
a)1/3
b)3
c) 6
d) 4
71. Calculate sensitivity from d given table below (2*2 ready table given )
ans 33.33%

72. Menkes disease involves
a) Copper
b) Zinc
c) Iron
d) calcium

73. Site of Incision in ASOM for myringotomy is
a) post inferior
b) Ant inferior
c) Post Superior
d) ANt superior

74. Anakinra is used in
a) Systemic onset JIA
b) oligoarticular
c) Pauci articular
d) psoariatic arthritis

75. Homocystinuria lens dislocated to
a) Infero nasally
b) superio medially
c) nasally
d) inferiorly

76. Staggart syndrome true is
Ans: Macular dystrophy, juvenile progressive macular degeneration

77. OPV dose is
a) 0.05ml
b) 0.1 ml
c)0.2ml
d) 0.5ml
78. Fanconi Anemia hereditary inheritance pattern is
a) AR
b) AD
c) Xlinked
d) Mitochondrial
79. Tetanus immunoglobulin is not required if antibody titre is >
a) 0.01iu/ml
b) 0.1IU/ml
c) 1iu/ml
d) 0.001IU/ml
80. Risk of hypoglycemia in IDM baby
a) 10-15%
b) 30-40%
c) 50%
d) 60%

81. Child with supravavular AS heart lesion, dysmorphism with thick upper lip protruded maxilla most likely to have
a) Williams syndrome
b) Turner syndrome
c) Allagille .]]

82. Bruton aggamaglobulinemia true is

83. Treatment of chronic SIADH
Ans: Tolvaptan

84. Vit. D intoxication in mother --> effect on baby
Ans: Supravalvur Aortic Stenosis

85. Repetitive pregnancy failure in Diabetic mothers belong to what classification in Whites classification
a) group "G"
b) F
C) D
d) H

86. In child suspected to have spinal injury all o the following are true except
a) Lesion involvning c2-c5 usually causes neurological deficit
b) Only MRI changes are seen in _______
c)

87. Most common cause of neonatal hypoglycaemia -
a) Ketotic Hypoglycemia
b) hyperinsulinemic hypoglycaemia
c) IDM

88. Clept lip/palate after 2 children affected risk in next pregnancy
a) 1%
b)2%
c)10%
d) 20%

89. True about Asperger syndrome
a) most coomonly affects male
b) assoaciated with delayed cognition
c) progressive detriortaion of language
d)

90. Penicillin allergic patient with RF - which drug has to be given in sore throat
a) cefexime
b) ceftriaxone
c) cefuroxime
d) Levofloxacin
91. RHD with AR most likely to have which of d following grave complication -
a) IE
b) Embolism
c) CCF
d) coronary insufficiency
92. Nail patella syndrome gene involved
a) Lmx1b
b) WT1
c) ATP
d) Col A45

93. Bronchiolitis Prophylaxis which drug is given 
a) Ribavirin
b)PEVALIZUMAB
c) Lamivudine
d) Immunoglobulin.

94. SARNAT N SARNAT stage -1??
a) Lethargy
b) Hypotonia
c) mydriasis
d) Sympathetic overactivity

95. Child with left side inguinal hernia presents with features of large intestinal obstruction, which is most likely to involve
a) Descending colon
b) Sigmoid colon
c) rectum
d) Caecum

96. Epispadia/hypospadia repair timing
a)< 6month
b) 12-18 month
c) 2-3 yrs d) 4-5 yr

97. Saturation of Umbilical artery is
a)10-15%
b) 20-30%
c) 50-60% d
d) 30-40%

98. Most common extra intestinal manifestation of Celiac Disease
Ans: Iron def Anemia

99. Sickle cell disease with priaprism mx?
a) hydroxyurea
b) PCV transfusion
c) erythropoietin
d)

100. SCD- 1st pain manifestation?
a) dactylitis
b) Priapism
c) chest syndrome
d) pain abdomen

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