MCQ DNB PEDIATRICS JUNE 2017 : PART 2

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MCQ DNB PEDIATRICS JUNE 2017 WITH OPTIONS : PART 2 (Recall based)

101) Child with recureent Ottorea and necrotic tissue in ear
Ans- Histiocytosis X

102) Calculate PPV for a disease with 10 % prevalance and 90% specificity and 90% sensitivity
Ans -

103) All of the following are correct except
a) VIt D toxicity causes hypercalcemia and Hyperphosphatemia
b) Hyper parthyroidiam cause hyporphosphatem ia
c)

104) Large placenta with hydatidiform??
a) Diploidy mixoploidy synd
b) Downs syndrome
c) Turner syndrome
d)

105) In diagnosis of Esophageal eosinophagitis ? no of Eosinophils Cell no. ..
a) 5/hpf
b) 10/Hpf
c) 15/ HPF
d) 20/HPF

106) Minimum parasite load in thick smear for diagnosis of malaria?
a)10
b) 50
c)100
d)1000

107) MC Abd. Mass palpable in NewBorn
a) Hydronephrosis
b) Multicystic kidney disease
c) neuroblastoma
d) nephroblastoma

108) NEC with portal vein gas stage?
a) 2a
b) 2b
c) 3
d) 4

109) Radionucleotide scan in diagnosis of Meckels Diverticula sensitivity is
a) 85%
b) 50%
c) 10%

110) Intussesception true is

111) Common cold caused by adenovirus also responsible for
a)Bronchiolitis
b) pneumonia
c) Pharyngo Conjuctival fever
d)

112) Purulent conjunctivitis+ tachypnea+ cough etiology most likely to be
a)Mycoplasma
b) Chlamydia
c) Leptospira
d) Staph

113) Hyperaldosteronism true is
a) causes metabolic Alkalosis
b) hyperkalemia
c) increased urinary loss of sodium
d)

114) APAC FULL FORM in Counselling
Ask& listen ,Praise, Advice and Check

115) Holoprosencephaly Is most likely to be associated with
Ans - Maternal Diabetes

116) Arsenic poisoning presents with severe diarrhea next line of management is
A) Give Dimercaprol
b) Give Ipecac
c) give fluids

117) WHO growth chart with weight for ht & BMI is availabe for
Ans age group 5-19

118) Bisphosphonates used in Rx of
a) Osteoporosis
b) Osteoclastosis
c) Osteopetrosis
d) Osteogenesis Imperfecta

119) Differenciating feature between PRIMARY ciliary dis. & Cystic Fibrosis is
a)Recurrent LRTI
b) Acute sinus inf
c) Ottitis Media
d) Bronchitis

120) PLASMA transfusion HELPS to raise
a) VWF
b) factor2
c) Factor 5
d) factor 7

121) In Wilson's disease KF ring deposition of Cu is seen in
a) Descements membrane
b) Stroma below Descements membrane
c)keratin layer
d)dermal layer

122) Left Ventricular dominance is seen upto GA?

123) Splenectomy is indicated in
a) PCV requirement >150ml/kg/year
b) Transfusion requirement > 1 and half time basal requirement
c) Side effects seen with Iron chelation

124) Cherry red spot not seen in
a) Krabbes
b) GM1 gangliosidosis
c) GM2 Gangliosidosis
d)Sanflippos dis

125) Wilson disease chr. location is on
Ans - Chr 13.

126) Philadelphia Chromososme is
Ans t( 9,22)

127) Baby friendly hospital initiative has got
ANs = 10 steps.

128) Hypothroid xray findings all are true except
a) Wormian bones
b) Beaking Vertebra
c) Epiphyseal dysgenesis
d) Flat horizontal stoiplled ribs

129)Macrocystic anemia and ringed sideroblast is seen in
a) Perneciuos anemia
b) Sideroblastic anemia
c)Megaloblastic anemia
d)

130) Atomoxetine is used in
Ans ADHD

131)Pectus exacatum true is
a) lung capacity increases
b) FRV increases
c)

132) ROME 3 criteria used for
A) Chronic constipation
b) Chronic Vomiting
c) Migraine
d) Diarrhea

133) Larynx position in Child true is
ANs Funnel shaped with narrow Subglottis

134) History suggestive of Celiac disease , investigation Of choice for DEFINATIVE Diagnosis is
A) Iga anti EMA
b) Intestinal Biopsy
c) HLA typing
d) S. IG A assay

135) As per FAB classification AML- M3 STAGE corresponds to
a) AML wit out maturation
b) AML with maturation
c) Promyelocytic
d) Metamyelocytic

136) Angle of Eustasian tube in infants
a) 10
b) 25
c) 60
d) 90

137) Strategy to reduce VAP in Ventilated patients
a)Elevate head upto 30 degree
b)prophylactic use of antibiotic
c) Use of new suction catheter while suctioning everytime
d) Keep NPM

138) Bicycle handle Trauma in child part of the bosy dts likely to be injured?
a) Spleen
b)pancreas
c) Liver
d)

139) In PPHN drug which is not used is
a) NiO
b) Oxygen
c) Sildenafine
d) indomethacin

140) In Mid day meal- calorie n protein. given
a) 300kcal and 6gm protein
b) 600kcal and 6gm Protein
c)

141) As per PALS , in primary assessment disability in children referes to
a) fracture, b) HAnd held in split c) Altered level of consiouness d) Bruise over the fore arm

142) Global warming cause?
Ans increase in Co2

143) In Child with prolonged thrombin time with sample taken in Heparin bulb , test which is done to differentiate heparin induced prolonged Thrombin time is
Ans Reptilase Time

144) Defintion of vital capacity/ residual capacity? Deep expiration to insiration

145) ichthyosis + .....??

146) Loading dose of leveraticetam in status epileticus ?
Ans 20-40mg/kg

147) anti IL- 1 , Anakinra is used in which jia-
a) systemic onset JIA b) poly c) oligo arthritis d) enthesitis

148) Bethesda assay is used for
a) platelet function
b) Coagulation factor assay
c) Level of coagulation inhibitor factor assay
d)

149) In SMA syndrome , sma compressed against aorta by
a) 1 st part of duodenum
b) 2nd part of duodenum
c)3rd part of Duodenum
d) Jejunum

150) Test for T lymphocyte cell funtion is
Ans TLC

151)Food borne strep pharyngitis is spread by
Ans - Group A streptococci

152 Eosinophilia plus Hepatospleenomegaly is seen in
a)Eosinophilic granuloma
b)Hypereosinophilic syndrome
c) HLH
d)Chaurg strauss syndrome

153. As per PALS guidelines by AAP, Max dose of Adenosine for 1st dose is
Ans 6mg

154. Test used for comparision of Hb level before and after intervention in the same group is
a) Paired T test b) Unpaired T test c) Chisquare test d)

155. Which of the following is not a inherited Aminoacidopathies
a) Isovaleric Acidemia
b) Glutaric Acidemia
c) Arginosuccinic Acedemia
d) Propionic Acedemia

156. In NBS, preterm with equally visible Labia minor and majora gets score of
Ans TWO (2)

157. In Pyloric stenosis infants presents with Vomiting in
a) birth b) 2 weeks c ) 3 week d) 3 month

158. Beck's triad is seen in
Ans Cardiac Tamponade

159 Angel Wing sign is seen in
a) Pneumomediastinum
b) Obstructive Emphysema
c) Pneumothorax
d) Lobar Emphysema

160. Infant presents to emrgency room with tachypnea and respiratory distress and hypoxia and cyanosis , suspected to have FB Obstructing the airway and given 5 back blows t but still cyanotic and hypoxic next step is to
a) Start CPR with Chest compression
b) Turn supine and GIve 5 Chest thrust
c) Open the mouth and insert Finger Blindly to remove FB
d) Give oxygen and observe and monitor with preparation for Intubation

161. In BPD, Maternal infective organism which is suspected to be responsible for BPD in baby is
Ans - Ureaplasma Urealitucum

162. Test that Correctly detects and rules out disease status is indicated by
Ans Specificity

163. % of oxygen delivered by Nasal prongs with 3 ltr of Oxygen is
a) 21% b) 30% c) 40% d) 50%

164. Immortality of cancer cells is as a result of mutation Involving
Ans Telomerase

165. Fetal Bradycardia is said when HR falls below
a) 110 b) 100, c) 90 d) 60

166. In breast milk banking , breast milk can be stored upto max period of
a) 1-3 days b) 3-4 weeks c) 4-6 month c) 3-4 years

167 . Hemodynamically stable Child presents with Heart rate of 245 bpm with irritability next step of management is
a) Call the Cardiologist for opinion
b) connect to pulse oximeter and monitor
c) check BP
d) Arrange for Sync Cardioversion it may be needed later

168. Requirement of Calcium and Phosphate in PT is
a) Ca 200mg and Ph 100mg
b) Ca 300mg ph 150mg
c) Ca 400mg ph 200 mg
d) Ca 100 mg ph 50mg

169. X linked inheritance pattern is seen in
a) Hurler b) Hunter syndrome c) Morquio's

170. Increased Etco2 is seen in
a) Bicarbonate infusion b)

171. Palatal palsy seen as complication in Diphtheria after
a) 1 week b) 2 week c) 3 week d) 4 week

172. Antidote for B blocker is
Ans - Glucagon

173 . Which of the following presents with left axis deviation
Ans Tricuspid atresia

174. Which of the following GSD presents with short PR interval and peaked QRS complex
a) Pompes disease
b) Mc ardles
c)

175. As per surviving sepsis guidelines which of the following should be completed with in 6 hrs
Ans: Start Vasopressor to maintain mean arterial Bp > 65mm hg

176.Which of following is associated with Long QT syndrome
Ans: Romanwald Syndrome

177. For audible range of frequency upto 20,000 hz , To say it as profound hearing loss , loss of hearing should be more than
a) 20db
b) 30db
c) 50db
d) 70 db

178 . Refeeding syndrome is associated with
Ans: Hypophosphatemia

179. Hemodialysis is usefull in poisoning with
Ans - Salicylates

180. Which of the following is not usefull in ASOM
a) Ceftriaxone
b) Ampicillin
c) cefuroxime
d) Cefepime

181. Hartnup disease is associated with
a) Aminoaciduria
b)

182. Elastase is defined as
Ans - Unit change in pressure per unit change in volume

183. Phenyl Alanine level in PKU is more than
a) 20 IU/dl
b) 40IU/dl
c) 10 d)
Ans 20 IU

184. Koebener's Phenomenon is due to
Ans- Hypersensitivity reaction to dermal stimulation as erythema and wheel

185. Pupillary reflex is seen in
a) 28-30wk
b) 30-32 wk
c)32-34wk
d)34-36wk

186. In case of High altitude pulmonary edema management line up will be
a)Descent with Oxygen supplementation
b) use of Acetazolamide
c) Sildenafil
d)

187. Characterstic feature of Malrotation is
Ans) Biliious Vomiting

188. Drug used for relaxation of LES while giving Oesophageal bolus is
a) Glucagon
b) Insulin
c) IGF
d) octeriotide

189. In SLE mother , screening for heart block in neonate is done by
Ans 16-18 wk

190. Drug causing Resp Alkalosis
a)Theophyline
b) Barbiturate
c) diazepam
d)

191. F100 protein and lactose content is
Ans: 2.9gm protein and Lactose 3.4gm

192. Scoring system used for assessing sick child mortality is
Ans PRISM score

193. Grayturners sign is
Ans: Grayish discoloration of flank in acute Pancreatitis /intra peritoneal bleed

194 Di George syndrome is due to defect in
Ans: 3rd and 4th Pharyngeal Pouch

195. After delivery in labour room with ambient temperature , an infants skin temperature falls approximately
a)0.1-0.3 degree C
b)0.5 to 1 degree C
c)1-2 C

196. True about Spirometry
a)Tidal volume is amount of air present in lung after normal Exp and inspiration
b)


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