MCQ DNB PEDIATRICS JUNE 2018 PART 2

10:00:00 AM
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(Disclaimer: These MCQ,s are based on recall method)
Dr Haritej Dheep N
Kanchi Kamakoti Childs Trust Hospital, Chennai
MCQ from DNB Pediatrics theory examination held in June 2018



101. holt Oram associated with - 1 St degree heart block ,2nd degree,complete heart block
102.
103. cogans syndrome – Hearing loss , Vestibular symptoms , Interstitial keratitis
104. miller fisher – antibodies: anti GQ1B
105. AED causing renal stones: topiramate/phenytoin
106.
107.
108. SIADH , not a criterion – Urine osmolality < 100
109. DMARD - Methotexate , Leflunomide , Sulfasalazine
110. asthma,nasal polyposis ,aspirin sensitivity - Samters triad
111. Percentage of blood to lungs in fetus : a. 25% b. 15%
112. Tinea pedis affects which web space – lateral toe spaces 3rd to 4th or 4th to 5th
     interdigital space
113. Hearing impairement , minimum threshold is – 15dB
114. What percentage of infants with congenital CMV are asymptomatic : 90%
115. Breautu index: number of positive cotainers/100 houses inspected
116. Mobius syndrome: Fascioscapulohumeral dystrophy
118. Digeorge syndrome : 22q11 deletion
119.
120. Figure of 8 in pulmonary graphics: flow startvation
121. Drug for prophylaxis of RSV: palivizumab
122. Visual acuity newborn: 20/400 ( in options 22/400 was given )
123. Yashoda scheme question, NRHM in 2006 for institutional deliveries., voluntary health
     workers
124. 3 months old ,which artery is used to check signs of circulation by palpation - brachial
     artery
125. Erythrasma i caused by: corynebacterium minutissimum
126. Atomoxetine: ADHD
127. Enzyme def in salt retaining CAH: 17alpha OH def
128. Content of iodine in salt as per national iodine deficiency disorders control programme-1
     5ppm
129. Cardiomyopathy mineral deficiency: selenium
130. raised ICT: Cyclosporine toxicity
131. Hirchsprung associated syndrome: downs
132. Abnormality in schizencephaly: cleft in cerebral hemisphere
133: high citrulline : Arginosuccinate synthetase def
134. In neonatal lupus other than anti ro and anti la what antibody is associated-ANA
135. poor prognostic of jia-anticcp.
136. treatment in congenital lupus antenatal-fluorinated steroids,hydroxycholroquine
137. Anakinra –IL1 inhibitor
138. multiple gene deletion and duplication detected by –aCGH comparitive genomic hybridization
139. tropical esoinophilia , eosinophil count above -500,1000,2000/ul,5000
140. recurrent staphylococcal abscess seen in - digeorge,ataxia telangie, ,t cell defect,hyper IGE
141. Most common b cell defect – IgA def
142. Garlic odour - organophosphorus , Arsenic , Thallium ,selenium ( OP was in option , rest all
     also can produce)
143. Menki kinki inheritance -XLR
144. X Linked dominant- incontinenta pigmenta,hypomelanosis of Ito
145. IEM presenting as collodion baby: gauchers
146. exaggerated startle response seen in : GM2 Gangliosidosis
147. blinking of eyes to bright light at gestation - a.28 weeks b. 30 weeks c.32 weeks
148. newborn brain size reaches 90% by: 2yrs
149. neonate gfr reaches adult gfr by- 2yrs
150. fetal growth by all except - insulin,thyroid , growth hormone
151. Early infantile epileptic encephalopathy – Otohara syndrome
152. Rise in hco3 in acute resp acidosis for every 1mm increase in Pco2 : 0.1
153. Case with pulmonary oligemia: tricuspid atresia
154. Minamata disease: mercury
155. Cicatricial skin lesionswith limb hypoplasia in newborn: cong. Varicella
156. Pediatric assessment triangle: appearance,WOB ,circulation
157. Molecular marker of tubular injury: b2 microglobulin
158. Question regarding BNP
159. Most common abdominal mass neonate: MCDK /polycystic
160. Cornea reaches adult size: 2 yrs
161. Oxygenation index formula: MAP X fio2/pao2
162. SpO2 85% , Hyperoxia test – PaO2 – 210 , still SpO2 low :
      a.methemoglobinemia
      b.HLHS
163. O2 consumption in normal newborn – 6ml/kg/min
164. APAC in counseling –
165. Site of incision in myringotomy – a. Anteroinferior b. Posteroinferior
165. Drug causing increased platelet count – Romiplastim ( other – Eltrombopeg )
166. Favourable prognosis in leukemia – TEL-AML 1 rearrangement
167. Not a contraindication for any vaccine
      a. Phagocytic defect , b. complement defect
      c. T cell defect d.B cell defect
168. Not indicated in ccongenital glaucoma as it causes convulsions –
      a. Timolol b. Prilocaine
      c. Bromocriptine
169. Neonatal lupus can be diagnosed from – 16weeks ( In option 12 to 16weeks was given )
170. Question on Vibrio cholera toxin and MOA
171. Treatment of choice for refractory shock – ECMO
172. Acute onset flaccid descending paralysis with dilated pupils , bulbar palsy and
     intact sensorium - Botulism
173. Normal 7 years old with continuous dribbling of urine , but can pass urine normally .
     Most probable cause – Ureteral ectopia
174. Vitamin D in mother during early antenatal period causes – Supravalvular AS
175. Plasma useful in deficiency of factor 5 ( Also factors 2 , 10,11 )
176. Dominant mutation comes with advanced age – Huntingtons chorea ( Anticipation )
177. US : LS ratio at 3 years of age – 1.3: 1
178. Effective KMC – 60 min
179. Dermatitis herpetiformis – HLA DQ8
180. Earliest sign in Cardiogenic shock – Tachycardia
181. Intraparenchymal bleed , IVH grade 4
182. Pneumatised sinus at birth – Maxillary
183. IEM with hepatosplenomegaly and autism – Sandfilippo disease
184. Deep palmar crease and plantar furrow –Trisomy 8
185. Salmon rash – SOJIA
186. MC cause of distributive shock in children – Sepsis
187. Most characteristic feature of Rhabdomyolysis – Hypophosphatemia
188. 1st sign of papilledema – Nasal obscuration
189. Drug causing pulmonary and systemic vasodilatation – Milrinone
190. Most common cause of under 5 mortality – Pneumonia
191. Pierri Robin syndrome , place baby in prone position
192. Ellis van crevelad syndrome is associated with – ASD
193. Earliest symptom in Lyme disease – Fever and Myalgia
194. Risk of hydrocephalus increases with- high spinal defects
195. Presentation similar to hurlers – GM1 gangliosidosis
196. Hypoglycorrhachia – Mumps
197. Nail patella syndrome – LMX1B gene
198. CSF finding in Rickettsial disease –
     Normal glucose , moderately elevated protein , mild mononuclear pleocytosis
199. Monophonic wheeze – bronchiomalacia
200. CD4: CD8 >4 , Increased D – dimer - Sarcoidosis

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