105 Multiple choice questions in pediatrics for Medical students

This is a collection of 105 MCQs in pediatrics useful for DNB and MRCPCH exams - Part 1.

MRCPCH exam. The format of MCQs is used for a long time in MRCPCH and other pediatric board exams. Recently multiple-choice questions are also introduced in DNB theory exams.

These MCQs are based on a recall mostly, from DNB Exam held in December 2016 and there are chances of few errors. Feel free to correct or add more MCQs using the comments section.

Hope this provides a fair idea about the pattern of MCQs asked in the exam.

1. Which virus is secreted in breast milk?
1. Herpes simplex
2. b CMV
2. Oxygen consumption in neonates
1. 6 ml/kg/min
2. 8 ml/kg/min
3. 10ml/kg/min
4. 12 ml/kg/min
3. Glucose consumption rate in the neonate
1. 2-4mg/kg/min
2. 4-8ml/kg/min
3. 8-10 ml/kg/min
4. 10-12 ml/kg/min
4. Morrow's reflex normally disappears by
1. 3 months
2. 4 months
3. 6 months
4. 8 months
5. Atomoxetine is primarily used in
1. Obesity
2. ADHD
3. Schizophrenia
4. Depression
6. Difference between proximal RTA and distal RTA
1. Hyperkalemia and bica
2. Hyperkalemia and
3. Hypokalemia and
4. Hypokalemia
7. Increased intracranial tension is a feature of
1. Cyclosporine therapy
2. Hypervitaminosis D
3. Vitamin A deficiency
4. Lead poisoning
8. Not a criteria for the diagnosis of SAM
1. Severe wasting
2. Decreased height for age
9. Biochemical feature of protein-energy malnutrition
1. Low insulin
2. Low catecholamine level
3. Low cortisol level
10. Ossification centre of a distal end of femur appears by
1. 24 weeks
2. 28 weeks
3. 30 weeks
4. 36 weeks
11. which of d following is true about Salbutamol?
1. For its action on lungs, it has to be given by inhalation only
2. It is a selective b1 agonist
3. It causes decreased lung volume
4. It causes constriction of smooth muscles
12. All of the following are essential amino acids except
1. Methionine
2. Valine
3. Glutamine
4. Lysine
13. Absence seizures are precipitated by which of d following.
1. Ethosuximide
2. Carbamazepine
3. Benzodiazepines
4. Valproate
14. Which of d following are seen in a child with protein-energy malnutrition
1. low insulin
2. low cortisol
3. low catecholamines
4. normal growth hormone levels
15. Skin maturation gets completed by what gest age?
1. 20
2. 22
3. 24
4. 28
16. Vitamin K concentration in breast milk?
1. 0.5
2. 0.7
3. 1
4. 1.5
17. Prolonged feeding of Hind milk leads to
1. abnormal weight gain
2. decreased lean mass
3. osteopenia
4. less fat
18. All of The following are seen in Hypothyroidism except-
1. - Wormian bones
2. - stipulated ribs
3. - Beaking of the vertebra
4. - Epiphyseal dysgenesis
19. Sensory neuropathy is seen with all of d following except-
1. CIDP
2. Riley Day syndrome
3. GBS
4. Giant axonal neuropathy
20. Pasteurized donor milk, will be culture neg after thawing
1. 6hr
2. 12hr
3. 24hr
4. 72hr
21. 21. O2 sats(SpO2) of neonates to be ensured at 5 min after birth (NRP 2010) –
1. 70-75%
2. 75-80%
3. 80-85%
4. 85-95%
22. 22. Objective visual assessment method in newborns –
23. 23. Upto what G.A should nutritional supplements be given to preterms –
1. 33 weeks
2. 36 weeks
3. 38 weeks
4. 40 weeks
24. 24. All of the following would increase oxygenation in a ventilated baby except–
1. Increase in inspiratory time
2. Increase in RR
3. Increase in PIP
4. Increase in peep
25. 25. All of the following would wash out CO2 in ventilated child except –
1. Increased RR
2. Increased PIP
3. Increased PEEP
4. Increased
26. 26. If lung resistance is increased and compliance kept same time constant would –
1. Increase
2. Decrease
3. Remains same
27. 27. Correct latching technique to the breast is shown by all except –
1. Mouth wide open
2. Areola visible more on the upper side than lower
3. Sucking with rest in between
28. 28. What is the only variable component in breast milk among the following –
1. Fat
2. Protein
3. Carbohydrate
29. 29. Drawback of donated breast milk includes all except –
1. Low nutritional status
2. Poor neurodevelopmental outcome
3. .
4. .
30. 30. Which among the following CHDs is most likely to go in heart failure –
1. Hypoplastic left heart syndrome
2. VSD
3. ASD
31. 31. Caudal part of IVS is formed by –
1. Left ventricle
2. Right ventricle
32. 32. Commonest form of ICH in preterms –
1. Subdural hematoma
2. Extradural hematoma
3. Intraventricular hemorrhage
4. .
33. 33. Which parameter among the following is given a score of 5 in new Ballard score
1. Arm recoil
2. Square window
3. Scarf sign
34. 34. Shape of the upper airway of newborns –
1. Funnel-shaped and wide subglottis
2. Funnel-shaped and narrow subglottis
3. Funnel-shaped and wide subglottis
4. Funnel-shaped and narrow subglottis
35. 35. Formula for calculating ET tube size –
1. Age x 2+8
2. Age
3. Age years /4 + 4
4. Age
36. 36. Adrenaline ET tube dose –
1. 0.1mg/kg
2. 0.01 mg/kg
3. 1mg/kg
4. .
37. 37. Respirable particle size to be deposited in airways
1. 1-2 micron
2. 2-5 micron
3. 5-10 micron
4. 10-15 micron
38. 38. used in the prevention of CLD
1. vit. A
2. .
39. 39. Severity of night blindness wid prevalence of
1. 4%
2. .
3. .
4. .
40. 40. conjugated hyperbilirubinemia is seen in
1. Dubin Johnson syndrome
2. Crigler najar syndrome
3. .
4. .
41. 41. scarring seen in which type of epidermolysis bullosa?
42. 42. severe dengue char by all except.
1. tourniquet test
2. falling hematocrit
3. liver size increased by 2 cm
4. .
43. 43. In HMD
1. compliance decreased
2. compliance increased
3. .
4. .
44. 44. acne vulgaris Rx of choice is
1. Retinoic acid topical
2. Doxycycline oral
4. Oral Doxycycline and topical retinoic acid
45. 45. In congenital lupus heart block develops at week
1. .
2. ,
3. .
4. .
46. 46. Gas shadow reaches in the rectum of neonate appears at hours??
1. 8 hours
2. 12 hours
3. 24 hours
4. 30 hours
47. 47. which is not a quantitative anomaly of platelet
1. Glanzman's
2. TTP
3. Hemangioma
4. .
48. 48. In TPN –
1. fat = 3gm/kg
2. fat =6 gm/kg
49. 49. Most common adverse effect of TPN
1. hypoglycemia
2. hypocalcemia
3. hypomagnesemia
50. 50. 1gm of albumin binds how much bilirubin
1. 8mg
2. 6 mg
3. 10 mg
51. 51. All are AR inheritance except
1. OTC deficiency
52. 52. max urine osmolarity in neonates
1. 100
2. 150
3. 800
4. 1000
53. 53. breast milk factors active against giardia n amoebiasis
1. Lactoferrin
54. 54. Mechanism of diarrhea in giardiasis
1. Mechanical obstruction
2. Covering surface area
55. 55. kidney attains adult level GFR by what age
1. 1 year
2. 2 year
3. 5 year
4. .
56. 56. RBC life span in neonates
1. 30 days
2. 45 days
3. 90 days
4. 120 days
57. 57. the biophysical profile which is not included
1. stress test
2. fetal activity
3. breathing movement,
4. amniotic fluid volume
58. 58. erythema toxicum fluid contains which cells
1. Basophil
2. Eosinophil
3. Neutrophil
59. 59. noonan's syndrome PS
1. supra valvular
2. Subvalvular
3. .
4. .
60. 60. A female.....
1. Noonan syndrome
2. Klinefelter syndrome
3. Turner syndrome
4. .
61. 61. hematopoiesis shifts from liver to bone at what age
1. 8 weeks
2. 10 weeks
3. 12 weeks
4. 20 weeks
62. 62. Most common complication of measles
1. Meningitis
2. Pneumonia
3. Malnutrition
4. .
63. 63. At what age gait of a child is matured as an adult?
1. 1 year
2. 2 year
3. .
4. .
64. 64. WHOs new growth chart contains which percentiles.....
1. 3rd, 10th, 90th and 97th
2. 3rd, 10th 50th, 90th, and 97th
3. 3rd, 10th,50th,85th, and 97th
4. .
65. 65. Which of the following has a high anion gap metabolic acidosis...
1. Renal tubular acidosis
2. Diarrhea
3. .
4. .
66. 66. hormone causing breastmilk jaundice...
1. 3,8 pregnanediol
2. .
3. .
4. .
67. 67. diptheria causes all except.....
1. Myocarditis
2. .
3. .
4. .
68. 68. crescentic glomerulitis is seen in...
1. mesangiocapillary
2. .
3. .
4. .
69. 69. the factor responsible for cardiac involvement apart from anti-RO and anti-L..
1. ds-DNA
2. .
3. .
4. .
70. 70. Activated charcoal is useful in all poisoning except...
1. Mercury poisoning
2. .
3. .
4. .
71. 71. non-necrotizing granuloma is seen in...
1. micro-PAN
2. .
3. .
4. .
72. 72. A child delivered normally and uneventfully. Her mother had a mild placental abruption. On the 2nd day child presented with vomiting which contains blood. Which test should be done
1. Apt Downey test
2. Klehar betke test
3. .
4. .
73. 73. Which of the following is true about Parachute reflex?
1. Disappears by 1 year
2. Appears before birth
3. Appears at age of months and persists throughout life
4. .
74. 74. Which is the investigation of choice for choanal atresia
1. Rhinogram
2. MRI
3. CECT
4. .
75. 75. A child presented with non bilious vomiting since 6 weeks of life and electrolyte abnormality found- hypochloremic metabolic alkalosis, what could be the diagnosis
1. Pyloric stenosis
2. Intestinal obstruction
3. .
4. .
76. 76. Physiologic closure of Ductus occurs at the age of
1. 1 day
2. 2-3 days
3. 3-5 days
4. 1 month
77. 77. Congenital inguinal hernia should be operated at
1. Intrauterine
2. At birth
3. 6 months
4. .
78. 78. Omphalocele was detected at 11 weeks of gestational age. What advice should be given to the parents
1. Amniocentesis and genetic study
2. Termination of pregnancy
3. Reassurance
4. .
79. 79. Edward syndrome
1. Trisomy 18
2. Trisomy 21
3. .
4. .
80. 80. Downs syndrome
1. Trisomy 21
2. Trisomy18
3. .
4. .
81. 81. Leishmania yield is highest from
1. Spleen
2. Liver
3. Bone marrow aspirate
4. Lymph nodes
82. 82. A child with.......... anemia....retic count-0.4, TLC-2800 ( neutrophil 20%)
1. Aplastic anemia
2. Pure red cell aplasia
3. Parvo virus b infection
4. Iron deficiency anemia
83. 83. Folic acid supplementation should be started to prevent neural tube defect
1. Before conception
2. At missed period
3. 2 months after a missed period
4. In
84. 84. Folic acid supplementation dose to prevent NTD
1. 4 mg daily
2. 0.4 mg daily
3. .
4. .
85. 85. Most common cause of abdominal mass in the neonate (2 months)
1. Teratoma
2. Wilms tumour
3. Neuroblastoma
4. Renal dysplasia
86. 86. Which of the following is not a normal neonatal finding
1. Epstein's Perl
2. Mongolian spot
3. Preauricular tags
4. .
87. 87. In IMCI which is not a criterion for severe respiratory distress
1. Retraction
2. Cyanosis
3. .
4. .
88. 88. Pupillary reflex normally present by
1. 20-22 wks
2. 22-24 wks
3. 24-30 wks
4. 30-36 wks
89. 89. Nerve roots involved in suckling reflex
1. X,, IX, XII
2. X, IX, XII, X
3. V, VII, X, XII,
4. V, VII, IX, X, XII
90. 90. Nuchal thickness > 6 mm in mid-trimester s/o
1. Downs syndrome
2. Turners syndrome
3. Klinefelter's syndrome
91. 91. Maternal serum AFP is decreased in
1. Downs syndrome
2. neural tube defect
92. 92. Which of the following structure forms the base of Fossa ovalis
1. Septum primum
2. Septum intermedium
3. Septum secundum
93. 93. F100 contains
1. Protein 2.4 gm, Lactose 3.1 gm
2. Protein 2.4 gm, Lactose 3.8 gm
3. Protein 2.9 gm, Lactose 3.1 gm
4. Protein 2.9 gm, Lactose 3.8 gm
94. 94. Congenital syphilis which is not present
1. Vaginal lesions
2. Periostitis
3. Nasal snufflers
4. .
95. 95. Regarding pain management in a neonate
1. Neonate doesn’t have pain sensation
2. A pharmacological method is only method
3. .
4. PIPS is the only validated pain management scale
96. 96. Which permanent tooth appears first
1. 1st premolar
2. Incisor
3. 1st molar
4. 2nd molar
97. 97. Neonatal evaporation is measured by
1. Tasometer
2. Tachometre
98. 98. Most vital part of phototherapy
1. A distance of light source
2. Duration of phototherapy
3. The surface area of exposure
4. Spectral irradiance
99. 99. A child is able to walk upstairs with a holding rail, able to run and
1. 18 months
2. 2 years
3. 30 months
4. 36 months
100. 100. A child able to draw cross
1. 2 years
2. 3 years
3. 4 years
4. 5 years
101. 101. Nutritional rickets treatment step is
1. Calcium supplement
2. Vitamin d supplement
3. Magnesium supplement
102. 102. A child with road traffic accident has no vomiting, no LO CT scan shows bleed around right tympanic membrane
1. Subdural hemorrhage
2. Extradural hemorrhage
3. Fracture base of skull
4. Intraventricular hemorrhage
103. 103. A child with multiple fractures, healing properly and abnormal development of long bones
1. Rickets
2. Osteogenesis imperfecta
104. 104. Which of the following is not a diagnostic criteria of Kawasaki disease
1. Red tongue
2. Rashes
3. Fever for more than a month
4. Periungual squamation
105. 105. Most common bleeding disorder
1. Von Willebrand disease
2. Haemophilia
3. G6PD