MCQ DNB PEDIATRICS THEORY JUNE 2016
MCQ DNB PEDIATRICS THEORY JUNE 2016 PART 1
- at 4 months measure of head circumference-42cm.
- babbling at 7months
- infection in neonates with presentation similar to rds-group b streptococcus
- cherry red spot- gangliosidosis, taysachs, neiman picks
- viral infection associated with hypoglycorhacchia-mumps
- swimmers ear infection organism-pseudomonas aeruginosa
- erythrasma caused by corynebacterium
- gionnete crostie bodies seen in hepatitis b infection
- siadh criteria
- non ketotic hypoglycinemia
- fatty oxidation defect – absent urine ketones
- jssk programme, newborn followup for 30days
- home based newborn care, follow up of newborn for 42 days
- metachromatic leukodystrophy case scenario
- tof presentation with brain abscess as complication
- segawa syndrome (dopamine responsive dystonia)- levodopa drug of choice
- drug of choice for infantile spasms in tuber ous sclerosis- vigabatrin
- topiramate side effect – renal stones
- ready to use therapeutic feeds characteristics
- apert syndrome features
- delta brush pattern on eeg- anti nmda receptor encephalitis
- gm1 gangliosidosis presentation similar to hurler.
- exaggerated startle response in gm2 gangliosidosis
- investigations in a 4month old infant following a first episode uti
- non renal cause for which dialysis is indicated- metabolic acidosis
- hyperplastic nails in rubenstein taybi syndrome
- current recommendation for a large hemangioma treatment ??(intralesional bleomycin/ propronolol/ topical steroids)
- nystagmus retractorius
- 4yr old with gtcs for 10min, neurologicallly normal, next investigation-eeg
- neural tube closes between 3rd and 4th week
- preventive dose of folic acid for ntd-0.4mg
- wide opened af- achondroplasia
- markers seen in dermatitis herpitiformis- iga and anti ttg antibody
- multiple sclerosis common presentation- optic neuritis
- multiple sclerosis in prepubertal girl diagnosis
- large café au lait spot eith irregular margins- mc cune albright sydrome
- retinitis pigmentosa, ataxia….. case scenario of abeta lipoprotienemia
- percentage of infants with spastic diplegia with mri findings of pvl-70%
- all are caused by enterovirus ingfections except- papular purpuric glove and stock syndrome (parvo virus)
- right atrial hypertrophy ecg changes- p wave amplitude >2.5mm
- cardiac index to be maintained at >3.5ml/m2/min
- 10yr old with early morning seizures and dropping objects in the hand…- juvenile myoclonic epilepsy
- epilepsy syndrome that presents beyond infancy- lennox gestaut syndrome
- infantile epileptic encephalopathy
- drug of choice for west syndrome- acth
- gems study recent organism - cryptosporidia
- shigella affects colon
- ecoli which cause persistent diarrhea- enteroaggregative ecoli
- 6month old immunized uptodate presents with bacterial meningitis organism?- meningococcus.
- congenital glaucoma – from birth to 3yrs
- cornea reaches adult size by? 2yrs
- qrs complex reaches adult size- ? 4,5,6ys
- rl sodium content -130meq/l
- congenital toxoplasmosis presentation in neonate?- periventricular calcifications/ pneumonia/ encephalitis
- persistent tachycardia in neonate- >160/180/200/220
- earliest sign of septic shock- prologed crt/ tachypnea/…
- gh deficiency
- holt oram syndrome
- skin manifestations in vasculitis
- imnci danger signs
- menkes syndrome inheritence- x linked
- color blindness inherited in x linked pattern
- neurofibromatosis type 2 case scenario
- cranial affected on contralateral side in case of cavernous sinus thrombosis
- functional murmur –stills murmur
- vsd type associated with aortic regugitation- sub aortic
- true satement- risk of hydrocephalus increases with high spinal defects
- renal angina index severity score moderate grade criteria-?
- renal biopsy indicated in unremitting arf of >4weeks duration
- newborn vision is 20/400. by what age it reaches 20/20
- common refractive error in a infant with retinopathy of prematurity
- lch associated with both sensorineural and conductive deafness
- erythema multiformae description- target (bull eye shaped)
- spinal reflex elements (nerves)
- congenital myotonic dystrophy case scenario
- mobius syndrome- fascio scapulohumeral dystropy
- commenest type of sma is type2
- ragged red fibres are seen in all except- leighs
- all of the following are transmitted by a female except- limb girdle systrophy other options (dmd/bmd/mitochondrial disease).
- staphylococcus is common pathogen in chediak heggashi syndrome
- toxic epidermolysis necrolytica % of skin invovlement- >30
- both epidermis and subcutaneous tissue are involved in steven jhonson syndrome. others (angioedema/ urticaria/???)
- acne form erruptions seen with which drug- dapsone ( cotrimoxazole/erythromycin)
- microcomedones are early skin manifestation of acne
- ecg changes in alcapa
- qp:qs ratio where left atrial and left ventricular dilatation occurs
- seizure mimmic seen with gerd- sandifer syndrome
- unconscious child with hyperventilation…
- staging of levido reticularis done at what level of skin (between groin to knee/ knee to ankle/ shoulder to elbow/ below elbow)
- spider nevi in children commonly seen in which area of the body.
- commonest sequelae following bacterial meningitis- sensorineural hearing loss.
- following bacterial meningitis what is the test to be done prior to disharge- bera.
- cicatricial skin lesions with limb hypoplasia seen in congenital varicella
- child rights- participation, protection, survival, development
- true hermaphroditism
- lyme disease earliest symptom- fever and myalgia
- eosinophilic meningitis , number of eosinophils in csf >10
- tropical pulmonary eosinophilia- eosinophil count >3000 cells
- anti arrhythmic class of drugs responsible for torsedes depointes- class 1c and
- cons associated with csf shunt infection.
- indication for surgical intervention in case of cerebral abscess- presence of gas in the abscess
- icds programme – calories and protiens supplied (500cal and 10-15g)
- best specimen to isolate atypical chlamydiae –(sputum, naspharynseal swab, bal, pleural fluid)
- most common congenital defect in nose- choanal atresia
- common presentation to the er with foreign body in nose is (epistaxis/ history of insertion/ obstruction)
- practical method to assess severe dehydration in a child (skin pinch/measurement of weight loss/…)
- congenital glaucoma presentation all except –leucocoria
- pediatric asssesment traingle -appearance , wob and circulation
- shawl sign in dermatomyositis described in relation to the distribution of reash over – shoulder girdle region.
- nakayam bodies – roseola infantum.
- et co2 , in which phase the dead space gas will be exhaled/correlates- (phase 1, 2,3,4)
- pulse oxymetry reading is unaffected in a child with jaundice (hypothermia, nail polish/….)
- test useful to differentiate between complicated and uncomplicated sam- appetite test.
- a school going boy had a conflict with another boy and sustained injuries hematoma in the neck region. the next day morning he was found to have contralateral hemiplegia- reason? (aortic dissectiion/ lateral sinus thobosis /subdural hemorrhage).
- primary amoebic meningoencephalitis- naegleria fowleri/ acanthameba/ entemoeba hystolytica.
- extrapyramidal symptoms seen with ( metaclopramide, metronidazole, phenazothiazines)
- rop screening time in an infant born at 28weeks gestation-?
- 3yr old girl with developmental regression with wringing hand movements- retts syndrome.
- differential cyanosis.
- functional closure of ductus arteriosus- 10 to 15 hrs.
- accidental ingestion of imipramine- next line of management- sorbital + activated charcoal.
- tricyclic antidepressants accidental ingestion- ecg monitoring.
- peritonsillar abscess- tonsils are displaced (anteromedially / posteromedially/ downward / upward)
- lead levels at which medical treatment to be initiated ->45mg/dl
- wardenberg syndrome
- catch 22 syndrome- 22q11
- euvolemic hyponatremia- causes (low sodium intake)
- noorwood procedure done for hlhs
- bezolds abscess- extends into neck musculature.
- short pr interval –wpw syndrome
- bazetts formula- qtc interval calculation
- cranial nerve tests- correct procures.
- klippel fiel syndrome which is not characteristic feature.
- favorable prognosis in leukemia(all).
- mesial temporal sclerosis associated with refractory seizures-best treatment results with?
- anterior spinal artery ischaemia unaffected nerves-
- emergency procedure done in case of tga- atrial septostomy.
- takayasus arteritis is characterized by- diffuse aortics arch involvement/ aortic arch only/ aortic arch and pulmonary trunk involvement.
- proximal muscle weakness with vasculopathy, muscle calcifications
- di epoxy butane test used for diagnosis of fanconi anemia.
- polycythemia is central hct of >65%
- periungual fibromas in case of tuberous sclerosis appears by what age?
- severe hie changes on mri are seen as bilateral basal gnaglia and thalamus hyperintensities
- thalassemia major is characterized by all except- low serum iron
- warning sign in dengue- persistent vomiting
- left ventricular hypertrophy is seen in
- low osmolar ors reduces all except-- reduced antibiotic rates in dysentry.
- spasmus nutans is associated with-
- number of vitamin a doses by 5yrs of age as per rmnch a + programme
- ellis van crevald syndrome is associated with asd
- subcutaneous fat necrosis is complicated by hypercalcemia
- vaccine not included in mission indradhanush- typhoid
- cleft in the cerebral hemisphere- schizencephaly
- smooth cerebral convolutions- lissencephaly
- tinea pedis affects commonly which web spaces
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