180 Multiple Choice Question in General Pediatrics - Part 1

Pediatric Multiple choice questions for mrcpach part 1 and DNB exam

This is a set of 180 Multiple choice questions in pediatrics for DNB and MRCPCH exams - Part 1.

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

  1. At 4 months measure of head circumference-42cm.
  2. Babbling at 7months
  3. Infection in neonates with a presentation similar to rds-group b streptococcus
  4. Cherry red spot- gangliosidosis, taysachs, neiman picks
  5. Viral infection associated with hypoglycorhacchia-mumps
  6. Swimmers ear infection organism-pseudomonas aeruginosa
  7. Erythrasma caused by corynebacterium
  8. Gionnete Crostie bodies seen in hepatitis b infection
  9. SIADH criteria
  10. Non-ketotic hyperglycinemia
  11. Fatty oxidation defect – absent urine ketones
  12. JSSK programme, newborn followup for 30days
  13. Home-based newborn care, follow up of newborn for 42 days
  14. Metachromatic leukodystrophy case scenario
  15. TOF presentation with brain abscess as a complication
  16. Segawa syndrome (dopamine responsive dystonia)- levodopa drug of choice
  17. Drug of choice for infantile spasms in tuberous sclerosis- vigabatrin
  18. Topiramate side effect – renal stones
  19. Ready to use therapeutic feeds characteristics
  20. Apert syndrome features
  21. Delta brush pattern on EEG- anti NMDA receptor encephalitis
  22. GM1 gangliosidosis presentation similar to hurler.
  23. Exaggerated startle response in gm2 gangliosidosis
  24. Investigations in a 4month old infant following a first episode UTI
  25. Non-renal cause for which dialysis is indicated- metabolic acidosis
  26. Hyperplastic nails in Rubenstein taybi syndrome
  27. current recommendation for a large hemangioma treatment ??(intralesional bleomycin/ propronolol/ topical steroids)
  28. Nystagmus retractorius
  29. 4yr old with gtcs for 10min, neurologically normal, next investigation-EEG
  30. the neural tube closes between 3rd and 4th week
  31. preventive dose of folic acid for NTD -0.4mg
  32. wide opened AF - achondroplasia
  33. Markers seen in dermatitis herpitiformis- iga and anti ttg antibody
  34. Multiple sclerosis common presentations- optic neuritis
  35. Multiple sclerosis in prepubertal girl diagnosis
  36. large café au lait spot with irregular margins- mc Cune aAlbright Sydrome
  37. retinitis pigmentosa, ataxia….. case scenario of abeta lipoprotienemia
  38. percentage of infants with spastic diplegia with MRI findings of pvl-70%
  39. all are caused by enterovirus infections except- papular purpuric glove and stock syndrome (parvo virus)
  40. right atrial hypertrophy ECG changes- p wave amplitude >2.5mm
  41. cardiac index to be maintained at >3.5ml/m2/min
  42. 10yr old with early morning seizures and dropping objects in the hand…- juvenile myoclonic epilepsy
  43. epilepsy syndrome that presents beyond infancy- Lennox gestaut syndrome
  44. infantile epileptic encephalopathy
  45. drug of choice for west syndrome- acth
  46. gems study recent organism - cryptosporidia
  47. shigella affects colon
  48. E-coli which cause persistent diarrhea- enteroaggregative ecoli
  49. 6month old immunized update presents with bacterial meningitis organism?- meningococcus.
  50. congenital glaucoma – from birth to 3yrs
  51. cornea reaches adult size by? 2yrs
  52. qrs complex reaches adult size- ? 4,5,6ys
  53. rl sodium content -130meq/l
  54. congenital toxoplasmosis presentation in neonate?- periventricular calcifications/ pneumonia/ encephalitis
  55. persistent tachycardia in a neonate- >160/180/200/220
  56. the earliest sign of septic shock- prolonged CRT/ tachypnea/…
  57. GH deficiency
  58. holt Oram syndrome
  59. skin manifestations in vasculitis
  60. IMNCI danger signs
  61. Menkes syndrome inheritance- x linked
  62. color blindness inherited in x linked pattern
  63. neurofibromatosis type 2 case scenario
  64. Cranial nerves affected on contralateral side in case of cavernous sinus thrombosis
  65. functional murmur –stills murmur
  66. VSD type associated with aortic regurgitation- sub aortic
  67. True statement- the risk of hydrocephalus increases with high spinal defects
  68. renal angina index severity score moderate grade criteria-?
  69. Renal biopsy indicated in unremitting arf of >4weeks duration
  70. newborn vision is 20/400. by what age it reaches 20/20
  71. common refractive error in an infant with retinopathy of prematurity
  72. LCH associated with both sensorineural and conductive deafness
  73. erythema multiformae description- target (bull eye shaped)
  74. spinal reflex elements (nerves)
  75. congenital myotonic dystrophy case scenario
  76. Mobius syndrome- fascio scapulohumeral dystropy
  77. commenest type of sma is type2
  78. ragged red fibers are seen in all except- leighs
  79. all of the following are transmitted by a female except- limb girdle systrophy other options (dmd/bmd/mitochondrial disease).
  80. staphylococcus is a common pathogen in chediak heggashi syndrome
  81. toxic epidermolysis necrolytica % of skin involvement- >30
  82. both epidermis and subcutaneous tissue are involved in steven jhonson syndrome. others (angioedema/ urticaria/???)
  83. acne form erruptions seen with which drug- dapsone ( cotrimoxazole/erythromycin)
  84. Microcomedones are early skin manifestation of acne
  85. ECG changes in alcapa
  86. qp:qs ratio, at which left atrial and left ventricular dilatation occurs
  87. seizure mimmic seen with gerd- sandifer syndrome
  88. the unconscious child with hyperventilation…
  89. staging of levido reticularis done at what level of skin (between groin to knee/ knee to ankle/ shoulder to elbow/ below elbow)
  90. spider nevi in children commonly seen in which area of the body.
  91. commonest sequelae following bacterial meningitis- sensorineural hearing loss.
  92. following bacterial meningitis what is the test to be done before discharge- bera.
  93. cicatricial skin lesions with limb hypoplasia seen in congenital varicella
  94. child rights- participation, protection, survival, development
  95. true hermaphroditism
  96. lyme disease earliest symptom- fever and myalgia
  97. eosinophilic meningitis, number of eosinophils in csf >10
  98. tropical pulmonary eosinophilia- eosinophil count >3000 cells
  99. anti-arrhythmic class of drugs responsible for torsedes depointes- class 1c and
  100. cons associated with csf shunt infection.
  101. indication for surgical intervention in case of cerebral abscess- presence of gas in the abscess
  102. icds programme – calories and proteins supplied (500cal and 10-15g)
  103. the best specimen to isolate atypical chlamydiae –(sputum, nasopharyngeal swab, bal, pleural fluid)
  104. a most common congenital defect in nose- choanal atresia
  105. common presentation to the er with a foreign body in nose is (epistaxis/ history of insertion/ obstruction)
  106. a practical method to assess severe dehydration in a child (skin pinch/measurement of weight loss/…)
  107. congenital glaucoma presentation all except –leucocoria
  108. pediatric assessment triangle -appearance , wob, and circulation
  109. shawl sign in dermatomyositis described in relation to the distribution of reash over – shoulder girdle region.
  110. nakayam bodies – roseola infantum.
  111. et co2 , in which phase the dead space gas will be exhaled/correlates- (phase 1, 2,3,4)
  112. pulse oxymetry reading is unaffected in a child with jaundice (hypothermia, nail polish/….)
  113. test useful to differentiate between complicated and uncomplicated sam- appetite test.
  114. 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- the reason? (aortic dissections/ lateral sinus thrombosis /subdural hemorrhage).
  115. primary amoebic meningoencephalitis- naegleria fowleri/ acanthamoebae/ entamoeba hystolytica.
  116. extrapyramidal symptoms seen with ( metoclopramide, metronidazole, phenothiazines)
  117. ROP screening time in an infant born at 28weeks gestation-?
  118. 3yr old girl with developmental regression with wringing hand movements- retts syndrome.
  119. differential cyanosis.
  120. functional closure of ductus arteriosus- 10 to 15 hrs.
  121. accidental ingestion of imipramine- next line of management- sorbitol + activated charcoal.
  122. tricyclic antidepressants accidental ingestion- ECG monitoring.
  123. peritonsillar abscess- tonsils are displaced (anteromedially / posteromedially/ downward / upward)
  124. lead levels at which medical treatment to be initiated ->45mg/dl
  125. wardenberg syndrome
  126. catch 22 syndrome- 22q11
  127. euvolemic hyponatremia- causes (low sodium intake)
  128. noorwood procedure done for hlhs
  129. bezolds abscess- extends into neck musculature.
  130. short pr interval –wpw syndrome
  131. bazetts formula- qtc interval calculation
  132. cranial nerve tests- correct procures.
  133. Klippel fiel syndrome which is not characteristic feature.
  134. favorable prognosis in leukemia(all).
  135. mesial temporal sclerosis associated with refractory seizures-best treatment results with?
  136. anterior spinal artery ischaemia unaffected nerves-
  137. emergency procedure done in case of tga- atrial septostomy.
  138. Takayasu's arteritis is characterized by- diffuse aortic arch involvement/ aortic arch only/ aortic arch and pulmonary trunk involvement.
  139. proximal muscle weakness with vasculopathy, muscle calcifications
  140. di epoxy butane test used for diagnosis of Fanconi anemia.
  141. polycythemia is central hct of >65%
  142. periungual fibromas in case of tuberous sclerosis appear by what age?
  143. severe hie changes on MRI are seen as bilateral basal ganglia and thalamus hyperintensities
  144. thalassemia major is characterized by all except- low serum iron
  145. warning sign in dengue- persistent vomiting
  146. left ventricular hypertrophy is seen in
  147. low osmolar ors reduces all except-- reduced antibiotic rates in dysentery.
  148. spasmus nutans is associated with-
  149. number of vitamin a doses by 5yrs of age as per rmnch a + programme
  150. Ellis van Creveld syndrome is associated with asd
  151. subcutaneous fat necrosis is complicated by hypercalcemia
  152. vaccine not included in mission indradhanush- typhoid
  153. cleft in the cerebral hemisphere- schizencephaly
  154. smooth cerebral convolutions- lissencephaly
  155. tinea pedis affects commonly which web spaces