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.
- At 4 months measure of head circumference-42cm.
- Babbling at 7months
- Infection in neonates with a 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 hyperglycinemia
- 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 a complication
- Segawa syndrome (dopamine responsive dystonia)- levodopa drug of choice
- Drug of choice for infantile spasms in tuberous 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, neurologically normal, next investigation-EEG
- the 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 presentations- optic neuritis
- Multiple sclerosis in prepubertal girl diagnosis
- large café au lait spot with irregular margins- mc Cune aAlbright 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 infections 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
- E-coli which cause persistent diarrhea- enteroaggregative ecoli
- 6month old immunized update 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 a neonate- >160/180/200/220
- the earliest sign of septic shock- prolonged CRT/ tachypnea/…
- GH deficiency
- holt Oram syndrome
- skin manifestations in vasculitis
- IMNCI danger signs
- Menkes syndrome inheritance- x linked
- color blindness inherited in x linked pattern
- neurofibromatosis type 2 case scenario
- Cranial nerves affected on contralateral side in case of cavernous sinus thrombosis
- functional murmur –stills murmur
- VSD type associated with aortic regurgitation- sub aortic
- True statement- the 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 an 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 fibers 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 a common pathogen in chediak heggashi syndrome
- toxic epidermolysis necrolytica % of skin involvement- >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, at which left atrial and left ventricular dilatation occurs
- seizure mimmic seen with gerd- sandifer syndrome
- the 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 before discharge- 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 proteins supplied (500cal and 10-15g)
- the best specimen to isolate atypical chlamydiae –(sputum, nasopharyngeal swab, bal, pleural fluid)
- a most common congenital defect in nose- choanal atresia
- common presentation to the er with a foreign body in nose is (epistaxis/ history of insertion/ obstruction)
- a practical method to assess severe dehydration in a child (skin pinch/measurement of weight loss/…)
- congenital glaucoma presentation all except –leucocoria
- pediatric assessment triangle -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- the reason? (aortic dissections/ lateral sinus thrombosis /subdural hemorrhage).
- primary amoebic meningoencephalitis- naegleria fowleri/ acanthamoebae/ entamoeba hystolytica.
- extrapyramidal symptoms seen with ( metoclopramide, metronidazole, phenothiazines)
- 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- sorbitol + 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.
- Takayasu's arteritis is characterized by- diffuse aortic 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 appear by what age?
- severe hie changes on MRI are seen as bilateral basal ganglia 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 dysentery.
- spasmus nutans is associated with-
- number of vitamin a doses by 5yrs of age as per rmnch a + programme
- Ellis van Creveld 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