77 commonly asked MCQs in general pediatrics with answers

Paediatric MCQ for MRCPCH part 1

This is Set Multiple choice questions in general pediatrics commonly asked in the exam.

Answer for most of the questions is given. These MCQs are from DNB Pediatrics exam held in December 2017 and mostly based on recall and there can be few mistakes, feel free to correct them using your comments. 


The MCQ's are one-liners and could not add the options given, however alomst with every question there is an answer provided.


  1. Garlic smell in poisoning with? • Answer - arsenic
  2. Right axis deviation is not seen in? • Answer - A. ASD B. PPHN C. AV septal defect.
  3. The most characteristic feature of refeeding syndrome? • Answer - hypophosphatemia
  4. Sucking swallowing reflex coordination? • Answer - Similar for term and preterm till • Answer - 3 weeks
  5. RTA with nephrocalcinosis? • Answer - RTA1
  6. Most suppressed hormone in SAM? • Answer - insulin
  7. Sensitivity formula? • Answer -
  8. Contraindication of bag-mask ventilation? • Answer -
  9. The most common cause of stridor in infants? • Answer - Acute-croup, chronic-laryngomalacia
  10. The most common cause of stridor in children? • Answer - Foreign body
  11. Drug causing pulmonary and systemic vasodilation? • Answer - milrinone
  12. Delivery room temp for ELBW baby? • Answer - 26C
  13. The human genome contains how many genes? • Answer - 38000
  14. XLD inheritance? • Answer - Incontinentia pigmenti, Hypophosphatemic rickets, Alport's syndrome, Rett's syndrome
  15. CD4:CD8>4? • Answer - Sarcoidosis, Hodgkins lymphoma
  16. BAL showing elevated D-dimers? • Answer - sarcoidosis
  17. Retinoblastoma chromosome? • Answer - 13q14
  18. Monophasic wheeze? • Answer - Foreign body or tumour
  19. Gas in portal vein-NEC stage? • Answer - Stage 2B
  20. Gene sequence in Marfan's? • Answer - FBN1 15 chromosome
  21. The child walks alone-age? • Answer - 15 months
  22. Most common cardiomyopathy in children? • Answer - dilated
  23. Transfer object from hand to hand? • Answer - 7 to 9 months.
  24. Child can use past tense from? • Answer - 4 years
  25. Quadruple blood test? • Answer - AFP, HCG, EsTriol, Inhibin A (for downs and Edwards.)
  26. pH decreases by 0.1 causes a shift of potassium by? • Answer - 1mEq/L
  27. Most common cause of distributive shock in children? • Answer - sepsis
  28. paO2 of 210 with peripheral cyanosis? • Answer - methemoglobinemia
  29. Hemosiderin laden macrophages? • Answer - Interstitial pulmonary disease and pulmonary hemorrhage
  30. Limp gait in obese-adolescent? • Answer - SCFE
  31. Salmon rash? • Answer - SOJIA
  32. Hypercomplementemia associated syndrome? • Answer - cryoglobulinemia
  33. Hemoglobin in a 3 months old baby? • Answer - 11.5
  34. Ballard scoring? • Answer -
  35. Fontann procedure? • Answer - Tricuspid atresia, mitral atresia, hypoplastic left heart
  36. Pure tone audiometry can be done beyond the age of? • Answer - 3 years
  37. Angel wing sign? • Answer - Pneumomediastinum
  38. Not a feature of MAS? • Answer - Raised ESR
  39. Drug of choice in absence seizures? • Answer - Valproic acid in India
  40. Levetiracetam acts on? • Answer - Sv2 receptors inhibiting presynaptic Ca channels.
  41. IGILD non-caseating granuloma? • Answer -
  42. Imaging of choice in NMD? • Answer - MRI/MR Spectroscopy
  43. A most common cause of unilateral nose bleeding? • Answer - Digital trauma
  44. EBV symptoms in adolescents? • Answer - Mononucleosis-fever, sore throat, lymphadenopathy
  45. Deep palmar crease and plantar furrow in? • Answer - trisomy 8
  46. Child names one color at? • Answer - 30 months
  47. Hyperkalemic periodic paralysis inheritance? • Answer - SCN4A autosomal dominant
  48. MUAC SAM
  49. Intraparenchymal bleed IVH grade? • Answer - Grade4
  50. Tanner stage- breast bud? • Answer - B2
  51. Pneumatised sinus at birth? • Answer - maxillary
  52. 6l/min oxygen FiO2? • Answer - 44%
  53. The early manifestation of retinitis pigmentosa? • Answer - Night blindness
  54. A common site of bleeding in HDNB? • Answer - umbilicus
  55. Immunoglobulin affected in SAM? • Answer - IgA elevated high.
  56. JE vaccine used by GOI? • Answer - JEEV- SA14-14-2
  57. Bruton's disease? • Answer -
  58. Investigation of choice in HIE? • Answer - DW MRI
  59. Sodium nitroprusside is given mixing with? • Answer - D5W
  60. IEM with HSM and Autism? • Answer - Sanfilippo disease
  61. The gold standard test for streptococcal pharyngitis? • Answer - Throat culture
  62. Glomerulonephritis associated with hepatitis B? • Answer - Membranous
  63. Cranial blood flow in a neonate? • Answer - 30-50ml/100g/min.
  64. Most common lobe in aspiration pneumonia? • Answer - Rt.post.upper.
  65. A most common cause of high anion gap metabolic acidosis? • Answer - Sepsis/LA
  66. Effective KMC? • Answer - 60 min
  67. Renal angina criteria? • Answer - Sr.Cr, eCrCl, fluid overload.
  68. Gene of febrile seizure? • Answer - FEB 1to 10
  69. Coffey disease? • Answer -
  70. An early sign of kernicterus? • Answer - hypotonia
  71. Genu valgus intermalleolar distance? • Answer - >10cm
  72. Contractures at birth relieve by? • Answer -
  73. A most common factor in the pathogenesis of NEC? • Answer - Activation of TLR4.
  74. Earliest sign in septic shock? • Answer - tachypnoea
  75. Earliest sign in cardiac shock? • Answer - tachycardia
  76. Shock with decreased oncotic pressure? • Answer - Hypovolemic
  77. Peripheral neuropathy with pulmonary symptoms and eosinophilia? • Answer - Hypereosinophilic syndrome

No comments: