MCQ in Pediatrics | Part 2

A child with recurrent Ottorea and necrotic tissue in the ear is seen in

1. Histiocytosis X
2. CVID
3. SCID
4. Mucormycosis

What is the PPV for a disease with % prevalence, % specificity and % sensitivity?

1. 81%
2. 79%
3. 32%
4. 90%

Large placenta with hydatidiform cyst is seen in?

1. Diploidy mixoploidy syndrome
2. Downs syndrome
3. Turner syndrome

In the diagnosis of eosinophilic oesophagitis. Number of Eosinophils Cell count is?

1. 5/hpf
2. 10/Hpf
3. 15/ HPF
4. 20/HPF

Minimum parasite load in thick smear for diagnosis of malaria is?

1. 50 parasites/μl of blood
2. 100 parasites/μl of blood
3. 20 parasites/μl of blood
4. 1 parasites/μl of blood

Most common abdominal mass palpable in NewBorn is

1. Hydronephrosis
2. Multicystic kidney disease
3. neuroblastoma
4. nephroblastoma

Stage of NEC with portal vein gas?

1. 2a
2. 2b
3. 3
4. 4

What is the sensitivity of radionucleotide scan in diagnosis of Meckel's Diverticula?

1. 85%
2. 50%
3. 8%
4. 10%

The common cold caused by adenovirus is also responsible for

1. Bronchiolitis
2. Pneumonia
3. Pharyngo Conjunctival fever
4. Bronchitis

Purulent conjunctivitis with tachypnea and cough. The etiology is most likely to be

1. Mycoplasma
2. Chlamydia
3. Leptospira
4. Staph

Which of the following is true for hyperaldosteronism

1. causes metabolic Alkalosis
2. hyperkalemia
3. increased urinary loss of sodium
4. Increase loss of potassium in urine

Holoprosencephaly Is most likely to be associated with

1. Maternal Diabetes
2. Maternal smoking
3. Maternal alchohol intake
4. Teratotoxins

Arsenic poisoning presenting with severe diarrhea, immediate line of management would be?

1. Give Dimercaprol
2. Give Ipecac
3. give fluids
4. Oxygen supplimentation

In WHO growth chart, BMI for age is available for which age group?

1. 5-19 years
2. 0-5 years
3. 5-19 years

Bisphosphonates is used in treatement of which of the following?

1. Osteoporosis
2. Osteoclastosis
3. Osteopetrosis
4. Osteogenesis Imperfecta

Differentiating feature between primary ciliary disease & cystic fibrosis is?

1. a.Recurrent LRTI
2. Acute sinus inf
3. Otitis Media
4. Bronchitis

Plasma transfusion helps to raise which factor?

1. VWF
2. factor 2
3. Factor 5
4. factor 7

In Wilson's disease, KF ring is seen in which part of eye?

1. Descemet's membrane
2. Stroma below Descemet's membrane
3. c.keratin layer
4. d.dermal layer

Splenectomy is indicated in

1. PCV requirement >ml/kg/year
2. Transfusion requirement > and half time basal requirement
3. Side effects are seen with Iron chelation

Cherry red spot are not seen in

1. Krabbe's
2. GM1 gangliosidosis
3. GM2 Gangliosidosis
4. Sanflippos dis

X-ray findings in hypothyroidism are all except

1. Wormian bones
2. Beaking Vertebra
3. Epiphyseal dysgenesis
4. Flat horizontal stippled ribs

Macrocystis anemia with ringed sideroblast is seen in

1. Pernicious anemia
2. Sideroblastic anemia
3. Megaloblastic anemia
4. Iron deficiency anemia

Atomoxetine is used in

1. ADHD
2. Bipolar dissorder
3. Primary Enuresis
4. Mood dissorders

Pectus exacavatum true is

1. lung capacity increases
2. FRV increases
3. FRV decreases

ROME criteria is used for

1. Chronic constipation
2. Chronic Vomiting
3. Migraine
4. Diarrhea

The larynx position in Child true is

1. Funnel-shaped with narrow Subglottis
2. Cyllindrical
3. Cyllindrical with narrow subglottis
4. Funnel shaped with narrow epiglottis

If history is suggestive of Celiac disease. What is the investigation of choice for definitive diagnosis?

1. Iga anti EMA
2. Intestinal Biopsy
3. HLA typing
4. S. IG A assay

As per FAB classification AML- M stage corresponds to

1. AML wit out maturation
2. AML with maturation
3. Promyelocytic
4. Metamyelocytes

The angle of the Eustachian tube in infants is

1. 10 degrees
2. 25 degrees
3. 60 degrees
4. 90 degrees

Strategy to reduce VAP in Ventilated patients include following except

1. Elevate head up to 30 degree
2. prophylactic use of antibiotic
3. Use of closed suction catheter while suctioning every time
4. Keep NPM

In bicycle handle trauma, which part of the body in a child is likely to be injured?

1. Spleen
2. pancreas
3. Liver
4. Kidneys

In PPHN drug which is not used is

NiO
Oxygen
Sildenafil
indomethacin

In Mid-day meal programme- calorie and proteins provided are?

1. 300kcal and 6gm protein
2. 600kcal and 3gm Protein
3. 300Kcal and 3.5gm protein
4. 600Kcal and 3.5gm protien

As per PALS , primary assessment of disability refers to

1. fracture
2. Hand held in split
3. Altered level of consciousness
4. Bruise over the forearm

In a Child with prolonged thrombin time with a sample taken in Heparin bulb,  a test which is done to differentiate heparin-induced prolonged Thrombin time is

1. APTT
2. Thromboplastin Time
3. Prothrombin time
4. Reptilase Time

A loading dose of levetiracetam in status epilepticus ?

1. 20-40mg/kg
2. 15mg/kg
3. 30mg/kg
4. 10-30mg/kg

anti-IL-1 , Anakinra is used in which type of JIA

1. Systemic-onset JIA
2. Loigoartixular JIA
3. Enthesitis related JIA
4. Rh factor + polyarthritis

Evrything about JIA

Bethesda assay is used for

1. platelet function
2. Coagulation factor assay
3. Level of coagulation inhibitor factor assay
4. d.Differentiate heparin-induced prolonged Thrombin time

In Superior Mesenteric Artery Syndrome(SMA) syndrome, sma compressed against the aorta by

1. 1st part of the duodenum
2. 2nd part of duodenum
3. c.3rd part of Duodenum
4. Jejunum

Foodborne strep pharyngitis is spread by

1. Group A streptococci
2. Group B streptococci
3. Group C streptococci
4. Group G streptococci

Eosinophilia with Hepatospleenomegaly is seen in

1. Eosinophilic granuloma
2. Hypereosinophilic syndrome
3. HLH
4. d.Chaurg strauss syndrome

As per PALS guidelines by AAP, maximum dose of adenosine for st dose is

1. 6mg
2. 1mg
3. 12mg
4. 0.6mg

Which of the following statistical test can be used for comparison of Hb level before and after intervention in the same group

1. Paired T-test
2. Unpaired T-test
3. Chi-square test

Detail on inferential statistics procedure here

Which of the following is not an inherited Aminoacidopathies

1. Isovaleric Acidemia
2. Glutaric Acidemia
3. Arginosuccinic Acedemia
4. Propionic Acidemia

In NBS, preterm with equally visible Labia minor and majora gets a score of

1. 2
2. 1
3. 0
4. 3

In Pyloric stenosis infants presents with Vomiting at

1. Birth
2. 2 weeks
3. 3 week
4. 3 month

Beck's triad is seen in

1. Cardiac Tamponade
2. Cardiac failure
3. Pleaural effusion
4. AV fistule

Angel Wing sign is seen in

1. Pneumomediastinum
2. Obstructive Emphysema
3. Pneumothorax
4. Lobar Emphysema

Infant presents to an emergency room with tachypnea and respiratory distress, hypoxia and cyanosis, is suspected to have foreign body Obstructing the airway and given back blows but is still cyanotic and hypoxic, next step of managemen would be

1. Start CPR with Chest compression
2. Turn supine and GIve Chest thrust
3. Open the mouth and insert fingers blindly to remove FB
4. Give oxygen and observe and monitor with preparation for Intubation

In BPD, the Maternal infective organism which is suspected to be responsible for BPD in a baby is

1. Ureaplasma Urealitucum
2. B hemolytic streptococci
3. L monocytogenes
4. S typhosa

Test that Correctly detects and rules out disease status is indicated by

1. Specificity
2. Sensitivity
3. PPV
4. NPV

% of oxygen delivered by Nasal prongs with ltr of Oxygen is

1. 21%
2. 30%
3. 40%
4. 50%

Fetal Bradycardia is considered when HR falls below

1. 40
2. 0
3. 90
4. 60

In breast milk banking, breast milk can be stored up to the max period of

1. 1-3 days
2. 3-4 weeks
3. 4-6 months
4. 3-4 years

Hemodynamically stable Child presents with a heart rate of bpm with irritability, next step of management is

1. Call the Cardiologist for an opinion
2. Connect to a pulse oximeter and monitor
3. Check BP
4. Arrange for Synchronised Cardioversion (keep it ready) as it may be needed later

The requirement of Calcium and Phosphate in PT is

1. Ca 200mg and 0Ph mg
2. Ca 300mg 150ph mg
3. Ca 400mg 200ph mg
4. Ca 0mg ph 50mg

X linked inheritance pattern is seen in

1. Hurler
2. Hunter syndrome
3. Morquio's
4. d.Sanfilippo syndrome type A

Palatal palsy is seen as a complication in Diphtheria after

1. 1-week
2. 2-week
3. 3-week
4. 4-week

An antidote for B blocker is

1. Glucagon
2. Calcium
3. Insulin
4. Activate charcoal

Which of the following presents with left axis deviation

1. Tricuspid atresia
2. Tricuspid reugurgitation
3. Aortic stenosis
4. Aortic regurgitation

Which of the following GSD presents with short PR interval and peaked QRS complex

1. Pompes disease
2. Mc ardles
3. von Gierke disease
4. Cori disease

For an audible range of frequency up to , Hz, to say it as profound hearing loss, loss of hearing should be more than?

1. 20db
2. d30b
3. 50db
4. 70dB

Refeeding syndrome is associated with

1. Hypophosphatemia
2. Hypocalcemia
3. Hypokalemia
4. Hyperphospatemia

Hemodialysis is useful in poisoning with

1. Salicylates
2. Phosphates
3. tricyclics

Which of the following is not useful in ASOM

1. Ceftriaxone
2. Ampicillin
3. cefuroxime
4. Cefepime

Hartnup disease is associated with

1. Aminoaciduria
2. b.Calceurea
3. Phosphaturea

Elastance in ventilator graphics is defined as

1. Unit change in pressure per unit change in volume
2. Unit change in volume per unit change in pressure
3. Unit change of volume in unit time

Phenyl Alanine level in PKU is more than

1. 20IU/dl
2. 30IU/dl
3. 40IU/dl
4. 50IU/dl

Pupillary reflex is seen at

1. 28-30 wk
2. 30-32 wk
3. 32-34 wk
4. 34-36 wk

In the case of High altitude pulmonary edema, management line up will be

1. a.Descent with Oxygen supplementation
2. Use of Acetazolamide
3. Sildenafil
4. d.Diuretics

A characteristic feature of Malrotation is

1. Bilious Vomiting
2. Right hypochondrial pain
3. Left hypochondrial pain
4. Maleena

The drug used for relaxation of LES for Oesophageal food bolus impaction is

1. Glucagon
2. Insulin
3. IGF
4. octreotide

In a mother with diagnosed SLE, screening for heart block in a neonate is done by

1. 16-18 wk
2. 6-8 wk
3. 24 wk
4. 20-24 wk

Drug causing respiratory alkalosis is

1. a.Theophylline
2. Barbiturate
3. Diazepam
4. Phenytoin

Protein and lactose content of F- formula feeds are?

1. 2.9gm protein and Lactose 4.3gm
2. 2.9gm protein and Lactose 1.3gm
3. 1.3gm Protein and Lactose 4.3gm

The Scoring system used for assessing mortality in a sick child is

1. PRISM score
2. PIM score
3. VAS score
4. NRS score

Di George syndrome is due to defect in

1. 3rd and 4th Pharyngeal Pouch
2. 1st and 3rd Pharyngeal Pouch
3. 2nd and 5th Pharyngeal Pouch
4. 3rd and 5th Pharyngeal Pouch

After delivery in labour room with ambient temperature, an infants skin temperature falls approximately by

1. 0.1-0.3 degree C
2. .5-1 degree C
3. 1-2 degree C
4. 2-3 degree C