100 MCQ in pediatrics with answers - Part 2

Paediatric MCQ for MRCPCH part 1

This is the second part of another 100/200 Multiple choice questions in pediatrics, which can be commonly asked in the exam.

These MCQs are based on a recall mostly from the DNB theory exam held in December 2018. I could not recall the options for every question, However, for a few MCQs, multiple-choice options are given, wherever I recalled. 

For most of the MCQs, you will find the answer. Feel free to add more answers or leave corrections using the comment box.

  1. Holt Oram associated with  • Answer - 1 St degree heart block,2nd degree, complete heart block
  2. Cogan's syndrome  • Answer - Hearing loss, Vestibular symptoms, Interstitial keratitis
  3. Miller fisher  - antibodies • Answer - anti GQ1B
  4. AED causing renal stones • Answer - topiramate/phenytoin
  5. SIADH, not a criterion  • Answer - Urine osmolality less than 100
  6. DMARD  • Answer - Methotrexate, Leflunomide, Sulfasalazine
  7. Asthma, nasal polyposis, aspirin sensitivity  • Answer - Samters triad
  8. Percentage of blood to lungs in fetus  • Answer - a. 25% b. 15%
  9. Tinea pedis affects which webspace  • Answer - lateral toe spaces 3rd to 4th or 4th to 5th interdigital space
  10. Hearing impairment, minimum threshold is  • Answer - 15db
  11. What percentage of infants with congenital CMV are asymptomatic  • Answer - 90%
  12. Breautu index • Answer - number of positive cotainers/100 houses inspected
  13. Mobius syndrome • Answer - Facioscapulohumeral dystrophy
  14. Digeorge syndrome  • Answer - 22q11 deletion
  15. A figure of 8 in pulmonary graphics • Answer - flow starvation
  16. Drug for prophylaxis of RSV • Answer - palivizumab
  17. Visual acuity newborn • Answer - 20/400 ( in options 22/400 was given )
  18. Yashoda scheme question, NRHM in 2006 for institutional deliveries., voluntary health workers
  19. 3 months old, which artery is used to check signs of circulation by palpation  • Answer - brachial artery
  20. Erythrasma i caused by • Answer - corynebacterium minutissimum
  21. Atomoxetine  • Answer - ADHD
  22. Enzyme def in salt retaining CAH  • Answer - 17alpha OH def
  23. Content of iodine in salt as per national iodine deficiency disorders control program 1  • Answer - 5ppm
  24. Cardiomyopathy mineral deficiency  • Answer - selenium
  25. Raised ICT • Answer - Cyclosporine toxicity
  26. Hirschsprung associated syndrome  • Answer - downs
  27. Abnormality in schizencephaly  • Answer - a cleft in the cerebral hemisphere
  28. High citrulline  • Answer - Arginosuccinate synthetase def
  29. In neonatal lupus other than anti ro and anti la what antibody is associated • Answer - ANA
  30. Poor prognostic of Jia • Answer - anticcp.
  31. Treatment in congenital lupus antenatal • Answer - fluorinated steroids,hydroxychloroquine
  32. Anakinra  • Answer -IL1 inhibitor
  33. Multiple gene deletion and duplication detected by  • Answer -each comparative genomic hybridization
  34. Tropical esoinophilia , eosinophil count above  • Answer - 500,1000,2000/ul,5000
  35. Recurrent staphylococcal abscess was seen in  • Answer - DiGeorge, ataxia telangiectasia,  t cell defect, hyper IgE
  36. Most common b cell defect  • Answer - iga def
  37. Garlic odor • Answer - organophosphorus, Arsenic, Thallium, selenium ( OP was in option, rest all also can produce)
  38. Menki Kinki inheritance  • Answer - XLR
  39. X Linked dominant • Answer - incontinentia pigmenta, hypomelanosis of Ito
  40. IEM presenting as collodion baby • Answer - Gauchers
  41. Exaggerated startle response is seen in  • Answer - GM2 Gangliosidosis
  42. Blinking of eyes to bright light at gestation  • Answer - a.28 weeks b. 30 weeks c.32 weeks
  43. Newborn brain size reaches 90% by • Answer - 2yrs
  44. Neonate gfr reaches adult gfr by • Answer - 2yrs
  45. Fetal growth by all except  • Answer - insulin, thyroid, growth hormone
  46. Early infantile epileptic encephalopathy  • Answer - Otohara syndrome
  47. Rise in hco3 in acute resp acidosis for every 1mm increase in Pco2  • Answer - 0.1
  48. Case with pulmonary oligemia • Answer - tricuspid atresia
  49. Minamata disease • Answer - mercury
  50. Cicatricial skin lesions with limb hypoplasia in newborn • Answer - cong. Varicella
  51. Pediatric assessment triangle • Answer - appearance, WOB, circulation
  52. A molecular marker of tubular injury • Answer - b2 microglobulin
  53. Question regarding BNP
  54. Most common abdominal mass neonate • Answer - MCDK /polycystic
  55. Cornea reaches adult size • Answer - 2 yrs
  56. Oxygenation index formula • Answer - MAP X fio2/pao2
  57. Spo2 85%, Hyperoxia test pao2  increases to 210 but Spo2 still low Condition?  • Answer - a.methemoglobinemia b.HLHS
  58. O2 consumption in normal newborn  • Answer - 6ml/kg/min
  59. APAC in counseling  • Answer -
  60. Site of incision in myringotomy  • Options - a. Anteroinferior b. Posteroinferior
  61. Drug causing increased platelet count  • Answer - Romiplastim (Other drugs - Eltrombopeg )
  62. Favorable prognosis in leukemia  - TEL • Answer - AML 1 rearrangement
  63. Not a contraindication for any vaccine a. Phagocytic defect, b. Complement defect c. T cell defect d.B cell defect
  64. Not indicated in congenital glaucoma as it causes convulsions  • Options - a. Timolol b. Prilocaine c. Bromocriptine
  65. Neonatal lupus can be diagnosed from  • Answer - 16weeks ( In option 12 to 16weeks was given )
  66. Question on Vibrio cholera toxin and MOA
  67. Treatment of choice for a refractory shock  • Answer - ECMO
  68. Acute onset flaccid descending paralysis with dilated pupils, bulbar palsy, and intact sensorium  • Answer - Botulism
  69. Normal 7 years old with continuous dribbling of urine, but can pass urine normally. Most probable cause  • Answer - Ureteral ectopia
  70. Vitamin D in mother during early antenatal period causes  • Answer - Supravalvular AS
  71. Plasma useful in deficiency of factor 5 ( Also factors 2, 10,11 )
  72. Dominant mutation comes with advanced age  • Answer - Huntingtons chorea ( Anticipation )
  73. US  - LS ratio at 3 years of age  • Answer - 1.3 :1
  74. Effective KMC  • Answer - 60 min
  75. Dermatitis herpetiformis  • Answer - HLA DQ8
  76. Earliest sign in Cardiogenic shock  • Answer - Tachycardia
  77. Intraparenchymal bleed, IVH grade 4
  78. Pneumatised sinus at birth  • Answer - Maxillary
  79. IEM with hepatosplenomegaly and autism  • Answer - Sandfilippo disease
  80. Deep palmar crease and plantar furrow  • Answer - Trisomy 8
  81. Salmon rash  • Answer - SOJIA
  82. MC cause of distributive shock in children  • Answer - Sepsis
  83. A most characteristic feature of Rhabdomyolysis  • Answer - Hypophosphatemia
  84. 1st sign of papilledema  • Answer - Nasal obscuration
  85. Drug causing pulmonary and systemic vasodilatation  • Answer - Milrinone
  86. A most common cause of under 5 mortality  • Answer - Pneumonia
  87. Pierri Robin syndrome, place the baby in a prone position
  88. Ellis van Creveld syndrome is associated with  • Answer - ASD
  89. Earliest symptom in Lyme disease  • Answer - Fever and Myalgia
  90. Risk of hydrocephalus increases with • Answer - high spinal defects
  91. Presentation similar to hurlers  • Answer - GM1 gangliosidosis
  92. Hypoglycorrhachia  • Answer - Mumps
  93. Nail patella syndrome  • Answer - LMX1B gene
  94. CSF finding in Rickettsial disease  • Answer - Normal glucose, moderately elevated protein, mild mononuclear pleocytosis
  95. Monophonic wheeze  • Answer - bronchiomalacia
  96. A CD4 - CD8 >4, Increased D - dimer  • Answer - Sarcoidosis

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