MCQs in general pediatrics with answers | Part 1

Atomoxetine is used primarily in which disorder?

ADHD

All are Seen in hypothyroidism except?

Spatulated ribs

Shape of upper airways in neonate is?

funnel shaped with subglottis being the narrowest part

In Congenital lupus, heart block is earliest detected at which gestational age?

Earliest at 16 weeks

Which of the following shows X-linked inheritance?

Hunter/MPS 1

Inheritance pattern of Fanconi syndrome is ?

AR

Most common presentation of malrotation of gut?

Answer

Which disorder presents as macrocytic anemia with sideroblasts?

Pearson Syndrome

Most common Abdominal mass in neonate is?

PCKD

Pupillary reflex is earliest resent by thsi gestational age?

31 weeks

F-100 formula for protein energy malnutrition contains?

Protein 2.9 g and Lactose 4.2g

Infection in neonate presenting like RDS can be caused by?

Group B Strept

Which enzyme is deficient in Metachromatic Leukodystrophy?

Arylsufatase

Hemo-Dialysis is useful in which of the following posonings?

Salycylate poisoning

Left Axis Deviation with oligemia is a feature of which Valvular heart disease?

Tricuspid atresia

In Wilson’s disease, KF ring is seen in?

descemet’s membrane

Composition of Ringer’s Lactate solution is?

Na 130, Cl 109, K 4, Ca 3, Lactate 28

Persistent bradycardia in fetus is defined as?

Less than110/min for 10 min

Staph aureus infection common in which inherited disorder of immunodeficiency?

Chediak Higashi

How does granulocyte defect work?

Defective degranulation

Respiratory Alkalosis is seen with which of the following?

Theophylline

Everything on acid base balance

Principles of counselling needs to be done in which order?

Ask, listen, advice and check

Diagnostic criteria for Esophageal eosinophilia with regards to biopsy?

15-20 eosinophils per HPF

Number of calories provided under the ICDS program in India?

300, 500, 800

Antibodies found in Miller Fisher variant of Guillian-Barrẻ Syndrome are?

Anti - GQ1B AB

Iodine concentration in iodised salt at consumer level?

15ppm

Excess of Vit D in pregnancy can cause?

Answer

Multigene duplication and deletion is diagnosed by?

Microarray, FISH

Velocardiofacial microdeletion is ?

is 22q11.2 TBX 1 Gene

Breteaux index is?

Number of positive containers, infected with larva or pupa, per 100 houses inspected

What is Lemiere Syndrome?

Internal jugular vein septic thrombophlebitis caused by Fusobacterium Necrophorum

Which antibodies are seen in Drug induced lupus?

Anti Histone

Pulmonary graphics showing Figure of Eight pattern denotes what?

Air Hunger

Pressure volume loop made easy

What is significance of Trummerfeld zone on XRAY?

Zone of rarefaction in Scurvy

In SLE, Which defect in immunological response regarding T cell and B cell activity is seen?

Hypofunction of both B and T Cell

Chelation therapy is started at what levels of lead in blood?

45ug/dL

Monophonic wheeze is a feature of?

Tracheo-bronchomalacia

Features of Fetal Alcohol Syndrome.

Smooth philtrum and Thin vermilion

Syndromes for OSCE

Cabbage odor in urine is seen in Tyrosinemia, Phenylketonuria or MSUD?

Which type of JIA are ANA positive?

50% of Oligo and Polyartritis are ANA positive

Mechanism of action of erythromycin in HPS is?

gGstrokinetic effects and effects on MMC(Migrating Motor Complexes)

Difference between Cystic Fibrosis and Kartagener syndorme is?

Bronchiectasis in lower lobes in in Kartagener, in Upper Lobes in CF

Miltefosine is indicated for?

Leishmaniasis

Ocular feature of Homocystinuria?

Dislocation of lens

Signs of vasculitis with prominent respiratory symptoms like asthma are seen in?

Churg Strauss Syndrome

Vasculitis in children

HIE grade 1 is associated with what level of consciousness?

Hyper alert and irritable

Everything about HIE

This is one of the skin menifestation of Hypercalcemia?

Subcutaneous Fat necrosis

Necrotic mass in ear can be?

Pseudomonas Aeruginosa

Rome III Criteria for constipation in age 4 – 18 years?

2 defecations per week with history of paiful or hard bowel movements

RSV prophylaxis in infnats is done with?

Palivizumab

Clotting factor transfusion is most beneficial in?

Hemophilia A

For Myringotomy incision preferred quadrant is?

Anteroinferior

Score of NBS when labia's are equally prominent?

2

Vit B6 given in?

classic homocystinuria

Direct Hyperbilirubinemia is seen in Galactosemia, CN, Gilbert, Lucey-Driscoll

Galactosemia

Cherry Red Spots are seen in?

Sandhoff’s disease

Profound hearing loss is defined as?

70dB

Sensitivity 90%, Specificity 90%, Prevalance 10%, Calculate PPV?

50%

Comparison of means from 2 different data groups is doen with?

Unpaired T Test; same group – paired T Test

Medical statistics

Drugs not used in otitis media is?

Cefixime

Biotin needed in which inborn error of metabolic disorder?

Holocarboxylasesynthetasedeficiency, glutaric aciduria

Typical ECG Changes in GSD Type 2 are?

short PR Interval

ECG library

Fabry’s disease is an enzyme deficiency of?

Alpha-Galactosidase, Glucosidase, Aryl Sulfatase

Which is mitochondrial disease?

Rye Syndrome

PSVT is treated with?

Adenosine

How many steps are there in BFHI?

10

Oral Polio vaccine dose is how many ml?

0.1 ml

OSCE on vaccines

How long the sympotpms of arthritis persist for diagnosis of JIA?

6 months

CSF in Rickettsial Diseases normally shows?

Pleocytosis with mild proteins elevation and normal glucose

Digeorge Syndrome is a mal development from which pharyngeal tissue?

3rd and 4th Pharyngeal pouch

Sup Mesenteric Artery gets compressed with which part of duodenum?

3rd

Most Common Cause of Congenital Cataract is

Congenital Rubella

Congenital cataract

Cogan’s Syndrome a triad of?

Interstitial Keratitis, hearing loss, vestibular symptoms

Diagnosis when SPO2 is high when PaO2 is normal or even low?

Methemoglobinemia

H2 breath test is used for?

Carbohydrate malabsorption

Coarse facies is seen in?

MPS

Pneumatosis Intestinalis at seen at which Stage of NEC?

Stage II

Hypospadias/epispadias in a healthy child is treated at this age?

6 and 12 months

Morgagnian Hernia is situtated?

Retrosternal

Weaver syndrome is?

Weaver syndrome is characterised by tall stature with or without macrocephaly and variable degree of intellectual disability

Gene responsible for cancer cell life prolongation?

Telomerase