DNB pediatrics june 2014 paper 4 mcq discussion

Discussion in 'DNB CET board - DipNB' started by samuel, Oct 5, 2014.

  1. samuel

    samuel New Member

    Which of d foll is d BEST modality to investigate a neonate with Choanal atresia-
    - MRI
    - CT
    - Rhinogram
    -
  2. samuel

    samuel New Member

    which of d foll is true about Salbutamol ?
    - For its actiom on lungs it has to be given by inhalation only
    - It is a selective b1 agonist
    - It causes decreased lung volume
    - It causes constriction of vessels in muscles
  3. samuel

    samuel New Member

    All of d following are essential amino acids except
    - Methionine
    - Valine
    - Glutamine
    - Lysine
  4. samuel

    samuel New Member

    Absence seizures are pptd by which of d foll.
    - Ethosuximide
    - Carbamazepine
    - Benzodiazepines
    - Valproate
  5. samuel

    samuel New Member

    Which of d following are seen in a child with protein energy malnutrition
    - low insulin
    - low cortisol
    - low catecholamines
    - normal growth hormone levels
  6. samuel

    samuel New Member

    Oxygen utilised by a new born in resting stage
    A)6ml/kg/min
    B)8
    C)4
    D)12
  7. samuel

    samuel New Member

    Skin maturation gets completed by what gest age?
    A)20
    B)22
    C)24
    D)28
  8. samuel

    samuel New Member

    Vitamin K conc in breast milk?
    A)0.5
    B)0.7
    C)1
    D)1.5
  9. samuel

    samuel New Member

    Prolonged feeding of Hind milk leads to
    A) abnormal weight gain
    B) decreased lean mass
    C) osteopenia
    D)less fat
  10. samuel

    samuel New Member

    Glucose utilisation rate in newborns
    A) 2-4mg/kg/dl
    B) 4-6
    C) 8-10
    D) 10-12
  11. samuel

    samuel New Member

    All of d foll are seen in Hypothyroidism except-
    - Wormian bones
    - stipulated ribs
    - Beaking of vertebra
    - Epiphyseal dysgenesis
  12. samuel

    samuel New Member

    Sensory neuropathy seen with all of d following except-
    - cidp?
    - Riley Day syndrome
    - GBS
    - Giant axonal neuropathy
  13. samuel

    samuel New Member

    Raised ICT seen with
    - Lead poisoning
    - Cyclosporin toxicity
    - hypervitaminosis D
    - Vit A deficiency
  14. samuel

    samuel New Member

    Cranial nerves involved in cramming and swallowing
    - 9, 10, 12
    - 7, 9, 10, 12
    - 5, 7, 10, 12
    - 5, 7, 10, 11, 12
  15. samuel

    samuel New Member

    Pasteurised donor milk , will be culture neg after thawing
    8hr
    12hr
    24hr
    72hr
  16. samuel

    samuel New Member

    Blood volume in preterms –

    O2 sats of neonates to be ensured at 5 min after birth (NRP 2010) –

    Objective visual assessment method in newborns –

    Upto what G.A should nutritional supplements be given to preterms –

    All of the following would increase oxygenation in ventilated baby except–

    All of the following would wash out CO2 in ventilated child except –

    If lung resistance is increased and compliance kept same time constant would –

    Phototherapy – most effective isomerisation of bilirubin –

    Pain scales-which one is the only one validated for preterms?

    Correct latching technique to breast is shown by all except –

    What is the only variable component in breast milk among the following –

    Drawback of donated breast milk includes all except –

    Which among the following CHDs is most likely to go in heart failure –

    Caudal part of IVS is formed by –

    Commonest form of ICH in preterms –

    Which parameter among the following is given a score of 5 in new ballard score –

    Shape of airway of newborns –

    Formula for calculating ET tube size –

    Adrenaline ET tube dose –

    Respirable particle size w.r.t nebulization -
  17. samuel

    samuel New Member

    O2 SUPPLY TO BODY TISSUES AT REST?
    250
    500
    150
    1000
  18. samuel

    samuel New Member

    1.used in prevention of CLD---vit.A
    2.severity of night blindness wid prevalence of 4%--
    3.conjugated bilirubinemis seen in--Dubin johnson synd
    4.boy copy cross at age of----48 months
    5.recurrent fracture with decresed Ca,P,ALK phos.---
    6.scarring seen in which type of epidermolysis bullosa?
    7.raised ict due to--cyclosporine
    8.DHF with low Hct RX-whole blood Tx
    9.severe dengue char by all exc.--torniquet test
    10.variable nutrient in breast milk--fat/lipid/protein
  19. samuel

    samuel New Member

    11.vit.Klevel in breast milk?
    12.co2 washout can be acheived on venti in all exc.high PEEP
    13.lower end of femoral epiphysis appears at-28 week
    14.HMD-compliance decreased
    15.inguinal hernia RX in term newborn by wt age
    16 acne vulgaris Rx of choice is
    17 1 day old neo with central cyanosis cardiomegaly shock diagnosis is
    18 genital differentiation occur at which wk
    19 congenital heart block develops at week
    20 gas in neo rectum appears at hours??
  20. samuel

    samuel New Member

    - phototherapy most imp factor = spectral irradience, duration, BSA, distance
    - max urine osmolarity in neonates
    - breast milk factors active against giardia n ameobiasis
    - giardiasis mech of diarrhea
    - breast milk transmits = CMV
    - vit K quantity in breast milk
    - kidney attains adult funtion by what age
    - RBC life span in neonates
    - drug of choice in scorpian sting
    - biophysical profile which is not included = stress test, fetal activity, breathing movement, amniotic fluid volume
    - erythema toxicum fluid contains which cells
    - moros dissappears at
    - true about parachute reflex
    - noonan's syndrome PS supravulvular?
    - hematopoesis shifts from liver to bone at what age
    - most common complication of measles
    - maturation of gait @ ?
  21. samuel

    samuel New Member

    WHOs new growth chart contains which percentiles.....

    congenital heart block in neonatal lupus is most commonly seen at what gestational age....

    normal value of anion gap....

    which of the following has high anion gap met acidosis....

    hormone causing breastmilk jaundice....

    maximum time to attempt intubation....

    formula to calculate uncuffed ET size....

    sign of hypervitaminosis A....

    maximum radiation limit for pregnant women...

    diptheria causes all except.....

    crescentic glomerulitis is seen in...

    factor responsible for cardiac involvement apart from anti-RO and anti-LA...

    Activated charcoal is useful in all poisoning except...

    non necrotising granuloma is seen in....
  22. samuel

    samuel New Member

    MCQ DNB(2014 june) MEMORY BASED
    1. Which virus is secreted in breast milk.
    a. Herpes simplex
    b. CMV
    c. .
    2. Oxygen consumption in neonates
    a. 6 ml/kg/min
    b. 8 ml/kg/min
    c. 10ml/kg/min
    d. 12 ml/kg/min
    3. Glucose consumption rate in neonate
    a. 2-4mg/kg/min
    b. 4-8ml/kg/min
    c. 8-10 ml/kg/min
    d. 10-12 ml/kg/min
    4. Morrows reflex normally disappears by
    a. 3 months
    b. 4 months
    c. 6 months
    d. 8 months
    5. Atovaquinone is primarily used in
    a. Obesity
    b. ADHD
    c. Schizophrenia
    d. Depression
    6. Difference between proximal RTA and distal RTA
    a. Hyperkalemia and bica
    b. Hyperkalemia and
    c. Hypokalemia and
    d. Hypokalemia
    7. Increased intracranial tension is a feature of
    a. Cyclosporine therapy
    b. Hypervitaminosis D
    c. Vitamin A deficiency
    d. Lead poisoning
    8. Not a criteria for the diagnosis of SAM
    a. Severe wasting
    b. Decreased height for age
    c. .
    d. .
    9. Biochemical feature of protein energy malnutrition
    a. Low insulin
    b. Low catecholamine level
    c. Low cortisol level
    d. .
    10. Ossification centre of distal end of femur appears by
    a. 24 weeks
    b. 28 weeks
    c. 30 weeks
    d. 36 weeks
    11. which of d following is true about Salbutamol ?
    a. For its actiom on lungs it has to be given by inhalation only
    b. It is a selective b1 agonist
    c. It causes decreased lung volume
    d. It causes constriction of smooth muscles
    12. All of d following are essential amino acids except
    a. Methionine
    b. Valine
    c. Glutamine
    d. Lysine
    13. Absence seizures are pptd by which of d following.
    - Ethosuximide
    - Carbamazepine
    - Benzodiazepines
    - Valproate
    14. Which of d following are seen in a child with protein energy malnutrition
    - low insulin
    - low cortisol
    - low catecholamines
    - normal growth hormone levels
    15. Skin maturation gets completed by what gest age?
    A)20
    B)22
    C)24
    D)28
    16. Vitamin K conc in breast milk?
    A)0.5
    B)0.7
    C)1
    D)1.5
    17. Prolonged feeding of Hind milk leads to
    A) abnormal weight gain
    B) decreased lean mass
    C) osteopenia
    D)less fat
    18. All of d foll are seen in Hypothyroidism except-
    - Wormian bones
    - stipulated ribs
    - Beaking of vertebra
    - Epiphyseal dysgenesis
    19. Sensory neuropathy seen with all of d following except-
    - cidp?
    - Riley Day syndrome
    - GBS
    - Giant axonal neuropathy
    20. Pasteurised donor milk , will be culture neg after thawing
    6hr
    12hr
    24hr
    72hr
    21. O2 sats(SpO2) of neonates to be ensured at 5 min after birth (NRP 2010) –
    a. 70-75%
    b. 75-80%
    c. 80-85%
    d. 85-95%
    22. Objective visual assessment method in newborns –
    23. Upto what G.A should nutritional supplements be given to preterms –
    a. 33 weeks
    b. 36 weeks
    c. 38 weeks
    d. 40 weeks
    24. All of the following would increase oxygenation in ventilated baby except–
    a. Increase in inspiratory time
    b. Increase in RR
    c. Increase in PIP
    d. Increase in peep
    25. All of the following would wash out CO2 in ventilated child except –
    a. Increased RR
    b. Increased PIP
    c. Increased PEEP
    d. Increased
    26. If lung resistance is increased and compliance kept same time constant would –
    a. Increase
    b. Decrease
    c. Remains same
    d. ,
    27. Correct latching technique to breast is shown by all except –
    a. Mouth wide open
    b. Areola visible more on upper side than lower
    c. Sucking with rest in between
    d. .
    28. What is the only variable component in breast milk among the following –
    a. Fat
    b. Protein
    c. Carbohydrate
    d. .
    29. Drawback of donated breast milk includes all except –
    a. Low nutritional status
    b. Poor neurodevelopmental outcome
    c. .
    d. .
    30. Which among the following CHDs is most likely to go in heart failure –
    a. Hypoplastic left heart syndrome
    b. VSD
    c. ASD
    d. .
    31. Caudal part of IVS is formed by –
    a. Left ventricle
    b. Right ventricle
    c. .
    d. .
    32. Commonest form of ICH in preterms –
    a. Subdural hematoma
    b. Extradural hematoma
    c. Intraventricular hemorrhage
    d. .
    33. Which parameter among the following is given a score of 5 in new ballard score
    a. Arm recoil
    b. Square window
    c. Scarf sign
    d.
    34. Shape of upper airway of newborns –
    a. Funnel shaped and wide subglottis
    b. Funnel shaped and narrow subglottis
    c. Funnel shaped and wide subglottis
    d. Funnel shaped and narrow subglottis
    35. Formula for calculating ET tube size –
    a. Age x 2+8
    b. Age
    c. Age years /4 + 4
    d. Age
    36. Adrenaline ET tube dose –
    a. 0.1mg/kg
    b. 0.01 mg/kg
    c. 1mg/kg
    d. .
    37. Respirable particle size to be deposited in airways
    a. 1-2 micron
    b. 2-5 micron
    c. 5-10 micron
    d. 10-15 micron
    38. used in prevention of CLD
    a. vit.A
    b. .
    39. severity of night blindness wid prevalence of
    a. 4%
    b. .
    c. .
    d. .
    40. conjugated hyperbilirubinemia seen in
    a. Dubin johnson syndrome
    b. Crigler najar syndrome
    c. .
    d. .
    41. scarring seen in which type of epidermolysis bullosa?
    a.
    b.
    c.
    d.
    42. severe dengue char by all except.
    a. torniquet test
    b. falling hematocrit
    c. liver sizeincrease by 2 cm
    d. .
    43. In HMD
    a. compliance decreased
    b. compliance increased
    c. .
    d. .
    44. acne vulgaris Rx of choice is
    a. Retinoic acid topical
    b. Doxycycline oral
    c.
    d. Oral Doxycycline and topical retinoic acid
    45. In congenital lupus heart block develops at week
    a. .
    b. ,
    c. .
    d. .
    46. Gas shadow reaches in rectum of neonate appears at hours??
    a. 8 hours
    b. 12 hours
    c. 24 hours
    d. 30 hours
    47. which is not quantitative anomaly of platelet
    a. glanzmans
    b. TTP
    c. Hemangioma
    d. .
    48. In TPN –
    a. fat = 3gm/kg
    b. fat =6 gm/kg
    c. .
    d. .
    49. Most common adverse effect of TPN
    a. hypoglycaemia
    b. hypocalcemia
    c. hypomagnessemia
    d. .
    50. 1gm of albumin binds how much bilirubin
    a. 8mg
    b. 6 mg
    c. 10 mg
    d.
    51. All are AR inheritence except
    a. OTC deficiency
    b. .
    c. .
    d. .
    52. max urine osmolarity in neonates
    a. 100
    b. 150
    c. 800
    d. 1000
    53. breast milk factors active against giardia n ameobiasis
    a. Lactoferrin
    b. .
    c. .
    d. .
    54. Mechanism of diarrhoea in giardiasis
    a. Mechanical obstruction
    b. Covering surface area
    c. .
    d. .
    55. kidney attains adult level GFR by what age
    a. 1 year
    b. 2 year
    c. 5 year
    d. .
  23. samuel

    samuel New Member

    56. RBC life span in neonates
    a. 30 days
    b. 45 days
    c. 90 days
    d. 120 days
    57. biophysical profile which is not included
    a. stress test
    b. fetal activity
    c. breathing movement,
    d. amniotic fluid volume
    58. erythema toxicum fluid contains which cells
    a. Basophil
    b. Eosinophil
    c. Neutrophil
    d. ,
    59. noonan's syndrome PS
    a. supravulvular
    b. Subvalvular
    c. .
    d. .
    60. A female.....
    a. Noonan syndrome
    b. Klinefelter syndrome
    c. Turner syndrome
    d. .
    61. hematopoesis shifts from liver to bone at what age
    a. 8 weeks
    b. 10 weeks
    c. 12 weeks
    d. 20 weeks
    62. most common complication of measles
    a. Meningitis
    b. Pneumonia
    c. Malnutrition
    d. .
    63. At what age gait of a child is matured as adult?
    a. 1 year
    b. 2 year
    c. .
    d. .
    64. WHOs new growth chart contains which percentiles.....
    a. 3rd, 10th, 90th and 97th
    b. 3rd, 10th 50th, 90th and 97th
    c. 3rd, 10th,50th,85th and 97th
    d. .
    65. Which of the following has high anion gap metabolic acidosis....
    a. Renal tubular acidosis
    b. Diarrhoea
    c. .
    d. .
    66. hormone causing breastmilk jaundice....
    a. 3,8 pregnanediol
    b. .
    c. .
    d. .
    67. diptheria causes all except.....
    a. Myocarditis
    b. .
    c. .
    d. .
    68. crescentic glomerulitis is seen in...
    a. mesangiocapillary
    b. .
    c. .
    d. .
    69. factor responsible for cardiac involvement apart from anti-RO and anti-LA...
    a. ds-DNA
    b. .
    c. .
    d. .
    70. Activated charcoal is useful in all poisoning except...
    a. Mercury poisoning
    b. .
    c. .
    d. .
    71. non necrotising granuloma is seen in....
    a. micro-PAN
    b. .
    c. .
    d. .
    72. A child delivered normally and uneventfully. Her mother had mild placental abruption. On 2nd day child presented with vomiting which contains blood. Which test should be done
    a. Apt Downey test
    b. Klehar betke test
    c. .
    d. .
    73. Which of the following is true about Parachute reflex ?
    a. Disappears by 1 year
    b. Appears before birth
    c. Appears at age of months and persists throughout life
    d. .
    74. Which is the investigation of choice for choanal atressia
    a. Rhinogram
    b. MRI
    c. CECT
    d. .
    75. A child presented with nonbilious vomiting since 6 weeks of life and electrolyte abnormality found- hypochloremic metabolic alkalosis, what could be the diagnosis
    a. Pyloric stenosis
    b. Intestinal obstruction
    c. .
    d. .
    76. Physiologic closure of Ductus occurs at age of
    a. 1 day
    b. 2-3 days
    c. 3-5 days
    d. 1 months
    77. Congenital inguinal hernia should be operated at
    a. Intrauterine
    b. At birth
    c. 6 months
    d. .
    78. Omphalocele was detected at 11 weeks of gestational age. What advice should be given to the parents
    a. Amniocentesis and genetic study
    b. Termination of pregnancy
    c. Reassurance
    d. .
    79. Edward syndrome
    a. Trisomy 18
    b. Trisomy 21
    c. .
    d. .
    80. Downs syndrome
    a. Trisomy 21
    b. Trisomy18
    c. .
    d. .
    81. Leishmania yield is highest from
    a. Spleen
    b. Liver
    c. Bone marrow aspirate
    d. Lymph nodes
    82. A child with.......... anemia.....retic count-0.4, TLC-2800 ( neutrophil 20%)
    a. Aplastic anemia
    b. Pure red cell aplasia
    c. Parvo virus b infection
    d. Iron deficiency anemioa
    83. Folic acid supplementation should be started to prevent neural tube defect
    a. Before conception
    b. At missed period
    c. 2 months after missed period
    d. In
    84. Folic acid supplementation dose to prevent NTD
    a. 4 mg daily
    b. 0.4 mg daily
    c. .
    d. .
    85. Most common cause of abdominal mass in neonate (2 months)
    a. Teratoma
    b. Wilms tumour
    c. Neuroblastoma
    d. Renal dysplasia
    86. Which of the following is not a normal neonatal finding
    a. Epsteins perl
    b. Mongolian spot
    c. Preauricular tags
    d. .
    87. In IMCI which is not a criteria for severe respiratory distress
    a. Retraction
    b. Cyanosis
    c. .
    d. .
    88. Pupillary reflex normally present by
    a. 20-22 wks
    b. b. 22-24 wks
    c. c. 24-30 wks
    d. d. 30-36 wks
    89. Nerve roots involved in suckling reflex
    a. X, , IX, XII
    b. b. X, IX, XII, X
    c. c. V, VII, X, XII,
    d. d. V, VII, IX, X, XII
    90. Nuchal thickness > 6 mm in mid trimester s/o
    a. Downs syndrome
    b. b. Turners syndrome
    c. c. Klinfelters syndrome
    91. Maternal serum AFP is decreased in
    a. Downs syndrome
    b. neural tube defect
    92. Which of the following structure forms the base of Fossa ovalis
    a. Septum primum
    b. b. Septum intermedium
    c. c. Septum secundum
    93. F100 contains
    a. Prptein 2.4 gm, Lactose 3.1 gm
    b. b. Protein 2.4 gm, Lactose 3.8 gm
    c. Prptein 2.9 gm, Lactose 3.1 gm
    d. Protein 2.9 gm, Lactose 3.8 gm
    94. Congenital syphilis which is not present
    a. Vaginal lesions
    b. Periostitis
    c. Nasal snufflers
    d. .
    95. Regarding pain management in neonate
    a. Neonate doesn’t have pain sensation
    b. Pharmacological method is only method
    c. .
    d. PIPS is the only validated pain management scale
    96. Which permanent tooth appears first
    a. 1st premolar
    b. Incisor
    c. 1st molar
    d. 2nd molar
    97. Neonatal evaporation is measured by
    a. Tasometer
    b. Tachometre
    98. Most vital part of phototherapy
    a. Distance of light source
    b. Duration of phototherapy
    c. Surface area of exposure
    d. Spectral irradiance
    99. A child is able to walk upstairs with holding rail, able to run and
    a. 18 months
    b. 2 years
    c. 30 months
    d. 36 months
    100. A child able to draw cross
    a. 2 years
    b. 3 years
    c. 4 years
    d. 5 years
    101. Nutritional rickets treatment step is
    a. Calcium supplement
    b. Vitamin d supplement
    c. Magnesium supplement
    d.
    102. A child with road traffic accident has no vomiting, no LOC. CT scan shows bleed around right tympanic membrane
    a. Subdural hemorrhage
    b. Extradural hemorrhage
    c. Fracture base of skull
    d. Intraventricular hemorrhage
    103. A child with multiple fractures, healing properly and abnormal development of long bones
    a. Rickets
    b. Osteogenesis imperfecta

    104. Which of the following is not a diagnostic criteria of Kawasaki disease
    a. Red tongue
    b. Rashes
    c. Fever for more than a month
    d. Periungual squamation
    105. Most common bleeding disorder
    a. Von villebrand disease
    b. Haemophilia
    c. G6PD
    d. .
  24. samuel

    samuel New Member

    Most reliable criteria for diagonsis of migraine -a) family h/o migraine
    b) duration >24 hr
    True for preterm human milk in comparison to term -a) >Na
    Neonatal tetanus elimination -a) >1/1000
    b)>1/100000
    Most common complication of TPN a) Hypoglycemia b)Cholestatic jaundice
  25. samuel

    samuel New Member

    1. A 6 yr old child with acute onset of fever of 1040 F developed febrile seizures and was treated. To avoid future recurrence of seizure attacks what should be given a. Paracetamol 400 mg + phenobarbitone daily b. Oral Diazepan 6 hourly c. Paracetamol 400 mg 6 hourly d. I.V. diazepam infusion over 12 hrs 2. Most common cause of seizure in newborn is a. Hypoxia induced ischemic encephalopathy b. Hypocalcemia c. Metabolic abnormality d. Sepsis 3. Jitteriness can be distinguished from seizures by all of the following except a. Sensitivity to stimulus b. Frequency of movement c. Abnormality of Gaze d. Autonomic disturbance 4. After 5 days of birth, baby developed poor feeding, convulsions, fever with low protein low sugar and high chloride (in CSF) is most likely due to a.Listeria monocytogenes b. Mycoplasma pneumonia c. T.B d. Leptospira 5. A 6 year old boy has been complaining of headache, ignoring to see the objects on the sides for four months.On examination he is not mentally retarded, his grades at school are good, and visual acuity is diminished in both the eyes. Visual charting showed significant field defect. CT scan of the head showed suprasellar mass with calcification. Which of the following is the most probable diagnosis? a. Astrocytoma b. Craniopharyngioma c. Pituitary adenoma d. Meningioma 6. All of the following are neural tube defects except a. Myelomeingocoele b. Anencephaly c. Encephalocele d. Holoprosencephaly 7. A newborn presents with congestive heart failure, on examination has bulging anterior fontanellae with a bruit on auscultation.Transfontanella USG shows a hypoechoic midline mass with dilated lateral ventricles. Most likely diagnosis is a. Medulloblastoma b. Encephalocele c. Vein of galen malformation d. Arachnoid cyst 8. A 5 year old child is admitted with headache, vomiting and difficulty in walking. Physical findings include truncal ataxia, papilloedema and left lateral recuts palsy. No finger-to-nose ataxia could be detected on the left side or right side. The most likely diagnosis is a. Dandy walker syndrome b. Syringobulbia c. Arnold-chiari malformation d. Medulloblastoma 9. Most common tumor in children is a.Leukemia b. Lymphoma c. Wilm’s tumom d. Neuroblastoma 10. All of the following are good progonostic factor for ALL except a. Age of onset between 2-8 years b. Initial WBC count less than 50000 c. Hyperdiploidy d. t(9:22), t(8:14), t(4:11) 11. Chloroma is due to a. AML b. CLL c. ALL d. ALL Non Hodgkin’s lymphoma 12. Increased fetal Hb is seen in a. Juvenile CML b. Congenital red cell aplasia c. Hereditary spherocytosis d. AML 13. Wilm’s Tumour is associated with all except a. Hemihypertrophy b. Beckwith syndrome c. Aniridia d. Polycystic kidney 14. A child presented in the OPD with multiple permeating lesions involving all the bones of the body which of the following is the most probable diagnosis a. Neuroblastoma b. Metastasis from osteosarcoma c. Histiocytosis X d. Metastasis from Wilm’s tumour 15. A 5 year old girl came with history of progressively increasing pollor since birth and hepatosplenomegaly. Which of the following is the most relevant test for achieving diagnosis a. Hb electrophoresis b. Peripheral smear examination c. Osmotic fragility test d. Bone marrow examination 16. Bart’s hydrops fetalis is lethal because a. Hb Bart’s cannot bind oxygen b. The excess α – globin form insoluble precipitates d. Hb Bart’s cannot release oxygen to fetal tissues d. Microcytic red cells become trapped in the placental 17. A child died soon after birth. On examination there was hepatosplenomegaly and edema all over body. Most probable diagnosis in a. β-thalassemia b. α-thalassemia c. hereditary spherocytosis d. ABO incompatibility/sickle cell anemia 18. The coagulation profile in a 13-year old girl with Menorrhagia having von Willebrands disease is a.Isolated prolonged PTT with a normal PT b. Isolated prolonged PT with a normal PT c. Prolongation of both PT and PTT d. Prolongation of thrombin time 19. A 15 –year-old female presented to the emergency department with history of recurrent epistaxis, hematuria and hematochezia. Thhherrre wasss aaa hissstooory of ppprooofussse bleeding from the umbilicus stump at birth. Previous investigations revealed normal prothrombin time, activated partial thromboplastin time, thrombin time and fibrinogen levels. Her platelet counts as well as platelet function tests were normal but urea clot lysis test was positive. Which one of the following clotting factor is most likely to be deficient a. Factor X b. Factor XI c. FactorXII d.Factor XIII 20. The following are the features of β thalassemia major except a. Bone marrow hyperplasia b. Hair-on-end appearance c. Splenomegaly d.Increased osmotic fragility 21. A 3-month old male child with normal genitalia presents to the emergency department with severe dehydration, hyperkalemia and hyponatremia. The measurement blood levels of which of the following will be helpful? a. 17-hydroxy progesterone b. Rennin c. Cortisol d. Aldosterone 22. Blood specimen for neonatal thyroid screening is obtained on a. Cord blood b. 24 hours after birth c. 48 hours after birth d. 72 hours after birth 23. A 10-month old baby previously normal, suddenly becomes distressed in his crib. The external appearance of genitalia was normal, except hyperpigmentation. Blood glucose showed a level of 30 mg%. what is the most probable diagnosis? a. 21 hydroxylase deficiency b. Hyperinsulinism c. Familial glucocorticoid deficiency d. Cushing’s syndrome 24. All of the following statements are true about congenital rubella except a. It is diagnosed when the infant has IgM antibodies at birth b. It is diagnosed when Ig G antibodies persist for more than 6 months c. M. C. congenital defects are deafness, cardiac malformation and cataract d. Infection after 16 weeks of gestation results in major congenital defects 25. SSPE (subacute sclerosing panencephalitis) is associated with a. Mumps b. Chickenpox c. Herpes d. Measles 26. Which of the following is true of mumps a. Salivary gland involvement is limited to the parotids b. The patient is not infectious prior to clinical parotid enlargement c. Menigoencephalitis can precede parotitis d. Mumps orchitis frequently leads to infertility 27. An 8 yr. old female child following URTI developed maculopapular rash on the jaw spreading onto the trunk which cleared on the 3rd day without desquamation and tender post auricular and suoccipital lymphadenopathy. The diagnosis is a. Kawasaki disease b. Erythema infectiosum c. Rubella d. Measles 28. A 3-month-old male infant developed otitis media for which he was given a course of Co-trimoxazole. A few days later, he developed extensive peeling of the skin; there were no mucosal lesions and the baby was not toxic. The most likely diagnosis is a. Toxic epidermal necrolysis b. Staphylococcal scalded skin syndrome c. Steven Johnson syndrome d. Infantile pemphigus 29. All are features of Pertussis except a. Encephalopathy b. Cerebellar Ataxia c. Subconjunctival hemorrhage d. Bronchiectasis 30. True about HIV in the neonate includes all the following except a. Cannot be diagnosed accurately by current methods b. Failure to thrive may be presentation c. Transmission rate during pregnancy exceeds 90% d. Transmission vertically from mother 31. A 30-year old lady delivered a healthy baby at 37 week of gestation. She was a known a case of chronic hepatitis B infections she was positive for HBsAG but negative for HBeAG. Which of the following is the most appropriate treatment for the baby a.Both active and passive immunization soon after birth b. Passive immunization soon after birth and active immunization at 1 year of age c. Only passive immunization soon after birth d. Only active immunization soon after birth 32. A neonate born to infected hepatitis-B mother, should be treated with a. Isolation b. Immunoglobulins c. Hepatitis-B- Vaccine d. Immunoglobulins & hepatitis-B- vaccine 33. A poverty-stricken mother suffering from active tuberculosis delivers a baby. Which one of the following advices would be the most appropriate in her case a. Breast feeding and BCG immunization b. Breast feeding and isoniazid administratio c. Expressed breast milk and BCG immunization d. Stop feeds and isoniazid administration 34. A 2 year old child has a Mantoux test treading of 12 mm x 12 after 48 hours. In this case a. Anti-TB drugs should be started even if x-ray chest and haemogram are normal b. Treatment should be started only if x-ray chest and haemogram are suggestive c. One should wait till overt sign of TB appear d. No treatment is required 35. For the prevention of parent to child transmission of HIV, the NACO’s recommendation is to give a. Niverapine 200 mg in active labour to mother b. Niverapine 200 mg, four hours after rupture to membranes, to mother c. Niverapine 200 mg in active about to mother and syrup niverapine 2 mg/kg body weightto new born with 72 hours of delivery d. Syrup niverapine 2 mg/kg body weight to newborn within 72 hours of birth 36. Contraindication to DPT is all except a. Local reaction to previous DPT b. High fever after previous dose c. Infantile spasms d. Seizures after previous dose
  26. samuel

    samuel New Member

    Which virus is secreted in breast milk.a. Herpes simplexb CMVc.d.2. Oxygen consumption in neonatesa. 6 ml/kg/minb. 8 ml/kg/minc. 10ml/kg/mind. 12 ml/kg/min3. Glucose consumption rate in neonatea. 2-4mg/kg/minb. 4-8ml/kg/minc. 8-10 ml/kg/mind. 10-12 ml/kg/min4. Morrows reflex normally disappears bya. 3 monthsb. 4 monthsc. 6 monthsd. 8 months5. Atovaquinone is primarily used ina. Obesityb. ADHDc. Schizophreniad. Depression6. Difference between proximal RTA and distal RTAa. Hyperkalemia and bicab. Hyperkalemia andc. Hypokalemia andd. Hypokalemia7. Increased intracranial tension is a feature ofa. Cyclosporine therapyb. Hypervitaminosis Dc. Vitamin A deficiencyd. Lead poisoning8. Not a criteria for the diagnosis of SAMa. Severe wastingb. Decreased height for agec. .d. .9. Biochemical feature of protein energy malnutritiona. Low insulinb. Low catecholamine levelc. Low cortisol leveld. 10. Ossification centre of distal end of femur appears bya. 24 weeksb. 28 weeksc. 30 weeksd. 36 weeks11. which of d following is true about Salbutamol ?a. For its actiom on lungs it has to be given by inhalation onlyb. It is a selective b1 agonistc. It causes decreased lung volumed. It causes constriction of smooth muscles12. All of d following are essential amino acids excepta. Methionineb. Valinec. Glutamined. Lysine13. Absence seizures are pptd by which of d following.a. Ethosuximideb. Carbamazepinec. Benzodiazepinesd. Valproate14. Which of d following are seen in a child with protein energy malnutrition- low insulin- low cortisol- low catecholamines- normal growth hormone levels15. Skin maturation gets completed by what gest age?A)20B)22C)24D)2816. Vitamin K conc in breast milk?A)0.5B)0.7C)1D)1.517. Prolonged feeding of Hind milk leads toA) abnormal weight gainB) decreased lean massC) osteopeniaD)less fat18. All of d foll are seen in Hypothyroidism except-- Wormian bones- stipulated ribs- Beaking of vertebra- Epiphyseal dysgenesis19. Sensory neuropathy seen with all of d following except-- cidp?- Riley Day syndrome- GBS- Giant axonal neuropathy20. Pasteurised donor milk , will be culture neg after thawing6hr12hr24hr72hr21. O2 sats(SpO2) of neonates to be ensured at 5 min after birth (NRP 2010) –a. 70-75%b. 75-80%c. 80-85%d. 85-95%22. Objective visual assessment method in newborns –23. Upto what G.A should nutritional supplements be given to preterms –a. 33 weeksb. 36 weeksc. 38 weeksd. 40 weeks24. All of the following would increase oxygenation in ventilated baby except–a. Increase in inspiratory timeb. Increase in RRc. Increase in PIPd. Increase in peep25. All of the following would wash out CO2 in ventilated child except –a. Increased RRb. Increased PIPc. Increased PEEPd. Increased26. If lung resistance is increased and compliance kept same time constant would –a. Increaseb. Decreasec. Remains samed. 27. Correct latching technique to breast is shown by all except –a. Mouth wide openb. Areola visible more on upper side than lowerc. Sucking with rest in betweend. 28. What is the only variable component in breast milk among the following –a. Fatb. Proteinc. Carbohydrated. 29. Drawback of donated breast milk includes all except –a. Low nutritional statusb. Poor neurodevelopmental outcomec. .d. .30. Which among the following CHDs is most likely to go in heart failure –a. Hypoplastic left heart syndromeb. VSDc. ASDd. 31. Caudal part of IVS is formed by –a. Left ventricleb. Right ventriclec. .d. .32. Commonest form of ICH in preterms –a. Subdural hematomab. Extradural hematomac. Intraventricular hemorrhaged. .33. Which parameter among the following is given a score of 5 in new ballard scorea. Arm recoilb. Square windowc. Scarf signd. 34. Shape of upper airway of newborns –a. Funnel shaped and wide subglottisb. Funnel shaped and narrow subglottisc. Funnel shaped and wide subglottisd. Funnel shaped and narrow subglottis35. Formula for calculating ET tube size –a. Age x 2+8b. Agec. Age years /4 + 4d. Age
  27. samuel

    samuel New Member

    36. Adrenaline ET tube dose –a. 0.1mg/kgb. 0.01 mg/kgc. 1mg/kgd. .37. Respirable particle size to be deposited in airwaysa. 1-2 micronb. 2-5 micronc. 5-10 micrond. 10-15 micron38. used in prevention of CLDa. vit.Ab. .c.d.39. severity of night blindness wid prevalence ofa. 4%b. .c. .d. .40. conjugated hyperbilirubinemia seen ina. Dubin johnson syndromeb. Crigler najar syndromec. .d. .41. scarring seen in which type of epidermolysis bullosa?a.b.c.d.42. severe dengue char by all except.a. torniquet testb. falling hematocritc. liver sizeincrease by 2 cmd. .43. In HMDa. compliance decreasedb. compliance increasedc. .d. .44. acne vulgaris Rx of choice isa. Retinoic acid topicalb. Doxycycline oralc. d. Oral Doxycycline and topical retinoic acid45. In congenital lupus heart block develops at weeka. .b. ,c. .d. .46. Gas shadow reaches in rectum of neonate appears at hours??a. 8 hoursb. 12 hoursc. 24 hoursd. 30 hours47. which is not quantitative anomaly of plateleta. glanzmansb. TTPc. Hemangiomad. .48. In TPN –a. fat = 3gm/kgb. fat =6 gm/kgc. .d. .49. Most common adverse effect of TPNa. hypoglycaemiab. hypocalcemiac. hypomagnessemiad. .50. 1gm of albumin binds how much bilirubina. 8mgb. 6 mgc. 10 mgd. 51. All are AR inheritence excepta. OTC deficiencyb. .c. .d. .52. max urine osmolarity in neonatesa. 100b. 150c. 800d. 100053. breast milk factors active against giardia n ameobiasisa. Lactoferrinb. .c. .d. .54. Mechanism of diarrhoea in giardiasisa. Mechanical obstructionb. Covering surface areac. .d. .55. kidney attains adult level GFR by what agea. 1 yearb. 2 yearc. 5 yeard. .56. RBC life span in neonatesa. 30 daysb. 45 daysc. 90 daysd. 120 days57. biophysical profile which is not includeda. stress testb. fetal activityc. breathing movement,d. amniotic fluid volume58. erythema toxicum fluid contains which cellsa. Basophilb. Eosinophilc. Neutrophild. 59. noonan's syndrome PSa. supravulvularb. Subvalvularc. .d. .60. A female.....a. Noonan syndromeb. Klinefelter syndromec. Turner syndromed. .61. hematopoesis shifts from liver to bone at what agea. 8 weeksb. 10 weeksc. 12 weeksd. 20 weeks62. most common complication of measlesa. Meningitisb. Pneumoniac. Malnutritiond. .63. At what age gait of a child is matured as adult?a. 1 yearb. 2 yearc. .d. .64. WHOs new growth chart contains which percentiles.....a. 3rd, 10th, 90th and 97thb. 3rd, 10th 50th, 90th and 97thc. 3rd, 10th,50th,85th and 97thd. .65. Which of the following has high anion gap metabolic acidosis....a. Renal tubular acidosisb. Diarrhoeac. .d. .66. hormone causing breastmilk jaundice....a. 3,8 pregnanediolb. .c. .d. .67. diptheria causes all except.....a. Myocarditisb. .c. .d. .68. crescentic glomerulitis is seen in...a. mesangiocapillaryb. .c. .d. .69. factor responsible for cardiac involvement apart from anti-RO and anti-LA...a. ds-DNAb. .c. .d. .70. Activated charcoal is useful in all poisoning except...a. Mercury poisoningb. .c. .d. .71. non necrotising granuloma is seen in....a. micro-PANb. .c. .d. .72. A child delivered normally and uneventfully. Her mother had mild placental abruption. On 2nd day child presented with vomiting which contains blood. Which test should be donea. Apt Downey testb. Klehar betke testc. .d. .73. Which of the following is true about Parachute reflex ?a. Disappears by 1 yearb. Appears before birthc. Appears at age of months and persists throughout lifed. .74. Which is the investigation of choice for choanal atressiaa. Rhinogramb. MRIc. CECTd. .75. A child presented with nonbilious vomiting since 6 weeks of life and electrolyte abnormality found- hypochloremic metabolic alkalosis, what could be the diagnosisa. Pyloric stenosisb. Intestinal obstructionc. .d. .76. Physiologic closure of Ductus occurs at age ofa. 1 dayb. 2-3 daysc. 3-5 daysd. 1 months77. Congenital inguinal hernia should be operated ata. Intrauterineb. At birthc. 6 monthsd. .78. Omphalocele was detected at 11 weeks of gestational age. What advice should be given to the parentsa. Amniocentesis and genetic studyb. Termination of pregnancyc. Reassuranced. .79. Edward syndromea. Trisomy 18b. Trisomy 21c. .d. .80. Downs syndromea. Trisomy 21b. Trisomy18c. .d. .81. Leishmania yield is highest froma. Spleenb. Liverc. Bone marrow aspirated. Lymph nodes82. A child with.......... anemia.....retic count-0.4, TLC-2800 ( neutrophil 20%)a. Aplastic anemiab. Pure red cell aplasiac. Parvo virus b infectiond. Iron deficiency anemioa83. Folic acid supplementation should be started to prevent neural tube defecta. Before conceptionb. At missed periodc. 2 months after missed periodd. In84. Folic acid supplementation dose to prevent NTDa. 4 mg dailyb. 0.4 mg dailyc. .d. .85. Most common cause of abdominal mass in neonate (2 months)a. Teratomab. Wilms tumourc. Neuroblastomad. Renal dysplasia86. Which of the following is not a normal neonatal findinga. Epsteins perlb. Mongolian spotc. Preauricular tagsd. .87. In IMCI which is not a criteria for severe respiratory distressa. Retractionb. Cyanosisc. .d. .88. Pupillary reflex normally present bya. 20-22 wksb. b. 22-24 wksc. c. 24-30 wksd. d. 30-36 wks89. Nerve roots involved in suckling reflexa. X, , IX, XIIb. b. X, IX, XII, Xc. c. V, VII, X, XII,d. d. V, VII, IX, X, XII90. Nuchal thickness > 6 mm in mid trimester s/oa. Downs syndromeb. b. Turners syndromec. c. Klinfelters syndrome91. Maternal serum AFP is decreased ina. Downs syndromeb. neural tube defect92. Which of the following structure forms the base of Fossa ovalisa. Septum primumb. b. Septum intermediumc. c. Septum secundum93. F100 containsa. Prptein 2.4 gm, Lactose 3.1 gmb. b. Protein 2.4 gm, Lactose 3.8 gmc. Prptein 2.9 gm, Lactose 3.1 gmd. Protein 2.9 gm, Lactose 3.8 gm94. Congenital syphilis which is not presenta. Vaginal lesionsb. Periostitisc. Nasal snufflersd. .95. Regarding pain management in neonatea. Neonate doesn’t have pain sensationb. Pharmacological method is only methodc. .d. PIPS is the only validated pain management scale96. Which permanent tooth appears firsta. 1st premolarb. Incisorc. 1st molard. 2nd molar97. Neonatal evaporation is measured bya. Tasometerb. Tachometre98. Most vital part of phototherapya. Distance of light sourceb. Duration of phototherapyc. Surface area of exposured. Spectral irradiance99. A child is able to walk upstairs with holding rail, able to run anda. 18 monthsb. 2 yearsc. 30 monthsd. 36 months100. A child able to draw crossa. 2 yearsb. 3 yearsc. 4 yearsd. 5 years101. Nutritional rickets treatment step isa. Calcium supplementb. Vitamin d supplementc. Magnesium supplementd. 102. A child with road traffic accident has no vomiting, no LOC. CT scan shows bleed around right tympanic membranea. Subdural hemorrhageb. Extradural hemorrhagec. Fracture base of skulld. Intraventricular hemorrhage103. A child with multiple fractures, healing properly and abnormal development of long bonesa. Ricketsb. Osteogenesis imperfecta104. Which of the following is not a diagnostic criteria of Kawasaki diseasea. Red tongueb. Rashesc. Fever for more than a monthd. Periungual squamation105. Most common bleeding disordera. Von villebrand diseaseb. Haemophiliac. G6PDd.

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