MCQ Prof

Examination Class: MCPS
Code: ______
Cognition level: C2
Subject: PAEDIATRICS
Theme: Chronic Cough
Sub Specialty: PULMONOLOGY
Sub theme: DIFFERENTIAL DIAGNOSIS
1250PED A 6 year child presents with cough at night for the last one month. On examination, he is
noticed to have bilateral rhonchi. Most likely disease would be:A.
B.
C.
D.
E.
Bronchial Asthma*
Bronchiectasis
Chronic Bronchitis
Interstitial lung disease
Tuberculosis
Importance: Essential
Estimation of Difficulty: Easy
Reference: Nelson Textbook of Pediatrics, page no 954
Date:-____________
______________________________
Reviewers Signature
Examination Class: FCPS-II

Code: ______
Cognition level: C2
Theme: Acute Hepatitis
Sub Specialty: Hepatology
Sub theme: DIFFERENTIAL DIAGNOSIS
1249PED A 10 year old child presents with fever and yellow discoloration of eyes for the last 5
days. On examination, liver is palpable by 3 cm below the right costal margin. Most likely diagnosis
would be:-
A.
B.
C.
D.
E.
Drug induced hepatitis

G 6-PD deficiency
Hepatitis A*
Hepatitis B
Hepatitis C
Estimation of Difficulty: Moderate
Date:-____________
______________________________
Reviewers Signature
Code: ______
Cognition level: C1
Theme: TONSILLITIS
Sub Specialty: INFECTIOUS DISEASE
Sub theme: TREATMENT
1248PED The most suitable drug for the treatment of streptococcal tonsillitis in an 8 year old boy
would be:
A.
B.
C.
D.
E.
Benzathene penicillin single dose IM*

Cefixine oral for 5 days
Ceftriaxone IM for 3 days
Cotrimoxazole oral for 5 days
Erythromycin oral for 5 days
Importance: Important
Date:-____________
______________________________
Reviewers Signature
Code: ______
Cognition level: C2
Theme: SORE THROAT
Sub Specialty: INFECTIOUS DISEASE
Sub theme: DIAGNOSIS
1247PED A 5 year child presents with fever and pain in throat. He has red, enlarged tonsils and
tender jugulodigastric lymph nodes. Most likely diagnosis would be:-
A. Diphtheria
B. Ludwigs angina
C. No throat problem
D. Streptococcal sore throat*
E. Viral Sore throat
Date:-____________
______________________________
Reviewers Signature
Code: ______
Cognition level: C3
Theme: EPILEPSY
Sub Specialty: NEUROLOGY
1246PED A 2 year old boy present with history of episodic events in which child cries becomes
blue and unconscious. Most likely diagnosis of these events would be:-
A.
B.
C.
D.
E.
Absence seizures
Breath holding spells*
Complex Partial seizures
Temper Tantrums
Tics
Reference:
Nelson Textbook of Pediatrics, page no 2476
Date:-____________
______________________________
Reviewers Signature
Code: ______
Cognition level: C2
Theme: COMA
Sub Specialty: INFECTIOUS DISEASES
1245PED A 10 year old boy presenting from a village alongside the river has history of fever for 3
days and unconsciousness for one day. On examination GCS=10, spleen is palpable. Most likely
provisional diagnosis would be:-
A.
B.
C.
D.
E.
Cerebral Malaria*
Meningococcal Meningitis
Pneumococcal Meningitis
Typhoid encephalopathy
Viral encephalitis
Date:-____________
______________________________
Reviewers Signature
Code: ______
Cognition level: C1
Theme: PNEUMONIA
1244PED A 5 year old child presents with respiratory distress and opaque hemithorax on chest Xray. Needle aspiration reveals creamy coloured pus. Gram staining shows Gram positive cocci in
clusters. Most likely causative organism is:-
A. Hemophilus influenzae
B. Klebsiella pneumaniae
C. Staphylococcus aureus*
D. Streptococcus Pneumaniae
E. Streptococcus pyogenes
Importance: Supplementary
Reference:
Date:-____________
______________________________
Reviewers Signature
Code: ______
Cognition level: C2
Theme: SEIZURES
1243PED A eight year old girl presents with history episodic events in which she briefly becomes
unconscious and stares ahead. Most likely diagnosis would be:-
A.
B.
C.
D.
E.
Absence seizures*
Complex partial seizures
Generalized seizures
Partial seizures
Tics
Date:-____________
______________________________
Reviewers Signature
Code: ______
Cognition level: C2
Theme: MALNUTRITION
Sub Specialty: NUTRITION
Sub theme: Complications
1242PED Regarding pathological changes in children suffering from severe malnutrition

(marasmus), the least likely to occur is:-
A.
B.
C.
D.
E.
Hypoalbuminemia
Hypogamaglobulinemia
Hypoglycemia
Hypokalemia
Hyponatremia*
Reference:
Date:-____________
______________________________
Reviewers Signature
Code: ______
Cognition level: C3
Theme: ASTHMA
Sub theme: MANAGEMENT
1241PED A Child presents with asthma that occurs once every month for a couple of days. What
would be the best treatment for this child?-
A.
B.
C.
D.
E.
Allergen avoidance
Bronchodilators (Salbutamol)*
Inhaled steroids regularly
Monitoring of symptoms
Patient education
Estimation of Difficulty: Hard
Date:-____________
______________________________
Reviewers Signature
Code: ______
Cognition level: C1
Theme: EPILEPSY
Sub theme: TREATMENT
1240PED A 8 year old girl presents with absence seizures occurring daily. The choice of
medication should be:-
A.
B.
C.
D.
E.
Acetazolamide
Carbamazepine
Ethosuximide*
Phenobarbitone
Sodium valproate
Reference:
Date:-____________
______________________________
Reviewers Signature
Code: ______
Cognition level: C1
Theme: ASTHMA
Sub theme: Management
1239PED A 2 year old child presents with runny nose for the last 2 days and noisy breathing for
the last one day. On examination child is having fast breathing, chest indrawing and bilateral
rhonchi. Most likely diagnosis would be:-
A.
B.
C.
D.
E.
Acute bronchitis
Acute larynogotracheobronchitis
Asthma*
Bronchiolitis
Bronchopneumonia
Reference:
Date:-____________
______________________________
Reviewers Signature
Code: ______
Cognition level: C1
Theme: ASTHMA
Sub theme: Management
1238PED A 2 year old child presents with runny nose for the last 2 days and noisy breathing for
the last one day. On examination child is having fast breathing, chest indrawing and bilateral
rhonchi. Most likely diagnosis would be:-
A. Acute bronchitis
B. Acute larynogotracheobronchitis
C. Asthma*
D. Bronchiolitis
E. Bronchopneumonia
Reference:
Date:-____________
______________________________
Reviewers Signature
Code: ______
Cognition level: C3
Theme: ASTHMA
Sub theme: CLASSIFICATION
1237PED A eight year old child presenting with cough and wheeze for the last are one month
occurring twice in a month for 2-3 days each. He also complains of night coughing 2-3 times in a
week. How would you classify his asthma?
A.
B.
C.
D.
E.
Cannot be classified
Mild intermittent
Mild persistent
Moderate Persistent*
Severe persistent
Estimation of Difficulty: HARD
Date:-____________
______________________________
Reviewers Signature
Code: ______
Cognition level: C2
Theme: Acute Stridor
1236PED Following measure will be least useful in the management of the child suffering from
acute larynogotracheobronchitis?
A.
B.
C.
D.
E.
Nebulized epinephrine*
Nebulized salbutamol
Nebulized steroids
Systemic steroids
Tracheostomy
Reference:
Date:-____________
______________________________
Reviewers Signature
Code: ______
Cognition level: C1
Theme: TORCH
1235PED A 3 month old baby presents with delayed milestones. On examination he is noticed to
have microcephaly, microopthalmia and congenital cataract. Most likely diagnosis would be:--
A. Congenital Rubella infection*

B. Congenital cytomegalovirus infection
C. Congenital herpes infections
D. Congenital syphilis infection

E. Congenital toxoplasmosis infection
Date:-____________
______________________________
Reviewers Signature
Examination Class: MCPSI
Code: ______
Cognition level: C2
Theme: DEHYDRAITON
Sub Specialty: GASTROENTEROLOGY
1234PED The amount of glucose in standard ORS solution is:-
A.
B.
C.
D.
E.
30 mmol/l
60 mmol/l
91 mmol/l
111 mmol/l*
131 mmol/l
Reference:
Date:-____________
______________________________
Reviewers Signature
Code: ______
Cognition level: C2
Theme: SPLENECTOMY
1233PED Following vaccine would be best useful in the management of the child planned to
undergo splenectomy:-
A.
B.
C.
D.
E.
Hib vaccines
Hepatitis B vaccine
Meningococcal vaccine
Pneumococcal vaccine*
Typhoid vaccine
Date:-____________
______________________________
Reviewers Signature
Code: ______
Cognition level: C1
Theme: DEHYDRAITON
Sub Specialty: GASTROENTEROLOGY
1232PED The substance that increases the shelf life of ORS is:-
A.
B.
C.
D.
Glucose
Potassium
Sodium bicarbonate
Sodium chloride
E. Trisodium citrate
Reference: Islam, M. R. (1986). "Citrate can effectively replace bicarbonate in
oral rehydration salts for cholera and infantile diarrhoea." Bull World
Health Organ 64(1): 145-150.
Date:-____________
______________________________
Reviewers Signature
Code: ______
Cognition level: C1
Theme: POLIO
Sub theme: PREVENTION
1231PED Vaccination under 5 year children for poliomyelitis is in:-
A.
B.
C.
D.
E.
Asymptomatic phase
Early pathogenic phase
Late pathogenic phase
Pathogenic phase
Pre-pathogenic phase*
Reference:
Nelson textbook of Pediatrics , page no 1350
Date:-____________
______________________________
Reviewers Signature
Code: ______
Cognition level: C1
Theme: NUTRITION
Sub Specialty: GROWTH AND DEVELOPMENT
Sub theme: DAILY REQUIREMENT
1230PED In formulation mid-day meal of school children the meal should supply______ total
energy requirement and protein requirement as one of the following:-
A.
B.
C.
D.
E.
and 1/3
1/3 and
and 2/3
2/3 and 1/3
and
Reference:
Date:-____________
______________________________
Reviewers Signature
Code: ______
Cognition level: C1
Theme: NUTRITION
Sub theme: PROPHYLAXIS
1229PED Dose of oral vitamin A given as prophylaxis is:-
A.
B.
C.
D.
E.
100000 IU
160000 IU
200000 IU*
500000 IU
660000 IU
Reference:
Date:-____________
______________________________
Reviewers Signature
Code: ______
Cognition level: C1
Theme: VITAMIN A PROPHYLAXIS
Sub theme: SUPPLEMENTATION
1228PED Oral vitamin A prophylaxis is given to children every:-
A.
B.
C.
D.
E.
1 year
2 months
4 months
6 months*
9 months
Reference:
Date:-____________

______________________________
Reviewers Signature
Code: ______
Cognition level: C3
Theme: PROTEIN CALORIE MALNUTRITON
1227PED Essential diagnostic criteria for diagnosis of kwashiorkor:-
A.
B.
C.
D.
E.
Growth retardation, Oedema, psychomotor retardation*

Hair change, Oedema, psychomotor retardation
Hair change, growth, psychomotor retardation
Oedema, growth retardation, hair changes
Oedema, skin changes and psychomotor retardation
Date:-____________
______________________________
Reviewers Signature
Code: ______
Cognition level: C3
1226PED A normal six month old child would require about how many calories per kg daily:-
A.
B.
C.
D.
E.
25
40
50
75
110*
Reference:
Date:-____________
______________________________
Reviewers Signature
Code: ______
Cognition level: C3
1225PED Caloric requirement above the normal during the first 6 month of lactation is:-
A.
B.
C.
D.
E.
300 kcal/day
400 kcal/day
550 kcal/day*
600 kcal/day
750 kcal/day
Reference:
Chaudhury, R. H. (1984). "Determinants of nutrient adequacy
for lactating and pregnant mothers in a rural area of Bangladesh."
Bangladesh Dev Stud 12(4): 107-122.
Date:-____________
______________________________
Reviewers Signature
Code: ______
Cognition level: C3
1224PED A baby fed on cow milk only is likely to develop:-
A.
B.
C.
D.
E.
Beri beri*
Growth retardation
Night blindness
Rickets
Scurvy
Reference:
Reference: Nelson Textbook of Pediatrics, 18th edition, page no 243
Date:-____________
______________________________
Reviewers Signature
Code: ______
Cognition level: C3
Theme: NUTRITION
1223PED ICMR recommendation for protein intake for 13 to 15 years old girls is:-
A.
B.
C.
D.
E.
0.5 gm/kg
0.95 gm/kg
1.3 gm/kg*
1.85 gm/kg
2 gm/kg
Reference: Reference: Nelson Textbook of Pediatrics, 18th edition, page no 212
Date:-____________
______________________________
Reviewers Signature
Code: ______
Cognition level: C3
1222PED Prophylactic administration of vitamin A in a child is:-
A.
B.
C.
D.
E.
Health promotion
Rehabilitation
School health Programme
Specific protection*
Treatment of cases
Reference: Reference: Nelson Textbook of Pediatrics, 18th edition, page no 1335
Date:-____________
______________________________
Reviewers Signature
Code: ______
Cognition level: C1
Theme: VITAMIN PROPHYLAXIS
Sub theme: NEW BORN
1221PED Vitamin A prophylaxis schedule of new born is:-
A.
B.
C.
D.
E.
11 mg
27.5 mg*
55 mg
110 mg
165 mg
Reference: Nelson Textbook of Pediatrics, 18th edition, page no 245
Date:-____________
______________________________
Reviewers Signature

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Examination Class: MCPS

Theme: Chronic Cough

Sub Specialty: PULMONOLOGY

Sub theme: DIFFERENTIAL DIAGNOSIS

Estimation of Difficulty: Easy

Reference: Nelson Textbook of Pediatrics, page no 954

Examination Class: FCPS-II

Sub Specialty: Hepatology

Sub theme: DIFFERENTIAL DIAGNOSIS

Drug induced hepatitis

Estimation of Difficulty: Moderate

Reference: Nelson Textbook of Pediatrics, page no 1681

Examination Class: MCPS

Sub Specialty: INFECTIOUS DISEASE

Sub theme: TREATMENT

Benzathene penicillin single dose IM*

Estimation of Difficulty: Easy

Reference: Nelson Textbook of Pediatrics, page no 1756

Examination Class: MCPS

Theme: SORE THROAT

Sub Specialty: INFECTIOUS DISEASE

Sub theme: DIAGNOSIS

Examination Class: FCPS-II

Sub Specialty: NEUROLOGY

Sub theme: DIAGNOSIS

Examination Class: MCPS

Sub Specialty: INFECTIOUS DISEASES

Sub theme: DIAGNOSIS

Examination Class: FCPS-II

Sub Specialty: INFECTIOUS DISEASES

Sub theme: DIAGNOSIS

Examination Class: FCPS-II

Sub Specialty: NEUROLOGY

Sub theme: DIAGNOSIS

Examination Class: FCPS-II

Sub Specialty: NUTRITION

Sub theme: Complications

1242PED Regarding pathological changes in children suffering from severe malnutrition

Examination Class: FCPS-II

Sub Specialty: PULMONOLOGY

Sub theme: MANAGEMENT

Examination Class: FCPS-II

Sub Specialty: NEUROLOGY

Sub theme: TREATMENT

Examination Class: MCPS

Sub Specialty: PULMONOLOGY

Sub theme: Management

Examination Class: FCPS-II

Sub Specialty: PULMONOLOGY

Sub theme: Management

Examination Class: FCPS-II

Sub Specialty: PULMONOLOGY

Sub theme: CLASSIFICATION

Examination Class: MCPS

Theme: Acute Stridor

Sub Specialty: PULMONOLOGY

Sub theme: MANAGEMENT

Examination Class: FCPS-II

Sub Specialty: INFECTIOUS DISEASES