Paeds 2023

Pediatrics MCQs
1. All the following are possible cause of Precocious Puberty except —

A) Mc Cune Albright syndrome
B) Anorexia Nervosa
C) Hypothyroidism
D) Neurofibromatosis
2. What is underlying genetic cause for Pradarwilli Syndrom-

A) Triploidy on Chromosome 21
B) Maternal uniparentral isodisomy of Chromosome 7
C) Deletion of paternal copies of genes on Chromosome 15
D) Monosomy X
3. Intrauterine growth retardation can be caused by all of the following agents except-
A) Nicotin
B) Alcohol
C) Propranolol
D) Phenothiazine
4. A 7 year old boy with reduced weight and height for last one year is likely to have which of the
following condition-
A) Mal Nutrition
B) Chronic Infection
C) Lymphoma
D) Varicella
5. Foetal respiratory movements occur earliest at what weeks-

A) 12 weeks
B) 11 weeks
C) 16 weeks
D) 20 weeks
6. Antenatal diagnosis of all following conditions is possible except

A) Down’s syndrome
B) Anencephaly
C) Huntinton’s chorea
D) Severe combined Immunodeficiency
7. Foetal Bradycardia is defined as when heart rate is-

A) Less than 100 beats per minute
B) Less than 120 beats per minute
C) Less than 150 beats per minute
D) Less than 120 beats per minutes for a period of 15 minutes continuous monitoring
8. Foetal growth is maximally affected by which of the hormone —

A) Insulin
B) Growth hormone
C) Cortisol
D) Thyroxin
9. In assymetrical lUGR- which of organ is not affected-
A) Subcutaneous tissue
B) Liver
C) Muscle
D) Brain
10. A 5 year child is assessed developmental age of 1 year. What would be his development Quotient-
A) 100
B) 80
C) 60
D) 20
11. 18 months old baby present with recurrent episodes of excessive crying followed by occasional
seizure at 9 months of age. The most likely diagnosis-
A) Epilepsy
B) Anoxic spells
C) Breath holding spells
D) Vasovagal attack
12. Normal height with decrease bone age is seen in-

A) Cushings syndrome
B) Hypothyroidism
C) Thanatophoric dwarf
D) Downs syndrome
13. Visual acuity reaches adult acuity by the age-

A) 7 years
B) 9 years
C) 5 years
D) 3 years
14. Commonest cause of Enuresis in children-

A) Urinary tract infection
B) Spina bifida
C) Diabetes mellitus
D) Psychological stress
15. Vitamin K deficiency occur in all except-

A) Billiary obstruction
B) Artificial milk foods
C) Oral antibiotic therapy
D) Mal absorption
16. Prenatal diagnosis is possible for all following except

A) Sickle cell trait
B) Beta thalassemia
C) Ectodermal dysplasia
D) Duchenee muscular dystrophy
17. Cystic fibrosis can present with all except following-

A) Salt depletion
B) Pansinusitis
C) Rectal polyposis
D) Pancreatitis
18. Most common pathogen of pneumoniain children 5 yrs and older is-
A) Streptococcus Pneumoniae
B) Mycoplasma Pneuminiae
C) gr A Streptococcus
D) H. Influenza
19. Broncho Pulmonary dysplasia-an accepted definition- Posinatal Oxygen requirement for-
A) 7 days
B) 14 days
C) 21 days
D) 28 days
20. Commonest extraintestinal manifestation of Coeliac disease-

A) Short Stratum
B) Arthritis
C) Aphthous ulcer
D) Iron deficiency anaemia.
21. Choose the biomarker of bacterial sepsis=

A) Trop-1
B) CRP & Procalcitonin
C) Galactomannan
D) CA 19-9
22. Serum marker indicating lmmune Status after vaccination for Hepatitis B is-
A) HBeAg
B) Anti HBclgM
C) Anti HBsAg
D) HBV DNA
23. H1N1 Influenza is best diagnosed at community level by-

A) Viral culture
B) RT-PCR assay on throat swab
C) Detecting viral neutralizing antibodies
D) Western blot assay
24. Ultra filtrate which is filtered through glomerular capillary wall contains all of the following except-
A) Electrolytes
B) Low molecular weight proteins
C) Creatinine
D) Albumin
25. An autoimmune disease is-

A) AIDS
B) Lupus
C) Mumps
D) Measles
26. What is the ‘major metabolically available storage form of Iron in the body-
A) Hemosiderin
B) Ferritin
C) Hemoglobin
D) Transferrin
27. Vitamin B12 and Follic Acid have similar effects but what separates one from other-
A) Glossitis
B) No neurological symptoms in folic acid
C) Muscle wasting
D) Dizziness
28. What are the treatment option of Wilson’s disease-

A) Penicillamine
B) Riboflavin
C) B12
D) Gluten free diet
29. Which medication is known to cause hypokalemia-

A) Salbutamol
B) Inhaled steroid
C) lpratropium bromide
D) Magnesium Sulphate
30. The primary reason for AIDS, a deadly disease, is that it-
A) Caused by Virus
B) Caused by bacterium
C) Destroys key components of body internal defense system
D) Causes a breakdown of body’s inflammatory system
31. Infants are more susceptible to bacterial infections due to low circulating IgG-
A) In Utero before birth
B) 0-3 months age
C) 3-12 months age
D) 12-24 months age
32. A 10 year old (had boil on left thigh and mild fever 1 month ago) presented with headache, malaise,
lethargy, decreased urine output and puffiness of face; GUE; RBC Cast ++; albumin ++; low C3 level and
normal C4 level. Which of the following is true about this disease-
A) Nephrotic Syndrome 50%
B) Acute renal failure 90%
C) Increase ASLO titer 70%
D) Hypertension 70%
33. In the diarrhoea associated hemolytic uremic syndrome, one of the following has no beneficial role-
A) Dialysis
B) Early intravenous volume expansion
C) Control hypertension
D) Eculizumab
34. Dandy Walker malformation is

characterized by following except-
A) Cystic dilatation of the fourth ventricle
B) Herniation of cerebellar tonsils through the foramen magnem
C) Hypoplasia of Cerebellar Vermis
D) Hydrocephalus
35. There are several predictors of epilepsy after febrile seizure, highest percent of risk factors for
subsequent epilepsy after seizure is-
A) Complex febrile seizure any type
B) Fever < 1 hour before febrile seizure
C) Recurrent febrile seizure
D) Focal complex febrile seizure
36. The fascial port—wine stain of Sturge-Weber Syndrome is characterized by the following except-
A) Tends to unilateral
B) Always involved the upper face and eye lids –
C) Its distribution is consistent with ophthalmic division of trigeminal nerve
D) Most children with port wine stain have SWS
37. The most common type of CP (Cerebral Palsy) associated with seizure is –
A) Spastic hemiplegia
B) Spastic Quadriplegia
C) Spastic Diplegia
D) Hypotonic CP
38. The CSF leucocyte count.in normal healthy newborn may reach-
A) 15 leucocyte/mm3
B) 20 leucocyte/mm3
C) 25 leucocyte/mm3
D) 30 leucocyte/mm3
39. Gruntting is most commonly prominent in one of the following-
A) Asthma
B) HMD
C) Croup
D) Choanal atresia
40. All of the following are common cause of emesis in childhood except-
A) Gastroenteritis
B) Toxic ingestion
C) Pertusis syndrome
D) Peptic ulcer
41. All of the following are common causes of GI bleeding in infancy except-
A) Bacterial enteritis
B) Intussuception
C) Meckel’s diverticulum
D) Anal fissure
42. In healthy full term neonate, meconium is passed within 48 hours of birth in-
A) 99%
B) 90%
C) 80%
D) 70%
43. Which of the following statement regarding Zika virus is true-

A) Transmitted by the site of cutex mosquito
B) Associated with bilateral pneumonia and ARDS
C) Belong to filovirus group
D) Congenital transmission leads to microcephaly
44. Most common cause of pleural effusion in children is-

A) TB
B) Congestive heart failure
C) Bacterial pneumonia
D) Malignancy
45. All of the following are embryonic haemoglobin except-

A) HbF
B) HbA2
C) Gower I
D) Portland
46. The first permanent tooth to erupt is-

A) Central incisor at-6 years
B) Molar at 6 years
C) Premolar at 6 years
D) Lower canine at 6-7 years
47. Most commonly used index for nutritional status is-

A) Height for age
B) Weight for height
C) BMI
D) Weight for age
48. Radiological features of Scurvy are similar to that of-

A) Copper deficiency
B) Zinc deficiency
C) Vit. D excess
D) Vit. A excess
49. The most convenient way to confirm a diagnosis of Pellagra in children is-
A) Skin biopsy
B) Response to Niacin treatment
C) Physical signs of glossitis, dermatitis
D) Urinary pyridine
50. Significant difference of blood pressure in upper and lower limbs is found in-
A) Tetralogy of fallot
B) Kawasaki disease
C) PDA
D) Coarctation of aorta

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Pediatrics MCQs

1. All the following are possible cause of Precocious Puberty except —

2. What is underlying genetic cause for Pradarwilli Syndrom-

5. Foetal respiratory movements occur earliest at what weeks-

6. Antenatal diagnosis of all following conditions is possible except

7. Foetal Bradycardia is defined as when heart rate is-

8. Foetal growth is maximally affected by which of the hormone —

12. Normal height with decrease bone age is seen in-

13. Visual acuity reaches adult acuity by the age-

14. Commonest cause of Enuresis in children-

15. Vitamin K deficiency occur in all except-

16. Prenatal diagnosis is possible for all following except

17. Cystic fibrosis can present with all except following-

20. Commonest extraintestinal manifestation of Coeliac disease-

21. Choose the biomarker of bacterial sepsis=

23. H1N1 Influenza is best diagnosed at community level by-

25. An autoimmune disease is-

28. What are the treatment option of Wilson’s disease-

29. Which medication is known to cause hypokalemia-

34. Dandy Walker malformation is

43. Which of the following statement regarding Zika virus is true-

44. Most common cause of pleural effusion in children is-

45. All of the following are embryonic haemoglobin except-

46. The first permanent tooth to erupt is-

47. Most commonly used index for nutritional status is-

48. Radiological features of Scurvy are similar to that of-

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