Paediatrics Multiple Choice Questions
1. Which one of the following statements is false about Xanthogranulomatous pyelonephritis in children?
A. Often affects those younger than 8 years of age
B. It affects the kidney focally more frequently than diffusely
C. Clinical presentation in children is same as in adults
D. Boys are affected more frequently
Answer: D
2. Which of the following agents is most commonly associated with recurrent meningitis due to CSF leaks?
A. Meningococci
B. Pneumococci
C. Hemophilus Influenza
D. E. Coli
Answer: B
3. Which of the following is a marker for neural tube defects?
A. ↑Phosphatidylesterase
B. ↑Pseudocholinesterase
C. ↑Acetylcholinesterase
D. ↑Butyrylcholinesterase
Answer: C
4. Child draws triangle at what age ?
A. 3 years
B. 5 years
C. 6 years
D. 7 years
Answer: B
5. A child is able to build blocks of 5 Cubes developmental age is
A. 12 months
B. 15 months
C. 18 months
D. 24 months
Answer: C
6. A child is able to say short sentences of 6 words
A. 2 years
B. 3 years
C. 4 years
D. 5 years
Answer: C
7. Delayed dentition is seen in all/except ?
A. Down syndrome
B. Congenital hypothyroidism
C. Rickets
D. All of above
Answer: D
8. When ICF and ECF of child becomes equal to adult person
A. 1 year
B. 2 year
C. 3 year
D. 4 year
Answer: A
9. Upper segment to lower segment ratio in 3 yr age child is
A. 12
B. 1.3
C. 1.4
D. 1.6
Answer: B
10. A newborn baby has a head circumference of 35 ems. at birth, His optimal head circumference will be 43 ems at
A. 4 months of age
B. 6 months of age
C. 8 months of age
D. 12 months of age
Answer: B
11. All of the following are true about Kernicterus EXCEPT:
A. Kernicterus is due to Unconjugated Hyperbilirubinemia
B. Yellowish staining of Basal Ganglia is seen
C. Prematurity is a risk factor
D. Not associated with increased morbidity
Answer: D
12. Definition of childhood is under what age?
A. 8 years
B. 10 years
C. 12 years
D. 16 years
Answer: C
13. A baby has stated to get his first milk teeth. His age is approximately:
A. 3 months
B. 6 months
C. 9 months
D. 12 months
Answer: B
14. Which of the following statement is true for physiological jaundice in neonate?
A. Occurs in the first 6 hours of delivery
B. Neurological sequelae are common
C. Best treated by phototherapy
D. Starts on 2nd day of life
Answer: D
15. Which of the following is not a feature of Juvenile Idiopathic Arthritis?
A. Rheumatoid nodules
B. Spikes of high fever
C. Uveitis
D. Raynaud’s phenomenon
Answer: D
16. Vocabulary of 1.5 year old child is
A. 1-10 words
B. 10-20 words
C. 20-30 words
D. 30-40 words
Answer: B
17. All of the following are essential features of attention deficit hyperactive disease (ADHD) except
A. Lack of concentration
B. Impulsivity
C. Mental retardation
D. Hyperactivity
Answer: C
18. Drugs used in ADHD are
A. Atomoxetine
B. Methylphenidate
C. Dextro-amphetamine
D. All
Answer: D
19. A 3 year old boy with normal developmental milestones with delayed speech and difficulty in communication and concentration. He is not making friends. Most probable diagnosis is ?
A. Autism
B. ADHD
C. Mental retardation
D. Specific learning disability
Answer: A
20. The following are characteristic of autism except
A. Onset after 6 years of age
B. Repetitive behaviour
C. Delayed language development
D. Severe deficit in social interaction
Answer: A
21. 5 year old child bed wetting Rx of choice ?
A. No treatment
B. Imipramin
C. Desmopressin
D. Motivational therapy
Answer: A
22. What is thelarche
A. Pubertal breast enlargement in boys
B. Breast enlargement in pregnancy
C. Hormone related breast enlargement in girls
D. Post hormonal therapy breast enlargement in postmenopausal
females
Answer: C
23. Selenium deficiency is seen in
A. Keshan disease
B. Wilson disease
C. Acrodermatitis enteropathica
D. None of above
Answer: A
24. Diarrhoea in a child of 12 month, dose of Zinc is ?
A. 1 mg / 10 – 14 day
B. 10 mg / 10 – 14 day
C. 15 mg/ 10- 14 day
D. 20 mg / 10 – 14 day
Answer: D
25. Phrynoderma is due to …deficiency
A. Vitamin D
B. Niacin
C. Vitamin A
D. Essential fatty acid
Answer: D
26. All of the following are features of prematurity in a neonate, except
A. No creases on sole
B. Abundant lanugo
C. Thick ear cartilage
D. Empty scrotum
Answer: C
27. A baby is born at 27 weeks of gestation required mechanical ventilation for next 4 weeks & 02 for next 1 week. He maintained at room temperature subsequently. As per new Bronchopulmonary dysplasia definition, he has which of the following ?
A. Mild BPD
B. Moderate BPD
C. Severe BPD
D. No BPD
Answer: A
28. Which of the following is the principal mode of heat exchange in an infant incubator ?
A. Radiation
B. Evaporation
C. Convection
D. Conduction
Answer: C
29. Dose of i.v. adrenaline in term infant is during neonatal resuscitation
A. 0.1 – 0.3 ml/kg in 1:1000
B. 0.3 – 0.5 ml/kg in 1:1000
C. 0.1-0.3 ml/kg in 1:10,000
D. 0.3 – 0.5 ml/kg in 1:10,000
Answer: C
30. Causes of conjugated hyperbilirubinemia is ?
A. Rotor syndrome
B. Breast milk jaundice
C. Crigler najjar
D. Gilbert syndrome
Answer: A
31. Maximum concentration of dextrose that can be given through peripheral vascular line in neonate A. 5
B. 10
C. 12.5
D. 25
Answer: C
32. Hyperglycaemia in Neonate if blood sugar is above ?
A. 150 mg/dl
B. 125 mg/dl
C. 180 mg/dl
D. 100 mg/dl
Answer: B
33. Hypoxic Ischemic encephalopathy true is ?
A. Lower limbs affected more than upper limbs
B. Prox. Muscles > distal muscles
C. Seizure
D. Trunk involved
Answer: C
34. Grasp reflex develops by
A. 20 weeks
B. 24 weeks
C. 28 weeks
D. 32 weeks
Answer: C
35. Which of the following is best for transport of the new-born with maintenance of warm temperature ?
A. Kangaroo Mother Care (KMC)
B. Transport incubator
C. Thermacol box
D. Hot bottle
Answer: A
36. Commonest type of cong. cyanotic heart disease is
A. ASD
B. SD
C. TOF
D. PDA
Answer: C
37. ASD is associated with all except ?
A. Infective endocarditis
B. Stroke
C. Arrhythemia
D. Pulmonary hypertension
Answer: A
38. The following features are true for tetralogy of Fallot, except
A. Ventricular septal defect
B. Right ventricular hypertrophy
C. Atrial septal defect
D. Pulmonary stenosis
Answer: C
39. All of the following are characteristic features of Tricuspid Atresia except
A. Left Axis deviation
B. Right ventricular hypoplasia
C. Pulmonary vascularity is diminished
D. Splitting of S2
Answer: D
40. True about Ebstein anomaly is?
A. Right ventricular dilatation
B. Right atrial dilatation
C. Left ventricular dilatation
D. Left atrial dilatation
Answer: B
41. Steroids are given in rheumatic fever when there is
A. Carditis
B. Chorea
C. Subcutaneous nodules
D. All
Answer: A
42. In which of the following differential cyanosis found?
A. VSD with reversal of shunt
B. PDA with reversal of shunt
C. ASD with reversal of shunt
D. Tetralogy of Fallot
Answer: B
43. In child, foreign body in lung
A. Rigid bronchoscopy
B. Chest x-ray
C. Flexible endoscopy
D. Direct laryngoscopy
Answer: A
44. In which disease, symptoms improve with crying
A. Tetralogy of fallot
B. Choanal atresia
C. Bronchial asthma
D. All of above
Answer: B
45. 3 month infants with abdominal palpable mass & non bilious vomiting
A. Hypertrophic biliary stenosis
B. Hypertrophic pyloric stenosis
C. Tracheoesophageal fistula
D. Duodenal atresia
Answer: B
46. Hirschsprung disease is confirmed by ?
A. Rectal biopsy
B. Per/Rectal examination
C. Rectal manometry
D. X-ray abdomen
Answer: A
47. Skip granulomatous lesions are seen in ?
A. Ulcerative colitis
B. Crohn’s disease
C. Whipple’s disease
D. Reiter’s disease
Answer: B
48. Most common cause of severe hematemesis in a child is
A. Portal hypetension
B. Peptic ulcer
C. Mallory weiss syndrome
D. None of the above
Answer: A
49. Chronic constipation in children is seen in all A/E?
A. Hirschspring disease
B. Jejunal polyp
C. Hypothyroidism
D. Stricture
Answer: B
50. “Potter’s syndrome” is associated with
A. Renal anomalies
B. Severe oligohydramnio’s
C. Flattened nose
D. All the above
Answer: D
51. Not true about chronic pyelonephritis in children
A. Associated with Ureteric reflux
B. Associated with Intrarenal reflux
C. Associated with renal scarring
D. Males are more affected than female
Answer: D
52. Drug of choice for infantile spasm is?
A. Vigabatrin
B. Adrenocorticotropic hormone (ACTH)
C. Ethosuximide
D. Carbamazepine
Answer: A
53. Most common cause of neonatal meningitis
A. Staphylococcus
B. E. coli
C. H. influenze
D. Pneumococcus
Answer: B
54. The most common cause of meningitis in children aged 5 yrs is
A. H influnzae
B. N. meningitides
C. Staphylococcus
D. E.coli
Answer: B
55. Which is MC genetic cause of mental retardation
A. Tuberous sclerosis
B. Cri-du-chat syndrome
C. Fragile-x-syndrome
D. Angel’s syndrome
Answer: C
56. Decorticate child – Flase statement is ?
A. Acute Brain injurys
B. Susthalamic, CT & frontal lobe lesion
C. More dangerous than decerebrate lesion
D. Flexion of arm & extension of lower limb
Answer: C
57. Which one of the following is the most common tumour associated with type I neurofibromatosis ?
A. Optic nerve glioma
B. Meningioma
C. Acoustic schwannoma
D. Low grade astrocytoma
Answer: A
58. All of the following are features of juvenile CML except
A. Thrombocytopenia
B. Fetal Hb is increased
C. Philadelphia chromosome is positive
D. Lymphadenopathy
Answer: C
59. Commonest tumour of face in children is
A. Rhabdomyosarcoma
B. Sq. cell carcinoma
C. Basal cell carcinoma
D. Mixed parotid tumor
Answer: A
60. Highest cure rate is of
A. Wilm’s Tumor
B. Retinoblastoma
C. Rhabdomyosarcoma
D. All
Answer: B
61. Most common benign tumours during infancy is
A. Lymphangioma
B. Hemangioma
C. Cystic hygroma
D. Lipoma
Answer: B
62. Male pseudo hermaphroditism is seen in ?
A. 5-a reductase deficiency
B. 21 hydroxylase deficiency
C. 17 hydroxylase deficiency
D. a and c
Answer: D
63. Gonads to testes differentiation
A. SRY gene
B. WNT-4 gene
C. DAX1 gene
D. None
Answer: A
64. What stimulates the gonads in male at 8 week to secret testosterone
A. Inhibin from corpus luteum
B. GnRH from hypothalamus of baby
C. Placental HCG
D. All of above
Answer: C
65. Precocious puberty is seen in
A. Hypothyroidism
B. CNS irrigation
C. Mc cune-Albright syndrome
D. All
Answer: D
66. Features of hypothyroidism in infancy include the following except
A. Premature closure of posterior fontanelle
B. Coarse facies
C. Umbilical hernia
D. Constipation
Answer: A
67. The sodium content of ReSoMal (rehydration solution for malnourished children) is
A. 90 mmol/L
B. 60 mmol/L
C. 45 mmoUL
D. 30 mmol/L
Answer: C
68. Turner syndrome is maximally associated with ?
A. Horseshoe kidney
B. Coarctation of aorta
C. VSD
D. ASD
Answer: B
69. Barr body is absent in female having ?
A. 46 XX genome
B. 45 X0 genome
C. 47 XXX
D. All of above
Answer: B
70. Rubella causes all except
A. Microcephaly
B. VSD
C. Conduction defect
D. All
Answer: B
71. Dengue shock syndrome is characterized by the following except
A. Hepatomegaly
B. Pleural effusion
C. Thrombocytopenia
D. Decreased haemoglobin
Answer: D
72. Retinopathy of prematurity is commonly predisposed by
A. Less gestation age
B. Low birth weight
C. O2 toxicity
D. Carbohydrate excess
Answer: A
73. Head control/ neck holding is possible in an infant by: September 2012
A. 1 month
B. 2 months
C. 3 months
D. 6 months
Answer: C
74. Nocturnal enuresis may be considered normal upto:[March 2005]
A. 3 years
B. 4 years
C. 5 years
D. 6 years
Answer: D
75. Acute malnutrition in a child is clinically assessed by:[September 2005]
A. Body mass index
B. Weight for age
C. Height for age
D. Weight for height
Answer: D
76. All of the following are true for Turners syndrome except:[March 2012]
A. Height is more than 145 cm
B. Webbing of neck
C. Increased carrying angle
D. Coarctation of aorta may be seen
Answer: A
77. Prophylactic dose of vitamin K given to new born infants at delivery is ?
A. 1mg
B. 5mg
C. 10mg
D. 15mg
Answer: A
78. Cat bites in child treatment – false is
A. Cleaning the wound thoroughly
B. Puncture wound most common
C. May require rabies vaccination
D. All of above
Answer: D
79. Most common GI malignancy of childhood
A. Adenocarcinoma
B. Lymphoma
C. Sarcoma
D. carcinoid
Answer: B
80. Swallowing breathing reflex – not seen in fetus for ?
A. 14 weeks
B. 12 weeks
C. 16 weeks
D. Appear in all above period
Answer: B
81. Most common site of extra – pulmonary TB in children is ?
A. Abdominal
B. Genitourinary
C. Lymphnode
D. Congenital
Answer: C
82. Characteristics of SMR-2 in boys ?
A. Appearance of pubic hair
B. Appearance of axillary hair
C. Enlargement of scrotum
D. All of above
Answer: C
83. Pedigree analysis chart?
A. Used for growth monitoring
B. To assess side effect during chemotherapy
C. Used to see gentic transmission
D. To assess developmental delay in infant
Answer: C
84. 21-Hydroxylase deficiency – false is ?
A. Most common cause of congenital adrenal hyperplasia
B. Autosomal recessive
C. Femal pseudo hermaphroditism
D. Male pseudo hermaphroditism
Answer: D
85. AML best prognosis is seen with ?
A. Acute myelo monocytic leukaemia.
B. Acute monocytic leukaemia.
C. Acute promyeloblastic leukaemia (M.3).
D. Erythro leukemia
Answer: C
86. Ideal time to start Iron therapy in a marasamic child with fever and haemoglobin 7 gm% is
A. Immedietly
B. At discharge
C. When fever goes down
D. At any time
Answer: C
87. Most common cardio vascular abnormality in down syndrome is ?
A. VSD
B. Endocardial cushion defect
C. TOF
D. COA
Answer: B
88. Most common cause of lower respiratory tract infection in 3 year old child is
A. Klebsella
B. H-influenza
C. Streptococcal pneumonia
D. Staphe aureus
Answer: C
89. Non-obstructive hydrocephalus – true is ?
A. Also kin communicating hydrocephalus
B. Due to obliteration of subarachrod cistemae or malfunction of arachnoid villi
C. Dilatation of all 4 ventricle
D. All of above
Answer: D
90. Prader willi syndrome, chromosomal defect?
A. Chromosome 15
B. Chromosome 5
C. Chromosome 10
D. Chromosome 21
Answer: A
91. Minimum interval between 2 live vaccine immunization ?
A. 2 weeks
B. 4 weeks
C. 6 week
D. 8 weeks
Answer: B
92. Fanconi’s anemia – false is ?
A. Autosomal recessive
B. Pancytopenia
C. Type I RTA
D. All are true
Answer: C
93. In marasmus wasting is due to ?
A. Prolonge dietery deficiency of calori
B. Prolonge dietery deficiency of protein
C. Excess catabolism of fat & muscle mass to provide energy
D. All of above
Answer: D
94. A child having H/0 profuse watery diarrhoea not taking oraly and not passed urine since 2 days, what to be given
A. Milk
B. ORS
C. I.V. fluid
D. I.V. antibiotic
Answer: C
95. Febrile seizure most common – age groups?
A. 1 month to 1 year
B. 6 month to 5 year
C. 6 month to 2 year
D. 2 month to 5 year
Answer: B
96. Erythropoiesis starts in fetal liver during ?
A. 2-4 weeks
B. 4-6 weeks
C. 6-8 weeks
D. 8-10 weeks
Answer: C
97. Fluid of choice in child with burn < 24 hour is
A. Fresh frozen plasma
B. Isolye-P
C. Ringer lactate
D. Platlet tranfusion
Answer: C
98. Antiendomysial antibody is used in screening of ?
A. Myasthenia gravis
B. Auto immune hepatitis
C. Coeliac diseases
D. Graves disease
Answer: A
99. In congenital adrenal hyperplasia precocious puberty in male is due to ?
A. 21 alpha hydroxylase deficiency
B. 11(3 hydroxylase deficiency)
C. Both
D. None
Answer: C
100. First sign of puberty in female ?
A. Tanner stage I
B. Tanner stage II
C. Pubic hair
D. Axillary hair
Answer: B
101. True about bartter’s syndrome are all except ?
A. Hyperkalemic alkalosis
B. Presents in neonate with ototoxicity have bartin gene mutation
C. Decreased K+ assorption from thick descending loop
D. Autosomal recessive
Answer: A
102. Drug used in congenital heart disease to keep PDA patent
A. PGEi
B. PGE2
C. PGI2
D. Indomethacin
Answer: A
103. Figure of 8 in chest X-ray ?
A. Supracardiac TAPVC
B. Tetralogy of fallot
C. TGA
D. None of above
Answer: A
104. False regarding croup is ?
A. Disease include epiglottis, laryngitis, laryngotrachictis
B. Brassy cough is main presenting feature
C. Causes upper airway obstruction
D. All of above
Answer: C
105. Most common intra abdominal solid organ tumor in child is ?
A. Neuroblastoma
B. Rhabdomyoblastoma
C. Wilm’s tumor
D. Hypernephroma
Answer: A
106. Koplik spot true is ?
A. Pathognomic of measls
B. Present on buccal mucosa opposite P’ molar
C. Always present
D. All of above
Answer: A
107. Exchange blood transfusion what is used ?
A. Whole blood
B. EPP
C. Serum
D. Pack cell
Answer: A
108. Large PDA leads to ?
A. Endocardial valvulitis
B. Eisenmenger syndrome
C. CHF
D. All of above
Answer: D
109. ITP false is ?
A. Plattet transfusion should be avoided
B. Anticedent history of febrile illness
C. Overactive immune system
D. Steroid should be avoided
Answer: D
110. Posterior urethral valve – true A/E ?
A. Palpable bladder
B. Hydronephrosis
C. Painful stress incontinence
D. Recurrent UTI
Answer: C
111. In infant, bone marrow biopsy is done from ?
A. Sternum
B. Iliac crest
C. Tibia
D. All of above
Answer: C
112. Most common malignancy in children is ?
A. ALL
B. AML
C. Neuroblastoma
D. Wilm’s tumor
Answer: A
113. Alopecia thin brittle nail, sparse hair with thin enamel diagnosis is ?
A. Ectodermal dysplasia
B. Alopecia aerata
C. Alopica congenita
D. None of above
Answer: A
114. Most common ASD is ?
A. Ostium primum
B. Patent foramen ovale
C. Ostium secondum
D. Sinus venosus
Answer: C
115. Most common ASD in down syndrome is ?
A. Ostium primum
B. Ostium secundum
C. Absent atrial septum
D. Sinus venosus
Answer: A
116. Sitting without support is appear at which month
A. 5 month
B. 6 month
C. 7 month
D. 8 month
Answer: B
117. Weight of child is 70% of normal according to IAP classification, categorised in ?
A. Mild
B. Moderate
C. Severe
D. Normal
Answer: B
118. Influenza vaccine cause ?
A. Local swelling
B. Fever
C. Itching
D. All of above
Answer: D
119. Hair an syndrome is consists of ?
A. Hyperandrogenism
B. Acanthosis nigricans
C. Insulin resistance
D. All of above
om
Answer: D
120. Renal tubuler acidosis with ABG value pH = 7.24 P02=80; PaCO2= 36 Na = 131; HCO3 = 14 C1= 90; BE = -13 Glucose = 135 above ABG picture suggest ?
A. Metabolic acidosis
B. Respiratory acidosis
C. Respiratory alkalosis
D. Metabolic alkalosis
Answer: A
121. Grimace with APGAR score
A. 0
B. 1
C. 2
D. 3
Answer: B
122. PDA true is all except ?
A. More common in preterm baby
B. Left to right shunt
C. Acyanotic congenital heart disease
D. More common in term baby
Answer: D
123. Most common presentation of wilm’s tumor ?
A. Hematuria
B. Asymptomatic abdominal mass
C. Abdominal pain
D. Headache
Answer: B
124. Confirmation of male intersex by?
A. USG abdomen
B. Genetic testing
C. Hormonal study
D. All of above
Answer: B
125.Post term baby with tachypnea commonest cause?
A. Transient tachypnea of newborn
B. Meconium aspiration syndrome
C. Hyaline membrane disease
D. Infection
Answer: B
126. Major criteria for rheumatic fever – AJE
A. Carditis
B. Arthralgia
C. Erythema marginatum
D. Subcutaneous nodule
Answer: B
127. 0.9% NaCI contains True as?
A. 0.9 gm of Nacl in 1000 ml of fluid
B. 77 meg of sodium is 1000 ml of fluid
C. 154 meg of chloride in 1000 ml of fluid
D. 30 meg of sodium in 1000 ml of fluid.
Answer: C
128. Handedness develops by age of?
A. 2 years
B. 3 years
C. 4 years
D. 5 years
Answer: B
129. Drug used in neonatal resuscitation
A. Adrenaline
B. Soda bi carbonate
C. Naloxone
D. All of above
Answer: D
130. Delayed puberty in female?
A. No breast budding in 10 years
B. Menarche > 16 year
C. menarche > 1 year of brean budding
D. FSH
Answer: B
131. Reye syndrome false is?
A. Associated with salicylate ingestion
B. Hepatomegaly
C. Jaundice
D. Hypoglycaemia
Answer: C
132. 3 year old child come in ER with H/o vomiting, loose watey motion for 3 days. on examination, child was drowsy, sunken eye. Hypothermia and skin pinch take time to revert back, diagnosis?
A. No dehydration
B. Mild dehydration
C. Some dehydration
D. Severe dehydration
Answer: D
133. In duschene the knee jerk ?
A. Exaggerated
B. Decrease
C. May be normal initially later on increase
D. May be normal initially later on decrease
Answer: D
134. Intra uterine hydronephrosis of 32-34 weeks-management?
A. Intrauterine drainage
B. Wait until 3 weeks
C. Immediate delivery
D. Require serial USG and other associated anomalies
Answer: D
135. Child knows his/her sex by age of?
A. 2 year
B. 3 year
C. 4 year
D. 5 year
Answer: B
136. True about SLE is?
A. Autoimmune disease
B. Childhood SLE had poor prognosis than adult SLE
C. Presence of ANA
D. All are true
Answer: D
137. Case of haemorrhagic disease of new-born bleed on 2nd day?
A. 2, 7, 9, 10
B. 3, 7, 9, 10
C. 2, 8, 9, 10
D. 2, 5, 9, 10
Answer: A
138. 8 year old child with haematuria in 5 days after throat infection?
A. Post streptococcal nephropathy
B. Ig A nephropathy
C. Nephrotic syndrome
D. can be a or b
Answer: B
139. Haemophilia X-linked?
A. Haemophilia A
B. Haemophilia B
C. Haemophilia C
D. Both A & B
Answer: D
140. Kwashiorkor not true is?
A. Apathy
B. Flaky paint dermatosis
C. Increased transaminase
D. Voracious appetit
Answer: D
141. Most common cardiac defect in Turner syndrome
A. Coartaction of aorta
B. VSD
C. ASD
D. TOF
Answer: A
142. In HSP gross hematurea is seen in what % of children?
A. 5 – 10%
B. 10 – 20%
C. 20 – 30%
D. 30 – 40%
Answer: C
143. Child has lesion on buttocks since 2 year spreading peripherally with central scarring non symptomatic diagnosis?
A. Erythema annular cetrifugam
B. Erythema migrains
C. Erythema marginatum
D. Erythema Gyratum
Answer: A
144. Infant has fever, one episode of febrile convulsions admitted for observation, fever than subsided and followed by rash on abdomen & chest, maculopapular erythematous-what is the cause?
A. Chickenpox
B. Measles
C. Typhoid
D. Dengue
Answer: A
145. Distribution is usually centripetal Complication include – more seen in immunocompromised child.
A. Mild thrombocytopenia
B. Hematurea
C. GI Bledding
D. Encephalitis
E. Pneumonia
145. 7 year old boy is ill and has fever. what is the caloric requirement?
A. 1200 kcal/d
B. 1500 kcal/d
C. 1900 kcal/d
D. 2200 kcal/d
Answer: C
146. Boy power school preference no spoken at school, normal speech at other place, IQ assessment normal diagnosis is?
A. Selective mutism
B. ADHD
C. Autism
D. Dyslexia
Answer: A
147. Kangaroo mother care – False is?
A. Can also be given by father
B. Especially for low birth weight body
C. Effective thermal control
D. All of above
Answer: A
148. Child having long history of haemoglobin 5 gm% next step?
A. Blood transfusion
B. CBC, reti count with periphesal smear.
C. Start Iron
D. Hb elechophoresis
Answer: B
149. 3 year old child with normal height for age, abnormal weight for age and abnormal weight for height, what It is not be?
A. Acute malnutrition
B. Chronic Malnutrition
C. Acute on chronic
D. None of above
Answer: B
150. Hypergonadotropic hypogonadism is sean in all except?
A. Turner syndrome
B. Down syndrome
C. Klinefelter syndrome
D. Swyer’s syndrome
Answer: B
151. Turner syndrome – karyotyping is?
A. 45, X0
B. 46 X0
C. 47 XXX
D. Trisomy 21
Answer: A
152. Not a finding in potter syndrome?
A. Bilateral renal agenesis
B. Polyhydromnios
C. Pulmonary Hyperplasia
D. Flat chain
Answer: B
153. Drug used for absence seizure?
A. Lamotrigine
B. Carbamazepine
C. Phenytoin
D. Vigabatrine
Answer: A
154. Most common cause of acquired heart disease in children
A. Acute rheuamatic fever
B. Kawasaki
C. Takayasu
D. Diabetes
Answer: A
155. Mildly elevated bilirubin, normal liver enzymes are seen in?
A. Malaria
B. Thalassemia
C. G-6 PD deficie
D. All of above
Answer: D
156. Single umblical artery is associated with?
A. NTD
B. Hydrops fetalis
C. Congenital heart disease
D. In utero death
Answer: C
157. Hypocalcemia in a child may be associated with
A. Digeorge syndrome
B. Hypo parathyroidism
C. Magnesium deficiency
D. All of above
Answer: D
158. Female hermaphrodite is?
A. Female sexual characterstic with testes
B. Male sexual charaterstic with ovary
C. XY
D. Female sexual characteristic with both testes & ovary
Answer: B
159. Baby ‘0* positive, blood group, mother Rh negative, cord bilirubin 7 mg%, conjugated I now treatment is?
A. Nothing
B. Stop breast feeding for 48 hours
C. Continue breast feeding and phototherapy
D. Stop breast feed and prepare for exchange blood transfusion
Answer: D
160. 3 days old newborn with unknown inborn error of metabolism, hyperammonemia in blood.
A. Maple syrup urine disease
B. Urea cycle enzyme dificiency
C. Organic acidurea
D. Phenyl ketonuria
Answer: B
161. 10 month old child can not perform?
A. Standing with support
B. Pincer group
C. Walking with suppor
D. Two words with meaning
Answer: D
162. Child comes with blood sugar 32 mg/dl with convulsions Treatment is?
A. 5% dextrose 2 ml/kg
B. 10% dextrose 2 ml/kg bolus
C. 10% dextrose 4 ml/kg
D. 5% Dextrose 4 ml/kg
Answer: C
163. Omalizumab True statement is?
A. Anti-IgE
B. Used as add on therapy in moderate to severe asthma prophylaxis
C. Givn subcutaneously
D. All o above
Answer: D
164. Pigmentation and growth retardation is seen in?
A. Zinc deficiency
B. Riboflavin deficiency
C. Niacin deficiency
D. Vit A deficiency
Answer: A
165. Not included in modified Jones criteria?
A. Polyarthalgia
B. Carditis
C. Chorea
D. Erythema marginatum
Answer: A
166. True about foremilk & hind milk?
A. Foremilk has fat
B. Hind milk relieve hunger
C. Fore milk relieve hunger
D. Hind milk is rich in protein
Answer: B
167. 13 year old female having sudden onset high grade fever with delirium. CT. finding s/o involvement of limbic system & medial temporal lobe – Dx is
A. Subarachnoid hemorrhage
B. Herpes simplex encephalitis
C. Pyomeningitis
D. Cerebral malaria
Answer: B
168. Height of child acquire 100 cm in?
A. 2.5 year
B. 3.5 year
C. 4.5 year
D. 5.5 year
Answer: C
169. mental retardation can be proved if delayed milestones and slow or retarded growth seen up to which age (in year)?
A. 12
B. 16
C. 18
D. 20
Answer: C
170. Most common organ involved in congenital Tb is?
A. Liver
B. Pancreas
C. Kidney
D. Lung
Answer: A
171. Bivalent meningococcal vaccine is ?
A. A Y
B. A C
C. C y
D. A W-I35
Answer: B
172. Apnea of prematurity ?
A. > 10 sec
B. > 15 sec
C. 20 sec
D. > 30 sec
Answer: C
173. Down syndrome – all are seen except
A. t (14; 21)
B. t (11: 14)
C. Trisomy 21
D. t (15: 21)
Answer: B
174. Bidextrous grip is seen at what age?
A. 4 months
B. 5 months
C. 6 months
D. 7 months
Answer: A
175. Which vaccine to be given every year ?
A. Hepatitis A
B. Hepatitis B
C. Influenza
D. Chicken pox
Answer: C
176. APGAR score 3 at 1 minute indicates:
A. Mildly depressed
B. Further resuscitation not needed
C. Severely depressed
D. Normal
Answer: C
177. Severe acute malnutrition as per WHO criteria
A. Weight for age less than median plus – 2 SD
B. Weight for height less than median plus 2 SD
C. Weight for age less than median plus 3 SD
D. Weight for height less than median minus -3SD
Answer: D
178. Where to look for pre-ductal O2 saturation in PDA in a 3 minute born infant?
A. Fetal left Upper limb
B. Fetal left lower limb
C. Fetal right Upper limb
D. Fetal right lower limb
Answer: C
179. True about Fragile X syndrome is
A. Triple nucleotide CAG Sequence mutation
B. 10% Female carriers mentally retarded
C. Males have IQ 20-40
D. Gain of function mutation
Answer: C
180. True about RETT Syndrome –
A. Macrocephaly
B. Cardiac arrhythmia
C. Seizures
D. Mental retardation
E. Autistic behaviour
Answer: B:C:D:E
181. True about Asperger syndrome:
A. More common in girl
B. Repetitive activity pattern
C. Subnormal intelligence is consistent feature
D. Severe language impairments is characteristic
E. All
Answer: B
182. Which of the following is present in a XY child but not in a XX child ?
A. Epoophoron
B. Paroophoron
C. Cowper’s glands
D. Gartner’s duct
Answer: C
183. Therapeutic phlebotomy is not done in which of the following conditions ?
A. CML
B. Polycythemia vera
C. Hemochromatosis
D. Porphyria cutanea tarda
Answer: A
184. What is the IQ of a borderline deficiency?
A. 70 – 80
B. 50 – 69
C. 20 – 49
D. 0 – 20
Answer: A
185. Which is false about development milestones at 6 months of age?
A. Watching self in mirror
B. Sitting in tripod position
C. Pincer grasp
D. Monosyllable sounds
Answer: A
186. At what age child begins to use past and present tense
A. 1 Years
B. 2 Years
C. 18 Months
D. 30 Months
Answer: D
187. Reduced osmolarity ORS does not contain which of the following ion
A. Sodium
B. Potassium
C. Lactate
D. Citrate
Answer: C
188. Most common site for bone marrow aspiration in neonates is
A. Anterior superior iliac crest
B. Posterior superior iliac crest
C. Sternum
D. Anteromedial tibia
Answer: D
189. Milestones at 1 year of age are all except
A. Playing a simple ball game
B. Using 2 words that are meaningful
C. Spontaneous scribbling
D. Walking upstairs 1 step at a time
Answer: D
190. Floor of nasal cavity in children is made of
A. Palatine bone and vomer
B. Sphenoid and ethmoid
C. Nasal bone and maxilla
D. Palatine bone and maxilla
Answer: D
191. Stranger anxiety develops at
A. 3 months
B. 4 months
C. 7 months
D. 11 months
Answer: C
192. Consanguinous marriages increase risk of diseases
A. Autosomal dominant disease
B. Autosomal recessive disease
C. X linked dominant diseases
D. Environmental diseases
Answer: B
193. What is the average weight gain of the neonate per day
A. 5-10 g
B. 25-30 g
C. 50-60g
D. 100-150g
Answer: B
194. Japanese encephalitis vaccine in routine schedule is given in how many doses
A. Two doses 1 month apart with a booster after 1-2 years if needed
B. Single dose vaccine
C. Three doses 1 month apart followed by a booster if needed
D. Three doses with the second dose 1 month and 3′ dose 6 months after the first dose
Answer: A
195. Newborn loses how much weight in first week?
A. 5 -10%
B. 1-2%
C. 10-20%
D. None
Answer: A
196. In acute diarrhea following is used to decrease duration and severity
A. Zn
B. Mg
C. Fe
D. Ca
Answer: A
197. What is the cardiothoracic ratio in children is
A. 30-35%
B. 40-45%
C. 50-55%
D. 60-65%
Answer: C
198. Eyelid papules and hoarse cry in a child is suggestive of
A. Congenital syphilis
B. Croup
C. Lipoid proteinosis
D. Acrodermatitis enterohepatica
Answer: C
199. The fetal circulation changes to normal circulation at birth with
A. Closure of patent ductus arteriosus
B. Closure of ductus venosus
C. Increased activity of right Ventricle
D. Opening of fossa Ovalis
Answer: A
200. Most common cause of pneumonia in early onset sepsis a neonate is
A. Pnemococcus
B. S. Pyogens
C. E Coli
D. S. Aureus
Answer: C
201. Test done to diagnose syphilis in new-born if mother is syphilitic
A. Syphilis Capita M test
B. Detection of IgG
C. ZN staining
D. Fluoroescent antigen test
Answer: A
202. Inotropic support for severely dehydrated child with dopamine is done at what rate
A. 0.1-0-5 microgram/kg/min
B. 1-5 microgram/kg/min
C. 1-5 mg/kg/min
D. 10-15 mg/kg/min
Answer: B
203. Neonatal resuscitation – which of the following drugs is used ?
A. Dopamine
B. Sodium Bicarbonate
C. Noradrenaline
D. Dobutamine
Answer: B
204. Which of the following is correct about shock in child?
A. Tachycardia is a very sensitive indicator of depletion of intravascular volume
B. Mottling of extremities is seen in early shock
C. Confusion, stupor and coma are early signs
D. Respiratory rate is more sensitive than heart rate as an indicator of early shock
Answer: A
205. When does crying stop in cyanotic spells ?
A. Forced Expiration
B. Forced inspiration
C. Mid inspiration
D. Crying is continuous
Answer: A
206. Abdominal pain in Henoch Schoenlein purpura is due to
A. Mucosal erosions and swelling of the GI mucosa
B. Gastrointestinal haemorrhage
C. Volvulus
D. Associated pancreatic inflammation
Answer: A
207. Treatment of choice for symptomatic neonatal hypoglycaemia is
A. Dextrose normal saline
B. 5% dextrose
C. 10% dextrose
D. 25% dextrose
Answer: C
208. ALL of the following are causes of neonatal bradycardia except
A. Hypoxia
B. Hypothermia
C. Head injury
D. BCG Vaccine
Answer: D
209. Investigation of choice for CONFIRMING Henoch Schoenlein purpura is
A. Serum IgA levels
B. CRP levels
C. Renal Biopsy
D. DTPA
Answer: C
210. Which of the following is not a cause of neonatal anaemia?
A. Subgaleal Haemorrhage
B. Abruptio placentae
C. Diamond Blackfan syndeome
D. Wilson’s Disease
Answer: D
211. Autosomal recessive Polycystic kidneys – all are true except
A. Seen in adults
B. Defective gene is PKHD1
C. Both kidneys show innumerable cysts
D. USG shows salt and pepper appearance
Answer: A
212. 3 month old child with indrawing chest with respiratory rate 52/min classified as
A. SIRS
B. Respiratory distress
C. Tachypnoea
D. ARDS
Answer: B
213. 45 day old infant presents with seizures. Examination reveals he is icteric, having bulging fontanelles and opisthotonic posture. Treatment is all except
A. Phototherapy
B. Exchange Transfusion
C. Phenobarbitone
D. Chlorpromazine
Answer: D
214. Most common site for opening of TAPVC is
A. Supracardiac
B. Cardiac
C. Infracardiac
D. Multiple
Answer: A
215. Chronic lung disease in a infancy is defined as
A. Need for supplemental oxygen at 36 weeks after conception
B. Tachypnoea > 50 breaths/ min within 1 week of birth
C. Presence of bilateral infiltrates on chest Xray for 2 weeks
D. Reticulogranular pattern on chest Xray for 6 weeks
Answer: A
216. Most common antigen involved in erythroblastosis fetalis is
A. C antigen in Rh group
B. D antigen in Rh group
C. E antigen in Rh group
D. Duffy antigen
Answer: B
217. Erythematous blotchy rash is seen on the abdomen, trunk and face of a 3 day old child along with yellowish papules. However the child feels well. What is the management ?
A. Steroid and antibiotic lotion
B. No treatment
C. Steroid cream
D. Urgent intravenous antibiotics
Answer: B
218. Further investigation is essential in a new-born with which condition?
A. Erythema toxicum
B. Vaginal bleed
C. Subconjunctival haemorrhage
D. Lens opacity
Answer: D
219. A new-born presents with subconjunctival haemorrhage. The treatment is
A. No treatment
B. Antibiotic eye drops
C. Aspitation
D. Antibiotic and steroid drops
Answer: A
220. What is the shape of caecum in the newborn ?
A. Ovoid
B. Trapezoid
C. Globular
D. Conical
Answer: D
221. Most common complication of Meckel’s Diverticulum lit children
A. Abdominal pain
B. Peptic ulcers
C. Intestinal obstruction
D. Painless Rectal bleeding
Answer: D
222. Which of the following is a X linked metabolic disorder?
A. Fabry’s disease
B. Sandoff s disease
C. Pompe disease
D. Gaucher disease
Answer: A
223. Testes are not palpable in
A. SRY deletion
B. DAX 1 deletion
C. WNT- 4 gene mutation
D. RSPO-1 gene mutation
Answer: A
224. What is the maintenance fluid requirement in a 6 kg child ?
A. 240 ml/day
B. 600 ml/day
C. 300 ml/day
D. 1200 ml/day
Answer: B
225. Kwashiorkor- Triad includes all except
A. Psychomotor changes
B. Hypoglycemia
C. Edema
D. Growth retardation
Answer: B
226. Child with 10 episodes of diarrhea in last 24 hours with sunken dry eyes, very slow skin pinch, and absent tears. Management is
A. ORS solution
B. breast feeding
C. Start 10% dextrose
D. Start Ringer’s lactate
Answer: D
227. 1 year old child with multiple episodes of diarrhea presents with sunken dry eyes, depressed fontanelles, very slow skin pinch. The amount of fluid to be given in the first 6 hours is
A. 600 ml
B. 900 ml
C. 1200 ml
D. 1500 ml
Answer: B
228. A 6 year old child presents with an abdominal mass, fever, bone pain and IVC thrombosis , the diagnosis could be
A. Wilm’s tumour
B. Neuroblastoma
C. Langerhans cell Histiocytosis
D. Gastric lymphoma
Answer: B
229. What is the first line treatment of a 4 year old child presenting with intussusception ?
A. Conservative management with wait and watch policy
B. Immediate attempt to reduction using barium edema
C. Surgical correction
D. Exploratory laparotomy with resection of the affected segment
Answer: B
230. Hutchison’s Triad is seen in
A. Congenital Syphilis
B. Tertiary syphilis
C. Secondary Syphilis
D. Primary syphilis
Answer: A
231. A 8 year old child presents with a mass in the lumbar region with abdominal pain with excruciating bone pain. Possible diagnosis is
A. Neuroblastoma
B. Wilm’s Tumour
C. Lymphoma
D. Angiomyolipoma
Answer: A
232. Triad of normal pressure hydrocephalus includes all except
A. Dementia
B. Gait disturbance
C. Urinary incontinence
D. Browache
Answer: D
233. True about cephalohematoma is
A. It is haemorrhage between the skull and periosteum
B. It is haemorrhage within the subcutaneous tissue around the skull
C. It is type of subdural haemorrhage
D. It is extraperiosteal bleeding in the skull
Answer: A
234. Medulloblatoma arises exclusively from the cells of
A. Immature embryonal cells
B. Ependymal cells
C. Neurons
D. Spindle shaped cells
Answer: A
235. Which of the following is not true about encephalocele?
A. It is a neural tube defect
B. Common in the frontal region
C. Can be associated with hydrocephalus
D. It is protrusion of neural tissue through a defect
Answer: A
236. Most common conotruncal anomaly
A. TGA
B. Tetralogy of fallot
C. Truncus arteriosus
D. Double oulet right ventricle
Answer: A
237. Meconium can passed upto → days in healthy bady
A. 1
B. 3
C. 5
D. 7
Answer: B
238. Fallot physiology includes all except
A. TOF
B. Eisenmenger complex
C. TGA
D. Tricuspid atresia
Answer: B
239. Pulmonary plethora is seen with – all except
A. TGA
B. Hypoplastic left heart syndrome
C. Ebstein anomalis
D. Double outlet right ventricle
Answer: C
240. Child with rash- wrong is
A. Typhus – day 5
B. Varicella – day 1
C. Typhoid – day 5
D. Measles – day 4
Answer: C
241. What is recurrence of febrile seizure
A. 10-20%
B. 20-30%
C. 30-50%
D. 50-70%
Answer: C
242. In neonate, intra muscular injection given at
A. Deltoid
B. Gluteal
C. Thigh
D. Abdomen
Answer: C
243. Sitting in Tripod position at which month ?
A. 5 months
B. 6 months
C. 8 months
D. 9 months
Answer: B
244. Weight of new born quadruplets by
A. 9 months
B. 12 months
C. 2 year
D. 3 years
Answer: C
245. From 6 weeks to 12 weeks… Infant weight increases at rate of
A. 30 g/d
B. 40 g/d
C. 50 g/d
D. 60 g/d
Answer: A
246. Arm span and height become same at what age (year)
A. 9
B. 11
C. 13
D. 15
Answer: B
247. In protein deficiency all are seen except
A. Flaky paint like skin
B. Glossitis
C. Nail change
D. Cherry like skin
Answer: D
248. In a child having diarrhoea with perianal moist crust. The diagnosis is
A. Acrodermatitis enteropathica
B. Riboflavin deficiency
C. Pellagra
D. None of above
Answer: A
249. Vitamin B6 is used in treatment of
A. Homocystinuria
B. Xanthurenic aciduria
C. Cystathionuria
D. All of above
Answer: D
250. Prostaglandin analogue used in PDA is
A. Anapra stone
B. Misoprost
C. Danaprostone
D. PGE-2
Answer: B
Paediatrics Quiz Questions NEET PG Exam
251. Drug used to keep PDA open A. PGE1
B. PGI2
C. PGE
D. PGH2
Answer: A
252. WPW syndrome is associated with
A. Ebstein anomaly
B. TOF
C. VSD
D. TAPVC
Answer: A
253. Most common syndrome associated with A-V canal defect
A. Down syndrome
B. Klinfilter syndrome
C. Turner syndrome
D. Marfan syndrome
Answer: A
254. % of children with simple febrile seizure developing epilepsy is
A. 1-2 %
B. 2-5 %
C. 5-10 %
D. 10-15 %
Answer: A
255. Common deformity in Chiari H malformation is
A. Syringomyelia
B. Meningo myelocele
C. Hydrocephalus
D. All of above
Answer: D
256. A child of less than one year with asthma treatment
A. MDI with Spacer
B. MDI with Mask
C. MDI with Spacer with Mask
D. MPI with mask
Answer: C
257. Treatment of bronchiolitis includes all except
A. Macrolides
B. Humid oxygen
C. Bronchodilator
D. All of above
Answer: A
258. Most common pulmonary tumor in children is
A. Carcinoid
B. Small cell carcinoma
C. Adeno carcinoma
D. Squamous cell carcinoma
Answer: A
259. Most common cause of per rectal bleeding in infant is
A. Anal fissure
B. Rectal polyp
C. Intussusception
D. Hypertension
Answer: A
260. Most common anomaly of upper urogenital tract is
A. Uretero pelvic junction stenosis
B. Ectopic uretheral opening
C. Ureterocele
D. Ectopic ureter
Answer: A
261. Features of cystinuria are
A. Impaired proximal tubular reabsorption of cystine
B. Autosomal recessive
C. Recurrent renal stone
D. All of the above
Answer: D
262. Second degree consanguineous marriage, baby with diarrhoea, perianal diaper area redness
A. Lactose intolerance
B. Shigella diarrhoea
C. Salmonella
D. Fungal
Answer: A
263. On USG a mass was found in abdomen which was displacing the kidney laterally in 1 year old child
A. Neuroblastoma
B. Nephroblastoma
C. RCC
D. All of the above
Answer: A
264. Drugs used in ALL in child are all except
A. Methotrexate
B. Vincristine
C. Vinblastine
D. Cyclophosphamids
Answer: C
265. 34 week primigravida Punjabi Khatri comes with history of consanguineous marriage, with history of repeated blood transfusion to her sibling since 8 months of age. The first diagnostic test is
A. HPLC
B. Blood smear
C. Bone marrow
D. Hb electrophoresis
Answer: B
66. 3 beta hydroxysteroid dehydrogenase deficiency causes increase production of
A. DHEA
B. Progesterone
C. Deoxycortisol
D. Estradiol
Answer: A
267. 2-5 year old child with DM, target HbA, C is
A. < 8 %
B. < 7 %
C. < 9 %
D. < 6 %
Answer: C
268. Prenatal diagnosis of Down Syndrome is by
A. Karyo typing
B. Triple test
C. Fetal ultrasonography
D. All of above
Answer: D
269. 5 year old child develop fever and rash on first day and rash disappear, after few days develop child develop ataxia. Most probable diagnosis is
A. Measles
B. Fifth disease
C. Chicken pox
D. Rocky mountain spotted fever
Answer: A
270. MC symptom of AIDS in infant is
A. GI infection
B. Persistent cough
C. Failure to thrive
D. Lymphadenopathy
Answer: A
271. Baby borne to patient suspected of chlamydial infection sample to be taken for diagnosis
A. Conjunctival
B. Urethral
C. Urine sample
D. Blood
Answer: A
272. Features of Refsum disease are all except
A. Ataxia
B. CCF
C. Ichthiois
D. Retinitis pigmentosa
Answer: B
273. Young child with laughing spells. Diagnosis
A. Hypothalamic hamartoma
B. Tetralogy of fallot
C. Nitrous oxide poisoning
D. None of the above
Answer: A
274. Thirteen pair of Ribs are seen in ?
A. Down syndrome
B. Holt oram
C. Turner
D. Fibrous dysplasia
Answer: A
275. What is the age of the child who draws a circle and builds tower of 7 cubes?
A. 1 year
B. 2 years
C. 21/2 years
D. 3 years
Answer: D
276. By what age is the milestone of climbing steps with alternate feet achieved?
A. 2 years
B. 3 years
C. 4 years
D. 5 years
Answer: B
277. Mature finger grip comes at what age?
A. 5 months
B. 7 months
C. 9 months
D. 1 year
Answer: C
278. Social smile is attained at what age?
A. 2 months
B. 5 months
C. 9 months
D. 1 year
Answer: A
279. Arrange the following milestones in the correct order of their attainment
I. Build tower of 4 cubes
II. Make simple sentences
III. Drawing a circle
IV. Drawing a rectangle
A. II → III → IV → I
B. I → II → III → IV
C. II → I → III → IV
D. I → II → IV → III
Answer: B
280. By what age can a newborn recognize mother?
A. 2 months
B. 3 months
C. 6 months
D. 7 months
Answer: B
281. Which of the following can be done by an 18 months old baby?
A. Making tower of 9 cubes
B. Can use 10 words with meaning
C. Ride tricycle
D. Turn pages of book one at a time
Answer: B
282. A child of 5 years can use sentences of around how many words?
A. 6 words
B. 10 words
C. 100 words
D. 250 words
Answer: B
283. Milestones achieved by a 10 months old child are all except
A. Pincer grasp
B. Waving bye – bye
C. Standing without support
D. Plays a peek – a – boo game
Answer: C
284. What is the age of a child who can identify 4 colours and draw a triangle?
A. 21/2 years
B. 3 years
C. 4 years
D. 5 years
Answer: D
285. Weight of an infant doubles by what age?
A. 6 months
B. 1 year
C. 2 years
D. 3 years
Answer: C
286. Growth of head circumference in 1st 3 months of life is by
A. 2 cm
B. 3 cm
C. 5 cm
D. 10 cm
Answer: C
287. Delayed eruption is failure of teeth to appear by
A. 6 months
B. 13 months
C. 25 months
D. 37 months
Answer: B
288. Breast milk protects from infections as it contains all of the following except:
A. IgE
B. Lactoferrin
C. Bifidus factor
D. PABA
Answer: A
289. Which of the following is true regarding premature milk as compared to mature milk?
A. Less lactose
B. Less iron
C. Less immunoglobulins
D. Less sodium
Answer: A
290. All of the following are true regarding breast milk as compared to cow’s milk except
A. Contains more lactose
B. More amount of proteins
C. Less amount of fat content
D. Minerals and salts is less
Answer: B
291. Which of the following is the best reference for growth monitoring in children?
A. ICMR
B. NCHS
C. Boston
D. IAP
Answer: B
292. Kwashiorkor is due to deficiency of
A. Calories
B. Minerals
C. Vitamins
D. Zinc
Answer: A
293. Features of marasmus are all except :
A. Absence of anasarca
B. Increased appetite
C. Excessive catabolism of adipose tissue and muscle protein
D. Uncompensated phase of PEM
Answer: D
294. All of the following are causes of pseudo paralysis except
A. Osteomyelitis
B. Scurvy
C. Septic arthritis
D. Polio
Answer: D
295. Which of the following can lead to regression of developmental milestones
A. Rett’s syndrome
B. Autism
C. Neuromuscular diseases
D. All of the above
Answer: D
296. All of the following are features of Rett’s syndrome except
A. Microcephaly
B. Regression of milestones
C. Cardia arrhythmias
D. Focal Convulsions
Answer: D
297. Child while playing has sudden loss of consciousness and appears pale. There is no significant medical history and the child was otherwise healthy. Which of the following is the most probable diagnosis?
A. Attention deficit hyperkinetic disorder
B. Breath holding spell
C. Autism
D. Rett’s syndrome
Answer: B
298. Infantile body proportion in adults is seen in all except
A. Achondroplasia
B. Hypothyroidism
C. Klinefelter’s syndrome
D. Cretinism
Answer: C
299. If chronological age > skeletal age with normal growth velocity, then the final height that is expected to be achieved is
A. Normal
B. Less because of small bones
C. More than expected
D. Less because of epiphyseal closure due to accelerated growth
velocity
Answer: A
300. Which of the following about hormone levels in a malnourished child is true?
A. Increased insulin levels
B. Decreased cortisol levels
C. Increased growth hormone
D. All of the above
Answer: C
301. A 9 month old child with respiratory rate 53/min and presence of cough is classified as :
A. SIRS
B. Respiratory distress
C. Tachypnoea
D. ARDS
Answer: C
302. A newborn after prolonged labour is not breathing well and after 30 seconds of receiving 100% oxygen by bag and mask, heart rate is 88 beats per min, what is the next step in management?
A. Discontinue oxygen and ventilation
B. Discontinue oxygen, continue ventilation
C. Continue oxygen and ventilation
D. Start chest compressions
Answer: C
303. How are chest compressions given in a new-born?
A. Using palm on the lower third of sternum
B. Using two fingers on the middle third of sternum
C. Using the two thumbs on the lower third of sternum
D. Using three fingers on the lower third of sternum
Answer: C
304. Asymmetric tonic neck reflex disappears at what age?
A. 2 months
B. 3 months
C. 6 months
D. 8 months
Answer: C
305. True about tonic neck reflex is
A. Extension of arm on ipsilateral side, flexion on contralateral side
B. Extension of arm on contralateral side, flexion on ipsilateral side
C. Extension of arms on both sides
D. Flexion of arms on both sides
Answer: A
306. Closure of patent ductus arteriosus is stimulated by?
A. Prostaglandin F2a
B. Cycloxygenase
C. Increase in 02 tension at birth
D. Hypercarbia
Answer: C
307. False about PDA is
A. More common in females
B. Anatomical closure takes 21 hours after birth
C. PGE maintains patency of ductus
D. Dilatation of ascending aorta
Answer: B
308. Which of the following is not seen in patent ductus arteriosus?
A. Left atrial hypertrophy
B. Left ventricular enlargement
C. Continuous murmur
D. Attenuated SI
Answer: D
309. Which of the following congenital anomalies leads to heart failure at birth?
A. Total anomalous pulmonary venous connection
B. Transposition of great arteries
C. Pulmonary atresia
D. Coarctation of aorta
Answer: C
310. Most important prognostic marker of tetralogy of fallot
A. VSD
B. Pulmonary stenosis
C. Overriding of aorta
D. Right ventricular hypertrophy
Answer: B
311. Microcephaly is common in children of mothers with all except
A. Alcohol intake
B. Warfarin intake
C. Warfarin intake
D. Varicella
Answer: B
312. What is the capacity of stomach at birth
A. 5 ml
B. 25 ml
C. 50 ml
D. 100 ml
Answer: C
313. Colour of stools in breastfed new born is
A. Red
B. Green
C. Black
D. Golden
Answer: D
314. Trigonocephaly is due to premature closure of which suture?
A. Sagittal suture
B. Metopic suture
C. Lambdoid suture
D. Coronal suture
Answer: B
315. Which of the following is not a feature of Minimal change disease?
A. Hypertension
B. Edema
C. Proteinuria
D. Responsive to steroid therapy
Answer: A
316. What is the rate of CSF formation in children?
A. 0.3 ml/min
B. 1 ml/min
C. 3 ml/min
D. 20 ml/min
Answer: A
317. Most common cause of cranial irradiation in children is
A. Small cell lung Ca
B. ALL
C. AML
D. Craniopharyngioma
Answer: B
318. Which of the following is not a feature of physiological anaemia of infancy?
A. Term infant haemoglobin 7 gm%
B. Preterm infant haemoglobin 7 gm%
C. Term infant haemoglobin 9 gm%
D. Preterm infant haemoglobin 9 gm%
Answer: A
319. Mean haemoglobin in a 1 year old child is
A. 18.5 g/dl
B. 16.5 g/d1
C. 14 g/c11
D. 12 g/dl
Answer: D
320. Amino acid metabolism is implicated in which disease?
A. Maple syrup urine disease
B. Reye’s syndrome
C. Von Gierke’s disease
D. McArdle’s disease
Answer: A
321. A 3 months old child was started on supplemental foods along with breastmilk. The child was fed with fruit pulp and sweetened cereals. Soon the child developed bloating of abdomen, vomiting, lethargy, irritability. On investigation, there was hyperbilirunemia and elevated transaminase levels. The child is suffering from which of the following enzyme deficiencies?
A. Fructokinase
B. Aldolase B
C. Gal actokinase
D. Galactose – 1 – phosphate uridyl transferase
Answer: B
322. All are true about sacrococcygeal teratoma except
A. Not associated with increased serum markers
B. In most cases is not visible externally
C. If associated with hydrops, should be resected antenatally
D. Most common tumour of fetus
Answer: B
323. Most common sign of LRTI [Lower respiratory tract infection] in children is
A. Chest indrawing
B. Tachypnea
C. Nasal flaring
D. Failure to feed well
Answer: B
324. Which of the following is not a sign of severe dehydration?
A. Tachycardia
B. Anuria
C. Increased thirst
D. Delayed capillary refill [>3 sec]
Answer: C
325. What is the grade of dehydration if a child demonstrates excessive thirst and decreased urine output?
A. No dehydration
B. Mild dehydration
C. Moderate dehydration
D. Severe dehydration
Answer: B
326. Which of the following cannot be used to detect HIV status in early infancy?
A. DNA – PCR
B. HIV culture
C. ELISA
D. P – 24 antigen assay
Answer: C
327. Teratology is a study of
A. Congenital heart defect
B. Congenital abnormalities
C. Wounds and injuries
D. None of the above
Answer: B
328. Russell silver syndrome is associated with which of the following?
A. Autosomal inheritance
B. X – linked inheritance
C. Sporadic gene mutation
D. Uniparental disomy
Answer: D
329. Which of the following is not a feature of Down’s syndrome?
A. Hypotonia
B. Infections
C. Female infertility
D. Early onset Alzheimer’s disease
Answer: C
330. Which of the following is not a feature of Turner’s syndrome?
A. Cubitus valgus
B. Cryptorchidism
C. Short fourth metacarpal
D. Shield chest
Answer: B
331. Which of the following is true regarding Turner’s syndrome?
A. Cubitus valgus
B. Autosomal dominant
C. Monosomy of chromosome 12
D. Sensorineural hearing loss
Answer: A
332. Most common cause of shock in child
A. Septic shock
B. Hypovolemic shock
C. Cardiogenic shock
D. Anaphylactic shock
Answer: B
333. Which is the prognostic scoring system for head injury in children?
A. CCS
B. AUDIT
C. Injury severity score
D. Pediatric Trauma Score
Answer: A
334. Which of the following is a criteria for clinical Stage II of AIDS in children?
A. Lymphadenopathy
B. Oral candidiasis
C. Hepatosplenomegaly
D. Oesophageal candidiasis
Answer: C
335. Which of the following is closed at birth?
A. Foramen ovale
B. Posterior fontanelle
C. Ductus venosus
D. Anterior fontanelle
Answer: B
336. Harlequin skin change is seen due to mutation of which gene?
A. ABCA 12
B. FAD
C. Keratin 1
D. ALOXE 3
Answer: A
337. Ritter disease is a disease caused by
A. Infection
B. Autoimmune
C. Genetic
D. Metabolic disorder
Answer: A
338. Pink colour in the IMNCI chart is suggestive of
A. Normal zone of weight for age
B. Undernutrition (Up to – 2SD)
C. Severely underweight zone (Up to – 3SD)
D. Very severely undernourished (Up to – 5SD)
Answer: C
339. 5DHT is necessary for development of which of the following?
A. External genitalia
B. Internal genitalia
C. Mullerian structures
D. Wollfian structures
Answer: A
340. Prevalence of omphalocele at birth is
A. 1 in 100 live births
B. 1 in 2000 live births
C. 1 in 4000 live births
D. 1 in 10,000 live births
Answer: C
341. Pectus excavatum is
A. Protrusion of sternum
B. Sternal depression
C. Sternal cleft
D. Lateral displacement of sternum
Answer: B
342. A child aged 7 years has how many teeth
A. 15
B. 20
C. 26
D. 32
Answer: C
343. Child starts monosyllables speech in which age
A. 4 months
B. 6 months
C. 8 months
D. 10 months
Answer: B
344. Nocturnal enuresis best t/t is
A. Positive reinforcement
B. Punishment
C. Bed alarm
D. Desmopressin
Answer: A
345. Neonatal lupus
A. Heart block
B. Thrombocytopenia
C. Cutaneous lesion
D. All of above
Answer: D
346. In Precocious puberty age limit of girls is
A. 8 year
B. 10 year
C. 9 year
D. 11 year
Answer: A
347. Malnourished child minimum weight gain
A. 5 gm/kg/day
B. 10 gm/kg/day
C. 15 gm/kg/day
D. 20 gm/kg/day
Answer: A
348. CPR with 2 candidate is done at rate of (in infant)
A. 15 : 2
B. 30 : 2
C. 1 : 3
D. 1 : 5
Answer: A
349. Preterm baby have
A. Continue extramedullary haematopoiesis
B. Greater risk of hypothermia
C. Greater risk of hypoglycaemia
D. All of above
Answer: D
350. Pica refers to
A. Ice sucking
B. Thumb sucking
C. Foreign object being put in the mouth
D. None of above
Answer: C
351. Low glucose level in premature
A. Increased brain to body ratio
B. Decreased glycogen stores
C. Decreased action of pyruvate carboxylase
D. All of above
Answer: D
352. Temperature of NICU is
A. 20-22° C
B. 22-26° C
C. 26-30° C
D. 30-35°C
Answer: B
353. GBS in a child treatment
A. IV Ig
B. Ventilation
C. Plasmapharesis
D. All of above
Answer: D
354. Anemia of prematurity – True is
A. Marginal reticulocytosis
B. <10 gm criteria (Hb level)
C. 10 ml/kg packed cell
D. Microcytic hypo chromic type
Answer: B
355. LEOPARD syndrome includes all except
A. Growth retardation
B. ECG changes
C. Hypertelorism
D. Hypergonadism
Answer: D
356. Blood transfusion to neonate rate of
A. 1-5 ml/min-5 ml/min.
B. 5-10 ml/min
C. 10-15 ml/min
D. 15-20 ml/min
Answer: B
357. TB in children, most common is
A. Abscess
B. Consolidation
C. Hilar adenopathy
D. CNS tuberculosis
Answer: C
358. In children, CHF (congestion heart failure) is diagnosed by
A. Raised JVP
B. Pedal edema
C. Tender hepatomegaly
D. Basal crepts
Answer: C
359. Double arch aorta is seen in
A. CATCH 22
B. Digeorge syndrome
C. Sphrintzen velo cardio facial syndrome
D. None of above
Answer: A
360. Simian crease is not seen in
A. Down
B. Trisomy 13
C. Atopic dermatitis
D. Noonan syndrome
Answer: C
361. Treatment of simple febrile convulsion is based on
A. Control of fever
B. Rectal diazepam
C. CSF finding
D. Blood reports
Answer: A
362. Rehydration therapy in a 2 year old severely dehydrated child is
A. 30 ml/kg in 1 hour, 70 ml in 5 hours
B. 30 ml/kg in 30 min, 70 ml/kg in 2’/2 hours
C. 20 ml/kg in 30 min, 80 ml/kg in 2’/2
D. 75 ml/kg in 4 hours
Answer: B
363. What is correct about febrile seizures
A. Normal EEG
B. Focal deficits
C. Repeated seizure
D. Abnormal EEG
Answer: A
364. Cause of neonatal hyperbilirubinemia ?
A. Inefficient erythropoiesis
B. RBC hemolysis
C. Immature liver enzyme
D. All of above
Answer: D
365. Dosage of intravenous fluid for 2 month old child in diarrhoea with severe dehydration
A. 100 ml/Kg in 6 hour
B. 50 ml/Kg in 6 hour
C. 75 ml/Kg in 6 hour
D. 80 ml/Kg in 6 hour
Answer: A
366. In Diaphragmatic Hernia. Most common anomaly is seen in
A. Cardiovascular anomalies
B. Urinary tract
C. Craniofacial anomaly
D. Skull anomaly
Answer: A
367. Causes of mental retardation in congenital hypothyroidism is
A. Decrease cerebral growth
B. Decrease myelination of CNS neuron
C. Decrease growth hormone by pitutary glands
D. Decreae production of neurotransmitters
Answer: A
368. Mousy urine in a child due to defect in phenylalamine to
A. Tyrosine
B. Homogentisic acid
C. Phenyl acetate
D. Phenylpyruvate
Answer: A
369. Most common site of extramedullary relapse of ALL in 6 year old is
A. Testes
B. Liver
C. Lung
D. None
Answer: A
370. Male pseudohermaphrodism most common cause
A. Congenital adrenal hyperplasia
B. Adrenocortical tumor
C. Chromosomal abnormalities
D. Cytogenetic abnormalities
Answer: D
371. Enzyme used as treatment for sickle cell anaemia
A. Chymotrypsin
B. Glucose 6-phosphatase
C. Trypsin
D. None of above
Answer: A
372. XX baby presenting with penis & scrotum cause
A. High level of testosterone in maternal blood
B. Klinfilter syndrome
C. Turner syndrome
D. None of above
Answer: A
373. Which of the fontanelle is the last to close?
A. Anterolateral
B. Anterior
C. Lateral
D. Occipital
Answer: B
374. Which enzyme deficiency causes Lesch– Nyhan syndrome ?
A. Hypoxanthine-guanine phosphoribosyl transferase (HGPRT)
B. Xanthine oxidase
C. Adenine phosphoribosyl transferase (APRT)
D. AMP deaminase
Answer: A
375. Which vaccine is not include in Indra Dhanush mission?
A. Tuberculosis
B. Measles
C. Japanese Encephalitis
D. Diphtheria
Answer: C
376. Which among the following is the Most common cause for neonatal blindness?
A. Neisseria gonorrhoeae
B. Chlamydia trachomatis
C. Klebsiella
D. Enterobacter
Answer: A
377. True hermaphroditism karyotype:
A. 45 X0 streaked gonads
B. 46 XX Ovotestis
C. 47 XY+9
D. 47 XX
Answer: B
378. When can one diagnose acute respiratory distress in a child ?
A. Within 7 days of known clinical insult
B. Respiratory failure not fully explained
C. Left ventricular dysfunction
D. All of the above
Answer: D
379. New born baby with heart rate less than 60 beats per minute can be resuscitated by all except
A. chest compression
B. oxygen therapy
C. tactile stimulation
D. slapping the back
Answer: D
380. Which condition is associated with Congenital adrenal hypoplasia?
A. Male pseudohermaphroditism
B. Female pseudohermaphroditism
C. True pseudohermaphroditism
D. Sequential pseudohermaphroditism
Answer: B
381. 1 yr child weighing 6 kg is suffering from Acute Gastroenteritis along with signs of sunken eyes & skin pinch going back to normal very rapidly. What will be your management?
A. RL infusion 120 ml in the first hour followed by 360 ml in the next 5 hours
B. RL INFUSION 180 ml in the first hour followed by 420 ml in the next 5 hours
C. RL INFUSION 180 ML IN the first hour followed by 480 ml in the next 5 hours
D. RL INFUSION 240 ml in the first hour followed by 360 ml in the next 5 hours
Answer: B
382. Which parameter conclusively rules out malnutrition?
A. Edema
B. Lean body mass
C. Skinfold thickness
D. Normal ECF volume
Answer: B
383. A 2 years baby with 6.7 kg, Hb%- 6 mg/dl total protein 3mg/dL, low albumin with distended stomach but no proteinuria. What will be the diagnosis?
A. Marasmus
B. Kwashiorkor
C. Indian childhood cirrhosis
D. None
Answer: B
385. Cause of greenish-black stool in a neonate
A. Meconium
B. Biliverdin
C. Bilirubin
D. Urochrome
Answer: B
386. A term baby on breastfeeding with bilirubin 14mg/dL which of the following is true?
A. Exchange transfusion
B. Continue to breastfeed
C. Phototherapy
D. None
Answer: B