Pediatric Quiz (June 2010)

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| By Drbhavesh
D
Drbhavesh
Community Contributor
Quizzes Created: 6 | Total Attempts: 9,243
Questions: 10 | Attempts: 4,044

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June Quizzes & Trivia

Dear Friends,Academy of Pediatrics, Vadodara, Gujarat (India) welcomes you to Online Pediatric Quiz. You may attempt this quiz number of times upto your satisfaction. You will be able to know the answers after attempting each question and also at the end of quiz. You may see your score and quiz related statistics immediately after finishing the quiz. A new quiz will be posted every month. You may still find and attempt prevoius month's quizzes in "Previous Quizzes" section of our site Pedquiz. TkThere will be 10 questions in each quiz of 10 mark each. There is no negative Read moremarking. You have to finish the quiz in 10 minutes. At the end of 10 minutes the quiz will be submitted irrespective of the questions attemptedSo, GET READY! Happy Quizzing.


Questions and Answers
  • 1. 

    The causative agents of bronchiolitis include all of the following except

    • A.

      Measles Virus

    • B.

      Adenovirus

    • C.

      Parainfluenza Virus

    • D.

      Respiratory Syncytial Virus

    Correct Answer
    D. Respiratory Syncytial Virus
    Explanation
    Bronchiolitis is a respiratory infection that primarily affects infants and young children. It is commonly caused by viruses, including Measles Virus, Adenovirus, Parainfluenza Virus, and Respiratory Syncytial Virus (RSV). Therefore, the correct answer is "Respiratory Syncytial Virus" because it is not a causative agent of bronchiolitis.

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  • 2. 

    The following is not the clinical feature of Hurler’s Syndrome

    • A.

      Dolicocephalic Head

    • B.

      Umbilical & Inguinal Hernia

    • C.

      Diaphragmatic Hernia

    • D.

      Mental Retardation

    Correct Answer
    C. Diaphragmatic Hernia
    Explanation
    Hurler's Syndrome is a rare genetic disorder that affects multiple organs and tissues. It is characterized by various clinical features, including dolicocephalic head (abnormally long and narrow head shape), umbilical and inguinal hernia (protrusion of organs through the abdominal wall), and mental retardation. However, diaphragmatic hernia, which is a condition where there is a hole in the diaphragm allowing organs to move into the chest cavity, is not typically associated with Hurler's Syndrome.

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  • 3. 

    The most common complication of Dermatomyositis is

    • A.

      Calcinosis

    • B.

      Haemorrhage

    • C.

      Partial Lipodystrophy

    • D.

      Aspiration Pneumonia

    Correct Answer
    D. Aspiration Pneumonia
    Explanation
    Aspiration pneumonia is a common complication of Dermatomyositis. This occurs when foreign material, such as food or saliva, is inhaled into the lungs, leading to inflammation and infection. In patients with Dermatomyositis, muscle weakness and difficulty swallowing can increase the risk of aspiration. Therefore, it is important to be aware of this potential complication and take necessary precautions to prevent it.

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  • 4. 

    An 18 months old boy was brought with h/o irritability since 2 weeks and swelling of left eye. He was not taking feeds adequately for last 1 week . Mother had noticed swelling in left eye for last 3 days which is more in morning. There is no h/o insect bite or trauma. There are many pet animals in house.        One of the following is most probable diagnosis:

    • A.

      Retinoblastoma

    • B.

      Vitreous Haemorrhage

    • C.

      Ocular Toxocariasis

    • D.

      Cataract

    Correct Answer
    C. Ocular Toxocariasis
    Explanation
    Ocular toxocariasis is the most probable diagnosis in this case. The patient's symptoms of irritability, swelling of the left eye, and decreased appetite are consistent with ocular toxocariasis. The fact that the swelling is more prominent in the morning suggests that it may be due to an inflammatory response. Additionally, the presence of pet animals in the house increases the likelihood of exposure to Toxocara canis, the parasite responsible for ocular toxocariasis. Retinoblastoma, vitreous hemorrhage, and cataract are less likely based on the given clinical presentation.

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  • 5. 

     All of the following statements are true regarding flat feet except

    • A.

      One in five children never develops an arch

    • B.

      Best way to see the arch is while feet are hanging free, or when the child stands on toes

    • C.

      Special shoes, inserts and wedges help in creating arch in a child with flexible flat foot

    • D.

      Most children have low arches b/c they are loose jointed

    Correct Answer
    C. Special shoes, inserts and wedges help in creating arch in a child with flexible flat foot
    Explanation
    The statement "Special shoes, inserts and wedges help in creating arch in a child with flexible flat foot" is not true. Special shoes, inserts, and wedges may provide support and alleviate symptoms, but they do not create an arch in a child with flexible flat foot.

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  • 6. 

    The pediatrician is NOT concerned if the flatfoot is

    • A.

      Flexible

    • B.

      Very Severe

    • C.

      Painful

    • D.

      Stiff

    Correct Answer
    A. Flexible
    Explanation
    A flexible flatfoot refers to a condition where the arch of the foot appears flattened when standing, but the arch can be restored when the foot is lifted off the ground. In this case, the pediatrician is not concerned because a flexible flatfoot is considered a normal variant and is usually painless. It does not cause any functional limitations or long-term problems.

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  • 7. 

    All of the following statements are true regarding Bowlegs & Knock Knees except

    • A.

      Infants often have bowlegs during normal development

    • B.

      These conditions never run in families

    • C.

      Unilateral bowlegs or knock knees needs attention

    • D.

      Child may become knock kneed by about 18 months age

    • E.

      Special shoes, wedges, inserts or exercises only make the child feel bad and do not correct the shape

    Correct Answer
    B. These conditions never run in families
  • 8. 

    Central cyanosis with systolic murmer is seen in

    • A.

      PDA

    • B.

      Endocardial cushion defect

    • C.

      TGA

    • D.

      VSD

    Correct Answer
    C. TGA
    Explanation
    Central cyanosis with systolic murmur is seen in Transposition of the Great Arteries (TGA). TGA is a congenital heart defect where the positions of the pulmonary artery and the aorta are switched, causing oxygen-poor blood to be circulated throughout the body. This results in cyanosis, a bluish discoloration of the skin and mucous membranes due to low oxygen levels. The systolic murmur is caused by abnormal blood flow through the heart.

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  • 9. 

    Earliest change in a 1 year old child with raised ICT is

    • A.

      Posterior clinoid erosion

    • B.

      Sutural separation

    • C.

      Erosion of sella

    • D.

      Silver beaten appearance on X Ray Skull

    Correct Answer
    B. Sutural separation
    Explanation
    Sutural separation refers to the widening or separation of the sutures in the skull. In a 1-year-old child with raised intracranial tension (ICT), sutural separation is the earliest change that can be observed. This is because the sutures in the skull are not fully fused at this age, and increased pressure within the skull can cause the sutures to separate. Other changes mentioned in the options, such as posterior clinoid erosion, erosion of sella, and silver beaten appearance on X-ray skull, may occur later in the course of raised ICT.

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  • 10. 

     A 4 year old boy falls from the back of a 3 wheeler, hitting his head. He has no loss of consciousness, is alert and well oriented. On examination, he has blood behind his left tympanic membrane. CT Scan of skull is likely to show

    • A.

      Basilar fracture of skull

    • B.

      Epidural Hematoma

    • C.

      Intraventricular Haemorrhage

    • D.

      Subdural Hematoma

    Correct Answer
    A. Basilar fracture of skull
    Explanation
    A basilar fracture of the skull is likely to be seen on a CT scan in this scenario. The presence of blood behind the left tympanic membrane suggests a possible fracture in the area. This type of fracture occurs at the base of the skull and is commonly associated with head trauma. It is important to note that the boy in the scenario is alert and well oriented, indicating that there is no loss of consciousness or significant neurological deficit. This further supports the likelihood of a basilar fracture, as more severe injuries such as epidural or subdural hematomas would typically present with altered mental status.

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  • Current Version
  • Mar 21, 2023
    Quiz Edited by
    ProProfs Editorial Team
  • Jun 10, 2010
    Quiz Created by
    Drbhavesh
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