Pg Blazer - Online Test Series 8 - Paediatrics

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Paediatrics MCQ's. For more PG entrance practice tests, go to PG Blazer Online Test Series


Questions and Answers
  • 1. 

    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 leaming disability

    Correct Answer
    A. Autism
    Explanation
    Autism is a developmental disorder that appears in the first 3 years of life, and affects the brain's normal development of social and communication skills.

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  • 2. 

    Most common cause of renal artery stenosis in children in India is

    • A.

      Takayasu Aortoarteritis

    • B.

      Fibromedial hypertrophy

    • C.

      Fibrointimal hyperplasia

    • D.

      Polyarteritis Nodosa

    Correct Answer
    A. Takayasu Aortoarteritis
    Explanation
    Most common cause of renal artery stenosis in children
    India - Takayasu arteritis
    Western countries - Fibromuscular dysplasia

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  • 3. 

    A newborn baby presented with profuse bleeding from umbilical stump after birth. Probable diagnosis is

    • A.

      Factor XIII deficiency

    • B.

      VWF deficiency

    • C.

      Factor XII deficiency

    • D.

      Glanzmann thrombosthenia

    Correct Answer
    A. Factor XIII deficiency
    Explanation
    Bleeding from umbilical stump is a characteristic feature of Factor XIII deficiency.

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  • 4. 

    Most common cause of Neonatal sepsis in hospitals in India is

    • A.

      Escherichia coli

    • B.

      Klebsiella

    • C.

      Staph aureus

    • D.

      Listeria monocytogenes

    Correct Answer
    B. Klebsiella
    Explanation
    Most common cause of Neonatal sepsis in hospitals
    India - Klebsiella
    World - Escherichia coli

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  • 5. 

    A term neonate with unconjugated hyperbilirubinemia of 18 mg/dl on 20th day. All are common causes except :

    • A.

      Breast milk jaundice

    • B.

      Congenital cholangiopathy

    • C.

      G6PD deficiency

    • D.

      Hypothyroidism

    Correct Answer
    B. Congenital cholangiopathy
    Explanation
    Differential diagnosis of unconjugated hyperbilirubinemia in a neonate:
    -Breast milk jaundice
    -Hypothyroidism
    -Drugs
    -Fetomaternal blood group incompatibility (ABO / Rh)
    -Sepsis
    -Non spherocytic hemolytic anemia
    -Hereditary spherocytosis
    -Criggler Najar Syndrome

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  • 6. 

    A 3 month old child has moderate fever and non productive cough and mild dyspnea. After course of mild antibiotic the condition of the child improved transiently but he again develops high fever, productive cough and increased respiratory distress. Chest X ray shows hyperlucency and PFT shows obstructive pattem. Most probable diagnosis is?

    • A.

      Alveolar microlithiasis

    • B.

      Post viral syndrome

    • C.

      Follicular bronchitis

    • D.

      Bronchiolitis obliterans

    Correct Answer
    D. Bronchiolitis obliterans
    Explanation
    Fever, cough and dyspnoea in a child with initial improvement followed by worsening of symptoms is seen in bronchiolitis obliterans.

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  • 7. 

    Drug of choice for Rheumatic fever prophylaxis in penicillin allergic patient

    • A.

      Erythromycin

    • B.

      Clindamycin

    • C.

      Vancomycin

    • D.

      Gentamycin

    Correct Answer
    A. Erythromycin
    Explanation
    Drug of choice for Rheumatic fever prophylaxis in penicillin allergic patient is Erythromycin

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  • 8. 

    A 5 year old boy comes with overnight petechial spots 2 weeks back he had history of abdominal pain and no hepatosplenomegaly. Diagnosis is

    • A.

      Aute lymphatic leukemia

    • B.

      Aplastic anemia

    • C.

      Ldiopathic thrombocytopenic purpura

    • D.

      Acute viral infection

    Correct Answer
    C. Ldiopathic thrombocytopenic purpura
    Explanation
    The given history and physical finding describes the classical presentation of ITP.

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  • 9. 

    True about cow’s milk are all except :

    • A.

      Cow’s milk contains 80% whey protein not casein

    • B.

      Cow milk has less carbohydrate than mothers milk

    • C.

      Has more K+ and Na+ than infant formula feeds

    • D.

      Has more protein than breast milk

    Correct Answer
    A. Cow’s milk contains 80% whey protein not casein
    Explanation
    The major protein in cow's milk is casein. Whey protein constitutes 80% of human milk protein.

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  • 10. 

    All the following can occur in a neonate for heat production except :

    • A.

      Shivering

    • B.

      Breakdown of brownfat with adrenaline secretion

    • C.

      Universal flexion like a fetus

    • D.

      Cutaneous vasoconstriction

    Correct Answer
    A. Shivering
    Explanation
    Heat production by shivering does not occur in neonates.

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  • Current Version
  • Mar 19, 2023
    Quiz Edited by
    ProProfs Editorial Team
  • Jun 13, 2011
    Quiz Created by
    Pgblazer
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