Pg Blazer - Online Test Series 8 - Paediatrics

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

Autism

ADHD

Mental retardation

Specific leaming disability

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.

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.

2. 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?

Alveolar microlithiasis

Post viral syndrome

Follicular bronchitis

Bronchiolitis obliterans

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

Explanation

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

3. Drug of choice for Rheumatic fever prophylaxis in penicillin allergic patient

Erythromycin

Clindamycin

Vancomycin

Gentamycin

Drug of choice for Rheumatic fever prophylaxis in penicillin allergic patient is Erythromycin

Explanation

Drug of choice for Rheumatic fever prophylaxis in penicillin allergic patient is Erythromycin

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

Aute lymphatic leukemia

Aplastic anemia

Ldiopathic thrombocytopenic purpura

Acute viral infection

The given history and physical finding describes the classical presentation of ITP.

Explanation

The given history and physical finding describes the classical presentation of ITP.

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

Shivering

Breakdown of brownfat with adrenaline secretion

Universal flexion like a fetus

Cutaneous vasoconstriction

Heat production by shivering does not occur in neonates.

Explanation

Heat production by shivering does not occur in neonates.

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

Factor XIII deficiency

VWF deficiency

Factor XII deficiency

Glanzmann thrombosthenia

Bleeding from umbilical stump is a characteristic feature of Factor XIII deficiency.

Explanation

Bleeding from umbilical stump is a characteristic feature of Factor XIII deficiency.

7. True about cow's milk are all except :

Cow’s milk contains 80% whey protein not casein

Cow milk has less carbohydrate than mothers milk

Has more K+ and Na+ than infant formula feeds

Has more protein than breast milk

The major protein in cow's milk is casein. Whey protein constitutes 80% of human milk protein.

Explanation

The major protein in cow's milk is casein. Whey protein constitutes 80% of human milk protein.

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

Takayasu Aortoarteritis

Fibromedial hypertrophy

Fibrointimal hyperplasia

Polyarteritis Nodosa

Most common cause of renal artery stenosis in children
India - Takayasu arteritis
Western countries - Fibromuscular dysplasia

Explanation

Most common cause of renal artery stenosis in children
India - Takayasu arteritis
Western countries - Fibromuscular dysplasia

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

Breast milk jaundice

Congenital cholangiopathy

G6PD deficiency

Hypothyroidism

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

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

10. Most common cause of Neonatal sepsis in hospitals in India is

Escherichia coli

Klebsiella

Staph aureus

Listeria monocytogenes

Most common cause of Neonatal sepsis in hospitals
India - Klebsiella
World - Escherichia coli

Explanation

Most common cause of Neonatal sepsis in hospitals
India - Klebsiella
World - Escherichia coli