Paediatrics Sharad

1. A 2 year old child whose weight is 6.7 kg was brought to the hospital with a history of diarrhea and vomiting for 2 days. On examination the skin when pinched up took almost 3 seconds to return to normal. Most likely diagnosis is:

2. In which of the following conditions, transient rash is seen :

3. A half- year –old develops high grade fever which subsided after three days following which there was appearance of a generalized rash which also subsided after 48 hours without any residual pigmentation. Most probable diagnosis is:

4. Which of the following is the drug of choice in status epilepticus in children;

5. In India which of the following is not an important cause of post-neonatal mortality:

6. Renal biopsy was done of a child less than 6 years of age having nephritic syndrome, which is responsive to steroids. Under light microscopy what will be seen:

7. All of the following causes of neonatal convulsion have bad prognosis except:

8. Best prognosis in neonatal seizures is due to which of the following causes:

9. Acute febrile convulsion in children is treated with:

10. Which of the following is true regarding febrile convulsions:

11. Which of the following is not a clinical feature of simple febrile seizure:

12. All are false regarding simple febrile convulsions except:

13. A three –year –old child presented with fever and a history of recurrent seizures in past. Which of the following steps should be taken to prevent recurrence of seizures:

14.Child doubles the height at the age of….years:

15.Which of the following causes furuncle:

16. Carbamazepine is the drug of choice in which of the following conditions:

17. Drug of choice in temporal lobe epilepsy is:

18. In petit mal (absence) epilepsy the drug of choice is:

19. Drug not used in absence seizure is:

20. Coarctation of aorta is common in:

21. Tonic neck reflex disappears at…weeks;

22. Moro’s reflex disappears by…month:

23. Danger in epiglottitis is:

24. Which of the following is true regarding dawn phenomenon:

25. In which of the following conditions, iceberg phenomenon is seen:

26. Ostemalacia is due to deficiency of:

27. Which of the following in the primary aim of neonatal resuscitation:

28. Not a feature of friedreich’s ataxia:

29. Which of the following is true regarding AML:

30.Neonatal hydrocephalus is not seen in:

31. Which of the following is false regarding thalassemia major:

32. Deficiency of which of the following leads to pellagra:

33. Fetal hemoglobin is increased in which of the following:

34. Not a feature of juvenile CML:

35. Which of the following is true regarding juvenile CML;

36. Which of the following is false regarding tricuspid atresia:

37.In which of the following conditions left axis deviation with left ventricular hypertrophy is seen :

38. Which of the following is the characteristic feature of acute rheumatic fever :

39. Which of the following is not a major criterion of rheumatic fever:

40. Which of the following is an essential criterion in rheumatic fever:

41. Rib notching is seen in:

42. Shakir’s tape is used for measurement of:

43. At shakir’s tape the red zone indicates ….cm;

44. Toxic shock syndrome mat occur due to:

45. Which of the following is the absolute contraindication for DPT vaccine:

46. Croup is not associated with:

47. Which of the following is false regarding neuroblastoma:

48. Which of the following is false regarding neuroblastoma:

49. A child present with change in color of hair, blue eyes and mental retardation .he is suffering from :

50. Which of the following inborn error of metabolism is associated with mental retardation :

51. Which of the following is false regarding Gilbert’s syndrome:

52. Rectal polyps usually presents with which of the following :

53. In children most common cause of bleeding per rectum is:

54. Which of the following is the most common cause of community acquired neonatal meningitis:

55. Organism which commonly causes meningitis in 6 month to 2 years of age is:

56. An eight year old girl presented with low grade fever, vomiting, headache and convulsions. Her CSF finding revealed protein 105mg%, sugar 40 mg% , chloride 52mg% with predominant lymphocytes. The diagnosis is:

57. Most common cause of neonatal death in India is:

58. Which of the following is not caused by thiamine deficiency in children:

59. Bull neck in diphtheria occurs due to:

60. Diphtheric neuropathy occurs in…..week of infection:

61. Which of the following is a common cause of bronchiolitis :

62. Blast cells of acute lymphocytic leukemia in childhood have:

63. Cirrhosis is not seen in:

64. Thiamine deficiency causes:

65. Mayer –Rokitansky-Kuster –Hauser syndrome is due to:

66. Glucose -6-phosphate dehydrogenase deficiency is:

67. Which of the following is not an X-linked disorder:

68. Which of the following drug does not cause hemolytic anemia in G6PD deficiency:

69. In a child with bronchial asthma, steroid should be given:

70. The chest X-ray film of a newborn with respiratory distress showing multiple air containing lesions in left hemithorax and mediastinal shift indicates:

71. A newlyborn child with respiratory distress and apgar score of 3 in one minute is resuscitated with IPPR. On examination he has cyanosis, apex beat shifted to right side and scaphoid abdomen. The diagnosis is:

72. In down syndrome,defect is:

73. Which of the following is the most Common renal lesion in children and young adults:

74. Best treatment for a neonate born to hepatitis B infected mother is:

75. A newborn of HBsAg positive mother should be vaccinated at:

76. False regarding childhood polycystic kidney is:

77. Which of the following is false regarding Gaucher’s disease in children:

78. A child can climb steps with alternate limb at:

79. Which of the following is used to assess the motor function of a 4 year old child:

80. Ossification centre which develops before birth is:

81. Which of the following is true regarding microcephaly ;

82. Which of the following maternal disorders may lead to microcephaly:

83. Breastfeeding should be started earliest by… hours:

84. Fatty liver does not occur in:

85. A child presents with increased oral secretion and chocking . he has:

86. Hair on end appearance on skul X-ray and greatly expanded diploe is seen in:

87. Which of the following is not treated by steroids:

88. In children, cushing syndrome is best diagnoses by:

89. IN hypothyroidism which of the following appears first:

90. Congenital hypothyroidism is diagnosed earliest by which of the following :

91. Not a causative agent of lung absences:

92. Long- standing unconjugated hyperbilirubinemia of newborn is not caused by:

93. Which of the following conditions is not associated with prolonged unconjugated byperbilirubinemia in a newborn:

94. Wilm’s tumor is not associated with:

95. False regarding wilms tumor is:

96. Koplik’s spots are pathognomic of :

97. Which of the following is false regarding measles:

98. Not a feature of Wilson’s disease in children :

99. Not included in apgar score in neonates:

100. Calculate the apgar score of a newborn with heart rate 110, good cry, blue extremities, active movement and grimace:

101. Isolation period of mumps is until:

102. Which of the following is false regarding mumps:

103.In children which of the following is the most common complication of mumps:

104. Cardiac anomaly commonly seen in congenital rubella is:

105. All are associated with congenital rubella except:

106. IN which of the following diseases saber-shaped tibia is seen:

107. Which of the following is not beneficial in the management of acute attack of bronchial asthama in children:

108. Pneumatoceles are commonly associated with:

109. Which of the following is the most common cause of empyema in children less than 2 years of age :

110. Which of the following shows the most specific findings in pediatric age with nutritional/malabsorption state:

111. Most common cause of convulsion in a newborn on first day of life is:

112. Not a feature of necrotizing enterocolitis:

113. Which of the following is not seen in congenital rubella syndrome:

114. Pincer grasp develops by… months:

115. Cyanosis with plethora is not seen in:

116. In children suprasellar calcification suggests:

117. Not a characteristic feature of infantile pyloric stenosis :

118. Which of the following is the treatment of choice in infantile myoclonus:

119. Most common cause of ambiguous genitalia in children is:

120. False regarding systemic juvenile rheumatoid arthritis is:

121. Which of the following types of juvenile rheumatoid arthritis is associated with iridocyclitis:

122. Which of the following is the most common complication of amebic liver absences in children:

123. In kwashiorkor the diagnosis is based on which of the following :

124. False negative tuberculin reaction does not occur in children in which of the following condition:

125. In children which of the following is not used in treatment of asthma :

126. A newborn exclusive fed with goat’s milk will develop which of the following disease as compared to being fed with breast milk:

127. Cerebrospinal fluid examination of a one day old term male baby reveals a cell count of 10RBCs/HPF,sugar 45 mg/dl and protein 40 mg/dl. Most likely diagnosis is:

128. In which of the following ossification centre appears first:

129. Which of the following is a live attenuated vaccine ;

130. Which of the following is true regarding neonatal herps:

131. A child has pedal edema ++ facial edema. His blood pressure is 190/110. he has gross hematuria but ascites is absent. He is suffering from:

132. For a 2 –year –old child calories as supplied in ICDS diet are:

133. False regarding sacral myelmeningocele is:

134. False regarding myelomeningocele in children is:

135. Zinc deficiency causes:

136. A 2-year old child presented with respiratory distress. On examination there is wheezing. Most likely diagnosis is:

137. In bronchiolitis, the treatment of choice is:

138. Not a complication of chickenpox:

139. Which of the following is the most common complication of chickenpox:

140. Which of the following is true regarding klinefelter syndrome:

141.In which of the following syndromes nuchels fold thickness is increased:

142. Which of the following is the characteristic feature of fragile X syndrome:

143. Not seen in neonatal septicemia :

144. IUGR is not caused by:

145. phenytoin is not used for which of the following conditions;

146. In vitamin A deficiency X 3A means:

147. Diarrhea in children is most commonly caused by;

148. Neonatal jaundice at birth or before 24 hours is commonly due to:

149. Defective hepatic conjugation is not seen in :

150. False regarding childhood ITP is;

151. Microcytic, hypochromic anemia is not seen in:

152. Unconjugated hyperbilirubinemia is not seen in;

153. Not found in TOF :

154. False regarding polio is:

155. In rheumatic fever most common valvular lesion is:

156. False regarding rheumatic heart disease in India:

157. True regarding AIDS in children is:

158. In which of the following disorders deficiency of glucuronyl transferase is seen in :

159. Unconjugated hyperbilirubinemia is not seen in:

160. Most common chromosomal anomaly is:

161. Mycoplasma pneumonia is treated with:

162.Not a major criterion of rheumatic fever:

163. In children most common cause of subdural effusion is:

164. A child on 10th day of birth was found to have 10% decrease in weight after exclusive breastfeeding. It was passing golden yellow soft stools. Anxious parents report to the pediatrician . the most appropriate advice is:

165. Mediastinal widening is seen in:

166. Obstructive hydrocephalus in children is most commonly caused by:

167. Which of the following is the most common cause of portal hypertension in children ;

168. Which of the following is the most common organism causing neonatal septicemia in USA :

169. The height of children in 2-10 years increases:

170. Not a feature of Down’s syndrome:

171. Correct sequences of development in puberty in girls is:

172. IN girls the first sign of puberty is:

173. Which of the following is the earliest sign of puberty in males;

174. Bronze baby syndrome occurs due to:

175. In which of the following leulemias, chloroma is seen ;

176. False regarding transient tachypnea of newborn (TTN) is:

177. Not a characteristic feature of petit mal seizures:

178. Infant triples weight at the age of … months:

179. Not seen on systemic Juvenile rheumatoid arthritis:

180. Characteristic feature of still disease is;

181. Which of the following is true regarding porencephaly:

182. A child presented with diarrhea followed by development of rashes and petechiae. Most likely diagnosis is:

183. A child has anti-mongoloid slant, pulmonary stenosis, short stature and undescended testis. This child has:

184. Secondary lactose intolerance is seen with which of the following:

185. False regarding thumb sucking is;

186. A two year old HIV positive boy presents with history of croup, fever, cough, diffuse wheezing and crypts all over . examination reveals hyperinflated chest. His management should be started with:

187. Which of the following congenital disease is characterized by reduced production of RBCs:

188. Thalassemia is because of:

189. True about β thalassemia is:

190. Wilm’s tumor commonly metastasis to which of the following organ :

191. A 5 year old child of normal intelligence presents with features of hypotonia. There were fasciculation in his tongue and he keeps his body in a frog like position. Most likely diagnosis is:

192. Infantile spinal muscular atrophy is a group of disorders which affect:

193. Not a feature of treacher- Collins syndrome:

194. Which of the following is used for treating Wilson’s disease:

195. Which of the following is the marker for neural tube defect:

196. Increased levels of acetyl cholinesterase in amniotic fluid indicate which of the following:

197. The age of onset of JRA is before:

198. Inborn error of metabolism associated with mental retardation is:

199. Trans-placental transmission is not seen in:

200. Fetal lung maturity is assessed by:

201. Central cyanosis with systolic murmur at birth is seen in which of the following conditions:

202. Not seen in nephritic syndrome :

203. Not seen in a child with nephritic syndrome :

204.Which of the following is the most common malignancy in children:

205. Which of the following is true regarding brain tumor in children :

206. Which of the following is the first constant symptoms of brain tumor in children :

207. Which of the following intracranial tumors in children has poor prognosis:

208. Most common infratentorial tumor in children is:

209. In children most common posterior fossa tumor is:

210. Most common childhood tumor is:

211. Which of the following is not a tumor of first decade of life:

212. Not a feature of neonatal necrotizing enterocolitis:

213. Combination of retinitis pigmentosa and icthyosis is seen in:

214. A mother while kissing her baby found that the baby’s skin is salty. Baby is suffering from:

215. False regarding cystic fibrosis is:

216. Which of the following do not regress:

217. In bed wetting the drug of choice is:

218. Most common cause of nocturnal enuresis in children is:

219. Most common renal lesion in children is:

220. Which of the following is true regarding erysipelas:

221. In a newborn, Harlequine skin change is due to:

222. False regarding breath holding spells is:

223. False regarding breath holding spells in children is:

224. In X-ray batwing appearance is due to;

225. Not a constituent of ORS:

226. Dandy-walker syndrome is because of obstruction of:

227. Not a clinical feature of dandy –walker syndrome ;

228. Minimum level of bilirubin to start phototherapy in a 3-day –old full term baby with jaundice is:

229. Neonatal jaundice seen after 48 hours of birth with bilirubin ,5 mg% is due to:

230. One gram of hemoglobin librates how many milligram of bilirubin:

231. Normal caloric requirement of a five- year old child is:

232. Earliest manifestation of rickets is:

233.Which of the following is true regarding TOF:

234. In children hydrocephalus is commonly caused by:

235.Not a sign of hydrocephalus in a neonate:

236. In an AIDS patient, diarrheal syndrome can be due to:

237. In human milk the percentage of lactose is:

238. True regarding hemorrhagic disease of newborn:

239.Abnormal finding seen in classical hemorrhagic disease in children is:

240. Kwashiorkor is not characterized by:

241. Watson-Schwartz test is used to diagnosis:

242. In G6PD deficiency, hemolytic anemia does not occur with:

243.False regarding tricuspid atresia is:

244. Not a feature of neonatal tetanus:

245. Chronic iriodocylitis is present in:

246. Prior to discharge of a patient of Haemophilus influenza meningitis, which of the following essential investigation should be done:

247. In acute poliomyelitis the most common cause of death is;

248. Drug of choice in community acquired neonatal phenumonia is:

249. Persistent Moro’s reflex at 12 weeks indicates:

250. Asymmeteric moro’s reflex is not seen in:

251. Bacterial kendocarditis is most commonly seen in:

252. infective endocarditis is least common with:

253. All are false regarding typhoid in children except;

254.False regarding pseudotumor cerebri:

255. False regarding cartilage hair hypoplasia syndrome:

256. Not a clinical feature of VSD :

257. In children lactase deficiency is characterized by:

258. An eight year old boy takes part in an icecream competition comes to the hospital with pain in abdominal distention and bloating . he also has previous similar episodes on eating icecream/ milk products which of the following enzymes is deficient?

259.The characteristic feature of lactase deficiency in children is:

260. Which of the following is affected by lactase deficiency:

261. Characteristic feature of lactase deficiency is:

262. Erythromycin is not the drug of choice in which of the following childhood infections:

263.Nadas criteria are used for:

264. False regarding hemolytic –uremic syndrome is:

265. An infant with a history of diarrhea 15 days back, presented with fever, purpuric rash, anemia and tachycardia. The diagnosis is:

266.Microcytic hypochromic anemia is not seen in:

267. Not a clinical feature of scurvy in children:

268.Delayed eruption of teeth is seen in:

269. In a child with attack of severe acute asthama, the treatment of choice is:

270. Not a feature of Laurence –Moon –Bield syndrome:

271.False regarding fetal alcohol syndrome is:

272.Not a feature of Down syndrome:

273. False regarding down syndrome is:

274.Apt test is done for:

275. According to Indian academy of pediatrics, PEM grade III is:

276. Spaulding sign is n indication of:

277. Which of the following is the most common cause of fecal soiling(encopresis) in a child;

278.s Which of the following is true regarding coarctation of aorta:

279. notching of 4-9th ribs with double bulging is found in:

280. pleomorphic rash is characteristic of:

281.Which of the following is true regarding tuberculoma in childhood:

282. In india most common cause of intracerebral calcification in children is:

283. Which of the following should not be done if a women having tuberculosis delivers a baby:

284. Antibodies seen in a neonate after an intrauterine infection are:

285. The correct dose of chloroquine in 4-6 years of age

286. Secondary hypertension in children is most commonly caused by;

287. Which of the following fetty acids is necessary during 0-6 months of age:

288. A child has recurrent hypoglycemic attacks and hepatomegaly. He is most likely suffering from:

289. Preterm infant with PDA should be treated with:

290. Which of the following is not an indication for antibiotics in diarrhea:

291. Upper and lower portion of body disproportion with growth retardation is characteristic of:

292.Epiphyseal dysgenesis is a pathognomic feature of which of the following conditions:

293. in tuberculous meningitis the CSF finding includes:

294.L Asparaginase is particularly used in:

295. Hypokalemia in an infant is not due to:

296. Which of the following is a preventable cause of mental retardation in children:

297.False regarding typhoid is:

298.In a 2 year old child seizure with chorioretinitis is suggestive of:

299.False regarding childhood malignancies:

300. Decreased serum alpha-fetoprotein level is seen in:

301. Congenital heart disease which causes death in the first week of life is:

302.In an infant congestive cardiac failure is diagnosed by:

303. In meningitis subdural effusion is most commonly due to:

304.The national schedule of immunization in a child begins at birth and end at:

305.First permanent tooth to erupt is:

306.The diagnosis of rheumatic fever is best confirmed by:

307. Which of the following is necessary for diagnosis

308. A child presents with migratory polyarthritis, the investigation of choice to confirm the diagnosis is:

309. In congenital rubella most commonly occurring defect is:

310.Rubella maximally infects the fetus if the mother contacts the disease during….. weeks of pregnancy:

311.IUGR can be caused by all except:

312.Feature of petit mal epilepsy in EEG is:

313. An 8 month old child will not be able to do:

314. Which of the following immunoglobulins is most affected in kwashiorkor:

315. The percentage of calories to be supplied by proteins is:

316. Early sign of rickets at 6 months of age is:

317.Most common cause of bronchiolitis :

318.Hyaline membrane in the lung is seen in:

319.Leukemoid reaction is seen in:

320. The malignancies of childhood include:

321.In assessment of gestational age of neonate the following are seen except:

322.The mechanism of diarrhea in giardiasis is prevention of absorption of fat by:

323.bronchiolitis is treated with:

324.most common cause of meningitis in neonates is:

325. In children most common complication of measles is:

326.Post-measles bronchopneumonia is treated with:

327. Syphilis attack the fetus after the ….. month:

328. Child changes rattle from on hand to another at:

329.Most common complication of mumps in children is:

330.Asperger’s disorder is a :

331. Drug of choice initially in juvenile chronic arthritis is:

332. Steroids are useful in:

333.Transient tachypnea of the newborn develops in:

334. In childhood thyroxicosis treatment of choice is:

335.Sitting height is equal to:

336. Infantile diarrhea is not caused :

337.s Blood and muscle in stools are not seen with:

338. Not a cause nephritic syndrome:

339. Poisoning with which of the following can cause unexplained ataxia in a child:

340. not a characteristic feature of kwashiorkor:

341.in newborn most common cause of pneumothorax is:

342. The clinical sign in measles which appears last is:

343.A child has mental age of 7 and chronological age of 7 years. His IQ is:

344. not a characteristic feature of thalassemia major:

345. In the females, congenital adrenal hyperplasia causes which of the following conditions:

346.Most common cause of aplastic anemia is:

347. A mother is presenting to breastfeed her infant, it would be of value to her, if she knows;

348. The essential feature in nephritoc syndrome is:

349. Not a characteristic feature of Lowe’s syndrome:

350. Most common complication following meningococcal meningitis is:

351. Oligohydramnios is associated with which of the following conditions:

352. Flag sign is seen in which of the following disease:

353. The etiological agent for roseola infantum is:

354. most common cause of aseptic meningitis is:

355.In an infant with galactosemia which of the following should be avoided:

356. False regarding Reye’s syndrome is:

357. brachycephaly occurs due to fusion of:

358. Autohemolysis test is positive in which of the following conditions:

359.Meconium is excreted by a newborn till:

360. A 2 year old child has a weight of 6.4 kg and has vitamin A deficiency. The grade of malnutrition in this child is:

361.In kernicterus which is increased:

362. Rotavirus immunity to children occurs above:

363. Diarrhea in infants is most commonly caused by which of the following viruses:

364.Not caused b RSV :

365.Phenylketonuria is diagnosed by:

366.Most common type of cerebral palsy is:

367. Sexual maturity rate(SMR) in girls does not include:

368.Ghon’s focus is:

369. all the following milestones are seen in a 16 weeks child except:

370. not a characteristic feature of cretinism:

371.A child with IQ of 50 is graded as:

372. Earliest change in raised intracranial tension in a child is:

373. Which of the following is true regarding phocemelia:

374.Not seen in myotonic dystrophy:

375. False regarding Reye’s syndrome :

376. Which of the following does not predispose to malignancy:

377.False regarding pierre robin syndrome is:

378. True regarding nutritional rickets is:

379. True regarding a 2 month old child is:

380.Empyema in a child less than 2 years is most commonly caused by:

381. False regaridgn Henosh-Schonlein purpura:

382. Not a cause of floppy baby:

383. True regarding disphragmatic hernia is:

384. Which of the following is the most common age group affected by infantile colic:

385.In which of the following conditions, combination chemotherapy is not indicated:

386. Not a usual feature of asscariasis:

387. In a term newborn, hypoglycemia occurs when the serum blood glucose level is below:

388.In kernicterus, staining of brain is more intense in:

389. In cystic fibrosis most common organism is pseudomonas aeruginosa. Next most common organism is:

390.In pertussis antibiotic of choice is:

391. True about dietary treatment of galactosemia is :

392. A comatose child has garlic like odor to the breath. The most probable diagnosis is:

393. Croup syndrome is usually caused by:

394. Clinical manifestations of cystic fibrosis do not include:

395. False regarding childhood autism is:

396. Cephalhematoma usually disappears within…. Weeks:

397.Scratch tests are best read within:

398. Genotype in testicular feminization syndrome is:

399. Y chromosome is always present in which of the following conditions:

400. Cerebral palsy s defined as:

401. True regarding canals of Lambert in the alveolar spaces of lung:

402. Normal reflex patterns at birth include:

403. Croup is not associated with:

404.First clinical manifestation of abetalipoproteinemia is:

405.Not a characteristic feature of Down’s syndrome:

406. Calculate the percentage of burns on the head, neck and face in child of 1 year:

407. The incubation period of hepatitis A is:

408. Human colostrums in comparision with mature human milk contains more:

409. Retrolenntal fibroplasias is because of :

410. Not a radiographic feature of rickets:

411. Not a recognized feature of Wilson’s disease:

412. Incubation period of pertussis is…..days:

413. not a complication of pertussis:

414. A 3 months old girl weights 4 kg and is suffering from loose motions. On examination she is found to be suffering from moderate dehydration . the amount of ORS to be given to her in first four hours shuld be:

415. true regarding transient tachypnea of newborn:

416.In the case of CNS relapse ALL chemotherapy would consist of intrathecal :

417. Drug of choice for neonatal convulsions:

418. In pulse polio program target age group is:

419. 10 years old child presented with 10 days continuous fever with soft, enlarged spleen. The diagnosis is:

420. Human colostrums has a relatively lower concentration of:

421.Pseudopancreatic cyst in a child is commonly because of:

422. Craniopharyngloma is most commonly located in:

423.Not a characteristic feature of fragile X syndrome:

424. hemolytic anemia in G6PD deficiency is not caused by:

425.Not seen in Kwashiorkor:

426. In the treatment of severe malnutrition , calories required/kg body weight in phase III is:

427. False regarding primary complex in children:

428. Tetanus is characterized by:

429. Death in diaphragmatic hernia is due to:

430. Neonatal sepsis and meningitis is most commonly caused by:

431. The foal of incubator care is to maintain the core temperature of infant at:

432. A 3-year old can not do:

433. True regarding about juvenile CML is:

434. Phototherpay reduces uncongugated bilirubin to conjugated bilirubin by:

435.Whihc of the following is false regarding turner syndrome:

436. Emergency treatment of TGV:

437. Infantile myocarditis and pericarditis is not caused by:

438. In infants which of the following drug is contraindicated:

439.IUGR is defined as:

440. Risk of kernicterus is not increased:

441.Drug of choice in infantile myoclonic seizures is:

442. A 5 year old child has anemia of long duration. The investigation to be done is:

443. Fetal hemoglobin equals adult hemoglobin at:

444.Whihc of the following is caused by congenital 17 hydroxylase deficiency :

445. One year child presenting with abdominal mass and calcification of X-rays is suggestive of:

446.Upper segment lower segment ratio at 3 years of age in a normal child is:

447. In ORS the function of gluocose is to:

448. Most common cause of gastrointestinal hemorrhage in children is:

449. All the following are features of cerebral palsy except:

450. Not seen in a child with nephritic syndrome:

451. Most common cause of systemic hypertension in children is:

452. Not a complication of chickenpox:

453. Not a recognized sign and symptom of raised ICT in a 9 months old infant:

454.s A five year old child can remember how many digits:

455. Triad of mental retardation, seizure and sebaceous adenoma is seen in:

456. Spaasticity is not associated with:

457.s 98% of neonates void within:

458. Neonate with recurrent hypoglycemia attacks and hepatomegaly is likely to have:

459.Meningitis in preschool children is most commonly due to:

460. False regarding febrile convulsions:

461. Most common site of childhood rhabdomyosarcoma is:

462. Normal calorie requirement for a 9 year old child is:

463. A 4 day old healthy newborm has jaundice and serum bilirubin of 22mg/dl treatment of choice is:

464.True regarding laryngeal papilloma is;

465.energy requirement of an infant is:

466. The major toxicity of acetaminophen overdose involves:

467. Jaundice in newborn is physiological when :

468. Risk of neonatal chickenpox is the maximum, if maternal infection occurs:

469. Most common cause of congenital hypothyroidism is;

470. Retinoblastoma is bilateral in :

471. A child can copy a circle first at:

472. IUGR is caused by all except:

473.Acute coryza is most commonly caused by:

474. Convulsions in a child with dehydration and vomiting can be due to:

475.Child born to diabetic mother can have all except:

476. A neonate less than 7 days old presents with fever, features of meningitis anorexia. CSF examination revealed increased protein decreased sugar and increased WBC . most likely diagnosis is:

477. Infant born to mothers of advanced age has greater risk of:

478.Neuroblastoma in children characterized by all except:

479. Bilateral cataract with direct van den Bergh’s test positive in a 3 months old neonate who is exclusively breastfed is suffering from:

480.Drug of choice for an attack of familial periodic paralysis:

481. A 4 kg infant with severe dehydration (10%) needs the following amount of IV fluid in the first 24 hours :

482. A 2 year old child presented with cough fever and dyspnea. He respiratory rate is 55/minute, chest in drawing is present but he has no cyanosis or convulsions. Most likely diagnosis is:

483.all of the following cough splenomegaly except:

484. Compared to oral digitalizing dose, parenteral dose of Digoxin should be:

485. Not associated with a large fontanel:

486. The number of fontanelles present in a newborn child is:

487. Most indicative sign of pneumonia in 12 months old child with cough and fever is:

488. Obesity is associated with:

489.Murmur heard in Eisenmenger syndrome is:

490. A child with VSD developed Elsenmenger syndrome. Correct sequences of events which leads to this change is:

491. the clinical sign of hyaline membrane disease generally first appears:

492.X-ray appearance in hyaline membrane disease is:

493. Which of the following is true Hyaline membrane disease of newborn:

494. In physiological jaundice in term infants serum bilirubin does not generally exceed:

495. Convulsions in infants can be caused by:

496. Which of the following is true regarding a 1 year old child with PDA:

497. Most common cause of convulsions in a child with fever is:

498.Dyslexia is characterized by all except:

499. Hyaline membrane seen in lung s composed of:

500. the characteristics of caput succedaneoum do not include:

501. True regarding childhood brain tumor is:

502. The earliest immunoglobulin to be synthesized by the fetus is:

503. all of the following may occur in Noonan’s syndrome except:

504. The treatment of choice for primary grade-V vesicoureteral reflex involving both kidneys in a 6 months- old boy is:

505. Which of the following maternal antibody causes heart block in newborn:

506.There is a high risk of renal dysplasia in:

507. Which one of the following is the most common cause of abdominal mass in neonates?

508. True regarding ectopia cordis is:

509. 8-year boy presents with swelling in left eye of 3 months duration. Examination revelaed proptosis of left eye with preserved vision. Right eye is normal. CT scan revealed intraorbital extra coneal mass lesion. Biopsy revealed embryonal rhabdomyosarcoma. Metastatic work up eas normal. The standard line of treatment is:

510.Kernicerus is caused by:

511. All of the following are seen in atrial septal defect except:

512. Karyotype in klinefelter syndrome:

513. Transient myeloproliferative disorder of the newborn in seen in association with:

514. A 2 year old presented with leukocoria in the right eye since 2 monhts. On examination a total retinal detachment was present in the same eye. Ultrasound B scan revealed a heterogeneous subretinal mass with calcification ,associated with a retinal detachment. The most likely clinical diagnosis is:

515. A 1 year old child having leukocoria was detected to be having a unilateral, large retinoblastoma filling half the globe. Current therapy would involve:

516. A 1 year old child having leukocoria was detected to be having a unilateral large retinoblastoma filling half the globe, current therapy would involve:

517. Hereditary retinoblastoma develops the following chromosomal deletion:

518. While working in the neonatal ICU your team delivers a premature infant at 27 weeks of gestitation and weighting 1500 grams. How soon will you request fundus examination by an ophthalmologist?

519. Osler’s nodes are typically seen in which 1 of the following :

520. Rotaviruses are responsible for:

521.An 8 months old child presented with itchy, exudative lesions on the face, palm and soles, the siblings also have similar complaints. The treatment of choice in such a patient is:

522.The syndrome of inappropriate antidiuretic hormone is characterized by the following :

523.All of the following are associated with low C3 levels except:

524. In asymmetrical IUGR which organ is not affected:

525. IUGR is characterized by all except:

526. full-term .small-for-date infants(IUGR) are predisposed to which of the following condition:

527. All are true of cartilage hair hypoplasia syndrome except:

528. A 2 year old boy has vitamin D refractory rickets. Investigations show serum calcium to 9 mg/dl phosphate 2.4 mg/dl alkaline phosphatase 1040IU. Parathyroid hormone level and bicarbonate levels are normal. The most probable diagnosis is:

529. Failure to pass meconium within 48 hours of birth in a anewborn with no obvious external abnormality should be suspicion of:

530.SSPE (subacute sclerosing panecephalitis) is associated with:

531.Pure fonadal dysgenesis will be diagnosed in the presence of:

532. A 10 year old girl presents with swelling of one knee joint. All of the following conditions can be considered in the differential diagnosis, except:

533. A patient has diarrhea. Stool examination reveals no RBC or pus cells.Identify the organism:

534. An anxious mother brought her 4 year old daughter to the pediatrician. The girl was passing loose bulky stools for the past 20 days. This often associated with pain in abdomen. The pediatrician ordered the stool examination, which showed the following organisms. Identify the organism:

535. Social smile appears by:

536. Most common solid tumor in children and infants is:

537. Roseola infantum is caused by:

538. Fever stops and rash begins is diagnostic of:

539.A 45 year old infant developed icterus and 2days later symptoms and signs of acute liver failure appeared child was found to be positive for HBsAG. The mother was also HBsAG carrier. The mother’s hepatitis B serological profile is likely to be:

540. In a patient immunized with hepatitis B vaccine, which of the following is seen in serum:

541. A person vaccinated with hepatitis B will present with the following markers in the blood:

542. Poststreptococcal glomerulonephritis is associated with all of the following except:

543. True about diphtheria is:

544.A 3year old boy is detected to have bilateral renal calculi. Metabolic evaluation confirms the presence of marked hypercalciuria with normal blood levels of calcium, Magnesium , phosphate, uric acid and creatinine. A diagnosis of idiopathic hypercalciuria is made. The dietary management includes all, except:

545. A 3 year old boy presents with poor urinary stream. Most likely cause is:

546. Posterior urethral valves are most commonly situated:

547. One year old male child is presented with poor urinary stream since birth. The investigation of choice for evaluation is:

548. all of the following are characteristic features of Kwashiorkor except:

549. Which one of the following does not produce cyanosis in the first year of life?

550. A 9 year boy has steroid dependent nephritic syndrome for the last 5 years. He had received corticosteroids almost continuously during this period and has cushingoid features. The blood pressure is 120/86mHg and there are bilateral sub-capsular cataracts. The treatment of choice is:

551. Visceromegaly , microcephaly with blood sugar below 20 mg/dl with sinusitis is:

552.All of the following methods are used for the diagnosis of HIV infection in a 2 month-old child, except:

553. In a child immunized with BCG, all of the following can later develop except:

554.s A married middle-aged female gives history of repeated abortions for the past 5 years. The given below is conceptions pre-natla karygram. This karyogram suggest the following :

555.A 3-year old boy is brought to casualty bi his mother with progressive shortness of breath for 1 day. The child has a history of bronchial asthma. On examination ,the child is gasping and unresponsive .what will you do first?

556. Not abeneficial in management of acute attacks of bronchial asthama:

557.A two year old child presented with respiratory distress, cough and wheezing. On examination bresadth sound diminished on left side. Chest X-ray revealed homogenous opacity in left side. Most likely cause of this condition is:

558. A child has hoarseness of voice, croupy cough and asthmatic wheeze. Most likely he is suffering from :

559. opsoclonus –myoclonus is seen in which of the following:

560. Useful for diagnosis of Down syndrome all except:

561.Which of the following is not included in triple test for down syndrome:

562. Which of the following is included in triple test for down syndrome?

563. All the following are features of diarrhea+hemolytic uremia syndrome except:

564. True regarding transient tachypnea of newborn (TTN)

565. All the following are seen in transient tachypnea of newborn except:

566. A 2 months old child is brought with a complaint of intermittent stridor. The most likely diagnosis in this case is:

567. The most specific abnormality associated with diabetes mellitus is:

568. Hypoglycemia in newborn is defined as the blood sugar level below (in mg%):

569. All of the following complications are seen in diabetes mellitus in neonates except:

570. Erythroblastosis fetalis occurs in:

571. All of the following groups of newborns are at an increased are at an increased risk of hypoglycemia except:

572. Best parameter for estimation of fetal age by ultrasound in 3rd trimester is:

573. in pediatric advanced life support intraosseous access for drug and fluid administration is recommended for pediatric age of:

574. Which of the following is most suggestive of neonatal small-bowel obstruction:

575. A 31 weeks pregnant lady delivered a child. After 6 hours the baby develops dyspnea and cyanosis. Chest X-ray and bronchogram showed ground glass appearance. Most likely diagnosis is:

576.which of the following condition is not associated with unconjugated hyperbilirubinemia in a newborn ?

577. Neonatal jaundice persisiting for 2 weeks after birth is not seen in:

578. Not seen in hypophosphatemic vitamin D resistant rickets:

579. False regarding an infant of a woman with HIV infection :

580.Whihc of the following is a cyanotic congenital heart disease?

581.An 18 month old child has gastroenteritis with dehydration .Blood urea is 80mg/dl and creatinine is 1.1 mg/dl. Measurement of fractional excretion of which of the following solutes is most helpful in evaluating renal functions:

582. A 3 day old child presents with 22-25 stools per day and pneumonitis . he has not passed urine for 36 hours. Blood pressure is low, pH is 7.21, urine Na+ 18mEq/L and serum urea is 120, and creatinine is 1.2. this indicates:

583.Calculate the 24 hour fluid requirement of a 6 kg child:

584. Not a feature of tetanus:

585. Which of the following treatment should be done in a child with pruritic lesion in axilla and groin ?

586. In simple partial seizure the drug of choice is;

587. In petit-mal (absence)seizures the drug of choice is:

588. which of the following is a feature of typical febrile seizures in children?

589. Which of the following is true regarding febrile seizure?

590. not a characteristic feature of febrile seizure:

591. Absence seizure in children is seen in:

592. unilateral renal agenesis is associated with:

593. A baby delivered at 32 weeks is on ventrilator. X-ray shows white out lesions. ABG shows SpO2 75, and ventilator settings are FiO2=70,rate 50 per minute. Next step in management of this newborn should be :

594. In which of the following condition, bacterial endocarditis is rarely seen:

595.In which of the following condition, bacterial endocarditis is rarely seen:

596. Raised intracranial pressure in a 9 month old infant is diagnosed by all except:

597. What is the content of sodium in ORS solution , in mEq/L?

598. In ORS solution, the benefit of adding glucose to it is:

599. All the following are features of CC in an infant except:

600.Not present in congenital rubella syndrome:

601.Which of the following age group is most severely affected by rubella infection?

602. narrow anterior fontanelle in children is seen in which of the following condition:

603. bad prognostic indicator for ALL is:

604. A 2 month old baby with acute icteric viral hepatitis like illness slips into encephalopathy after 48 hours. The mother is a known hepatitis B carrier. Mother’s hepatitis B virus serological profile is most likely to be:

605. All of the following are causes of seizures in the neonate except:

606. In neonatal resuscitation to be done is:

607. a 4 ½ year girl child always had to wear warm socks even in summer season. On physical examination it was noticed that she had high blood pressure and her femoral pulse was weak as compared to radial and carotid pulse. A chest radiograph showed remarkable notching for ribs along their lower borders. This was due to:

608. Most common cause of neonatal sepsis is:

609. most common cause of neonatal meningitis is:

610. The umbilical cord contains:

611. Which of the following statements is false with regard in Xanthogranulomatous phylonephritis in children?

612.Role of glucose in ORS is:

613. A boy presents with bilateral nasal polyps. X-ray shows opacity in the para-nasal sinus region. All the following can be given as treatment except:

614. A five-day –old full term male infant was severely cyanotic at birth. Prostaglandin E was administered initially and later ballon atrial septostomy was done which showed improvement in oxygenation. The most likely diagnosis of this infant is:

615. Webbing of neck increased carrying angle, low posterior hair line and short fourth metacarpal are characteristics of:

616.A 10 month old child presents with 2 weeks history of fever vomiting and alteration of sensorium cranial CT scan reveals basal exudates and hydrocephalus. The most likely etiological agent is:

617. All are the features of absence seizures except:

618.s A 5 year old girl came with history of progressively increasing pallor ssince birth and hepatosplenomegaly. which of the following is the most relevant test for achieving diagnosis?

619.A 5 year old child presents with history of fever off and on for past 2 weeks and petechial spots all over the body and increasing pallor for past 1 month. Examination reveals splenomegaly of 2 cm below costal margin. The most likely diagnosis is:

620. All of the following are neural tube defects except:

621. Bone marrow transplantation can be used as a treatment for all except:

622.The most common underlying anomaly in a child with recurrent urinary tract infection is:

623.Retardation of skeletal maturity can be caused by all except:

624. A 7 year old boy presented with generalized edema:

625. A 2 month old child is able to:

626. A 7 year old boy with left renal mass had bone pain and detected to have bone metastatic deposits. The most likely renal tumor is:

627.A 10 days old neonate is posted for pyloric stenosis is surgery. The investigation report shows a serum calcium level of 6mg/dl. What information would you like to know before you supplement calcium to this neonate?

628. Deficiency of enzyme α-ketoacid dehydrogenase leading to a back in the metabolism of branch amino acids is observed in:

629. All of the following are features of absence seizures except:

630. A continuous murmur is heard in all of the following conditions, except;

631. All of the following are true about manifestations of vitamin E deficiency except:

632. The most common malignant neoplasm of infancy is:

633. The most common presentation of a child with Wilms’ tumor is:

634.The most common site of leak in CSF rhinorrhea is:

635.The most common type of total anomalous pulmonary venous connection is:

636. Diagnosis of beta thalassemia is established by:

637. Blood specimen for neonatal thyroid screening is obtained on:

638. The appropriate approach to a neonate presenting with vaginal bleeding on day 4 of life is:

639. A child with recurrent urinary tract infections is most

640. The most common cause of renal scaring in a 3 year old child is:

641. Which one of the following is the common cause of congenital hydrocephalus?

642. Which one of the following drugs is used for fetal therapy of congenital adrenal hyperplasia ?

643. The Coagulation profile in a 13 year old girl with menorrhagia having von Willebrnad’s disease (vWD) is:

644.Differential expression of same gene depending on parent of origin is referred to as:

645. The chance of having an unaffected baby. When both parents have achondroplasia are:

646. All of the following therapies may be required in a 1

647.s eisenmenger’s syndrome is characterized by all, except:

648.s The best time to do chorionic villus sampling is:

649.All of the following are biochemical markers included for triple test, except:

650. When does ‘Switchover’ from fetal to adult hemoglobin synthesis begin?

651. Epiglottitis in a 2 year old child occurs most commonly due to infection with:

652. Which one of the following is the leading cause of mortality in under five children in developing countries?

653. In which of the following conditions, aniridia and hemihypertrophy are most likely present?

654. The following cardiac defects are characterized by ductus dependent blood flow , except:

655. Which of the following syndrome is best associated with congenital heart disease?

656.Characteristic radiological feature of transient tachypnea of newborn is:

657. which mechanism in phototherapy is chiefly responsible for reduction in surum bilirubin ?

658. Which of the following is true regarding mumps?

659. Bag and mask ventilation is contraindicated in:

660.Most appropriate management for maintaining patency of ductus arteriosus in a neonate is:

661. A 2 year old child comes with seborrheic dermatitis, polyuria and hepatosplenomegaly, which of the following is the most likely diagnosis?

662. A 13 year old boy has bilateral gynecomastia. His height is 148 cm, weight 58 kg, the sexual maturity rating is stage 2. The gynecomastia is most likely due to:

663. A 9 year old boy has steroid dependent nephrotic syndrome for last five years. The patient is markedly cushingoid with BP of 120/86 mm Hg and small sub-capsular cataracts. The most appropriate therapy of choice is:

664. A male infant presented with distension of abdomen shortly after birth with passing of less meconium. Subsequently a full thickness biopsy of the rectum was performed. The rectal biopsy is likely to show:

665. In a child, non-functioning kidney is best diagnosed by:

666. Most appropriate method for obtaining a urine specimen for culture in an 8 month old girl is;

667. an 8 year old boy during a routine checkup is found to have Escherichia coli 1,00,000 cc/ml on a urine culture. The urine specimen was obtained by midstream clean-catch void. The child is asymptomatic. Which is the most appropriate next step in the management?

668. A 15 year old girl was admitted to the infectious disease hospital with a provisional diagnosis of rabies. The most suitable clinical sample that can confirm the antemortem diagnosis is:

669. A 2 month old girl has failure to thrive, polyuria and medullary nephrocalcinosis affecting both kidneys. Investigations show blood pH 7.48, bicarbonate 25 mEq/l, potassium 2 mEq per liter, sodium 126 mEq per liter and chloride 88 mEq per liter. Most likely diagnosis is:

670. A 6 month old child with TOF develops cyanotic spell initiated by crying. Which one of the following drugs you would like to avoid?