TEST AND DISCUSSION
ARISE
MEDICAL ACADEMY
PEDIATRICS QUESTION PAPER
Q1: A child was suspected to be having Kwashiorkor. Q7: Identify the incorrect match for abnormal facies and
Which of the following are considered specific, hallmark the corresponding disease?
features? A. Chipmunk facies- Thalassemia
A. Pot belly & Hypothermia B. Monkey child facies- Marasmus
B. Edema & Mental Changes C. Elfin facies- Fragile X Syndrome
C. Fatty Liver & Flag Sign D. Bird Facies- Seckel Syndrome
D. Flaky Paint Dermatitis & Flag Sign
Q8: A 2-day-old term neonate was found to have blotchy
Q2: All of the following can be the clinical possibilities in a erythematous papules on chest, with a few yellow-white
child with the following, except? lesions on day 2 of life, as shown in the image. Palms and
soles were spared. There were no other significant
complaints. Eosinophils were found in the intralesional
smears stained with Wright’s stain. What is the likely
diagnosis?
A. Thiamine deficiency B. Maladaptive PEM
C. Hypoalbuminemia D. Tetralogy of Fallot
Q3: Which of the following is incorrect regarding
management of SAM child in a hospital? A. Erythema Toxicum B. Mongolian Spots
A. Hypophosphatemia can be a complication in rehabilitation C. Transient pustular melanosis D. Infantile Acropustulosis
phase
B. F-75 feed is preferred in stabilization phase Q9: A child suspected to have Celiac disease is to be
C. Oral iron should be given in stabilization phase only if evaluated. Which of the following will be the 1 st line
anemia is present screening investigations you will advise in the child, based
D. Vit A supplementation is given to all children at the time of upon the latest guidelines?
admission A. IgA TTG + Total Serum IgA
B. IgA TTG + IgA Anti EMA
Q4: A child with short stature underwent karyotyping and C. IgA TTG alone
the following was seen. Tell the likely diagnosis? D. IgG Anti EMA + Total Serum IgA
Q10: A child has just started to move on all 4 limbs as
shown below. When does the following movement begin in a
child?
A. Down Syndrome B. Klinefelter Syndrome
C. Turner Syndrome D. Normal Karyotype
Q5: Down syndrome children have decreased risk of A. 5-6 months B. 6-7 months
developing the following as compared to general C. 8-9 months D. 9-12 months
population?
A. Alzheimer disease B. Neuroblastoma Q11: Which among the following is the most common cause
C. Leukemia D. Celiac disease of neonatal sepsis in India?
A. Acinetobacter B. Klebsiella
Q6: All of the following are consistent with Klinefelter C. E coli D. Staphylococcus aureus
Syndrome except?
A. Tall for age Q12: Which among the following is the procedure of choice
B. Hyalinization of seminiferous tubules in aspirated foreign bodies in lower airway in children?
C. Low FSH A. Flexible bronchoscopy
D. Atrophy of Leydig cells in testes B. Rigid bronchoscopy
C. Heimlich manoeuvre
D. Wire-guided aspiration
Contact: + 91 9560022836 / + 91 7680929292 / + 91 8136932666 /
+ 91-8977941723 / + 91 8977541723 Email:
[email protected] ARISE
MEDICAL ACADEMY
Q13: A child has recently been diagnosed with congenital
hypertrophic pyloric stenosis. Which among the following is Q23: A 6-year-old male child presented with a boil on the
the most likely clinical association? leg 2 weeks ago and is now presenting with cola coloured
A. Gastric Adenocarcinoma urine, 2+ urinary protein, facial edema and has BP of 120/80
B. Cholestasis mm of Hg. There is no other symptom or rash. What is the
C. Colonic stenosis likely diagnosis?
D. Unconjugated hyperbilirubinemia A. Minimal change disease
B. IgA nephropathy
Q14: Most common indication of liver transplantation in C. Post streptococcal glomerulonephritis
children is? D. HSP Nephritis
A. Biliary atresia
B. Fulminant hepatitis following viral hepatitis Q24: A female neonate at birth had ambiguous genitalia.
C. Reye’s syndrome Suspecting CAH, she was evaluated and found to have high
D. Wilson disease 17-hydroxyprogesterone, high progesterone, high DHEAS
and low cortisol. Likely enzyme deficient?
Q15: An infant has just been diagnosed as a case of d-TGA. A. 21 hydroxylase B. 11 beta hydroxylase
What shall be the procedure of choice in this child for C. 17 alpha hydroxylase D. Aromatase
correction?
A. Rashkind Procedure B. Glenn Operation Q25: A neonate found to have the following at birth, along
C. Fontan Surgery D. Jatene’s Procedure with birth weight of 4.1 kg. What metabolic abnormalities
will you look for?
Q16: Cryoprecipitate will control bleeding due to deficiency
of all of the following except?
A. Hypofibrinogenemia B. Factor VIII deficiency
C. Factor IX deficiency D. vWF deficiency
Q17: A child presents with history of high-grade fever for 4
days. A non-itchy rash develops on trunk on the day after
the fever subsides and then spreads to the face. What is the
most probable diagnosis?
A. Roseola infantum B. Measles
C. Rubella D. Varicella
Q18: Not involved in anterior fontanelle formation?
A. Metopic suture B. Coronal suture
C. Lambdoid suture D. Sagittal suture A. Hyponatremia and Hyperkalemia
B. Hypernatremia and Hypokalemia
Q19: Which heart disease is most commonly associated with C. Hypoglycemia and Hypocalcemia
congenital rubella infection? D. Hypoglycemia and Hyperkalemia
A. PDA B. VSD
C. ASD D. Eisenmenger’s syndrome Q26: Which of the following is the first to appear in a child?
A. Palmar grasp reflex
Q20: As per neonatal resuscitation guidelines, chest
B. Transferring objects from hand to hand
compressions are initiated with PPV when heart rate dips
C. Rooting reflex
below?
D. Parachute reflex
A. 100/min B. 80/min
C. 70/min D. 60/min
Q27: A 5-year-old child was being evaluated for short
Q21: An 8-month-old child presented with fever, cough, stature. His growth velocity was relatively preserved. His
respiratory rate of 52/min and chest indrawing. No other bone age was corresponding to height age and less than that
abnormality was noted. Likely diagnosis & management? expected for chronological age. There was family history of
A. No pneumonia; symptomatic therapy delayed puberty in the parents. What is the likely diagnosis
B. Pneumonia; oral antibiotics in this child?
C. Severe pneumonia; iv antibiotics A. Familial short stature
D. Severe pneumonia; refer to higher center with O2 B. Constitutional delay in growth
C. Growth hormone deficiency
Q22: A 2 yr old male child with weight of 10 kg developed D. Hypothyroidism
diarrhea lasting 5 days. He had fever, watery stools, but no
blood or mucus. What shall be the appropriate therapy? Q28: Palpable rash on lower limbs, hematuria, crampy
A. ORS + Zinc abdominal pain and joint pains are the characteristic
B. ORS + Zinc + Probiotics manifestations of which disease?
C. ORS + Zinc + Antibiotics A. Kawasaki Disease
D. ORS + Zinc + Low Lactose Diet B. Henoch-Schoenlein Purpura
C. Hemolytic Uremic Syndrome
D. Systemic Lupus Erythematosus
Contact: + 91 9560022836 / + 91 7680929292 / + 91 8136932666 /
+ 91-8977941723 / + 91 8977541723 Email:
[email protected] ARISE
MEDICAL ACADEMY
Q29: Mildest type of neural tube defect?
A. Anencephaly
B. Occult spinal dysraphism
C. Iniencephaly
D. Small meningocele
Q30: A child was suspected of septic shock. He was admitted
and IV access was obtained. What is the immediate next
step in the management?
A. Start Normal Saline Bolus @ 20 ml/kg
B. Start 10% Dextrose Bolus @ 10 ml/kg
C. Start Norepinephrine Infusion @ 0.1 microgram/kg/min
D. Start Epinephrine Infusion @ 0.1 microgram/kg/min
Contact: + 91 9560022836 / + 91 7680929292 / + 91 8136932666 /
+ 91-8977941723 / + 91 8977541723 Email:
[email protected]
