1.
All of the
following statements are true about vitamin A, EXCEPT:
a)
It is a component
of retinal pigments rhodopsin and iodopsin.
b)
It is stored in
liver and bile is necessary for absorption.
c)
Deficiency causes
nyctalopia and xerophthalmia, and keratomalacia
d)
Higher incidence
of vit A deficiency seen in the age group of 6mth – 18 months
e) Retardation of mental and physical growth , anaemia
with or without hepatosplenomegaly usually result from deficiency.
2.
A two yr old; formula
fed child brought to casualty with 3 days history of diarrhea and vomiting. He
was febrile, irritable, tachypneic, and having high pitch cry. Lab
investigations revealed normal CBC, hypernatremia, hyperglycemia, mild
hypocalcemia. Within few hours of admission he developed seizures with
localising signs on clinical examination. CSF done was normal except for
elevated proteins. CT scan of this patient was abnormal; the most likely
finding on scan will be:
a)
subarachnoid
hemorrhage
b)
Tuberculoma.
c)
basal exudates.
d) Abscess
3.
Diagnostic
criteria for Syndrome of Inappropriate Antidiuretic Hormone
includes
all EXCEPT,
a)
Urine
osmolality>100mOsm.
b)
Serum
osmolality<280mOsm
c)
Serum sodium
<135 meq.
d)
Urine sodium
<25 meq.
e) High vasopressin.
4. A 15 days old healthy full term baby weighing 2.7 kg presented
with brief multifocal seizures. Baby was fed on whole cow’s milk since birth. Neurological
and systemic examination was normal. Which of the following will not help in
either diagnosis or treatement?
a)
serum calcium
level
b)
whole cow’s milk
should be replaced with breast milk or appropriate formula.
c)
CSF study.
d)
Intravenous
calcium followed by oral calcium supplementation.
e) serum parathyroid level.
5. SIRS (systemic inflammatory response syndrome) in neonates and
children will manifest with 2 or more of
the following, EXCEPT;
a) Temperature instability(<350C->38.50C)
b) Respiratory dysfunction
c) Convulsions.
d) Cardiac dysfunction.
e) Oliguria and metabolic acidosis.
6. A preterm baby born at 28 week of gestation with birth weight
850gm presented at birth with respiratory distress, RR=80/min,grunting, intercostal
and subcostal retractions, and cyanosis. Most appropriate management in this
situation is-
a) oral surfactant, sodium bicarbonate, with fluid restriction.
b)
Mechanical
ventilation with PEEP<3 cm H2O and Endotracheal exogenous surfactant.
c)
Endotracheal exogenous surfactant, mechanical ventilation
with PEEP 4-6 cm H2O
d) Mechanical ventilation with PEEP >8 cm H2O and Endotracheal exogenous surfactant.
7. A newborn baby has midline cleft lip, ocular hypotelorism,low
set ears ,bulbous nose,microphthalmia, holoprosencephaly. Auscultation of heart
revealed a murmur. XRC was showing
hypoplastic ribs. Karyotyping of this child is expected to be.
a)
Trisomy 13
b)
Trisomy 18
c)
Trisomy 21
d) Trisomy 8
8. Children with following acute illness often perform an “allergic salute”:
a)
Urticaria
b)
Atopy
c)
Allergic Rhinitis
d) Asthma
9. Triad asthma includes all of following except:
a)
Asthma
b)
Sinusitis
c)
Rhinorhea
d) Aspirin sensitivity
10. A 6 yr old boy presents frequently to casualty with wheezing
episodes almost every week; and symptoms last upto 3 days, in each episode.
When tested with a peak flow meter, his PFR had never been less than 80%. The
long term management of this child may include all of the following except:
a)
Leukotriene
modifiers
b)
Inhaled
glucocoticoids
c)
Long acting beta
agonists
d) Crmolyn sodium
11. Neutropenia is defined as an absolute neutophil count less than:
a)
1000
cells/mm3
b)
1200
cells/mm3
c)
500 cells/mm3
d)
5000
cells/mm3
12. Symptoms of staphylococcal food poisoning usually last for:
a) 2-7 hrs following ingestion of preformed toxin
b) 1 day following ingestion of preformed toxin
c) 2 day following ingestion of preformed toxin
d) 3 day following ingestion of preformed toxin
13. The most common cause of community acquired pneumonia and otitis media
is:
a)
Streptococci
b)
Staphylococci
c)
H influenza
d) Meningococci
14. Drug of choice in the management of leptospirosis in children is:
a)
Doxycycline
b)
Ampicillin
c)
Crystalline Penicillin
d) Platelets
15. A 8 year old boy presented with high fever, fatigue, anorexia,
cough with abdominal distension; since last few days; he also gave history of
moderate fever and myalgias since more than a week prior to this fever. He had
a macular rash on lower chest and abdomen since 2 days. The rash was discrete
erythematous 1-5 mm in size, slightly elevated from surface and blanch on
pressure. He is started on antibiotics and symptomatic therapy. The rash is
most likely due to:
a)
Drug
hypersensitivity
b)
Infectious
mononucleosis
c)
Typhoid fever
d) Sepsis
16. A 7 year old boy presents with acute watery loose motion.
The stools were
resembling rice water, and hanging drop examination showed darting motility. The
antimicrobial of choice in this case will be any of the following except:
a)
Erythromycin
b)
Furazolidone
c)
Trimethoprim
sulfamithoxazole
d) Tertacycline
17. Staphylococcal skin abscesses is a
common complication following vaccination with:
a)
BCG Vaccine
b)
Measles Vaccine
c)
Polio Vaccine
d)
DPT Vaccine
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18. 14 day old infant presents with vomiting following feeds since 2
days. After vomiting; infant feels hungry and wants feed again. On examination,
Infant was dehydrated. The resident doctor on duty was not sure of a palpable
mass in right hypochondrium, but he did feel something. There was no
hepatomegaly. His Xray showed a single air fluid level in stomach. Investigations
were: Na 132 K 4.9 and CL 70; with a pH 7.52, pO2 and pCo2 were normal. The most
probable diagnosis is;
a)
Barters syndrome
b)
Pyloric stenosis
c)
Neonatal
cholestasis
d)
Hirschprung
megacolon
19.Gastroenteritis with all of the following always suggests
a immunocompromised state, except:
a)
Cytomegalovirus
b)
Giardia lamblia
c)
Herpes simplex
virus
d)
Enterocytozoon
bieneusis
e)
Encephalitozoon
intestinalis
--------------------------------------------------------------
20.
Which of the following organisms is a rare cause of purulent pericarditis in children:
a)
Staphylococcus
aureus
b)
Mycobacterium
Tuberculosis
c)
H Influenza B
d)
21.Commonest congenital cardiac defect in Humans;
amongst the following is:
a)
Ventricular
Septal defect
b)
Bicuspid aortic
Valve
c)
Patent ductus
Arteriosus
d) Ebsteins anomaly
22. According to Duke’s Criteria which of the
following is not a Minor Criteria for diagnosis of infective ndocarditis:
a)
A Single Postive
blood culture
a)
Partial
dehiscence of prosthetic valve on echocardiography
b)
c)
glomerulonephritis
23 Which of the following endocrine disorders is not
associated with hypertension:
a)
Hyperthyroidism
b)
Liddle syndrome
c)
Adrenal Crisis
d)
24. which of the following is not an embryonic
hemoglobin:
a)
b)
c)
d) HbF
25 .In
a case of iron deficiency anemia, following response is seen after starting
iron therapy:
a)
Repletion of Fe
stores in 20 days
b)
Replacement of
intracellular iron enzymes by 24 hrs
c)
Reticulocytosis
by 24 hours
d)
Hb increases in 2
days
e)
Initial bone
marrow response in 12 hrs
26. Five year old toddler presented with carpopedal spasm. With
past history of similar episodes since last few months; treated with calcium and vitamin D. On
examination: He has only six teeth in his mouth and there is no history of
tooth fall. Skin is dry, scaly with mucocutaneus fungal infection.
His
reports were:
(a) Nutritional Rickets
(b) Heavy metal poisoning
(c) Hypoparathyroidism
(d) Osteodystrophy
27. . Ten
year old boy presented first time with asynchronous tonic clonic movements of
face and neck; with head turning and conjugate eye movements lasting 20
seconds. “He was talking to me; but just said feeling something funny; and had
this fit”; his mother told. She further said; “ but he was talking even during
his fit; within few seconds he was
normal and came walking to clinic with me”. The most probable diagnosis will
be:
(a) Simple partial seizure
(b) Tics
(c) Vertigo
(d) Extrapyramidal reaction
--------------------------------------------------------
28. An infant
was diagnosed as a case of infantile spasm; and his EEG confirmed with
hypsarhythmia pattern. On careful examination, Infants trunk had two
hypopigmented skin lesions similar to ashleaf. The resident on duty thought of
some neurocutaneus syndrome; but neither he could find any neurofibroma or a
sebaceus adenoma. But there was a rough raised lesion with orange peel consistency
in lumbosacral region. The opthalmic examination showed phakomas. Most probable diagnosis is:
a)
Tuberous
sclerosis
b)
Incontinentia
pigmentii.
c)
Neurofibromatosis,
d)
Benign myoclonus
of infancy. -
-
29 A baby who runs, throws object from standing
without falling; scribbles spontaneusly; builds tower of 3 blocks and copies
parent in tasks and plays in company of other children; but not able to climb
down stairs nor able to build a tower of six cubes.. The developmental age for
these normal milestones will be:
a)
12 months
b)
18 months
c)
36 months
d)
24 months
30. As per
a)
Enlargement of
penis
b)
Enlargement and
darkening of scrotal; skin
c)
Increased
testicular volume
d)
Pubic hairs on medial
surface of thigh
31. . Pervasive developmental disorders of
childhood includes all EXCEPT-
(a) Asperger disorder
(b) autistic disorder
(c)childhood disintegrative disorder
(d) Reye syndrome
ANSWERS
1
D
2
A
3
D
4
C
5
C
6
C
7
A
8
C
9
C
10
C
11
A
12
B
13
A
14
C
15
C
16
D
17
B
18
B
19
B
20
B
21
B
22
B
23
C
24
D
25
B
26
C
27
A
28
A
29
B
30
C
31
D