Test And Discussion 2024 Paediatrics By Dr.

Divya Madan

Q1: Term ‘undernutrition’ is defined as: Q7. Which of these parameters' normal values
specifically rule out malnutrition?
a. Weight for age <-2SD
a. Total body water
b. Weight for height <-2SD
b. Skin fold thickness
c. Height for age <-2SD
c. Lean body mass
d. BMI for age <-1SD
d. BMI
Q2: what is common to both acute and chronic
malnutrition? Q8. A primigravida gives birth to a 1410-gram
neonate at 32 weeks. The infant's vital were stable,
a. Weight for Age
and resuscitation was not required at birth. The
b. Height for Age infant was moved to the NICU for care. How can
we manage the infant's feeding?
c. Weight for Height
a. Start total enteral feeding and IV feeding not
d. BMI required
Q3. Which of the following infants is most unlikely b. Start IV feeding with minimal enteral feeding
to get hypoglycemia?
c. Start IV feeding and introduce feeding on 2nd day
a. A baby born to mother treated with beta-blockers. of life
b. Infant of diabetic mothers d. Start parenteral feeding and institute oral feeding on
c. Appropriate for gestational age babies 2nd day of life.

d. IUGR babies Q9. Which of the following best identifies a

person as having neural tube defects?
Q4. A mother who has a baby who is three months
old asks the doctor if she can give her infant a. Acetylcholinesterase
food(cereal). What issues might this cause for her b. Pseudocholinesterase
child?
c. Alpha fetoprotein (AFP)
a. Allergy due to the food content
d. Human chorionic Gonadotrophin (HCG)
b. Risk of gastrointestinal infection
Q1O. Newborn with meningomyelocele has been
c. Retarded oro-motor development listed for surgery. The defect should be repaired
d. Contaminated food leading to reflux right away with:

Q5. Which fontanelle is the last to close? a. Normal saline gauze

a. Anterolateral b. Povidone iodine gauze

b. Anterior c. Tincture benzoin gauze

c. Lateral d. Methylene blue gauze

d. Occipital Q11. A child has seborrheic dermatitis, sinusitis,

and chronic ear drainage. The child is found to be
Q6. One and a half year old child with history of failing to thrive, with hepatosplenomegaly and
diet including only rice & milk, had a protruding exophthalmos. What is the most likely diagnosis?
abdomen, and a low albumin level, but no
proteinuria. What is the most likely cause for the a. Histiocytosis-X
above? b. Wegener's granulomatosis
a. Kwashiorkor c. Chronic granulomatous disease
b. Marasmus d. Chediak-Higashi syndrome
c. Nephrotic syndrome
d. Ascites d/t liver failure
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Test And Discussion 2024 Paediatrics By Dr. Divya Madan

Q12. A 5-year-old male child has had episodic a. Anti RNP

anemia and jaundice since birth. Which one of the
following is he least likely to have? b. Anti Ro

a. G-6-PD deficiency c. Anti-dsDNA

d. Anti-Sm
b. Sickle cell anemia
Q17. Which of the regions' body surface area does
c. Paroxysmal nocturnal hemoglobinuria
not change with age, according to the Lund-
d. Hereditary spherocytosis Browder Chart?
Q13. A 4 years old child presented in emergency a. Head
with stridor, respiratory difficulty and noisy
b. Thigh
breathing with drooling of saliva. Emergency X-ray
showed thumb sign. Diagnosis is: c. Leg
a. Croup d. Arm
b. Acute epiglottitis Q18. Calculate the respiratory distress score in a
preterm newborn with audible grunting, marked
c. Foreign body aspiration
chest and xiphoid retractions, and see-saw
d. Retropharyngeal abscess movements but no nasal flaring.
Q14. A 4-year-old unvaccinated patient with fever a. 7
and red eyes arrived at OPD. The patient's body
b. 8
was covered in the following form of rash at the
time. What complication associated with this c. 9
condition is most likely to occur?
d. 10
Q19. Which is the initial fluid of choice for
diarrhoea in an infant?
a. Salt water
b. Sugar water
c. ORS
d. Dextrose
Q20. A 10-year-old boy is diagnosed with
myoclonus jerk, which affects his academic
a. Hecht's cells pneumonia
performance.There is a history of fever and rash at
b. SSPE the age of one year. The features mentioned above
point to:
c. Parotitis
a. Subacute Sclerosis Panencephalitis
d. Acute otitis media
b. Medial Temporal Sclerosis
Q15. The New Ballard Score has a maximum score
of: c. Absence seizures

a. 30 d. JME

b. 40 Q21. How long should a child be quarantined after

being told that they have bacterial meningitis in
c. 50 order to stop the spread of the disease?
d. 60 a. Till 24 hours after starting antibiotics
Q16. Which autoantibodies in the mother are b. Till cultures become negative
associated with complete heart block in newborn
lupus? c. Till antibiotic course is complete
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Test And Discussion 2024 Paediatrics By Dr. Divya Madan

d. Till 12 hours after admission Q 26. Name the diagnosis of child with following
chest X ray
Q22. A young child is described as having a
severe cough and breathing problems.The X-ray
picture is as follows. The problem is brought on
by:

a. Teratology of Fallot
b. TAPVC
a. Foreign body aspiration
c. Ebstein's anomaly
b. H. influenza type-B infection
d. VSD
c. Parainfluenza virus infection
Q27. What is the diagnosis for a Child with fever
d. Trauma due to endotracheal tube for 5 days, conjunctivitis, unilateral cervical
Lymphadenopathy > 1.5 cm, erythema and
Q23. Which of the following does not consist of
desquamation of palms and reddish oral mucosa?
the classical trio of congenital rubella syndrome?
a. Kawasaki disease
a. Cataract
b. Scarlet fever
b. Deafness
c. Measles
c. Heart Defects
d. HSP
d. Mental Retardation
Q24. Which of the following is the most reliable Q28.Where is the highest oxygen concentration
found in a fetus?
indication of a cyanotic spell in a child with
tetralogy of Fallot who also has a fever and a. SVC
diarrhea?
b. IVC
a. Hepatomegaly
c. Right Ventricle
b. Absence of murmur
d. Aorta
c. S3 gallop rhythm
Q29. What is the use of device shown below:
d. Arterial oxygen saturation of less than 85%
Q25. A ten-year-old child with seizures arrives at
the pediatric emergency room.The upper
extremity's blood pressure was recorded as
200/140 mm hg. There were no discernible femoral
pulses.The following is the most likely diagnosis:
a. Takayasu aortoarteritis
b. Renal parenchymal disease
a. To check for apnea
c. Grand mal seizures
b. For the Pulse oximetry test for CCHD
d. Coarctation of the Aorta
c. Used in resuscitation of a normal baby

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Test And Discussion 2024 Paediatrics By Dr. Divya Madan

d. In the delivery room for assessment of the mother b. Sunken fontanelle

Q30. The following statement regarding the c. Skin pitch return slowly
configuration of heart and its cause is incorrect:
d. Drowsy
a. Flask shaped heart : Pericardial effusion
Q35. Which of the following is the earliest
b. Egg on side heart : TGA indicator of pathological gastroesophageal reflux
in infants (GERD):
c. Snowman's sign : Ebstein anomaly
a. Respiratory Symptoms
d. Pentagon - heart : Mitral regurgitation
b. Postprandial Regurgitation
Q31. A one-month-old baby was diagnosed with
intrahepatic cholestasis and conjugated c. Upper GI Bleed
bilirubinemia.Hepatocytes were found to contain
red-colored granules after liver tissue staining d. Stricture Esophagus
with PAS. What is the most likely diagnosis? Q36 Which of the following is the most likely
diagnosis in a previously healthy infant
a. Congenital hepatic fibrosis
presentingwith recurrent episodes of abdominal
b. Wilson’s disease pain? The mother says that the child has been
passing altered stool after episodes of pain, but
c. Alpha-1 antitrypsin deficiency
gives no history of vomiting or bleeding per
d. Hemochromatosis rectum.

Q32. On day 6 of life, a very preterm baby a. Rectal Polyps

receiving 30 mL/kg of enternal feeding
b. Intussusception
suddenlyexperienced significant abdominal
distension with apparent bowel loops. Lethargy c. Necrotizing Enterocolitis
and fluctuating temperatures were also present in
d. Meckel's Diverticulum
the infant. Portal venous gas was visible on the
abdomen's X-ray. What is his NEC's staging? Q37 A child with bronchial asthma who has been
a. 1b diagnosed presents with respiratory distress and
a respiratory rate of 48 breaths per minute while
b. 2a speaking only 2 words.After receiving nebulized
salbutamol, the patient was able to pronounce a
c. 2b
complete sentence, however, their Sp02 dropped
d. 4 from 95% to 85%. What explanation might there
be?
Q33. A 364-day-old child weighing 6 kg is
experiencing acute gastroenteritis, accompanied a. Ventilation perfusion mismatch because of
by signs such as sunken eyesand skin tightness increased dead space ventilation
that does not quickly return to normal. What is the
b. Intra-thoracic shunting
next course of treatment?
c. Due to salbutamol
a. RL infusion 120 ml in the first hour followed by 360
ml in the next 5 hours d. Faulty pulse oximeter
b. RL infusion 180 ml in the first hour followed by 420 Q38 An 18-month-old child weighing 11.5 kg
ml in the next 5 hours arrives at the PHC with a fever andrespiratory
problems. The young child is lethargic/unable to
c. RL infusion 180 ml in the first hour followed by 480
feed. On examination, has a respiratory rate of 46
ml in the next 5 hours
bpm and no chest retractions. What is the best
d. RL infusion 240 ml in the first hour followed by 360 course of action for this child?
ml in the next 5 hours
a. Prescribe oral antibiotics, warn of danger signs, and
Q34.Identify the one which is not a feature of send them home
severe dehydration:
b. Intravenous fluids alone
a. Thirsty child
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Test And Discussion 2024 Paediatrics By Dr. Divya Madan

c. Intravenous antibiotics and observation

d. Give intravenous antibiotics and refer to a higher
center
Q39.After a straightforward pregnancy and
delivery, a 3.5-kg male baby delivered at
termexperiences respiratory difficulty shortly after
birth and needs artificial ventilation.The lung
fields on the chest radiograph appear like diffuse
ground glass,despite the normal cardiothymic
silhouette. Replacement of the surfactant does
notenhance gas exchange. The hypoxemia gets
worse throughout the first week of life. Both
echocardiographic findings and routine culture
results are negative. A female sibling who had
respiratory trouble passed away at the age of one
month. Which of the following is the most likely
diagnosis?
a. Neonatal pulmonary alveolar proteinosis
a. Decrease mechanical ventilation
b. Meconium aspiration
b. Increase mechanical ventilation
c. Total anomalous pulmonary venous return
c. Intercostal chest drainage tube insertion
d. Disseminated herpes simplex infection
d. Immediate needle thoracostomy
Q40.After a straightforward pregnancy and
delivery, a 3.5-kg male baby delivered at term Q42. Identify the one which does not indicate
experiences respiratory difficulty shortly after Pediatric asthma:
birth and needs artificial ventilation.The lung
fields on the chest radiograph appear like diffuse a. Increase in FEV1 of 12% after bronchodilator
ground glass, despite the normal cardiothymic b. Peak flow AM: PM variation > 15%
silhouette. Replacement of the surfactant does not
enhance gas exchange. The hypoxemia gets c. FEV 1 decreases more than 15% after exercise
worse throughout the first week of life. Both
d FEV 1 / FVC < 80%
echocardiographic findings and routing culture
results are negative.A female sibling who had Q43 The rest of the checkup is normal; however
respiratory trouble passed away at the age of one the newborn has bleeding from the umbilical
month. Which of the following is the most likely stump. Probable cause is:
diagnosis?
a. Factor XIII deficiency
a. Neonatal pulmonary alveolar proteinosis
b. von Willebrand Disease
b. Meconium aspiration
c. Hemophilia
c. Total anomalous pulmonary venous return
d. Bernard Soulier Syndrome
d. Disseminated herpes simplex infection
Q44. A 6-year-old Afro-American boy reported with
Q41. A 4-year-old with pneumonia is admitted to the abdominal pain, chronic hemolysis, and aberrant
ICU and intubated for the same. Later, he RBC shape on a peripheral smear. This condition
experiences a sudden unexpected respiratory is most likely caused by a:
difficulty. The next chest X-ray done is displayed.
a. Trinucleotide repeat
What is your next step?
b. Point mutation
c. Antibodies against RBC membrane
d. Genetic imprinting

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Test And Discussion 2024 Paediatrics By Dr. Divya Madan

Q45. A 14-month-old infant with hemoglobin levels other investigation does the nurse anticipate the
of 6.2g/dl required frequent blood transfusions. doctor would have her conduct?
There are multiple target cells on peripheral
a. Serum potassium
smear. Nine months have passed since the final
transfusion. Which is the definitive diagnosis b. CBC
investigation?
c. Serum calcium
a. HPLC
d. Serum chloride
b. Globin gene sequencing
Q51. In the image below, which of the following
c. Ferritin congenital defects can be seen?
d. BM aspiration
Q46. A 4-year-old girl who had arthritis, hematuria,
and palpable purpura abdominal pain appeared.
The most likely diagnosis is:
a. Henoch Schonlein Purpura
b. SLE
c. Takayasu arteritis
d. Rheumatoid arthritis
Q47. In a child, an examination of the CSF is not
useful for the diagnosis of?
a. ALL
b. Hodgkin's lymphoma
c. Non-Hodgkin's lymphoma a. Spina bifida occulta
d. AML b. Dermoid cyst
Q48. A child has seborrheic dermatitis, sinusitis, c. Meningomyelocele
and chronic ear drainage. The child is found to be
failing to thrive, with hepatosplenomegaly and d. Cystic hygroma
exophthalmos. What is the most likely diagnosis?
Q52. A sick intubated neonate is having bilateral
a. Histiocytosis-X jerks of both right/left and upper limbs with some
occasional twitching of the neck as well. Likely
b. Wegener's granulomatosis seizures:
c. Chronic granulomatous disease a. Focal clonic
d. Chediak-Higashi syndrome b. Multifocal clonic
Q49. Which medication is best for treating c. Absence
congenital adrenal hyperplasia caused by a 21-
alpha hydroxylase deficiency during pregnancy d. Focal tonic
itself?
Q53. What is the most typical presentation of JME
a. Hydrocortisone (Janz syndrome)?

b. Dexamethasone a. Absence Seizures

c. Betamethasone b. Tonic Seizures

d. Prednisolone c. Generalized Tonic-Clonic Seizure on going to sleep

Q50. A diabetic mother delivered a baby whose d. Myoclonic jerks on awakening/sleep deprivation
blood glucose level was 60 mg/dL at birth. What

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Test And Discussion 2024 Paediatrics By Dr. Divya Madan

Q54. A child with recurrent seizures, glaucoma, imaging. Which of the following describes an
and palpable plaques in the Ophthalmic and incorrect approach to patient management?
Maxillary distribution. Mother complained, it is a. Craniotomy and sub-total excision/gross total
present since birth and has not changed since
excision of the tumor.
then. Diagnosis is:
b. First ventriculoperitoneal shunt is done
a. Congenital Hemangioma
c. Vincristine/Methotrexate was given as
b. Sturge-Weber Syndrome
chemotherapy
c. Infantile Hemangioma
d. Radiotherapy 35-40 Gy was given to the whole
d. Tuberous Sclerosis craniospinal axis.
Q55. As indicated below, a 34-week-old female Q57. A 13 years old male child presented with
foetus was born. Determine the congenital abnormal body movements with MRI showing
anomaly. Abnormal T2 hyperintensity in the putamen. The
most likely diagnosis is?
a. Parkinsonism
b. Nigrostriatal degeneration
c. Wilson's disease
d. Hallervorden-Spatz disease
Q58. A 6-year-old baby was brought to the
emergency department with Lower limb
tenderness for 2 days and h/o fever, sore throat,
and cough for the past 5 days. there is no
abnormality currently except for pain on pressing
the muscles. CNS examination and reflexes are
normal. CK level is 2000. The most likely
diagnosis is?
a. Viral myositis
b. Gullein barre syndrome
c. Dermatomyositis
d. Duchenne Muscular dystrophy
Q59 Which of the following assertions about EEG
is correct?
a. Scalp EEG is diagnostic of frontal lobe epilepsy
b. 10% of healthy people have epileptiform waves on
EEG
a. Anencephaly
c. EEG is mandatory for diagnosis of epilepsy
b. Iniencephaly
d. In progressive multi-focal Leucoencephalopathy
c. Anen-iniencephaly
lateralised epileptiform waves are seen
d. Complete craniospinal rachischisis
Q60. Neonatal seizures can be induced by which
Q56 A 1.5-year-old girl is brought to the clinic vitamin deficiency:
complaining of severe undernourishment,
a. Pyridoxine
intolerance to feeds, and extreme head
enlargement. A medulloblastoma causing b. Pantothenic acid
obstructive hydrocephalus was suggested by MRI
c. Biotin

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Test And Discussion 2024 Paediatrics By Dr. Divya Madan

d. Thiamin Q65. What metabolic abnormality is seen in a

newborn with congenital hypertrophic pyloric
Q61.A7-day-old infant has a leaky
stenosis?
meningomyelocele. Which of the following is the
most useful for the diagnosis and management of a. Hyperchloremic Hypernatremic Metabolic Alkalosis
this condition?
b. HypochloremicHyponatremic Metabolic Acidosis
a. Blood culture and sensitivity
c. HypochloremicHyponatremic Metabolic Alkalosis
b. Wound swab culture and sensitivity
d. Hyperchloremic Hyponatremic Metabolic Alkalosis
c. Urine culture and sensitivity
Q66. 'Sweaty Feet' odour of urine is due to which
d. Rectal swab culture and sensitivity of the following inborn errors of metabolism?
Q62. A newborn presents with congestive heart a. Tyrosinemia
failure and, on examination, has bulging anterior
b. Phenylketonuria
fontanelle with a bruit on auscultation.
Transfontanellar USG shows a hypoechoic midline c. Glutaric acidemia
mass with dilated lateral ventricles. What will be
the most likely diagnosis? d. Maple Syrup Urine

a. Medulloblastoma Q67. Which of the following given terms refers to

the ability to methylate and acetylate a gene
b. Encephalocele without changing the gene's actual content?
c. Vein of Galen malformation a. Epigenetics
d. Arachnoid cyst b. Translocation
Q63. After moderate exertion, a 10-year-old kid c. Inversion
develops hypoglycemia quickly.A blood test
reveals elevated amounts of ketone bodies, lactic d. Transduction
acid, and triglycerides. The liver and kidneys were Q68. Which of the following is incorrect about
found to be enlarged during the assessment.The Noonan syndrome?
histopathology of the liver reveals excessive
glycogen accumulation.What is the most likely a. Short Stature
diagnosis?
b. Webbed Neck
a. Von-Gierke diseases
c. Low Posterior Hairline
b. Cori’s diseases
d. Abnormal Karyotype
c. McArdle’s diseases
Q69. Which of the following statements about
d. Pompe’s disease phenylketonuria is incorrect?

Q64. A toddler who bit his fingers, had delayed a. Deficient Tyrosine
motor development, and was mentally retarded
b. Excess Phenylalanine
was brought in. His birth was normal. Then, at the
age of 25, he passes away from renal failure after c. Excess Melanin
developing cerebral palsy arthritis. What enzyme
deficit is most likely to be involved? d. Autosomal Recessiv

a. Hexosaminidase deficiency Q70. A 7-year-old child with steroid-dependent

nephrotic syndrome has developed corticosteroid
b. Adenosine deaminase deficiency toxicity and posterior subcapsular cataracts and
uncontrolled hypertension. Which of the following
c. HGPRT deficiency
is the best alternative for the treatment of the
d. Ornithine transcarbamoylase deficiency patient?
a. Levamisole
b. Cyclophosphamide
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Test And Discussion 2024 Paediatrics By Dr. Divya Madan

c. Inj. Mycophenolate a. Hemolyticanemia

d. Cyclosporine b. Renal failure
Q71. A 4-year-old boy complains of wetting the c. Thrombocytopenia
bed. The youngster is calm during the day, and the
d. Neurological symptoms
issue only arises at night. The child's growth and
development were typical. The urine specific Q76. A 2-month-old infant presented with
gravity was 1.020 and urine microscopy was progressive jaundice. The infant has raised direct
normal. How do you plan to manage? bilirubin levels and the stools are pale-colored.
a. Reassure the parents and follow up after 6 months Liver biopsy showed bile plugs and bile duct
proliferation with a polymorphonuclear infiltrate.
b. Refer to psychiatrist What is the most common cause?
c. Complete blood counts a. Dubin-Johnson syndrome
d. Ultrasound-KUB b. Crigler-Najjar syndrome
Q72 A child is experiencing sporadic episodes of c. Extrahepatic biliary atresia
left flank pain. Ultrasonography shows a normal
d. Gilbert syndrome
ureter and a dilated renal pelvis with cortical
thinning. A 19% difference in kidney function was Q77. 21. Oral Vitamin A dose in a 320 day old child
found. Among the following, which type of would be
management is best:
a. 0.5 Lac IU
a. Nephrectomy
b. 1 lac IU
b. Pyeloplasty
c. 2 Lac IU
c. External drainage
d. 4 Lac IU
d. Endopyelotomy

Q73. A young girl enters the room dribbling urine

continuously. She does, however, urinate Q78. A child in Punjab has exclusively been fed a
normally. According to her parents, she had never diet of Makke di roti (Maize). He comes to you with
been completely dry since birth. What diagnosis is irritability, diarrhoea and skin rash. Child has
most likely? A. Pellagra
a. Ectopic ureteric orifice B. Beri Beri
b. Ureterocoele C. Scurvy
c. Posterior Urethral Reflex D. Rickets
d. Vesicoureteric reflex Q79. Which mineral ion deficiency would result in
Q74. A patient comes in with headache and this?
nausea. Upon evaluation, it was discovered that
his blood pressure was 180/110 and thathis K+
level was 2mEq/l. His ABG results indicated that
he had metabolic alkalosis. Which syndrome
might be the cause of this ailment?
a. Gitelman syndrome
b. Liddle syndrome
c. Bartter syndrome
d. Gordon syndrome
Q75. The following is not part of the classical triad
of the hemolytic uremic syndrome:
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Test And Discussion 2024 Paediatrics By Dr. Divya Madan

b. blood

c. urine

d. CSF

Q82. A 5 day old Baby visits you in clinic. He is

feeding well, active and has a Total serum bilirubin
of 7mg/dl. How will you manage this baby?
a. admit for phototherapy
b. stop breastfeeding
c. continue breastfeeding
d. Exchange transfusion
Q83. 9 year old boy weighing 28 kgs presents with
a. Copper complaints of vomitting since morning. on
examination, he is tachypneic and severely
b.Zinc dehydrated. ABG reveals pH 7.01, RBS 350 mg/dl,
urine glucose dipstick shows 3+. How will you
c.Iron manage this child?
d.Selenium a. manage ABC, NS 20ml/kg along with insulin
Q80. Following Chest X ray in not seen in which of 1IU/kg/hr
the following conditions: b. manage ABC, NS 20ml/kg along with insulin
0.1IU/kg/hr
c. manage ABC, NS 10ml/kg and insulin 0.1IU/kg/hr
after 1 hour
d. manage ABC, NS 20ml/kg and insulin 0.1IU/kg/hr
after 1 hour
Q84. A 1 month old infant presented with cough &
sore throat. Mother describes paroxysms of cough
that is followed by holding breath. CBC revealed
TLC >50,000 cells/uL. which of the following you
would like to prescribe?
a. amoxicillin
b. clarithromycin
c. azithromycin
a. RDS d. cotrimoxazole
b. Infracardiac TAPVC Q85. A baby is born with Meconium-stained liquor.
which of the following statements is correct as per
c. TOF
Neonatal resuscitation protocol guidelines:
d. Pulmonary alveolar proteiosis
a. intratracheal suction of non-vigorous babies
Q81. A baby is being evaluated for microcephaly & b. aggresive suction of mouth, nose & trachea for all
hepatomegaly. CT revealed nodular periventricular babies
calcifications. Congenital CMV infection is
suspected. Which sample would be best to detect c. Initial steps followed by PPV for non-vigorous baby
CMV using PCR?
d. intrapartum suction of mouth & nose before delivery
a. liver biopsy of shoulder

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Q86. Latest FDA approved drug for Rett Q92. A 9-month-old baby boy presented to you in
syndrome: OPD with complaints of multiple brief attacks of
forward head jerks, inability to hold head. you
a. Erunumab
order an EEG that reveals hypsarrythmia. What is
b. Lasmiditan the drug of choice for this condition:

c. Trofinetide a. phenobarbitone

d. Olcegepant b. valproate

Q87. Nada’s minor criteria has: c. ACTH

a. Diastolic murmur d. Ethosuximide

b. Systolic murmur grade 3 Q93. At risk babies include:

c. Abnormal Echocardiography a. Baby accepting paladaifeeds

d. abnormal chest X ray b. working mother/single parent

Q88. A 2-year-old child with complaints of severe c. birth order 3 or more

watery diarrhea& vomiting lands up in emergency
d. birth weight > 2.5 kg
with altered sensorium. your differentials include:
Q94. A 7-year-old presents with anasarca. A
a. HUS diagnosis of Minimal change disease is made.
b. Cerebral venous thrombosis choose the correct statement regarding this
condition:
c. hyponatremia
a. Non nephrotic range proteinuria
d. severe dehydration
b. common in adults too
Q89. A term 3.2kg newborn of a mother with
Eclampsia did not cry after birth. Essential criteria c. light microscropy reveals effacement of podocytes
for “perinatal asphyxia criteria includes: d. good response to steroids
a. APGAR 4-6 for >5 mins Q95. An underweight child with frequent diarrhea
b. Cord pH <7.3 episodes presents to you with investigation where
you notice HLA-DQ2 positivity. what diet will you
c. hyponatremia recommend?
d. seizure a. Vegan diet
Q90.30 hours old neonate has not passed urine b. Lactose free diet
yet. He passed meconium soon after birth. how
are you going to manage this? c. Low carbohydrate diet

a. Stop breastfeeding, give IV fluids & admit in NICU d. Gluten free diet

b. Start OG feeds Q96. A 4-year-old girl born to a

nonconsanguineous marriage presented with bow
c. Continue breastfeeding legs since 18 months of age. She has received
d. Start formula feeds multiple courses of Vitamin D. Her investigations
are as follows:
Q91. A 5-day old newborn has TSH >100mIU/L.
Which investigation would you order next? ABG: WNL

a. serum thyroid receptor antibody calcium: 10 mg/dl

b. Perchlorate secretion test phospate :1.8 mg/dl

c. Radiotracer uptake with technetium ALP: 900 IU

d. urine iodine excretion PTH: WNL

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Test And Discussion 2024 Paediatrics By Dr. Divya Madan

serum electrolytes: WNL

serum creatinine: WNL
a. vitamin D dependent rickets
b. hyperparathyroidism
c. chronic renal failure
d. hypophosphatemic rickets
Q97. What would you advise to contacts of a child
with meningococcal meningitis:
a. 2 doses of polysaccharide vaccine
b. 2 doses of conjugate vaccine
c. single dose of either conjugated or polysaccharide
vaccine
d. antibiotic prophylaxis
Q98. In NRP, most effective indicator of successful
ventilation is:
a. colour change
b. rise in heart rate
c. air entry
d. chest rise
Q99. Best alternative to mother’s milk in a LBW
baby is:
a. cow’s milk
b. toned milk
c. donor human milk
d. term formula
Q100. 9 year old boy presents with tremors and
poor scholastic performance. on examination,
icterus +, hepatomegaly & cataract in both eyes.
most likely diagnosis:
a. Huntington’s chorea
b. Glutaric acidemia
c. hepatitis A
d. wilson’s disease

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