Nacrolepsy is

Nacrolepsy is

a) Sudden episodes of sleep 

b) Night sleep 

c) Narcolepsy due to epilepsy 

d) Nacrolepsy due to sleep 

[Ans (a)]

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Child care virus is

Child care virus is

a) Adenovirus 

b) Para influenzae 

c) Herpes 

d) Chicken pox virus 

[Ans (a)]

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Congenital stridor is caused by

 Congenital stridor is caused by

a) Laryngomalacia 

b) Laryngeal slenosis 

c) Ca Larynx 

d) Foreign body 

[Ans (a)]

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Kernicterus is due to

Kernicterus is due to

a) Albumin bound billirubin 

b)Billirubin diglucuroinde 

c) Bilirubin monoglucuronide 

d) Free billirubin 

[Ans (d)]

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neonate

A neonate delivered at 32 weeks, is put on a ventilator. X-ray shows

‘white out lung’ and ABG reveals PO2 of 75. Ventilator settings are on, FIO2 of

70, and rate of 50/minute. Next step to be taken should be:

A. Increase rate to 60 per minute

B. Increase FIO2 to 80

C. Continue ventilation with the same settings

D. Weaning ventilator

Ans. C

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kawasaki disease

Treatment of Kawasaki disease in children is:

A. Oral steroids

B. IV steroids

C. IV Ig

D. Mycophenolate mefentil

Ans. C

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karyotype

 A 10 day old male pseudohermaphrodite child with 46 XY karyotype presents

with BP of 110/80 mmHg. Most likely enzyme deficiency is:

A. 21 hydroxylase

B. 17 hydroxylase

C. 11 hydroxylase

D. 3-beta hydroxylase

Ans. B

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cretinism

Manifestations of endemic cretinism include:

A. Deafness and facial nerve involvement

B. Blindness and hypothyroidism

C. Goitre and hypothyroidism

D. Multinodular goitre and mental retardation

Ans. A

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cretinism

Which of the following is true regarding cretinism:

A. Short limbs compared to trunk

B. Proportionate shortening

C. Short limbs and short stature

D. Short limbs and long stature

Ans. C

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histiocytosis x

A child presents with seborrheic dermatitis, lytic skull lesions, ear

discharge and hepatosplenomegaly. Likely diagnosis is:

A. Leukemia

B. Lymphoma

C. Histiocytosis X

D. Multiple myeloma

Ans. C

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meningitis

 Most common cause of meningitis in children between 6 months to 2 years

of age is:

A. Pneumococcus

B. Staphylococcus

C. H. influenzae

D. E. coli

Ans. C

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anemia

A child aged 2 years presents with nonspecific symptoms suggestive of

anemia. On peripheral blood smear target cells are seen. He has hypochromic

microcytic picture and Hb of 6 gm%. He also has ‘a positive family history’.

Next investigation of choice is:

A. Hb electrophoresis

B. Coombs’ test

C. liver function tests

D. Osmotic fragility test

Ans. A

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myocardial infarction

A neonate has recurrent attacks of abdominal pain, restless, irritability

and diaphoresis on feeding. Cardiac auscultation reveals a nonspecific murmur.

He is believed to be at risk for MI. Likely diagnosis is:

A. ASD

B. VSD

C. TOF

D. Anomalous coronary artery

Ans. D

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potts shunt

Potts shunt is anastomosis of:

A. Right subclavian artery to right pulmonary artery

B. Descending aorta to left pulmonary artery

C. Left subclavian to left pulmonary artery

D. Ascending aorta to right pulmonary artery

Ans. B

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left ventricular hypertrophy

A patient presents with LVH and pulmonary complications. ECG shows left

axis deviation. Most likely diagnosis is:

A. TOF

B. Tricuspid atresia

C. TAPVC

D. VSD

Ans. B

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calculus

A 5-years-old child presents with a calculus of size 2 cm in the upper

ureter. He also complains of haematuria. USG shows no further obstruction in the

urinary tract. Treatment of choice for this patient would be:

A. Ureterolithotomy

B. Endoscopic removal

C. ESWL

D. Observation

Ans. C

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urinary obstruction

Most common cause of urinary obstruction in a male infant is:

A. Anterior urethral valves

B. Posterior urethral valves

C. Stone

D. Stricture

Ans. B

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nephrotic syndrome

A 5-years-old child suffering from nephrotic syndrome is responding well

to steroid therapy. What would be the most likely finding on light microscopy:

A. No finding

B. Basement membrane thickening

C. Hypercellular glomeruli

D. Fusion of foot processes

Ans. A

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esophageal varices

Ramu, a 8-years-old boy presents with upper GI bleeding. On examination,

he is found to have splenomegaly; there are no signs of ascites, or

hepatomegaly; esophageal varices are found on UGIE. Most likely diagnosis is:

A. Budd Chiari syndrome

B. Non cirrhotic portal fibrosis

C. Cirrhosis

D. Veno-occlusive disease

Ans. B

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tracheoesophageal fistula

A newborn has dribbling after feeds. He has respiratory distress and

froth at the mouth. Diagnosis is:

A. Tracheoesophageal fistula

B. Tetralogy of Fallot

C. Respiratory distress syndrome

D. None of the above

Ans. A

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