MCQOPTIONS
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MCQOPTIONS
This section includes 657 Mcqs, each offering curated multiple-choice questions to sharpen your Testing Subject knowledge and support exam preparation. Choose a topic below to get started.
| 1. |
Residual auditory defect is a common complication in meningitis caused by - |
| A. | Staphylococcus |
| B. | Meningococcus |
| C. | Escherichia coli |
| D. | Hemophilus influenza |
| Answer» E. | |
| 2. |
Megalencephaly is commonly seen in - |
| A. | Down syndrome |
| B. | Tay Sach's disease |
| C. | Turner syndrome |
| D. | Intrauterine infection |
| Answer» C. Turner syndrome | |
| 3. |
Portal hypertension in children in India is commonly due to : |
| A. | Indian childhood cirrhosis |
| B. | Extrahepatic portal venous obstruction |
| C. | Idiopathic portal hypertension |
| D. | Hepatic out flow tract obstruction |
| Answer» C. Idiopathic portal hypertension | |
| 4. |
Which one of the following statements is false with regard to pyuria in children |
| A. | Pyuria may be present without Urinary tract infection |
| B. | Isolated pyuria is neither confirmatory nor diagnostic for Urinary tract infection |
| C. | Presence of more than 5 WBC/hpf (high power field)for girls and more than 3 WBC/hpf for boys |
| D. | Infection can occur without pyuria |
| Answer» D. Infection can occur without pyuria | |
| 5. |
Increase acetylcholinestrase in amniotic fluid indicates: |
| A. | Down syndrome |
| B. | Edward syndrome |
| C. | Open neural tube defects |
| D. | Oesophageal atresia |
| Answer» D. Oesophageal atresia | |
| 6. |
Most common causes of suprasellar enlargement with calcification in children is - |
| A. | Craniopharyngioma |
| B. | Astrocytoma |
| C. | Meningioma |
| D. | Suprasellar tuberculoma |
| Answer» B. Astrocytoma | |
| 7. |
Most common cardiac rhythm disturbance encountered in children is |
| A. | Supraventricular tachycardia |
| B. | Sinus tachycardia |
| C. | Ventricular tachycardia |
| D. | Junctional rhythm |
| Answer» B. Sinus tachycardia | |
| 8. |
Which of the following is a component of Pentalogy of Fallot: |
| A. | Atrial Septal Defect (ASD) |
| B. | Patent Ductus Arteriosus (PDA) |
| C. | Coarctation of Aorta (COA) |
| D. | Left Ventricular Hypertrophy (LVH) |
| Answer» B. Patent Ductus Arteriosus (PDA) | |
| 9. |
A child presented with intermittent episodes of left sided flank pain.Ultrasonography reveals a large hydronephrosis with dilated renal pelvis and cortical thinning with a normal ureter. Kidney differential function was observed to be 19% which of the following is the best management: |
| A. | Pyeloplasty |
| B. | Nephrectomy |
| C. | Endopylostomy |
| D. | External Drainage |
| Answer» B. Nephrectomy | |
| 10. |
Primary metabolic bone disorder in scurvy is: |
| A. | Decreased osteoid matrix formation |
| B. | Decreased mineralization |
| C. | Decreased bone mass with normal mineralization and osteoid formation |
| D. | Increased bone resorption |
| Answer» B. Decreased mineralization | |
| 11. |
Female newborn presents with vaginal bleeding, 4 days after birth, what is to be done ? |
| A. | Wait and watch |
| B. | Clotting factor deficiency to be ruled out |
| C. | Bleeding time to be done |
| D. | Blood transfusion |
| Answer» B. Clotting factor deficiency to be ruled out | |
| 12. |
A 5 year old child is rushed to casualty reportedly electrocuted while playing a park.The child is apneic and is ventilated with bag and mask.There are burns on each hand.What will be next step in the management - |
| A. | Check pulses |
| B. | Start chest compressions |
| C. | Intubate |
| D. | Check oxygen saturation |
| Answer» B. Start chest compressions | |
| 13. |
L-asparaginase is particularly used in which type of leukemia |
| A. | AML |
| B. | CML |
| C. | ALL |
| D. | CLL |
| Answer» D. CLL | |
| 14. |
All of the following are features of juvenile CML except |
| A. | Thrombocytopenia |
| B. | Fetal HB is increased |
| C. | Philadelphia chromosome is positive |
| D. | Lymphadenopathy |
| Answer» D. Lymphadenopathy | |
| 15. |
Wilm's Tumour is associated with all, except - |
| A. | Hemihypertrophy |
| B. | Beckwith syndrome |
| C. | Aniridia |
| D. | Polycystic kidney |
| Answer» E. | |
| 16. |
True about co-arctation of aorta: |
| A. | Upper rib notching is due to erosion by dilated collateral vessels |
| B. | Right ventricular hypertrophy |
| C. | Most common site is distal to the origin of the left subclavian artery |
| D. | Most common age of presentation is at 15-20 yrs |
| Answer» D. Most common age of presentation is at 15-20 yrs | |
| 17. |
True statement regarding a 3 weeks old child with phenyl-ketonuria is all,except: |
| A. | Serum Phenylalanine is increased and urinary Phenyl Pyruvate level is elevated |
| B. | Phenylalanine should be completely stopped in diet |
| C. | Provocative protein meal tests helps in the diagnosis |
| D. | Tyrosine becomes an Essential amino-acid in diet |
| Answer» C. Provocative protein meal tests helps in the diagnosis | |
| 18. |
Eisenmenger syndrome is characterized by all except: |
| A. | Pruning of peridpheral pulmonary arteries. |
| B. | Dilatation of central pulmnonary arteries. |
| C. | Return of left ventricle |
| D. | Pulmonary veins not distended. |
| Answer» D. Pulmonary veins not distended. | |
| 19. |
Administration of glucose solution is prescribed for all of the following situations except - |
| A. | Child of a diabetic mother |
| B. | Neonates |
| C. | History of a hypoglycemia |
| D. | History of unconsciousness |
| Answer» E. | |
| 20. |
In children presence of increased fecal fat excretion and increased fecal nitrogen levels is a feature of: |
| A. | Coeliac spure |
| B. | Ulcerative-colitis |
| C. | Pancreatic -insufficiency |
| D. | Bacterior overgrowth syndrome |
| Answer» D. Bacterior overgrowth syndrome | |
| 21. |
Baby born at 30 weeks for 18 year old primi gravida of weight 2 kg which died after 48 hours.Apgar scores were 5 and 8 at 1 and 5 minutes.On autopsy bilateral enlarged kidney with multiple radially arranged cysts.Which of the following finding is expected to be associated with ? |
| A. | Hepatic cyst and fibrosis |
| B. | Imperforate anus |
| C. | Holoprosencephaly |
| D. | Absence of ureter |
| Answer» B. Imperforate anus | |
| 22. |
All of the following statements about Patent Ductus Arteriosus (PDA)are true Except: |
| A. | Treatment is closure of defect by ligation and division of ductus |
| B. | Hypoxia and immaturity are important in maintaining the Patency |
| C. | It is more common in males than females |
| D. | It is a common heart lesion in rubella |
| Answer» D. It is a common heart lesion in rubella | |
| 23. |
All of the following are true the complications in the new born of a diabetic mother except - |
| A. | Hyperglycemia |
| B. | Hyper bilirubinemia |
| C. | Hypomagnesemia |
| D. | Hypocalcemia |
| Answer» B. Hyper bilirubinemia | |
| 24. |
Triple test for diagnosis of down's syndrome includes all of the following except: |
| A. | Beta-Fetoprotein |
| B. | Beta -HCG |
| C. | Serum oestriol level |
| D. | Serum HPL level |
| Answer» E. | |
| 25. |
Most common malignancy in children is: |
| A. | Lymphoma and leukemia |
| B. | Retinoblastoma |
| C. | Neuroblastoma |
| D. | Wilm's tumour |
| Answer» B. Retinoblastoma | |
| 26. |
A newborn has congenital heart failure,which is not improving on treatment.He has bulging anterior fontanelles with a bruit on auscultation.On trans fontanelle USG a hypoechoeic midline mass is seen with dilated lateral ventricles .Most probable diagnosis is |
| A. | Vein of Galen malformation |
| B. | Arachnoid cyst |
| C. | Medulloblastoma |
| D. | Encephalocele |
| Answer» B. Arachnoid cyst | |
| 27. |
A 3-year 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 managements includes all,except |
| A. | Increased water intake |
| B. | Low sodium diet |
| C. | Reduced calcium intake |
| D. | Avoid meat proteins |
| Answer» D. Avoid meat proteins | |
| 28. |
A 29 day old child presents with features of congestive cardiac failure and left ventricular hypertrophy.Auscultation shows a short systolic murmur.Most likely diagnosis is- |
| A. | Rheumatic fever |
| B. | Tetralogy of Fallot |
| C. | Transposition of great arteries |
| D. | Ventricular Septal defect |
| Answer» E. | |
| 29. |
Hypoplasia of limb and scarring is caused due to- |
| A. | Rubella |
| B. | Toxoplasma |
| C. | Varicella |
| D. | Herpes simplex |
| Answer» D. Herpes simplex | |
| 30. |
The treatment of choice for primary grade V vesico-ureteric reflux involving both kidneys in a 6 month old boy is: |
| A. | Antibiotic prophylaxis |
| B. | Ureteric reimplantation |
| C. | Cystoscopy followed by subureteric injection of teflon |
| D. | Bilateral ureterostomies |
| Answer» B. Ureteric reimplantation | |
| 31. |
An 8 year old boy presented with fever and bilateral cervical lymphadenopathy with prior history of sore throat.There was no hepatomegaly.The peripheral blood smear shows >20% lympho-plasmacyteoid cells.The most likely diagnosis is: |
| A. | Tuberculosis |
| B. | Influenza |
| C. | Acute lymphoblastic leukemia |
| D. | Infectious mononucleosis |
| Answer» E. | |
| 32. |
A child comes with steroid resistant nephrotic syndrome secondary to FSGS, not responsive to methylprednisolone.what next should be given- |
| A. | Oral cyclosporine |
| B. | Oral cyclophosphamide |
| C. | IV cyclophosphamide |
| D. | Oral mycophenolate |
| Answer» B. Oral cyclophosphamide | |
| 33. |
Complications of phototherapy includes all except: |
| A. | Hypoglycemia |
| B. | Bronze baby syndrome |
| C. | Retinal damage |
| D. | Diarrhea |
| Answer» B. Bronze baby syndrome | |
| 34. |
The following complication are seen in Tetralogy of Fallot except - |
| A. | Hypercyanotic spells |
| B. | Cerebral thrombosis |
| C. | Congestive cardiac failure |
| D. | Cerebral abscess |
| Answer» D. Cerebral abscess | |
| 35. |
A 6 year old child has an IQ of 50.Which of the following tasks should the child be able to perform: |
| A. | Identify colours |
| B. | Read a sentence |
| C. | Ride a bicycle |
| D. | Copy a triangle |
| Answer» B. Read a sentence | |
| 36. |
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 cms below costal margin.The most likely diagnosis is: |
| A. | Hypersplenism |
| B. | Aplastic anemia |
| C. | Acute leukemia |
| D. | Idiopathic thrombocytopenic purpura |
| Answer» D. Idiopathic thrombocytopenic purpura | |
| 37. |
CSF examination in a one-day-old male term baby reveals a cell count -10 RBCs per HPF, 50 cells, Protein 70 mg/dL, Sugar 45 mg/dL. The child is likely to be suffering from |
| A. | Meningitis |
| B. | Intracranial bleed |
| C. | Hypoglycemia |
| D. | None of the above |
| Answer» E. | |
| 38. |
A 12 year old boy presents with hemetemesis,malena and mild splenomegaly.There is no ovious jaundice or ascitis.The most likely diagnosis is |
| A. | Cirrhosis |
| B. | Malaria with DIC |
| C. | EHPVO |
| D. | NCPF |
| Answer» D. NCPF | |
| 39. |
A 15 yrs old healthy boy with no major medical problem complaints that he breaks out with blocky areas of erythema that are pruritic over skin of his arm,leg and trunk every time within an hour of eating sea foods.The clinical features are suggestive of: |
| A. | Cell mediated hypersensitivity |
| B. | Localized immune-complex deposition |
| C. | Release of complement C3b |
| D. | Localized anaphylaxis |
| Answer» E. | |
| 40. |
A 6 year old child with IQ of 50.which of the following can the child do - |
| A. | Ride a bicycle |
| B. | Copy a triangle |
| C. | Identify colours |
| D. | Read a sentence |
| Answer» D. Read a sentence | |
| 41. |
All are congenital myopathies except: |
| A. | Nemaline |
| B. | Central core |
| C. | Centronuclear/myotubular |
| D. | Mitochondrial |
| Answer» E. | |
| 42. |
Kostmann's syndrome-treatment is - |
| A. | Anti-thymocyte globulin + cyclosporin + GM-CSF |
| B. | Anti-thymocyte globulin + cyclosporin |
| C. | GM-CSF |
| D. | G-CSF |
| Answer» E. | |
| 43. |
A 12-year-old boy had recent onset of excessive sweating, palpitations and an increased appetite. On physical examination, he was found to have exophthalmos, hyperkinetic movements and a 3palpable nodule of the thyroid gland. The ideal way to treat this patient is - |
| A. | Propylthiouracil 100-200 mg daily |
| B. | Total thyroidectomy |
| C. | Radioactive iodine |
| D. | Subtotal thyroidectomy |
| Answer» B. Total thyroidectomy | |
| 44. |
A child builds towers of 2 cubes at the age of - |
| A. | 12 months |
| B. | 15 months |
| C. | 22 months |
| D. | 24 months |
| Answer» C. 22 months | |
| 45. |
Most common cause of hydrocephalus in children is: |
| A. | Brain tumour |
| B. | Perinatal injury |
| C. | Post inflammatory obstruction |
| D. | Buddchiary syndrome |
| Answer» D. Buddchiary syndrome | |
| 46. |
A child of phenyl ketonuric mother may develop- |
| A. | Microcephaly,mental retardation,cogenital heart disease |
| B. | Mental retardation,cataract,cogenital heart disease |
| C. | Hydrocephalus,cataract |
| D. | Microcephaly,cataract,renal dysplasia |
| Answer» B. Mental retardation,cataract,cogenital heart disease | |
| 47. |
The recommended oral dose of vitamin A to be given in a 10 month child with deficiency on each of day 1,2 and 28 is - |
| A. | 50,000 IU |
| B. | 1,00,000 IU |
| C. | 2,00,000 IU |
| D. | 6,00,000 IU |
| Answer» C. 2,00,000 IU | |
| 48. |
All are true about Wilm's tumor except - |
| A. | Present at 5 years of age |
| B. | Hematuria is the presenting symptom |
| C. | Presents as abdominal mass |
| D. | Most commonly metastasize to lung |
| Answer» B. Hematuria is the presenting symptom | |
| 49. |
Which of the following is the earliest manifestation of cushing's syndrome ? |
| A. | Loss of diurnal variation |
| B. | Increased ACTH |
| C. | INcreased plasma cortisol |
| D. | Increased urinary metabolites of cortisol |
| Answer» B. Increased ACTH | |
| 50. |
Which of the following methods can be used to detect rubella infection in children |
| A. | T4 cell count |
| B. | Fetal hemoglobin |
| C. | IgM Antibody in fetal blood |
| D. | IgA Antibody in fetal blood |
| Answer» D. IgA Antibody in fetal blood | |