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Paeds MCQS Group C

1) Cyanosis, clubbing, failure to thrive and he had recurrent chest infections.


TOF
Brain damage
2) Severe dehydration with depressed fontanelles
IV ringers lactate 100 ml/kg
3) Whooping cough
Bordatella Pertusis
4) Pansystolic murmur
VSD
5) Peripheral cyanosis, pulse 140/min, HR >80/min. What is the APGAR score?
6/10
8/10
6) Painless bloody stools and DRE showed empty rectum and anus.
Meckels diverticulum
Juvenile polps
7) Pt diagnosed with VSD 6 months ago. Has recurrent infections and chronic
fever (PUO).
Infective endocarditis
Malaria
Typhoid
8) Weight decreased, height decreased, peripheral edema and liver palpable.
(same scenario for questions 8&9)
Marasmic Khwashiorkor
Khwashiorkor
9) Weight = 7 kg. Age = 2 yrs. How much calorie intake required?
1100 kcal
1500 kcal
750 kcal
10)
K decreased. HCO3 increased
Hypokalemia and Metabolic alkalosis
Hypokalemia
11)
Injury to 15 yr old. Got tetatnus booster at 5 yrs of age. Wound
affected by manure.
TT plus TIG
12)
Sibling had measles so what would you do for the 4 month child?
No treatment

MMR
Measles IG
13)
Child with asymptomatic inguinal lymph adenopathy. What is the first
investigation to be done?
CBC
14)
Liver tenderness and loss of appetite and abdominal pain. Bile salts
and bile pigments +++.
Viral hepatitis
Liver abscess
15)
Rigid Abdomen
Peritonitis
16)
What is true about polio?
Do tonsillectomy
Spread primarily via respiratory droplets
10% develop paralytic polio
17)
CSF taken. Protein increased. WBC increased with 70% lymphocytes.
Tb meningitis
Bacterial meningitis
Viral meningitis
18)
Child has high grade fever, and is drooling.
Epiglottitis
19)
Home delivery, bleeding from stools and nose
Hemorrhagic disease of the newborn
Swollen maternal blood syndrome
20)
Mother has TB, so child born should be:
Give breastfeed and INH
Give breastfeed and BCG
21)
Dry scaly skin and photophobia
Vit A deficiency
Vit C deficiency
Zinc deficiency
22)
Hb decreased. MCV increased (110)
Vit B12 deficiency
Iron deficiency
23)

Febrile Fits

24)
Conjugated hyperbilirubinemia. Presented 3 weeks later.
Congenital biliary atresia
Breast milk jaundice

25)
Mother hides object behind her back. At which age does object
permenance occur?
9-12 months
15 months
18 months
26)
LP

Diagnosis of GBS

27)
All cell lines decreased. No hepatosplenomegaly after infection.
Aplastic anemia
Leukemia
28)
Most common cause of obstructive uropathy in children
Posterior urethral valves
29)
During delivery what would cause left sided hemiplegia?
Injury to brachial plexus (shoulder injury)
Cerebral hypoxia

SEQs
1) Recurrent Diarrhea and chest infections.
Diagnosis?
Investigations?
Complications?
Organisms causing chest infections?
Answer: CF or pneumonia
2) Recurrent diarrhea. On antibiotics and infected since 7 months.
D/D?
Investigations?
Diagnosis and important points in history?
3) Holosystolic murmur with loud P2 and recurrent chest infections.
Diagnosis?
Managements?
Complications?

Answer: VSD
4) Febrile Fits
Diagnosis?
Important points from history?
Poor prognostic factors?
5) Central cyanosis after 1 hour of birth. APGAR score was 5 then 7.
Diagnosis?
D/D?
Management?
Answer: RDS/TTN

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