(Single Best Answer) Question 91: A two-year-old boy is brought to emergency with severe anemia (Hb = 2 gm%) and features of congestive heart failure. The most appropriate immediate therapy for this boy would be ?
A) Packed cell transfusion B) Partial exchange transfusion C) Whole blood transfusion D) Parenteral iron injection Answer (Select an option above to get the answer):
(Single Best Answer) Question 92: Consider the following behavioural conditions in a child of school age : 1. Fidgets with hands or squirms in seat 2. Easily distracted by extraneous stimuli 3. Often has difficulty awaiting turn 4. Does not seem to listen when spoken to directly
Which of the above diagnostic criteria are suggestive of Inattention (attention deficit) in a child ?
A) 1 and 2 only B) 1 and 3 only C) 2 and 4 only D) 1, 2, 3 and 4 Answer (Select an option above to get the answer):
(Single Best Answer) Question 93: A new-born baby develops cyanosis on day three of life. On auscultation, there is a systolic murmur. Echocardiography reveals a cyanotic heart disease in the baby. Which one of the following drugs can be administered to prolong the life of the baby, pending intervention ?
A) Indomethacin B) Ibuprofen C) Prostaglandin E1 D) Propranolol Answer (Select an option above to get the answer):
(Single Best Answer) Question 94: Consider the following clinical features in a full term neonate: 1. Rate of rise of bilirubin < 10 mg/dl/24hours 2. Onset of jaundice at 48 hours of age 3. Clay coloured stools 4. Jaundice persisting on day 5
Which of the above clinical features is / are consistent with physiological jaundice ?
A) 1 only B) 1 and 3 only C) 2 and 4 only D) 1, 2, 3 and 4 Answer (Select an option above to get the answer):
(Single Best Answer) Question 95: A new-born baby presents with shock, hyperkalemia and hypoglycemia. What is the most likely diagnosis ?
A) Septicemia B) Inborn error of metabolism C) Diabetes mellitus D) Congenital adrenal hyperplasia Answer (Select an option above to get the answer):
(Single Best Answer) Question 96: If a five-year-old child suddenly develops stridor, which one of the following would be the most likely diagnosis ?
A) Larynomalacia B) Acute laryngo-tracheobronchitis C) Foreign body aspiration D) Acute epiglottitis Answer (Select an option above to get the answer):
A) Skin and mucosa are not effective barriers to infection B) There is impairment of chemotaxis associated with defective candidicidal, bacteriocidal capacities of polymorphs C) There is impairment of cell mediated immunity and delayed hypersensitivity D) There is impaired humoral response to immunizing agents and reduced number of beta cells Answer (Select an option above to get the answer):
A) More common in males B) Projectile vomiting C) Diarrhea D) Malnutrition Answer (Select an option above to get the answer):
(Single Best Answer) Question 99: A family of a child just diagnosed with acute lymphoblastic leukemia asks about the child's prognosis. Which of the following is a poor prognostic indicator ?
A) Presence of mediastinal mass B) Age between 1 and 10 years C) Hyperploidy with more than 50 chromosomes D) WBC count less than 50,000/mm3 at diagnosis Answer (Select an option above to get the answer):
(Single Best Answer) Question 100: What is the correct composition of the standard maintenance solution for intravenous administration in children ?
A) 5% dextrose, 25 m Eq/L of sodium, 20 m Eq/L of potassium B) 10% dextrose, 25 m Eq/L of sodium, 30 m Eq/L of potassium C) 5% dextrose, 40 m Eq/L of sodium, 20 m Eq/L of potassium D) 10% dextrose, 40 m Eq/L of sodium, 30 m Eq/L of potassium Answer (Select an option above to get the answer):