(Single Best Answer) Question 11: 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):
(Single Best Answer) Question 12: 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 13: 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 14: 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 15: 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 16: Which of the following is the most common clinical manifestation of Human Parvovirus B 19 (HPV-B 19) infection ?
A) Aplastic crisis in hemolytic anemia patients B) Anemia in neonatal period C) Erythema infectiosum D) Hydrops fetalis Answer (Select an option above to get the answer):
(Single Best Answer) Question 17: Consider the following statements regarding thyroid hormones : 1. Majority of the circulating T3 remains in bound form 2. Only 50% of the circulating T3 is secreted by thyroid 3. TSH estimation is not a sensitive test for diagnosis of primary hypothyroidism 4. Fetal pituitary-thyroid axis is dependent to a large extent on maternal pituitary-thyroid axis. Which of the statements given above is / are correct ?
A) 1 only B) 1 and 2 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 18: 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 19: Abnormalities of copper metabolism are implicated in the pathogenesis of all of the following except ?
A) Wilson's disease B) Menkes' Kinky-hair Syndrome C) Indian Childhood Cirrhosis D) Keshan disease Answer (Select an option above to get the answer):
(Single Best Answer) Question 20: A two-month-old infant is brought to the hospital emergency with marked respiratory distress. On examination, the infant has cyanosis and bilateral crepitations. Heart rate is 180/min, respiratory rate 56/min and the liver span 7.5 cm The child has has repeated episodes of fever, cough and respiratory distress since the time of birth. Cardiovascular examination reveals a grade III ejection systolic murmur in left parasternal area and the chest X-ray reveals cardiomegaly with a narrow base and plethoric lung fields. What is the most likely diagnosis ?
A) Congenital methemoglobinemia B) Transposition of great arteries C) Cystic fibrosis D) Tetralogy of Fallot Answer (Select an option above to get the answer):