29 - AIIMS november 2008 pediatrics mcqs - part 2

157.  a 7 yr old girl with non productive cough, mild stridor for 3 months duration. patient is improving but suddenly developed wheeze productive cough mild fever and hyperlucency on cxr and pft shows obstructive curve.diagnosis is? 

A. Bronchiolitis obliterans 
b. Hemosiderosis 
c. Pulmonary alveolar microlithiasis 
d. Follicular bronchitis 

 Answer: 

158. 3.5 kg term male baby born of uncomplicated pregnancy developed respiratory distress at birth not responded to surfactant, echo is normal, cxr shows ground glass appearance. Culture negative.apgar score 4 and 5 at 1 and 5 min.hostory of i month female sibling died before.diagnosis? 

A. Tapvc 
b. Meconium aspiration 
c. Neonatal plmonary alveolar proteinosis 
d. Diffuse herpes simplex infection 

 Answer: 

159. All are true about congenital rubella except? 
A. Igg persists for more than 6 months 
b. Igm antibody is present at birth 
c. Most common anomalies are hearing and heart defects 
d. Increased congenital malformation if infection after 16 weeks 

 Answer: 

160. A 10 yr old child is always restless inattentive to study and always wants to play outside.parents are extremely distressed.what would you advise? 

A. It’s a normalbehaviour 
b. Behaviour therapy 
c. It’s a serious illness requires medical treatment 
d. Needs change in environment 

Answer:

161.a 2yr old child brought to emergency at 3 am .child has barky cough and stridor only while crying. narmal hydration rr-36/min t-39.6 c .what will be your next step? 

a. racemic epinephrine nebulisation 
b. high dose dexamethasone inj 
c. nasal was for influenza/rsv 
d. antibiotics and blood culture 

 Answer: 

162.bad prognostic factor for all is? 

a. age 2-8 years 
b. TLC greater than 50000
c. hyperdiploidy 
d. t(9:22), t(8:14),t(4:11) 

 answer:

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