16 - Pediatrics Mcqs - 131 to 140

131) Child Copies circle by

a. 36 months

b. 24 months

c. 30 months

d. 48 months

Answer 36 months

Reference: OP Ghai Paediatrics 6th Edition Page 46

132) The percentage of chance of development of Respiratory Distress Syndrome in a Premature new born baby with weight 1250 to 1500 gms is

a. 90 %

b. 50 %

c. 10 %

d. 1 %

Answer a) 90 %

Reference: OP Ghai Paediatrics 6th Edition Page 166

133) Chest in drawing / Retraction in a child means

a. no pneumonia

b. pneumonia

c. severe pneumonia

d. None

Answer d) Severe pneumonia

Reference: Park 18th Edition Page 142

134) All are features of Marasmus except

a. Fatty liver

b. Edema

c. Decreased insulin level

d. Decreased cortisol level

Answer Edema

Reference: OP Ghai Paediatrics 6th Edition Page 104

135) Height of the child from 1 to 3 years increases at the rate of ….. .cm per month

a. 0.5 cm

b. 0.75 cm

c. 1 cm

d. 1.5 cm

Answer c) 1 cm

Reference: Nelson 15th Edition Table 11.5

136) IQ of a Moderate MR is

a. less than 35

b. 35-49

c. 50-70

d. 20-34

Answer b) 35 to 49

Reference: OP Ghai Paediatrics 6th Edition Page 543

137) Best investigation for esophageal atresia in a child is

a. Barium Swallow

b. Fibrotic endoscopy

c. X Ray with Controlled ryle’s tube Watersoluble Contrast

d. Rigid endoscopy

Answer c ) X Ray with Controlled ryle’s tube Watersoluble Contrast

Reference: OP Ghai Paediatrics 6th Edition Page 178, Nelson 15^th Edition Chapter 265.

138) The Drug of choice for parenteral admission for chloroquine sensitive malaria in child

a. Chloroquine

b. Mefloquine

c. Artesunate

d. Quinine

Answer a) Chloroquine

Reference: OP Ghai Paediatrics 6th Edition Page 246.

139) Major complication of undescended testes

a. malignancy

b. torsion

c. hernia

d. sterility

Answer a) Malignancy

Reference: Bailey and Love 24th Edition

140) Which of the following will lead to suspicion of Bartered baby syndrome

a. Multiple fracture

b. Improper History

c. Both

d. None

Answer c) Both

15 - Paediatrics Mcqs - 121 to 130

121) A child should know his age and gender by

a. 1 year

b. 3 years

c. 5 years

d. 7 years

Answer : (b) 3 years
Reference: OP Ghai 6^th Edition Pages 44, 48

122) At 3 years a child has

a. 12 teeth

b. 20 teeth

c. 24 teeth

d. 28 teeth

Answer : (b) 20 teeth

Reference: OP Ghai 6^th Edition Page 6

Few more points

1. Third Molar is the Wisdom Teeth

2. Other methods used in relation to the teeth are the

a. Boyde’s Formula

b. Stack’s Method

Tips

About Mixed Dentition

1. Mixed Dentition occurs from Eruption of First Permanent teeth (First Molar) to the Last Canine

2. Remember that the total number of teeth increase only when the Permanent Molars erupt. It is because all other permanent teeth erupt by “pushing” out a milk teeth

3. The number of teeth increases from 6 months to 2 years and at two years it is 20 (5 x 4)

4. At the sixth year, the number increases from 20 to 24, because the first molar erupts and no tooth falls (Remember that there are 4 first molars- Upper Right, Upper Left, Lower Right, Lower Left)

5. From 7 to 12 years the number remains 24 because as and when a tooth erupts, it displaces another and the number remains constant.

6. There is an addition of more from the age of 12 to 14 when the second Molar erupts and the total number becomes 28

7. Then the number remains constant till 17 and again 4 more are added from 17 to 25 and the number is 32

123) Hutchinson teeth

a. upper central incisor

b. Molar

c. Canine

d. Lower Central Incisor

Answer : (a) Upper Central Incisor

Reference: Harrison 16^th Edition Page 981.

124) Meconeum ileus is seen in patients with

a. Cystic fibrosis

b. Marfan’s Syndrome

c. Hydrocephalus

d. None of the above

Answer : (A) Cystic Fibrosis

Reference: Bailey and Love 24^th Edition Page 1199.

125) APGAR score is seen

a. Immediately after birth

b. One week after birth

c. One month after birth

d. During first birthday

Answer : (a) Immediately after birth

Reference: OP Ghai 6^th Edition Page 144.

126) Causes of short stature are

a. Constitutional delay in growth

b. Intrauterine Growth Retardation

c. Nutritional dwarfism

d. All of the above

Answer : (d) All of the above

Reference: OP Ghai 6^th Edition Pages 50.

127) Colour of Transition Stool is

a. Greenish Yellow

b. Golden Yellow

c. Green Brown

d. None of the above

Answer : (c) Green Brown

Reference: Nelson 15^th Edition Chapter 251.

The number, color, and consistency of stools may vary greatly in the same infant and between infants of similar age without apparent explanation. The earliest stools after birth consist of meconium, a dark, viscous, gumlike material. When nursing or formula feedings begin, meconium is replaced by green-brown transition stools, often containing curds, and, after 4-5 days, by yellow-brown milk stools. Stool frequency is extremely variable in normal infants and may vary from 0-7 per day. Breast-fed infants may have frequent, small, loose stools early (transition stools) and then after 2-3 wk may have very infrequent, soft stools. It is possible for a nursing infant to go up to 1-2 wk without any stool and then to have a normal soft bowel movement. The color of stool has little significance except for the presence of blood or absence of bilirubin products. The presence of vegetable matter, such as peas or corn, in the stool of an older infant or toddler ingesting solids is normal and suggests poor chewing and not malabsorption. A pattern of intermittent loose stools, known as "toddler's diarrhea," occurs commonly between 1 and 3 yr of age. Often these children drink frequently (especially juices) and snack throughout the day. Typically the stools occur during the day and not overnight. The volume of fluid intake is often excessive; eliminating between meal liquids and snacks often leads to resolution of the pattern of loose stools.

128) Ramsted Operation is done for

a. TE Fistula

b. Clubfoot

c. Hypertrophic Pyloric Stenosis

d. Spina bifida

Answer : (c) Hypertrophic pyloric stenosis

Reference: Bailey and Love 24^th Edition Page 1033.

129) the prognosis of rhabdomysarcoma is likely to be poor if the site of the tumour is:

a. Orbit

b. Para testicular

c. Extremity

d. Urinary bladder.

Answer : (C) Extremity

Reference: OP Ghai 6^th Edition Page 575.

130) All of the following are seen in EDWARD syndrome except

a. Long Neck

b. Low Set Ears

c. Rocker bottom foot

d. Renal malformations

Answer : (a) Long Neck

Reference: Robbins 7^th Edition Page 177

McQs in Paediatrics (Pocket MCQs)
Paediatric McQs for Postgraduate Examinations: Practice Examinations