PEDIATRICS
Section A
1. Neonatology.............................................................................................................3
2. Growth and Development ......................................................................................13
3. Nutrition in Health and Disease..............................................................................18
4. Fluid and Electrolytes.............................................................................................25
5. Disorders of Gastrointestinal System.....................................................................29
6. Immunization, Infectious Diseases and Worm Infestation ....................................36
7. Hematological Disorders........................................................................................45
8. Disorders of Cardiovascular System......................................................................51
9. Disorders of Respiratory System...........................................................................60
10. Disorders of Kidney and Urinary Tract...................................................................65
11. Disorders of Endocrine System..............................................................................73
12. Disorders of Neuromuscular System.....................................................................79
13. Metabolic Disorders...............................................................................................87
14. Genetic Disorders..................................................................................................90
15. Childhood Malignancies.........................................................................................96
16. Miscellaneous......................................................................................................101
Section B
Practice Questions.........................................................................................107
(Comprising of Questions from Recent Exams and NEET Pattern Questions)
,
, Section A
1. NEONATOLOGY
A. Normal New Born
B. Primitive Reflexes
C. Low Birth Weight
D. Respiratory Distress
E. Congenital Diaphragmatic Hernia
F. Bronchopulmonary Dysplasia
G. Resuscitation
H. Neonatal Jaundice and Kernicterus
I. Neonate of Diabetic Mother
J. Miscellaneous
, 4 Jaypee’s Triple A
NEONATOLOGY (QUESTIONS)
A. NORMAL NEW BORN 8. Kangaroo mother care is necessary till baby attains a weight
of: (J & K PG 2011)
1. The appropriate approach to a neonate presenting with a. 1500 gms
vaginal bleeding on day 4 of life is: (AI 05) b. 2000 gms
a. Administration of vitamin K c. 2500 gms
b. Investigation bleeding for disorder d. 3000 gms Ref: OP Ghai 8/e p148
c. No specific therapy 9. Gestational age of a new born baby can be assessed by
d. Administration of 10 ml/kg of fresh frozen plasma over 4 which one of the following scoring system:
hours a. Sarnat and Sarnat (J & K PG 2010)
Ref: Ghai 8/e p172 b. Downeys
2. Neonatal MCV: (PGI Nov 09) c. Silvermans
a. 90-110 d. New Ballards Ref: OP Ghai 8/e p125
b. 110-125
c. 125-135
Ref: Ghai 8/e p322; 7/e, p296, 298 B. PRIMITIVE REFLEXES
3. A full term baby, exclusively breast fed, at the end of 1 week 10. A 3 month baby will have: (PGI Nov 09)
was passing golden yellow stools and was found to have a. Pincer grasp
adequate hydration with normal systemic examination. The b. Head control
weight of the baby was just same as it was at birth. The c. Sitting with support
pediatrician should now advise: (AIIMS May 02) d. 2 words with meaning
a. Give oral solution with breast feeding e. Rolling over Ref: Ghai 8/e, p49
b. Start top feeding
11. Moro reflex disappears at: (AI 07; PGI June 98)
c. Investigate for lactic acidosis
a. 5 months
d. Reassure the mother that nothing is abnormal
b. 3 months
Ref: Ghai 6/e, p4
c. 7 months
4. Normal finding in term neonate: (PGI Dec 02, Dec 98) d. 6 months Ref: Nelson 18/e, p2439; Ghai 8/e p142
a. Erythema toxicum
12. Persistence of Moro’s reflex is abnormal beyond the age of:
b. Epstein’s pearl
a. 3rd month (AIIMS May 07)
c. Bilateral cryptorchidism
b. 4th month
d. Subconjunctival hemorrhages
c. 5th month
e. Erythema nodosum
d. 6th month
Ref: Ghai 8/e p138
Ref: Ghai 8/e p142; Nelson 18/e p2439
5. Most common cause of delayed puberty in males is: (AI 08)
13. All of the following reflexes are present at birth except:
a. Kallamann syndrome
a. Rooting reflex (AI 07; PGI June 98)
b. Klinefelter syndrome
b. Symmetrical tonic neck reflex
c. Constitutional
c. Asymmetrical neck reflex
d. Prader-willi syndrome
d. Crossed extensor reflex
Ref: Ghai 8/e p535; Oski’s 4/e, p2083
PEDIATRICS
Ref: Nelson 18/e p2439; Ghai 8/e p142
6. The pincer grasp with the index finger and the thumb is
14. Moro’s reflex is abnormal after: (DNB 2007)
attained by an infant by the age of: (MP PG 2009)
a. 4 weeks
a. 3 months
b. 10 weeks
b. 6 months
c. 12 weeks
c. 9 months
d. 20 weeks Ref: OP Ghai peds 8/e p210
d. 12 months Ref: Ghai 8/e p49-55; 7/e p28
15. Persistent moro’s reflex at 12 weeks indicates:
7. Upper segment to lower segment ratio at birth is:
a. Normal child (Feb DP PGMEE 2009)
a. 1.3 (J & K PG 2011)
b. Brain damage
b. 1.5
c. Hungry child
c. 1.7
d. Irritable Ref: Ghai 8/e p143
d. 1 Ref: OP Ghai 8/e p11
Ans. 1. c. No specific therapy 2. a. 90-110 3. d. Reassure the... 4. a, b and d
5. c. Constitutional 6. c. 9 months 7. c. 1.7 8. c. 2500 gms
9. d. New Ballards 10. b. Head control 11. d. 6 months 12. d. 6th month
13. b. Symmetrical tonic... 14. d. 20 weeks 15. a. Normal child
Section A
1. Neonatology.............................................................................................................3
2. Growth and Development ......................................................................................13
3. Nutrition in Health and Disease..............................................................................18
4. Fluid and Electrolytes.............................................................................................25
5. Disorders of Gastrointestinal System.....................................................................29
6. Immunization, Infectious Diseases and Worm Infestation ....................................36
7. Hematological Disorders........................................................................................45
8. Disorders of Cardiovascular System......................................................................51
9. Disorders of Respiratory System...........................................................................60
10. Disorders of Kidney and Urinary Tract...................................................................65
11. Disorders of Endocrine System..............................................................................73
12. Disorders of Neuromuscular System.....................................................................79
13. Metabolic Disorders...............................................................................................87
14. Genetic Disorders..................................................................................................90
15. Childhood Malignancies.........................................................................................96
16. Miscellaneous......................................................................................................101
Section B
Practice Questions.........................................................................................107
(Comprising of Questions from Recent Exams and NEET Pattern Questions)
,
, Section A
1. NEONATOLOGY
A. Normal New Born
B. Primitive Reflexes
C. Low Birth Weight
D. Respiratory Distress
E. Congenital Diaphragmatic Hernia
F. Bronchopulmonary Dysplasia
G. Resuscitation
H. Neonatal Jaundice and Kernicterus
I. Neonate of Diabetic Mother
J. Miscellaneous
, 4 Jaypee’s Triple A
NEONATOLOGY (QUESTIONS)
A. NORMAL NEW BORN 8. Kangaroo mother care is necessary till baby attains a weight
of: (J & K PG 2011)
1. The appropriate approach to a neonate presenting with a. 1500 gms
vaginal bleeding on day 4 of life is: (AI 05) b. 2000 gms
a. Administration of vitamin K c. 2500 gms
b. Investigation bleeding for disorder d. 3000 gms Ref: OP Ghai 8/e p148
c. No specific therapy 9. Gestational age of a new born baby can be assessed by
d. Administration of 10 ml/kg of fresh frozen plasma over 4 which one of the following scoring system:
hours a. Sarnat and Sarnat (J & K PG 2010)
Ref: Ghai 8/e p172 b. Downeys
2. Neonatal MCV: (PGI Nov 09) c. Silvermans
a. 90-110 d. New Ballards Ref: OP Ghai 8/e p125
b. 110-125
c. 125-135
Ref: Ghai 8/e p322; 7/e, p296, 298 B. PRIMITIVE REFLEXES
3. A full term baby, exclusively breast fed, at the end of 1 week 10. A 3 month baby will have: (PGI Nov 09)
was passing golden yellow stools and was found to have a. Pincer grasp
adequate hydration with normal systemic examination. The b. Head control
weight of the baby was just same as it was at birth. The c. Sitting with support
pediatrician should now advise: (AIIMS May 02) d. 2 words with meaning
a. Give oral solution with breast feeding e. Rolling over Ref: Ghai 8/e, p49
b. Start top feeding
11. Moro reflex disappears at: (AI 07; PGI June 98)
c. Investigate for lactic acidosis
a. 5 months
d. Reassure the mother that nothing is abnormal
b. 3 months
Ref: Ghai 6/e, p4
c. 7 months
4. Normal finding in term neonate: (PGI Dec 02, Dec 98) d. 6 months Ref: Nelson 18/e, p2439; Ghai 8/e p142
a. Erythema toxicum
12. Persistence of Moro’s reflex is abnormal beyond the age of:
b. Epstein’s pearl
a. 3rd month (AIIMS May 07)
c. Bilateral cryptorchidism
b. 4th month
d. Subconjunctival hemorrhages
c. 5th month
e. Erythema nodosum
d. 6th month
Ref: Ghai 8/e p138
Ref: Ghai 8/e p142; Nelson 18/e p2439
5. Most common cause of delayed puberty in males is: (AI 08)
13. All of the following reflexes are present at birth except:
a. Kallamann syndrome
a. Rooting reflex (AI 07; PGI June 98)
b. Klinefelter syndrome
b. Symmetrical tonic neck reflex
c. Constitutional
c. Asymmetrical neck reflex
d. Prader-willi syndrome
d. Crossed extensor reflex
Ref: Ghai 8/e p535; Oski’s 4/e, p2083
PEDIATRICS
Ref: Nelson 18/e p2439; Ghai 8/e p142
6. The pincer grasp with the index finger and the thumb is
14. Moro’s reflex is abnormal after: (DNB 2007)
attained by an infant by the age of: (MP PG 2009)
a. 4 weeks
a. 3 months
b. 10 weeks
b. 6 months
c. 12 weeks
c. 9 months
d. 20 weeks Ref: OP Ghai peds 8/e p210
d. 12 months Ref: Ghai 8/e p49-55; 7/e p28
15. Persistent moro’s reflex at 12 weeks indicates:
7. Upper segment to lower segment ratio at birth is:
a. Normal child (Feb DP PGMEE 2009)
a. 1.3 (J & K PG 2011)
b. Brain damage
b. 1.5
c. Hungry child
c. 1.7
d. Irritable Ref: Ghai 8/e p143
d. 1 Ref: OP Ghai 8/e p11
Ans. 1. c. No specific therapy 2. a. 90-110 3. d. Reassure the... 4. a, b and d
5. c. Constitutional 6. c. 9 months 7. c. 1.7 8. c. 2500 gms
9. d. New Ballards 10. b. Head control 11. d. 6 months 12. d. 6th month
13. b. Symmetrical tonic... 14. d. 20 weeks 15. a. Normal child
