TEST BANK For MCQs in Pediatrics Review of Nelson
Textbook of Pediatrics 20th Edition
A 2-year old child whose weight is 6.7kg was brought to the hospital with a history of
diarrhea and vomitting for 2 days. On examination the skin when pinched up took
almost 3 seconds to return to normal.
Most likely diagnosis is
a. No dehydration
b. Some dehydration
c. Severe dehydration
d. Only skin pinching is not reliable in making a diagnosis - ANSWER:Answer: (d) Only
skin pinching is not reliable in making diagnosis.
In which of the following conditions transient rash is seen
a. Chickenpox
b. Exanthem subitum
c. Scarlet fever
d. Eczema herpeticum - ANSWER:Answer: (a) Exanthem subitum
A half-year-old infant develops high grade fever which subsided after 3 days
following which there was apperance of a generalized rash which also subsided after
48 hours without any residual pigmentation. Most probable diagnosis is
a. Rubella
b. Measles
c. Roseola infantum
d. Fifth disease - ANSWER:Answer: (c) Roseola infantum
Which of the following is the DOC in status epilepticus in children?
a. Carbamazepine
b. Diazepam
c. Phenobarbitone
d. Phenytoin - ANSWER:Answer: (b) Diazepam
In india which of the following is not an important cause of post-neonatal mortality
a. Tetanus
b. Diarrhea
c. Malnutrition
d. Respiratory infection - ANSWER:Answer: (a) Tetanus
Renal biopsy was done of a child less than 6 years of age having nephrotic syndrome,
which is responsive to steroids. Under light microscopy what will be seen
a. Nothing
b. Loss of foot process
c. Tubule atrophy
d. Crescents - ANSWER:Answer: (a) Nothing
,All of the following causes of neonatal convulsion have bad prognosis except
a. Brain tumor
b. Intraventricular hemorrhage
c. Late hypocalcemia
d. Meningitis - ANSWER:Answer: (c) Late hypocalcemia
Best prognosis in neonatal seizures is due to which of the following causes
a. Hypomagnesemia
b. Hyponatremia
c. Hypocalcemia
d. Hypoglycemia - ANSWER:Answer: (c) Hypocalcemia
Acute febrile convulsion in children is treated with
a. Ethosuximide
b. Diazepam
c. Phenobarbitone
d. Phenytoin - ANSWER:Answer: (b) Diazepam
Which of the following is true regarding febrile convulsions?
a. It is a benign condition
b. If first episode is not treated then recurrence occurs
c. Phenobarbitone is given for 2 years
d. Focal neurological deficit - ANSWER:Answer: (a) It is a benign condition.
Which of the following is not a clinical feature of simple febrile seizure?
a. Convulsions are always generalized.
b. In treatment aspirin should be avoided.
c. Seizures does not last> 15 min .
d. Convulsions are related with degree of elevation of temperature. -
ANSWER:Answer: (d) Convulsions are related with degree of elevation of
temperature.
All are false regarding simple febrile convulsions except:
a. No spontaneous remission
b. Follow high fever
c. Recurrent in nature
d. Occurs at 6 years onwards - ANSWER:Answer: (b) Follow high fever
A 3-yr-old child presented with fever and a history of recurrent seizures in the past .
Which of the following steps should be taken to prevent recurrence of seizueres?
a. Paracetamol 6-hourly
b. Phenobarbitone
c. Paracetamol 6 hourly and diazepam 12 hourly
d. Continue diazepam infusion - ANSWER:Answer: (c) Paracetamol 6 hourly and
diazepan 12 hourly
,Child doubles the height at the age of __ years
a. 5 1/2
b. 4 1/2
c. 3 1/2
d. 2 - ANSWER:Answer: (b) 4 1/2
Which of the following causes furuncle?
a. Pseudomonas
b. E. coli
c. Streptococcus
d. Staphylococcus - ANSWER:Answer: (d)
Carbamazepine is the drug of choice in which of the following conditions
a. Absence attacks
b. Partial complex seizure
c. Infantile spasm
d. Post-anoxic myoclonus - ANSWER:Answer: (b) Partial complex seizures
Drug of choice in temporal lobe epilepsy is
a. Ethosuximide
b. Phenytoin
c. Carbamazepine
d. Phenobarbitone - ANSWER:Answer: (c) Carbamazepine
In peti mal (absence) epilepsy, the drug of choice is
a. Phenobarbitone
b. Phenytoin
c. Valproic acid
d. Ethosuximide - ANSWER:Answer: (d) Ethosuximide
Drug not used in absence seizure is :
a. Ethosuximide
b. Valproate
c. Phenytoin
d. Clonazepam - ANSWER:Answer: (c) Phenytoin
Coarctation of aorta is common in
a. Noonan's syndrome
b. Down syndrome
c. Klinefelter syndrome
d. Turner's syndrome - ANSWER:Answer: (a) Turner's syndrome
Tonic neck reflex disppears at
a. 36 weeks
b. 32 weeks
c. 24 weeks
d. 18 weeks - ANSWER:Answer: (c) 24 weeks
, Moro's reflex disappears by __ month
a. 7
b. 3
c. 5
d. 8 - ANSWER:Answer: (b) 3 months
Danger in epiglottitis is
a. Defect in drinking
b. Defect in speech
c. Respiratory obstruction
d. Aspiration - ANSWER:Answer: (c) Respiratory obstruction
Which of the following is true regarding Dawn phenomenon?
a. Early morning hyperglycemia
b. Early morning hypoglycemia
c. Hypoglycemia is followed by hyperglycemia
d. Insulin dose is decreased in treatment - ANSWER:Answer: (a) Early morning
hyperglycemia
In which of the following conditions, iceberg phenomenon is seen?
a. Filaria
b. Malaria
c. PEM
d. None of the above - ANSWER:Answer: (c) PEM
Osteomalacia is due to deficiency of
a. Vitamin A
b. Vitamin D
c. Vitamin B
d. Vitamin C - ANSWER:Answer: (b) vitamin D
Which of the following is the primary aim of neonatal resuscitation?
a. To induce spontaneous cry
b. To retain color
c. To maintain breathing
d. To restore heart rate - ANSWER:Answer: (c) To maintain breathing
Non a feature of Friedrich's ataxia
a. Posterior column involvement
b. Cortisospinal tract involvement
c. Spinocerbellar tracts involvement
d. None of the above - ANSWER:Answer: (d) None of the above
Which of the following is true regarding AML
a. Prognosis is good
b. Peak incidence in childhood
Textbook of Pediatrics 20th Edition
A 2-year old child whose weight is 6.7kg was brought to the hospital with a history of
diarrhea and vomitting for 2 days. On examination the skin when pinched up took
almost 3 seconds to return to normal.
Most likely diagnosis is
a. No dehydration
b. Some dehydration
c. Severe dehydration
d. Only skin pinching is not reliable in making a diagnosis - ANSWER:Answer: (d) Only
skin pinching is not reliable in making diagnosis.
In which of the following conditions transient rash is seen
a. Chickenpox
b. Exanthem subitum
c. Scarlet fever
d. Eczema herpeticum - ANSWER:Answer: (a) Exanthem subitum
A half-year-old infant develops high grade fever which subsided after 3 days
following which there was apperance of a generalized rash which also subsided after
48 hours without any residual pigmentation. Most probable diagnosis is
a. Rubella
b. Measles
c. Roseola infantum
d. Fifth disease - ANSWER:Answer: (c) Roseola infantum
Which of the following is the DOC in status epilepticus in children?
a. Carbamazepine
b. Diazepam
c. Phenobarbitone
d. Phenytoin - ANSWER:Answer: (b) Diazepam
In india which of the following is not an important cause of post-neonatal mortality
a. Tetanus
b. Diarrhea
c. Malnutrition
d. Respiratory infection - ANSWER:Answer: (a) Tetanus
Renal biopsy was done of a child less than 6 years of age having nephrotic syndrome,
which is responsive to steroids. Under light microscopy what will be seen
a. Nothing
b. Loss of foot process
c. Tubule atrophy
d. Crescents - ANSWER:Answer: (a) Nothing
,All of the following causes of neonatal convulsion have bad prognosis except
a. Brain tumor
b. Intraventricular hemorrhage
c. Late hypocalcemia
d. Meningitis - ANSWER:Answer: (c) Late hypocalcemia
Best prognosis in neonatal seizures is due to which of the following causes
a. Hypomagnesemia
b. Hyponatremia
c. Hypocalcemia
d. Hypoglycemia - ANSWER:Answer: (c) Hypocalcemia
Acute febrile convulsion in children is treated with
a. Ethosuximide
b. Diazepam
c. Phenobarbitone
d. Phenytoin - ANSWER:Answer: (b) Diazepam
Which of the following is true regarding febrile convulsions?
a. It is a benign condition
b. If first episode is not treated then recurrence occurs
c. Phenobarbitone is given for 2 years
d. Focal neurological deficit - ANSWER:Answer: (a) It is a benign condition.
Which of the following is not a clinical feature of simple febrile seizure?
a. Convulsions are always generalized.
b. In treatment aspirin should be avoided.
c. Seizures does not last> 15 min .
d. Convulsions are related with degree of elevation of temperature. -
ANSWER:Answer: (d) Convulsions are related with degree of elevation of
temperature.
All are false regarding simple febrile convulsions except:
a. No spontaneous remission
b. Follow high fever
c. Recurrent in nature
d. Occurs at 6 years onwards - ANSWER:Answer: (b) Follow high fever
A 3-yr-old child presented with fever and a history of recurrent seizures in the past .
Which of the following steps should be taken to prevent recurrence of seizueres?
a. Paracetamol 6-hourly
b. Phenobarbitone
c. Paracetamol 6 hourly and diazepam 12 hourly
d. Continue diazepam infusion - ANSWER:Answer: (c) Paracetamol 6 hourly and
diazepan 12 hourly
,Child doubles the height at the age of __ years
a. 5 1/2
b. 4 1/2
c. 3 1/2
d. 2 - ANSWER:Answer: (b) 4 1/2
Which of the following causes furuncle?
a. Pseudomonas
b. E. coli
c. Streptococcus
d. Staphylococcus - ANSWER:Answer: (d)
Carbamazepine is the drug of choice in which of the following conditions
a. Absence attacks
b. Partial complex seizure
c. Infantile spasm
d. Post-anoxic myoclonus - ANSWER:Answer: (b) Partial complex seizures
Drug of choice in temporal lobe epilepsy is
a. Ethosuximide
b. Phenytoin
c. Carbamazepine
d. Phenobarbitone - ANSWER:Answer: (c) Carbamazepine
In peti mal (absence) epilepsy, the drug of choice is
a. Phenobarbitone
b. Phenytoin
c. Valproic acid
d. Ethosuximide - ANSWER:Answer: (d) Ethosuximide
Drug not used in absence seizure is :
a. Ethosuximide
b. Valproate
c. Phenytoin
d. Clonazepam - ANSWER:Answer: (c) Phenytoin
Coarctation of aorta is common in
a. Noonan's syndrome
b. Down syndrome
c. Klinefelter syndrome
d. Turner's syndrome - ANSWER:Answer: (a) Turner's syndrome
Tonic neck reflex disppears at
a. 36 weeks
b. 32 weeks
c. 24 weeks
d. 18 weeks - ANSWER:Answer: (c) 24 weeks
, Moro's reflex disappears by __ month
a. 7
b. 3
c. 5
d. 8 - ANSWER:Answer: (b) 3 months
Danger in epiglottitis is
a. Defect in drinking
b. Defect in speech
c. Respiratory obstruction
d. Aspiration - ANSWER:Answer: (c) Respiratory obstruction
Which of the following is true regarding Dawn phenomenon?
a. Early morning hyperglycemia
b. Early morning hypoglycemia
c. Hypoglycemia is followed by hyperglycemia
d. Insulin dose is decreased in treatment - ANSWER:Answer: (a) Early morning
hyperglycemia
In which of the following conditions, iceberg phenomenon is seen?
a. Filaria
b. Malaria
c. PEM
d. None of the above - ANSWER:Answer: (c) PEM
Osteomalacia is due to deficiency of
a. Vitamin A
b. Vitamin D
c. Vitamin B
d. Vitamin C - ANSWER:Answer: (b) vitamin D
Which of the following is the primary aim of neonatal resuscitation?
a. To induce spontaneous cry
b. To retain color
c. To maintain breathing
d. To restore heart rate - ANSWER:Answer: (c) To maintain breathing
Non a feature of Friedrich's ataxia
a. Posterior column involvement
b. Cortisospinal tract involvement
c. Spinocerbellar tracts involvement
d. None of the above - ANSWER:Answer: (d) None of the above
Which of the following is true regarding AML
a. Prognosis is good
b. Peak incidence in childhood
