(Model Test Paper) PG Medical Entrance Examination Model Paper For (Paediatrics)

Test Paper :  PG Medical Entrance Examination Model Paper For (Paediatrics)

Question 1: A 2 year old child with Down syndrome was investigated. Her father was found to have a balanced 21-21 translocation. What is the chance of the next offspring to have Down syndrome


    1. 0%
    2. 4%
    3. 50%
    4. 100%
    5.
Correct Answer: 3.


Question 2: A young boy, Ram Lal developed respiratory distress. On examination, the Chest Xray showed hyperinflation of one lung. Which of the following is the most possible diagnosis

    1. Congenital lobar emphysema
    2. Foreign body aspiration
    3. Bronchiectasis
    4. Atelectasis
    5.
Correct Answer: 2.


Question 3: Child care virus is

    1. Para influenza virus
    2. Herpes virus
    3. Chicken pox virus
    4. Adenovirus
    5.
Correct Answer: 4.


Question 4: A newborn was brought with persistent crying and was found to have rashes. On laboratory examination, it was found to have lactic acidosis. The diagnosis is likely to be

    1. Organic aciduria
    2. Urea cycle defect
    3. MELAS with lactic acidosis
    4. Aminoacidopathy
    5.
Correct Answer: 1.


Question 5: Which one of the following statements is false with regard to pyuria in children

    1. Presence of more than 5 WBC/hpf (high power field) for girls and more than 3 WBC/hpf for boys
    2. Infection can occur without pyuria
    3. Pyuria may be present without Urinary tract infection
    4. Isolated pyuria is neither confirmatory nor diagnostic for Urinary tract infection
    5.
Correct Answer: 2.


Question 6: Upper respiratory tract infection is a common problem in children. All the following anesthetic complications can occur in children with respiratory infections except

    1. Bacteremia
    2. Halothane granuloma
    3. Increased mucosal bleeding
    4. Laryngospasm
    5.
Correct Answer: 2.


Question 7: A 7 year old girl from Bihar presented with three episodes of massive hematemasis and melena. There is no history of jaundice. On examination, she had a large spleen, non-palpable liver and mild ascites. Portal vein was not visualized on ultrasonography. Liver function tests were normal and endoscopy reveled esophageal varices. The most likely diagnosis is

    1. Kala azar with portal hypertension
    2. Portal hypertension of unknown etiology
    3. Chronic liver disease with portal hypertension
    4. Portal hypertension due to extrahepatic obstruction
    5.
Correct Answer: 4.


Question 8: A child was brought 6 hours after a snake bite. On examination a localized edema of less than two inches edema was present at the site of the bite. There were no systemic signs and symptoms. The most correct management would be

    1. Incision and suction
    2. Inject antivenom locally
    3. Polyvalent antivenom should be started i.v
    4. Observe for progression of symptoms
    5.
Correct Answer: 3.


Question 9: A child with a small head, minor anomalies of the face including a thin upper lip, growth delay, and developmental disability can have all of the following, except:

    1. A chromosomal syndrome
    2. A Mendelian syndrome
    3. A polygenic syndrome
    4. A teratogenic syndrome
    5.
Correct Answer: 3.


Question 10: Common cause for epiglottitis in children is due to

    1. Hemophilus influenzae
    2. Pneumococci
    3. Staphylococci
    4. Streptococci
    5.
Correct Answer: 1.


Question 11: A 12 week old child should be further evaluated for developmental delay if found to have which of the following defects

    1. Failure to raise head to 90 degrees
    2. Fails to vocalize
    3. Unable to make babbling noises
    4. Does not transfer a red ring even when given in hand
    5.
Correct Answer: 1.


Question 12: Which one of the following is the most complication of measles infection in children

    1. Otitis media
    2. Bronchopneumonia
    3. Encephalitis
    4. Diarrhea
    5.
Correct Answer: 1.


Question 13: Hypoglycemia in newborn is defined as the blood sugar level below (in mg %)

    1. 30
    2. 40
    3. 50
    4. 55
    5.
Correct Answer: 2.


Question 14: While bathing a 6 month old child, his mother noted that there was a swelling in the abdomen towards the left side. On examination there was an abdominal mass, which showed calcification near the left kidney. What is the most probable diagnosis

    1. Lymphoma
    2. Leukemia
    3. Neuroblastoma
    4. Renal cell carcinoma
    5.
Correct Answer: 3.


Question 15: Transient myeloproliferative disorder of the new born is seen in association with

    1. Turner syndrome
    2. Down syndrome
    3. Neurofibromatosis
    4. Ataxia telangiectasia
    5.
Correct Answer: 2.


Question 16: Which one of the following is not a component of APGAR scoring in the newborn

    1. Heart rate
    2. Muscle tone
    3. Respiratory effort
    4. Body temperature
    5.
Correct Answer: 4.


Question 17: The cause for anoixic spells in children include all except

    1. Transposition of great vessels
    2. Tricuspid artresia
    3. Total anomalous of muscular venous return
    4. Coarctation of aorta
    5.
Correct Answer: 4.


Question 18: The 9 month old child of a diabetic mother presents with tachypnea and hepatomegaly. Echo cardiography of the heart showed normal cardiac morphology with asymmetric septal hypertrophy. Which of the following you will give to treat this child

    1. Digoxin
    2. Frusemide
    3. Propranolol
    4. Isoptin
    5.
Correct Answer: 3.


Question 19: Which of the following hepatitis viruses have significant perinatal transmission

    1. Hepatitis E virus
    2. Hepatitis C virus
    3. Hepatitis B virus
    4. Hepatitis A virus
    5.
Correct Answer: 3.


Question 20: A 6-year old boy is brought at emergency with purpuric and petechial rash all over the body. He appears semiconscious and febrile. Total leukocyte count is 20000 per mm3 with 88% polymorphs. platelet count is 1-2 lac/mm3. The most likely diagnosis is

    1. Idiopathic thrombocytopenic purpura
    2. Meningococcemia
    3. Staphylococcal toxic shock syndrome
    4. Dengue hemorrhagic fever
    5.
Correct Answer: 2.


Question 21: Osteomatacia is associated with

    1. Decrease in osteoid volume
    2. Derease in osteoid surface
    3. Increase in osteoid maturiaton time
    4. Increase in mineral apposition rate
    5.
Correct Answer: 3.


Question 22: A 2 year old boy presented with fever. On examination, he had a respiratory rate of 50 per minute with bilateral crepitations and no chest indrawing. Cyanosis was present. Which of the following is the most likely diagnosis

    1. Pneumonia
    2. No pneumonia
    3. Severe pneumonia
    4. Upper respiratory tract infection
    5.
Correct Answer: 1.


Question 23: Which positive test does not necessarily indicate HIV infection in a newborn?

    1. ELISA for HIV IgG antibody
    2. p24 antigen
    3. Virus culture
    4. ELISA for HIV IgA antibody
    5.
Correct Answer: 1.


Question 24: All the following are seen in congenital rubella syndrome except

    1. Mental retardation
    2. Aortic stenosis
    3. Dearness
    4. Patent ductus arteriosus
    5.
Correct Answer: 2.


Question 25: The most common genetic disorder causing liver disease in children is

    1. Hemochromatosis
    2. Alpha 1 antitrypsin deficiency
    3. Glycogen storage diseases
    4. Cystic fibrosis
    5.
Correct Answer: 2.


Question 26: A 2 year old child develops acute respiratory distress and was brought to the casualty. On examination, there were decreased breath sounds with wheeze on the right side. The Chest Xray showed diffuse opacity in the right hemithorax. Which of the following is the most likely diagnosis?

    1. Pneumothorax
    2. Foreign body aspiration
    3. Pleural effusion
    4. Unilateral emphysema
    5.
Correct Answer: 2.


Question 27: A 2-month baby presents with history of jaundice, turmeric colored urine and pale stools since birth. Examination reveals liver span of 10 cms. Firm in consistency and spleen of 3 cms. The most specific investigation for establishing the diagnosis would be

    1. Liver function tests
    2. Ultrasound abdomen
    3. Peroperative Cholangiogram
    4. Liver biopsy
    5.
Correct Answer: 4.


Question 28: An 8 year old patient presented with fever and cervical lymphadenopathy with prior history of sore throat. There was no hepatomegaly. The peripheral blood smear shows more than 20 lymphoplasmacytoid cells. The diagnosis is most likely to be

    1. Tuberculosis
    2. Infectious mononucleosis
    3. Acute leukemia
    4. Influenza
    5.
Correct Answer: 2.


Question 29: A 5 year old boy passed 18 loose stools in last 24 hour and vomited twice in last 4 hour. he is irritable but drinking fluids. The optimal therapy for this child is

    1. Intravenous fluids
    2. Oral rehydration therapy
    3. Intravenous fluid initially for 4 hours followed by oral fluids
    4. Plain water ad libitum
    5.
Correct Answer: 2.


Question 30: Child of Vasanthi, was weaned from breast milk on the fifth day and was given sugar cane juice. The child developed hypoglycemia and hepatomegaly. Biochemical examination showed hypophosphatemia and reducing substances in urine. The child is probably suffering from which of the following enzyme deficiencies

    1. Aldolase B
    2. Fructokinase
    3. Glucose 6 Phosphatase
    4. Beta Galactosidase
    5.
Correct Answer: 1.


Question 31: A 2 month old baby with accute icteric viral hepatitis like illness slips into encephalopathy after 48 hours. The mother is a known hepatitis B carrier. Mother's hepatitis B virus serological profile is most likely to be

    1. HBsAg positive only
    2. HbsAg and HBeAg positve
    3. HBsAg and HBe antibody positive
    4. HBV DNA positive
    5.
Correct Answer: 2.


Question 32: In a newborn with respiratory distress syndrome, all the following are true except

    1. Increased incidence in < 34 weeks
    2. More common in infants of diabetic mothers
    3. 100% oxygen is given in treatment
    4. Cyanosis is present
    5.
Correct Answer: 3.


Question 33: A ten-year old girl presents with swelling of one knee joint. All of the following conditions can be considered in the differential diagnosis, except:

    1. Tuberculosis
    2. Juvenile rheumatoid arthritis
    3. Haemophilia.
    4. Villonodular synovitis
    5.
Correct Answer: 3.


Question 34: Thirty-eight children consumed eatables procured from a single source at a picnic party. Twenty children developed abdominal cramps followed by vomiting and watery diarrhea 6-10 hours after the party. The most likely etiology for the outbreak is

    1. Rotavirus infection
    2. Entero-toxigenic E.Coli infection
    3. Staphylococcol toxin
    4. Clostridium perfringens infection
    5.
Correct Answer: 4.


Question 35: Which one of the folloing is the most common cause of abdominal mass in neonates

    1. Neuroblastomas
    2. Wilms’ tumour
    3. Distended bladder
    4. Multicystic dysplastic kidneys
    5.
Correct Answer: 4.


Question 36: An ultrasound in a 3 year old child shows a 3 cm circumscribed hypoechoic mass in the abdomen. The diagnosis is most likely to be

    1. Neuroblastoma
    2. Wilm’s tumor
    3. Oncocytoma
    4. Renal cell carcinoma
    5.
Correct Answer: 2.


Question 37: All are important causes of post neonatal mortality in India except

    1. Respiratory infections
    2. Diarrhea
    3. Malnutrition
    4. Tetanus
    5.
Correct Answer: 4.


Question 38: All of the following are chromosomal breakage syndrome except

    1. Fanconi’s anaemia
    2. Ehlers-Danlos syndrome
    3. Bloom syndrome
    4. Ataxia telengiectasia
    5.
Correct Answer: 2.


Question 39: You are part of a neonatal resuscitation team attending a delivery. A baby weighing 3 kg is born and has not cried immediately. What sequence of resuscitation steps will you carry out for this baby

    1. Dry the baby; position the tactile stimulation; suction of mouth and nose ; free flow oxygen if required
    2. Day the baby; free flow oxygen; suction of mouth and nose
    3. Position the baby; suction of mouth and nose ;free flow oxygen; tactile stimulation; dry the baby
    4. Dry the baby; position the baby; suction of mouth and nose; tactile stimulation; free flow oxygen if required
    5.
Correct Answer: 4.


Question 40: A 2 year old child weighing 6.7 kg and with a history of diarrhea and vomiting for 2 days is brought to the hospital. On examination, the skin when pinched up took almost seconds to return to normal. Which of the following is the most likely diagnosis

    1. No dehydration
    2. Some dehydration
    3. Severe dehydration
    4. Skin pinching is not reliable in making a diagnosis
    5.
Correct Answer: 1.


Question 41: A 1-moth old baby presents with frequent vomiting and failure to thrive. There are features of moderate dehydrtion. Blood sodium is 122mEa/l and potassium is 6.1 mEq/l. The most likely diagnosis is:

    1. Gitelman syndrome
    2. Bartter syndrome
    3. 21-hydroxylase deficiency
    4. 11-b hydroxylase deficiency
    5.
Correct Answer: 3.


Question 42: Which one of the following is not associated with jaundice in infancy

    1. Hereditary fructose intolerance
    2. Maple syrup urine disease
    3. Galactosemia
    4. Crigler Najjar syndrome
    5.
Correct Answer: 1.


Question 43: An ultrasound in a 3 year old child shows a 3 cm circumscribed hypoechoic mass in the abdomen. The diagnosis is most likely to be

    1. Neuroblastoma
    2. Wilm’s tumor
    3. Oncocytoma
    4. Renal cell carcinoma
    5.
Correct Answer: 2.


Question 44: A 6 month old infant develops high grade fever which subsided after 3 days following which there was appearance of a generalized rash which too subsided after 48 hours without any residual pigmentation. Which of the following is the most likely diagnosis

    1. Roseola infantum
    2. Measles
    3. Rubella
    4. Dengue fever
    5.
Correct Answer: 1.

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