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1. 1 yr child with painful swelling of right side of mandible, tender, fever, high esr anemic
1. Ostiomylitis
2. Infantile cortical hyperostosis
3. Septic arthritis
2. Failure to thrive diarrhea, hepatosplenomegaly, adrenal calcifications, diagnosis
1. wolman disease
2.
3. Newborn with Edema of dorsum of hand.. what is diagnosis
1. turner
2. CAH
4: Scenario of meningitis given only dextrose water now fits with hyponatremia
1. Diazepam
2. phenytoin
3. 3% hypertonic saline
6: One scenario of obese child with leg pain difficult abduction and rotation
1. scfe
12: Sturge Webber right port wine now which sign is important to check
1. Check corneal clouding in right eye 2………….??
13: Measles vaccine at 9 month how much protection
1. 90%
2. Ascaris
3:
15: Child in day care now from 2 weeks cough and resp difficulty ....no fever and other finding
1.foriegn body
2. Aspiration pneumonia
22: one was girl with acute onset torticollis and protruding tongue. Had vomiting 4 hrs back for
which mum gave some medication
1. acute dystonia
2. tardive dyskinesia
23: Newborn with omphalocele and a large tongue. Immediate step in management
1 bardet beidel
1. Td and TIG
2. Td alone
26: One scenario of downs synd with 1st day vomiting with distended stomach
1. Duodenl atresia
30: infant with vomiting and ambiguous genitalia. Best step for diagnosis
1. 17 Oh progesterone
2. usg for gonads
31: 5 yrs old girl with short stature ..shortest in class. Parents have normal height. Next step.
1. karyotyping
2. Growth velocity
33: Scenario of measles given at 9 month now 15 month child with measles outbreak
1. Give vaccine now and at 5-11 year age
2. Epilepsy
2. Thrombosis
3. night mares
42: Scenario of nephritic syndrome, with Spont bact peritonitis, most common organism
1. Strep pneumonia
2. Ecoli
3. Stap aureus
46: 34 weeks gestational age delivered .had mature lecithin / sphingomyelin ..mother had GBS
uti.amoxill given to mother.baby develop respiratory distress in one day, has ground glass
appearance and airbronchogram on CXR.tracheal aspirate has numerous lymphocytes.
1. GB pneumonia
2. surfactant deficiency(RDS)
1. Chickenpox
2. Hand foot mouth disease
48: neonate with rezp distress depreessed abdomen heart sounds on.right side
1. Cong diaphragmatic hernia
2.
49: hematemesis splenomegaly . no hepatomegaly or aacites
1. budd chiari
2. venoocclusive
3. Non cirrohtic portal htn
1. Parvo virus
51: child had infections, recurrent otitis media , seborrhea and purpuric spots
1. wiscott Aldrich
52: 5 yr kid.was at third centile till age 3 now at 5th or 10th centile,which type of short stature
1. Constitutional
2. Familial
53: unimmunized child with otitis media and then meningitis. Blood cs and csf cs showed same
organism
1. strept pneumonia
2. staph aureus
3. moraxella
54: a boy with obesity hypogonadism and pic of polydactaly was shown..
1. bardet biedl syndrome
56: 14 months old child with hx of repaeted pneumonia otitis media, from 8 months of age,
thymus present, all ig decrease wbc 2500. 34%polys
1. Scid
2. Cid
3. X linked agamglulonemia
4. transient hypogammaglobulemia of infancy
1. Tachycardia
2. Hypotension
3. Bradycardia
4. Hypertension
1. tuberous sclerosis
2. moya Moya
60: delayed cognition inattention speech and hearing delay locomotor normal wax in ear 40db in
right and 60 db in left ear..Easily distractible and hx of cold what s it
1. Autism
2. adhd
3. Global delay
4. Cerebral palsy
1. ecg,
2. abgs,
3. xray..
4. hypocalcemia
5. thrombocytopenia
64: both.lower limb flaccid weakness right facial.weakness difficulty swallowing..wt test to.be
done
1. Emg
2. Csf
3. Ncs
64: Child with low plt , liver and spleen with corneal clouding
1. rubella
1. familail dysautonomia
2. porphyria
65: Child with hepatomegaly and ataxia, regression of milestones. Age 5 year old
1. wilson
2. leukodystrophy
1. abg
2. ultrasound
67: a child with lower limb weakness power dec,constipation,bladder palpable,..test to do..
1. stool,csf,nvc,emg,mri spine
1. Phenytoin
2. methy dopa
70: a boy with 6 month h/o lower limb weakness plus dec power..bladder palpable
hyperpigmenetatuon on.lower back
1. Tethered cord
2. gbs,
3. trans myelitis,
4. spinal tumor
75: Recurent otitis media, nasal discharge, heart sounds on right side,sweat chloride test
negative, diagnostic test
76: Neonatal with systolic murmur bounding pulses crepts and hepatomegaly treatment. Ist step
1. restrict IV fluid
2. indomethacin
3. Iv diuretics.
77: girl with kawasaki disease treatment
1. ivig
78: Quadriceps weakness rash over face and hands plus enlarged cervical lymph node
1. dermatomyositis
2. polymyositis
3. sle
4. mixed connective tissue disorder.
1. Factor 13deficency
80: Fluid choice for hypernatremia associated with inappropriate ors use
81: 8 yr old with recurrent periumbilical pain patient well built investigation normal
82: Child develop nephrotic picture, also on another drug for chronic disease. What is the reason
1. pencillamine
2. prednisolone
1. Aldosterone level
1. Chediak hegashi
85: Neonate admited with sign and symptoms of sepsis. Antibiotics started, deteriorated..
ammonia 1200
Dx?
1. 7 months
87: thick membrane in throat and tonsils dificult to remove. Most important step
1. Erythromycin
2. Antitoxin
3. Bed rest
89: Down 5 yr age can do.. ride tricycle, draw circle, tower of 6 cube.What is developmental age
1. 3 yrs
1. Alpha 1 antitrysin
2. RDS
3. MAS
1. Observe dog
92: Boy having body bulding exercise, used multiple vitamins and stersoids having
hypercalcemia and hyperostosis of bones, and vision problem,Drug responsible?
1. Vit D
2. Vit A
3. Anabolic steroids
1. HLH syndrome
94: 2 yrs old with play mates. Have cough from last two weeks. No fever.investigation
1. Cxr??
1. Liver cirrhosis
2. Liver cyst,
3. pancreatitis
96: imperforate anus, appropriate investigation
1. Invertogram
2. Prone
3. crosstable lateral plain x ray
97: Baby born hemophilia B in father mother concerned regarding hemophilia in baby mother
brothers are normal investigation to do to confirm hemophilia B in baby
1. factor 9 level in mother
2. Genetic test in baby
…..
98: Hirschprung disease, investigation
1. Rectal biopsy
102: 19 wks pregnant lady exposed to varicella.. advise you give to lady
1. Nothing to wory
2. Give vari IG
3. Check antibody titer in nearest lab if present then nothing to wory
4. Give vaccine
1. HDN
105: Female with some rash on body and joint problem along with fits headache.CT brain given
(enhancement and infarcts).
1. Sle
2. hsp
3. autoimmune vasculitis.(correct ans)
1. Alagile syndrome
1. Usg
2. Hida scan
1. rib
2. femur
3. tibia
109: 5 month old child with liver failure, aminoaciduria developmental delay.
1. tyrosinemia
1. patent allantois??
1. palpate gonads
112: Child with perioral tingling.and abdominal pain best test to do next
113: unwell for 2 years, Short stature with hypo pigmented lesions with early morning fits
today cause?
1. hypopituitarism
2. crf
114: For esophageal varices, patient was in shock ,so what should be first options
1. monospot
1. brain edema
2. hbe ag
3. Alt
118: ALL on chemotherapy induction phase. Developed on sided weakness ptosis, tingling and
absent reflexes,
1. cns disease
2. Vincristine effect
119: infant with recurrent infection severe thrush diaper rash, lymphadonapthy
hepatospenomagaly..
1. Aids
2. Cvid
1. Biopsy
1. erythromycin
124: 12yr child with grade 4 murmur n Normal second heart sound.no
cyanosis/clubbing.indication for operation?
125: 1 boy after exercise developed inc lactate, blood in urine, cpk raised, similar episode in
past??
126: Intubated new born Abgs. Ph. 7.15? Bicorb 9. Pco2. 22. BE 3
What is interpretation
1. fecal elastase
2. albumin
3. intestinal biopsy
1. manage airway,
2. give saline bolus
1. Speech delay
2. Autism
3. ………
132: infant with heart rate 300, resolved itself what next
1. observe
2. start propranolol
133. Fainting episodes in school next step
1. Emg
2. Bsr
3. Ecg
4. Tilt test
5. EEG
1. peeling of hand
2. Mucosal erythema
137: nephrotic syndrome .on oral steroids.developed fits and i think blue extremity
1. Thromboembolism
2. meningitis
1. penicillin
2. vaccination
1. hcvRna
2. anti hcv antibodies
1. Tachycardia
2. Hypotension
3. Increase capillary refill time
1. Vital capacity
2. Abgs
1. CSF
2. NCS
1. Ambo baging
1. Morque
2. Hurler
158: ALL pat developed high grade fever, TLC 7000, next investigation:
1. Blood culture
2. ANC
1. Barium enema
2. Anorectal manometry
160: 10 yr old having history of recurrent hematuria, with flue, no history of hearing defect,
Diagnosis?
1. IgA nephropathy
1. Alport
2. Iga nephropathy
162: Pat develop fit, having dark color urine in previous wk, next step
1. b.p??
1. biliary atresia
1. pencillaminie
1. cystic fibrosis
2. a1-antitrypsin deficiency
166: pt with one side of neck swelling, erythema, tenderness, next step?
1. antibiotics
2. excisional biopsy
1. intrauterine death
2. maternal anemia
3. previous neonatal sudden death
1. alveolar protenosis
1. DDH
170: Decreased Na, cl, and K. metabolic alkalosis, hypcalcemia
1. Barter
171: 4 yrs girl with febrile uti, antibiotics given, now investigation?
1. Renal usg,
2. MCUG
172: 2 yrs old child, mile stone achieved normaly, now started to crawl, pain in legs, reflexes
brisk clonus positive dx.
1. tethered cord??
173: 8 year old girl breasts stage 1 with vaginal bleed, investigation
1. Pelvic usg
2. LH/FSH
3. Estradiol level
174: Cyanotic baby thrill palpable in 3 and 4th intercostals space, single 2nd heart sound, ecg
shows?
..
..
175: Pat from Waziristan with hepatosplenomegaly, anemia, malaria negative, treatment?
1. Na stibugluconate
1. GER,
2. Achalasia
1. Milk
2. Admit and observe
1. Usg abdomen
179: Polyuria polydepsia, raised ca, raised BMI,
1. Pancreatitis
2. Obesity
1. 3% saline
1. Isovaleric acidemia
2. Tyrosenemia
1. Hypercholestrelemia
2. Familial hypertriglyceridemia
1. Orthostatic protenuria??
186: Pat with polyuria, polydepsia, asks for water at night. Water deprivation test shows, serum
osm: 290mosm, rine osm,850mosm
1. Psychogenic polydepsia
2. Diabetes insipidus
187: Lady 7 days ATT taken, still AFB+ve delivered a baby, advise
1. Sarcoidosis,
2. Pulmonary hemosidrosis,
3. Asthma
189: Macroglosia+omphalocele, dx
….??
1. Pericardial effusion?
1. Feritin
2. Hb electrophoresis
194: Pat with thumb and fingers anomalies, decreased neutrophils and platelets, invtigation
1. mycoplasma
1. SLE
2. JDM
3. JIA