1) The rate of absorption of sugars by GIT is highest for:

a) Disaccharide
b) Polysaccharide
c) Hexose
d) Pentose
2) A child comes with abdominal pain,arthralgia, hematuria and hypertension diagnosis is
a) HUS
b) Henoch Schonlein Purpura
c) Rheumatic fever
d) Dengue
3) Osmolarity of WHO ORS is
a) 330 mosm
b) 305 mosm
c) 275 mosm
d) 245 mosm
4) Treatment of breast fed child with fever,diarrhoea and no dehydration is
a) Stop breastfeeding
b) Breastfeed only
c) Breastfeed + Oral rehydration fluid
d) Antibiotics
5) Hepatosplenomegaly is seen in all except
a) Histiocytosis
b) Myelofibrosis
c) Celiac disease
d) Kala-azar
6) Caput medusa is obvious in all except
a) Budd-chiari syndrome
b) Extrahepatic portal vein thrombosis
c) Non cirrhotic periportal fibrosis
d) Alcoholic cirrhosis
7) Large giant cells are found in
a) Alcoholic hepatitis
b) Neonatal hepatitis
c) Serum hepatitis
d) Amoebic hepatitis
8) Kussmaul breathing is due to presence of
a) Bicarbonate
b) H+ions
c) Chloride ions
d) K+ ions
9) Dietel’s crisis is seen in
a) Renal cell carcinoma
b) Hydronephrosis
c) Pyonephrosis
d) TB Kidney

10) Regarding resuscitative efforts, the most important goal is:

a) Restoration of age-appropriate heart rate
b) Appropriate movement of the chest wall
c) Auscultation of equal breath sounds in both lung fields
d) Adequate oxygen delivery and utilization for the body tissues
11) A 9-mo-old boy is brought to the emergency room in a limp and unresponsive state. Initial examination
shows a pulse rate of 35/min and occasional irregular breaths. After initiation of CPR (including tracheal
 intubation), delivery of oxygen via positive-pressure breaths, and chest compressions, multiple attempts to
insert an IV line fail. The most appropriate next step in management should be to:
a) Obtain an arterial blood gas sample
b) Place an intraosseous needle and administer fluids and inotropic agents
c) Obtain a "stat" head CT study to evaluate reasons for unresponsiveness
d) Place a transthoracic cardiac pacemaker
12) Supraventricular tachycardia is characterized by all of the following except:
a) Rate >220 beats/minute in infants
b) Response to vagal stimuli
c) Response to adenosine
d) Gradual onset and gradual termination
13) Scoring system used in term infants with respiratory distress include
a) silverman anderson score.
b) apgar score.
c) downe score.
d) oxygenation index score.
14) A disease affecting all of the daughters but none of the sons of an affected father, and 50% of the sons or
daughters of an affected mother, is most likely:
a) X-linked recessive
b) X-linked dominant
c) Mitochondrial deletion syndrome
d) Autosomal dominant
15) Trinucleotide repeats are implicated in the etiology of all of the following except:
a) Fragile X syndrome
b) Neurofibromatosis
c) Friedreich ataxia
d) Spinocerebellar ataxia type I
16) All of the following are prominent features of Wiskott-Aldrich syndrome except:
a) Atopic dermatitis
b) Thrombocytopenia
c) Recurrent infections with encapsulated bacteria
d) Autosomal dominant inheritance
17) Congenital CMV infection is most commonly associated with
a) skeletal dysplasia
b) hearing loss
c) patent ductus arteriosus
d) sacral agenesis.
18) APGAR score includes all except
a) heart rate,
b) respiratory effort,
c) muscle tone,
d) Temperature

19) Enzyme deficient in patients of alkaptonuria is ?

a) homogentisate oxidase
b) Superoxide dismutase
c) Carbonic anhydrase
d) Argininosuccinate synthase

20) Atavism is when child resembles

a) Parents
b) Siblings
c) Grandparents
d) Cousins