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Paediatrics; Daily Free Online Mock Test 128 (PGI Pattern)

Author: RxPG, Posted on Monday, October 20 @ 00:00:00 IST by RxPG  

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Multiple Choice Test

1) A ventricular septal defect in children:

Choose 2 of the following options.
   1. Is the commonest congenital heart lesion
   2. If of Maladie de Roger type is the most severe form
   3. Closes spontaneously in up to 50% of cases
   4. Is associated with pulmonary oligaemia
   5. Is the second most common congenital heart lesion

2) The distance from the incisors to the mid-tracheal point in a five year old child is most likely to be:

One answer only.
   A. 10 cms.
   B. 12 cms.
   C. 15 cms.
   D. 17 cms.
   E. 19 cms.

3) A 3400g neonate is examined at 5 minutes of life with the following findings: temperature: 37.2C ; heart rate: 120 bpm; respiration rate: 25 bpm (regular); blood pressure: 80/60 mm Hg. His eyes are closed and his pupils are constricted. All four extremities are actively moving with good muscle tone. When you suction the nares there is no response. Skin colour is pink on both the body and the extremities.What is the correct 5 minute Apgar score for this neonate?

One answer only.
   A. 5.
   B. 7.
   C. 8.
   D. 9.
   E. 10.

4) In a 3 year old child with congenital heart disease, which of the following murmurs are best heard at the apex?

Choose 2 of the following options.
   1. Hypertrophic Obstructive Cardiomyopathy
   2. Tetralogy of Fallot
   3. Mitral Regurgitation
   4. Patent Ductus Arteriosus
   5. Eisenmenger Syndrome

5) Which of the following may predispose to the development of respiratory distress syndrome (RDS) in the neonate?

Choose 2 of the following options.
   1. Low gestational age.
   2. Low weight for gestational age.
   3. Maternal diabetes.
   4. Congenital heart disease in the foetus.
   5. Postmaturity

6) One minute after birth, a 2.2 kg term infant has a pink trunk but cyanotic fingers and toes and an irregular respiratory pattern. The child grimaces with nasal suctioning, is immobile, but has flexion of the elbows and knees and a heart rate of 85 bpm.Which of the following statements are true?

Choose 2 of the following options.
   1. The Apgar score is consistent with mild intrauterine asphyxia.
   2. Atropine 40 mcg via the umbilical vein is indicated.
   3. Bag-mask ventilation with pure oxygen should be initiated.
   4. Intubation is indicated.
   5. Intubation is not required

7) The parents of a 10 year old boy are worried that his school performance has decreased over the past 2 months. The boy complains of increasing headache and double vision and on examination you note that he has gait ataxia.Which of the following is the most appropriate immediate investigation?

One answer only.
   A. Computed tomography (CT) scan of the brain.
   B. Electroencephalogram.
   C. Auditory evoked potentials.
   D. Single Photon Emission Computed Tomography (SPECT) scan of the brain.
   E. Magnetic resonance imaging (MRI) scan of the brain.

8) Shortly after birth, a full-term infant weighing 3.1 kgs, is noted to be cyanosed during feeding. The cyanosis is relieved by crying. The infant was delivered normally following an uncomplicated pregnancy.Which of the following diagnoses is most likely?

One answer only.
   A. Tracheo-oesophageal fistula.
   B. Tetralogy of Fallot.
   C. Respiratory distress syndrome.
   D. Patent ductus arteriosus (PDA).
   E. Choanal atresia.

9) The retinopathy of prematurity (ROP):

Choose 4 of the following options.
   1. Is a cause of myopia in later life.
   2. Is more likely to occur in an infant exposed to supplemental oxygen.
   3. Is associated with the development of strabismus in later life.
   4. Is unlikely to occur in an infant born at a gestational age of more than 32 weeks.
   5. Is a cause of cataract in first 10 years of age

10) The typical biochemical profile of a neonate with severe, newly diagnosed, pyloric stenosis includes:

Choose 3 of the following options.
   1. Hypochloraemia.
   2. Alkalosis.
   3. Hypokalaemia.
   4. Unconjugated hyperbilirubinaemia.
   5. Hyperchloremia

11) The smallest size of double lumen tube (DLT) which is commercially available for paediatric use is:

One answer only.
   A. 24 F
   B. 26 F
   C. 28 F
   D. 30 F
   E. 32 F

You can discuss the answers and queries of RxPG mediMOCKS in our new mediMOCK Discussion Forum

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