ASSISTANT PROFESSOR IN PAEDIATRICS – MEDICAL EDUCATION CAT NO 123-2018

PROVISIONAL ANSWER KEY
Question Paper Code: 7/2019/OL
Category Code: 123/2018
Exam: Assistant Professor in Paediatrics
Medium of Question: English
Date of Test 27-03-2019
Department Medical Education
Alphacode A
Question1:-Who among the following person was appointed as the constitutional adviser to the Indian Constituent Assembly?
A:-C. Rajagopalachari
B:-G.V. Mavalankar
C:-Benegal Narsing Rao
D:-Balwantrai Mehta
Correct Answer:- Option-C
Question2:-The Indian constitution borrowed the idea of ‘single citizenship’ from
A:-Canada
B:-Britain
C:-France
D:-Germany
Correct Answer:- Option-B
Question3:-Which Article of the Indian constitution is related with the ‘Abolition of untouchability’?
A:-Article 17
B:-Article 20
C:-Article 12
D:-Article 15
Correct Answer:- Option-A
Question4:-What is the time limit to get the information under R.T.I. Act of 2005?
A:-7 days
B:-14 days
C:-45 days
D:-30 days
Correct Answer:- Option-D
Question5:-When was the National Food Security Act passed?
A:-2013
B:-2007
C:-2009
D:-2012
Correct Answer:- Option-A
Question6:-Who among the following started the system “A school along with every church” to make education available to
all sects of people?
A:-Herman Gundert
B:-Edward Brennen
C:-Rev. Meed
D:-Rev. Fr Kuriakose-Elias Chavara
Correct Answer:- Option-D
Question7:-The first General Secretary of S.N.D.P is
A:-Sree Narayana Guru
B:-Kumaranasan
C:-N. Krishnan
D:-C.V. Kunhiraman
Correct Answer:- Option-B
Question8:-Who among the following person became the martyr in the Paliyam Sathyagraha of 1947-’48?
A:-Velukkutty Arayan
B:-A.G. Velayudhan
C:-C. Kesavan
D:-C.V. Kunhiraman
Correct Answer:- Option-B
Question9:-Who was the leader of the Kayal Sammelanam of 1913, a meeting against the restriction for lower caste people
in assembling any common place?
A:-Pandit K.P. Karuppan
B:-Sahodaran Ayyappan
C:-Ayyankali
D:-Dr. Palpu
Correct Answer:- Option-A
Question10:-The channar agitation took place during the time of which Travancore king
A:-Avittom Thirunal Balaramavarama I
B:-Chithira Thirunal Balaramavarma II
C:-Sreemoolam Thirunal Ramavarma
D:-Uthram Thirunal Marthandavarma
Correct Answer:- Option-D
Question11:-The founder of the Ezhava Mahasabha is
A:-C. Kesavan
B:-Nataraja Guru
C:-Dr. Palpu
D:-Bodhananda Swamikal
Correct Answer:- Option-C
Question12:-Who was the volunteer captain of the Guruvayoor Satyagraha?
A:-K. Kelappan
B:-P. Krishnapillai
C:-A.K. Gopalan
D:-Mannath Padmanabhan
Correct Answer:- Option-C
Question13:-Who is known as the Father of Malayalam journalism?
A:-Swadeshabhimani Ramakrishna Pillai
B:-Chengulathu Kunhirama Menon
C:-Kandathil Varghese Mappilai
D:-Vengayil Kunhiraman Nayanar
Correct Answer:- Option-B
Question14:-Kerala Sangeetha Nataka Academy is located at
A:-Kannur
B:-Thiruvananthapuram
C:-Ernakulam
D:-Thrissur
Correct Answer:- Option-D
Question15:-Who among the following person is known as the ‘Jhansi Rani of Travancore’?
A:-Accamma Cherian
B:-Parvathi Nenmenimangalam
C:-A.V. Kuttimalu Amma
D:-Arya Pallam
Correct Answer:- Option-A
Question16:-When is the National Science Day?
A:-February 28
B:-January 11
C:-December 11
D:-September 13
Correct Answer:- Option-A
Question17:-Who wrote the poem ‘Ente Gurunathan’ in praising Mahatma Gandhi?
A:-Ulloor S. Parameswara Iyer
B:-Vallathol Narayana Menon
C:-G. Sankara Kurup
D:-Changampuzha Krishnapillai
Correct Answer:- Option-B
Question18:-Who was the founder and publisher of the newspaper ‘Swadeshabhimani’?
A:-Kuttippuzha Krishnapillai
B:-Swadeshabhimani Ramakrishnapillai
C:-Vakkom Abdul Khader Moulavi
D:-Kesari Balakrishnapillai
Correct Answer:- Option-C
Question19:-Which of the following country will host the FIFA 2022 World Cup Football?
A:-Sharjah
B:-China
C:-Qatar
D:-Russia
Correct Answer:- Option-C
Question20:-‘Madad’ is the name given to the recent Flood Relief Operation by the
A:-Navy
B:-Airforce
C:-Fishermen
D:-Army
Correct Answer:- Option-D
Question21:-Commonest aetiology for chronic kidney disease in children
A:-Congenital anomaly of kidney and urinary tract
B:-Haemolytic uremic syndrome
C:-Focal segmental glomerular sclerosis
D:-IgA Nephropathy
Correct Answer:- Option-A
Question22:-In minimal change disease in children after the first remission what is the percentage of relapse
A:-10-20%
B:-30-40%
C:-50-60%
D:-70-75%
Correct Answer:- Option-D
Question23:-Megalocornea is defined as a non progressive symmetric condition characterized by an enlarged cornea more
than
A:-10 mm
B:-12 mm
C:-14 mm
D:-8 mm
Correct Answer:- Option-B
Question24:-Clearing of the external auditory canal is done by all except one
A:-Self-cleaning by the squamous migration of the ear canal skin
B:-Parental clearing of the cerumen with cotton swab
C:-By the surgical head of the otoscope
D:-Gentle suction with a suction tube
Correct Answer:- Option-B
Question25:-The duration of treatment of acute otitis media in children is
A:-7 days
B:-5 days
C:-10 days
D:-14 days
Correct Answer:- Option-C
Question26:-In FSGS pathological changes are most prominent in glomeruli located at
A:-outer cortex
B:-middle cortex
C:-corticomedullary junction
D:-inner cortex
Correct Answer:- Option-C
Question27:-Tonsil is derived from
A:-2nd cleft
B:-3rd cleft
C:-2nd pouch
D:-1st pouch
Correct Answer:- Option-C
Question28:-Cetyl trimethyl ammonium Bromide test is done for
A:-Phenylketonuria
B:-Mucopolysaccharidosis
C:-Maple syrup urine disease
D:-Lactic acidosis
Correct Answer:- Option-B
Question29:-Which one of the following features is a factor in the pathogenesis of (paroxysmal nocturnal hemoglobinuria)
PNH?
A:-an acquired mutation in the ANK1 gene
B:-defective haemoglobin
C:-reduced expression of CD55 and CD59 on the surface of hematopoietic cells
D:-weakened interaction between the red cell membrane and the cytoskeleton
Correct Answer:- Option-C
Question30:-In nutritional anaemia the first parameter most often altered
A:-MCV
B:-MCH
C:-RDW
D:-Haemoglobin
Correct Answer:- Option-C
Question31:-The long antero posterior diameter of the eye causes
A:-astigmatism
B:-amblyopia
C:-myopia
D:-hyperopia
Correct Answer:- Option-C
Question32:-The time limit for infusion of platelet concentrate from start to completion is
A:-within 2 hours
B:-within 20 mts
C:-within 4 hours
D:-within 1 hour
Correct Answer:- Option-B
Question33:-When an individual with multiple cognitive disabilities has extraordinary proficiency in one isolated skill, this is
known as
A:-Rainman syndrome
B:-Asperger syndrome
C:-Intellectual isolation
D:-Savant syndrome
Correct Answer:- Option-D
Question34:-In new-born with galactosemea which is the organism producing sepsis
A:-Streptococcus
B:-Staphylococcus
C:-E.coli
D:-Klebsiella
Correct Answer:- Option-C
Question35:-Which of the following is a topographical model of mind by Freud?
A:-Id-Ego-Supergo
B:-Unconscious-Preconscious-Conscious
C:-Regression-repression-suppression
D:-Denial-Rationalization-Projection
Correct Answer:- Option-B
Question36:-Which one of the following investigation is most likely to identify a specific genetic cause in a dysmorphic child?
A:-PCR
B:-Family history
C:-Birth history
D:-Microarray
Correct Answer:- Option-D
Question37:-The laboratory test useful for assessing the function of vWf is
A:-platelet aggregation test
B:-prothrombin time
C:-ristocetin aggregation test
D:-clotting time
Correct Answer:- Option-C
Question38:-Which one of the following is not a risk factor for developmental dysplasia of the hip?
A:-older sibling with DDH
B:-the presence of spina bifida
C:-female gender
D:-severe ologohydraminos
Correct Answer:- Option-C
Question39:-Subcutaneous fat necrosis in newborn is associated with
A:-hypernatremia
B:-hypocalemea
C:-hypercalcemea
D:-hyponatremea
Correct Answer:- Option-C
Question40:-Stein bergs sign is seen in
A:-Pseudoxanthoma elasticum
B:-Ehlers Danlos syndrome
C:-Marfan syndrome
D:-Blooms syndrome
Correct Answer:- Option-C
Question41:-Darier’s sign is seen in
A:-Dermatophytosis
B:-Histiocytosis
C:-Mastocytosis
D:-Pemphigus
Correct Answer:- Option-C
Question42:-Child with frog like position and resistance to move the limbs has
A:-Scurvy
B:-Rickets
C:-Trauma
D:-Congenital dislocation
Correct Answer:- Option-A
Question43:-Paniculitis is
A:-Infection of the subcutaneous fat
B:-Infection of the hair follicle
C:-Inflammation of epidermis
D:-Infection of the sebaceous glands
Correct Answer:- Option-A
Question44:-When does a child walk up and down stairs without help?
A:-13 months
B:-15 months
C:-18 months
D:-24 months
Correct Answer:- Option-D
Question45:-When do children perform a unilateral reach?
A:-4 months
B:-6 months
C:-7 months
D:-8 months
Correct Answer:- Option-B
Question46:-Net protein utilisation of egg is
A:-100
B:-95
C:-90
D:-80
Correct Answer:- Option-A
Question47:-The term which encompasses the provision of splints and appliances which improve the function and
appearance of a patient
A:-Orthosis
B:-Prosthetics
C:-Orthotics
D:-Walking aids
Correct Answer:- Option-C
Question48:-Profound hearing loss is hearing loss
A:-above 40 decibels
B:-above 90 db
C:-above 110 db
D:-above 60 db
Correct Answer:- Option-B
Question49:-Any loss or abnormality of psychological, physiological or anatomical structure or function is called
A:-disability
B:-handicap
C:-impairement
D:-damage
Correct Answer:- Option-C
Question50:-A 5 month old presented with hypoglycaemia, mild growth retardation, micropenis, the diagnosis can be
A:-Growth hormone deficiency
B:-Fatty acid oxidation defect
C:-Glycogen storage disorder
D:-Hyperinsulinism
Correct Answer:- Option-A
Question51:-The recurrence risk in AD inheritance is
A:-50%
B:-25%
C:-75%
D:-100%
Correct Answer:- Option-A
Question52:-For children 1-5 yrs, prophylaxis against nutritional anaemia programme, one tablet of iron and folic acid
A:-20 mg of iron and 100 mg folic acid
B:-60 mg of iron and 10 mg of folic acid
C:-20 mg of iron and 50 mg of folic acid
D:-20 mg of iron and 500 mg of folic
Correct Answer:- Option-A
Question53:-Adrenal calcification is seen in all except
A:-Wolman syndrome
B:-In Cushing syndrome
C:-In those who recover from Water-house-Friederichsen syndrome
D:-In neuroblastoma
Correct Answer:- Option-B
Question54:-The “gold standard” for the treatment of retinopathy of prematurity is
A:-Vitrectomy
B:-Anti VEGF agent Bevacizumab
C:-Cryotherapy
D:-Laser photocoagulation
Correct Answer:- Option-D
Question55:-Hall’s criteria for Down syndrome include all except
A:-hypotonia
B:-poor moro reflex
C:-three fontanels
D:-joint hyper flexibility
Correct Answer:- Option-C
Question56:-Friedreich ataxia is caused by a mutation of a gene locus on which chromosome
A:-Chromosome 4
B:-Chromosome 9
C:-Chromosome 14
D:-Chromosome 19
Correct Answer:- Option-B
Question57:-A boy with intractable seizures is referred for seizure management. A work up reveals mesial temporal lobe
epilepsy with hippocampal sclerosis. What is the most appropriate management?
A:-continuous intravenous benzodiazepine
B:-ketogenic diet
C:-temporal lobe resection
D:-high dose phenytoin
Correct Answer:- Option-C
Question58:-Which of the following has the highest glycaemic index?
A:-Biscuit
B:-Potato
C:-Dextrose
D:-Bread
Correct Answer:- Option-C
Question59:-Expressed and frozen breast milk before feeding the child can be
A:-microwaved
B:-thawed by tepid water
C:-boiled
D:-kept outside until it is warm
Correct Answer:- Option-B
Question60:-Principle of complimentary feeding includes all except
A:-Introduce one food at a time
B:-Iron containing foods are required
C:-Sugar sweetened beverages should be given to meet energy requirements
D:-Phytate intake should be low
Correct Answer:- Option-C
Question61:-All of the following meet clinical diagnostic criteria for neurofibromatosis type-1 except
A:-six café au lait spots more than 5 mm in diameter in prepubertal individuals
B:-two or more neurofibromas
C:-one café au lait spot more than 10 mm in diameter in post pubertal individuals
D:-two or more iris hamartomas
Correct Answer:- Option-C
Question62:-Which drug is contraindicated in hepatic dysfunction?
A:-erythromycin
B:-ampicillin
C:-cefotaxime
D:-amoxycillin
Correct Answer:- Option-A
Question63:-A child with severe malnutrition with severe dehydration and no evidence of shock WHO recommended fluid
therapy is
A:-RL with 5% dextrose
B:-Half normal saline with 5% dextrose
C:-Half strength Darrow solution with 5% dextrose
D:-Oral or nasogastric Resomal
Correct Answer:- Option-D
Question64:-In Pantothenate kinase associated neurodegeneration there is accumulation of ___________ in brain.
A:-Copper
B:-Iron
C:-Zinc
D:-Calcium
Correct Answer:- Option-B
Question65:-Most common heart disease in foetal alcohol syndrome
A:-VSD
B:-ASD
C:-Fallots Tetralogy
D:-PDA
Correct Answer:- Option-A
Question66:-Symptoms suggestive of imminent exacerbation of asthma include all except
A:-increased day time cough
B:-day time wheeze
C:-night-time beta 2 agonist use
D:-night time cough
Correct Answer:- Option-D
Question67:-The Phalangeal depth ratio in normal subjects is
A:-<1 B:-equal to one C:->1
D:->1.5
Correct Answer:- Option-A
Question68:-Recurrent pneumonia is characterised by
A:-2 or more episodes in a single year
B:-6 or more episodes ever
C:-4 or more episodes in a single year
D:-4 or more episodes ever
Correct Answer:- Option-A
Question69:-Compared to the apex of the lung, at the base of the lung
A:-Blood flow is lowest
B:-Ventilation is lowest
C:-V/Q is highest
D:-Alveolar `”PCO_2″` is highest
Correct Answer:- Option-D
Question70:-Preoperative fasting order for breast milk in an infant is
A:-Minimum of 6 hrs of fasting
B:-Minimum 4 hrs fasting
C:-No fasting is required
D:-Minimum of 2 hrs
Correct Answer:- Option-B
Question71:-In central precocious puberty one is false
A:-Osseous maturation is retarded
B:-Greater diagnostic power when LH is obtained during sleep
C:-Serum testerone levels are elevated
D:-Hypothalamic hamartomas are the most common brain lesion causing central precocious puberty
Correct Answer:- Option-A
Question72:-In Kocher-Debre-Semelaigne syndrome one is not true
A:-The muscles are hypotonic
B:-There is generalised muscular pseudohypertrophy
C:-Girls are more affected
D:-Affected patients have hypothyroidism of longer duration
Correct Answer:- Option-C
Question73:-Highest incidence of pseudomenbranous enterocolitis has been noted with the use of
A:-Cephalosporins
B:-Carbepenems
C:-Vancomycin
D:-Clindamycin
Correct Answer:- Option-D
Question74:-In Klinifelter syndrome one is false
A:-80% of them have a 47, XXY chromosome compliment
B:-Cryptorchidism is common
C:-Adults have Gynecomastia
D:-Serum LH and FSH concentration are low at round 13 years of age
Correct Answer:- Option-D
Question75:-Cyanosis with left axis deviation in ECG is suggestive of
A:-TOF
B:-Tricuspid atresia
C:-Ebsteins anomaly
D:-Trans position of great arteries
Correct Answer:- Option-B
Question76:-Innocent murmurs one of the following is not a feature
A:-Short ejection systolic murmur
B:-Radiation to apex
C:-Best heard in the left lower sternal border
D:-Intensity of murmur changes with respiration
Correct Answer:- Option-B
Question77:-Infective endocarditis is not seen in
A:-ASD
B:-TOF
C:-VSD
D:-MR
Correct Answer:- Option-A
Question78:-If the venous pH is 7.45, then the arterial pH is
A:-7.42
B:-7.48
C:-7.44
D:-7.49
Correct Answer:- Option-B
Question79:-Most common type of tracheo-oesophageal fistula
A:-Type A
B:-Type B
C:-Type C
D:-Type D
Correct Answer:- Option-A
Question80:-In IgA nephropathy deposition of IgA occurs in
A:-glomerular capillaries
B:-glomerular mesangium
C:-glomerular basement membrane
D:-tubules
Correct Answer:- Option-B
Question81:-Which one of the following abnormalities most likely to be seen in Pulmonary function test in a patient with
unilateral diaphragmatic paralysis?
A:-Decreased diffusing capacity of the lung for Carbon monoxide
B:-Decreased functional residual capacity
C:-Decreased residual volume
D:-Decreased supine vital capacity
Correct Answer:- Option-D
Question82:-Environmental enteric dysfunction has been associated with
A:-Oedematous malnutrition
B:-Tropical sprue
C:-Mal rotation
D:-Intucception
Correct Answer:- Option-A
Question83:-In Genu Verum the bow legs beyond ____________ years is pathological.
A:-beyond 1 year
B:-beyond 2 years
C:-beyond newborn period
D:-beyond 6 months
Correct Answer:- Option-B
Question84:-The genu valgus the intermalleolar distance for more than __________ cm is pathological.
A:-4 cm
B:-6 cm
C:-5 cm
D:-8 cm
Correct Answer:- Option-D
Question85:-The clinical definition of shock by WHO in resource limited setting is
A:-cold extremities with capillary refill time more than 3 secs and weak and fast pulse
B:-cold extremities with weak and fast pulse
C:-capillary refill time more than 3 secs and weak and fast pulse
D:-cold extremities with capillary refill time more than 3 secs
Correct Answer:- Option-A
Question86:-Management of early treatment failure in malaria include all except
A:-Look for diarrhoea and vomiting
B:-Treat with second line drugs
C:-Consider it as resistant malaria
D:-Do a rapid diagnostic test to see for fresh infection
Correct Answer:- Option-D
Question87:-The optimal mode of therapy now for EHPVO
A:-mesentrico portal bypass
B:-endoscopic variceal band ligation
C:-endoscopic sclerotherapy
D:-distal spleno-renal shunt
Correct Answer:- Option-A
Question88:-Pulmonary capillary blood from which lung unit has the lowest `”PO_2″`
A:-V = 2 l/mt Q = 0.2 l/mt
B:-V = 2 l/mt Q = 2 l/mt
C:-V = 0.2 l/mt Q = 2 l/mt
D:-V = 0 Q = 2 l/mt
Correct Answer:- Option-D
Question89:-Fractional IPV is
A:-1/4th of a full dose
B:-1/5th of a full dose
C:-1/2 of the full dose
D:-1/3rd of the full dose
Correct Answer:- Option-B
Question90:-Thrombocytopenia is an AEFI of which vaccine
A:-Measles
B:-BCG
C:-DPT
D:-Hepatitis B
Correct Answer:- Option-A
Question91:-Isoniazid preventive therapy should be given to child in all situations except
A:-For all HIV infected children who are tuberculin skin test positive
B:-All TST positive children who are receiving immunosuppressive therapy
C:-A child born to mother who was diagnosed to have TB in pregnancy
D:-Close contacts of index cases with proved DR-TB
Correct Answer:- Option-D
Question92:-In Di-Georges syndrome which of these is not included in catch-22 mnemonic
A:-Cardiac abnormality
B:-Hyperthyroidism
C:-Hypocalcaemia
D:-Abnormal facies
Correct Answer:- Option-B
Question93:-Anakinra acts on which interleukin and blocks its activity
A:-IL 3
B:-IL 4
C:-IL 2
D:-IL 1
Correct Answer:- Option-D
Question94:-Who recommended IV fluid for maintenance IV fluid all except?
A:-RL with 5% dextrose
B:-NS with 5% dextrose
C:-1/2 NS with 5% dextrose
D:-RL
Correct Answer:- Option-D
Question95:-Drug of choice for carbapenemase producing carbapenem resistant organisms
A:-Meropenem
B:-Colistin with Meropenem
C:-Vancomycin
D:-Linezolid
Correct Answer:- Option-B
Question96:-Sign that remain useful for assessing dehydration status in children with severe acute malnutrition is
A:-Loss of skin turgor
B:-Eyes appear sunken
C:-Child irritable
D:-Eagerness to drink
Correct Answer:- Option-D
Question97:-The upstream markers in hemodynamic monitoring in critically ill child include all except
A:-Blood pressure
B:-Heart rate
C:-Central venous pressure
D:-Urine output
Correct Answer:- Option-D
Question98:-Which HLA marker has maximum strength of association with Type 1 diabetes?
A:-DR 2
B:-DR 3
C:-DR 4
D:-DQ 8
Correct Answer:- Option-D
Question99:-Within ADHD which of the following is not classified as a problem relating to hyperactivity-impulsivity?
A:-Doesn’t appear to listen when being told something or spoken to
B:-Experience difficulties in playing quietly
C:-Talks excessively
D:-Rather than sitting still, squirms in seat and fidgets
Correct Answer:- Option-A
Question100:-A simple screening test for B-cell defect is by the measurement of
A:-IgA
B:-IgG
C:-IgE
D:-IgM
Correct Answer:- Option-A