SENIOR LECTURER IN PAEDIATRICS- NCA- MEDICAL EDUCATION

PROVISIONAL ANSWER KEY
Question Paper Code: 14/2018/OL
Category Code: 040/2017
Exam: Senior Lecturer in Paediatrics NCA
Medium of Question: English
Date of Test 07-03-2018
Department Medical Education
Alphacode A
Question1:-Article of Indian Constitution deals with Prohibition of Child Labour
A:-17
B:-21
C:-21 (A)
D:-24
Correct Answer:- Option-D
Question2:-Who nominates the chairperson of Public Accounts Committee of Indian Parliament ?
A:-President
B:-Prime Minister
C:-Speaker of Lok Sabha
D:-Finance Minister
Correct Answer:- Option-C
Question3:-Lok Sabha passed the Whistle Blowers Protection Act in
A:-2011
B:-2012
C:-2013
D:-2014
Correct Answer:- Option-A
Question4:-Budget Allocation in crores for Mahatma Gandhi National Rural Employment Guarantee Scheme for the financial
year 2017-18
A:-34699
B:-38500
C:-48000
D:-60000
Correct Answer:- Option-C
Question5:-Swachh Bharat progrmme is aiming to end open defecation by
A:-2018
B:-2019
C:-2020
D:-2021
Correct Answer:- Option-B
Question6:-Which city is included in AMRUT scheme of Central Government ?
A:-Palakkad
B:-Kottayam
C:-Kannur
D:-Kasargode
Correct Answer:- Option-A
Question7:-The first “start-up” magazine in India
A:-Business India
B:-The Cofounder
C:-Business Line
D:-Entrepreneur
Correct Answer:- Option-B
Question8:-Which missionary group launched Tile Industry in Kerala ?
A:-Salvation Army
B:-CMS
C:-LMS
D:-BEM
Correct Answer:- Option-D
Question9:-Acharabhooshanam is a work of
A:-Chattambi Swami
B:-Narayana Guru
C:-Brahmananda Sivyogi
D:-Pandit Karuppan
Correct Answer:- Option-D
Question10:-Sahodaran Ayyappan organized Inter dining in 1917 at
A:-Cherai
B:-Mattancheri
C:-Paravur
D:-Kodungallur
Correct Answer:- Option-A
Question11:-Major issue raised by Malayali Memorial of 1891
A:-Representation of backward classes in Legislative Assembly
B:-Domination of Tamil Brahmins in Civil Service
C:-Education of backward classes
D:-Universal Voting right
Correct Answer:- Option-B
Question12:-“Sreemathi” the womens journal was published by
A:-Anna Chandi
B:-Akkamma Cheriyan
C:-Arya Pallam
D:-K. Saraswathi Amma
Correct Answer:- Option-A
Question13:-Narayana Guru consecrated the Mirror Idol at Kalavamkodam in
A:-1888
B:-1924
C:-1927
D:-1928
Correct Answer:- Option-C
Question14:-Jatinashini Sabha of North Malabar was founded by
A:-Vagbhatanandan
B:-Swami Ananda Theerthan
C:-Brahmananda Sivayogi
D:-Nityachaitanya Yati
Correct Answer:- Option-B
Question15:-The Malayalam film Indulekha based on the novel of O. Chandu Menon was directed by
A:-P. Bhaskaran
B:-M. Krishnan Nair
C:-Kalanilayam Krishnan Nair
D:-Madhu
Correct Answer:- Option-C
Question16:-Payment Banks came into existence as per the recommendations of the committee headed by
A:-M. Nrasimham
B:-Nachiket Mor
C:-C. Rangarajan
D:-Arvind Panagariya
Correct Answer:- Option-B
Question17:-Goods and Service Tax Council was constituted in
A:-November 2009
B:-December 2014
C:-May 2015
D:-September 2016
Correct Answer:- Option-D
Question18:-The 21st Conference of United Nations Framework Convention on climate change accorded its historic
agreement in 2015 in
A:-Paris
B:-New York
C:-Kyoto
D:-Doha
Correct Answer:- Option-A
Question19:-Who won FIFA Ballon d’or 2016 ?
A:-Antoine Griezman
B:-Neymar
C:-Lionel Messi
D:-Christiano Ronaldo
Correct Answer:- Option-D
Question20:-Empowerment project for the differently abled persons devised by Kerala IT Mission
A:-Sampoorna
B:-Samagra
C:-Insight
D:-Athulyam
Correct Answer:- Option-C
Question21:-The WHO Child Growth Standards are based on data collected from
A:-US, Brazil, Norway, Oman, Ghana, India
B:-UK, Brazil, Denmark, Oman, Zambia, India
C:-US, Brazil, Norway, Oman, Uganda, India
D:-US, Brazil, New Zealand, Oman, Ghana, India
Correct Answer:- Option-A
Question22:-VLBW infants catch up height by the age of
A:-18 months
B:-24 months
C:-30 months
D:-36 months
Correct Answer:- Option-C
Question23:-Failure to thrive is defined by
A:-Dropping of weight for age over 2 major percentiles
B:-Faltering of weight by 20%
C:-Weight for height below 90%
D:-Height for age less than 70%
Correct Answer:- Option-A
Question24:-The Goodenough Draw-a-Man test is used for
A:-Assessment of Intelligence above the age of 3 years
B:-Fine motor ability above the age of 5 years
C:-Screening for autism above the age of 3 years
D:-Assessment of cortical visuospatial functions above 6 years of age
Correct Answer:- Option-A
Question25:-Vineland Social Maturity Scale is used to assess
A:-Social and adaptive behaviour in infancy
B:-Social behaviour below 3 years
C:-General understanding below 15 years
D:-Social and adaptive behaviour upto 30 years
Correct Answer:- Option-D
Question26:-Theory of mind is acquired by an individual
A:-By 3 years of age
B:-Between 3 and 5 years of age
C:-Between 5 and 12 years of age
D:-By 15 years of age
Correct Answer:- Option-B
Question27:-All of the following age-independent measures of nutritional status take into account height of the child, except
A:-Kanawati index
B:-QUAC stick
C:-Rao’s index
D:-Dugdale’s index
Correct Answer:- Option-A
Question28:-The RDA of Idoine for an infant below 6 months of age is
A:-10 mcg
B:-50 mcg
C:-110 mcg
D:-150 mcg
Correct Answer:- Option-C
Question29:-Protein content of 100 gms of Green Gram is
A:-14 gms
B:-18 gms
C:-24 gms
D:-28 gms
Correct Answer:- Option-C
Question30:-Omega 3 fatty acids are not fount to be useful in treatment of
A:-IgA nephropthy
B:-Hypertriglyceridemia
C:-Phrynoderma
D:-PCOD
Correct Answer:- Option-D
Question31:-As per the WHO definition, an event is considered as an AEFI if it occurs
A:-Within 24 hours
B:-48 hours
C:-7 days
D:-None of the above
Correct Answer:- Option-D
Question32:-Dengue vaccine is
A:-Chimeric vaccine
B:-Live attenuated vaccine
C:-Sub-unit vaccine
D:-All of the above
Correct Answer:- Option-A
Question33:-Steven-Johnson syndrome is commonly known to occur with all of the following except.
A:-Phenobarbitone
B:-Carbamazepine
C:-Sodium valproate
D:-Lamotrigine
Correct Answer:- Option-C
Question34:-All of the following are used in the treatment of MRSA except
A:-Vancomycin
B:-Trimethoprim sulfamethoxazole
C:-Co-amoxyclav
D:-Linezolid
Correct Answer:- Option-C
Question35:-The definition of ARDS is
A:-PaO2/FiO2 less than 300 mmHg with PEEP of 5
B:-Bilateral lung opactities not explained by consolidation or effusion
C:-Origin of pulmonary edema not explained by cardiac causes or fluid overload
D:-All of the above
Correct Answer:- Option-D
Question36:-Dyslipidemia is caused by all except
A:-Lopinavir
B:-Zidovudine
C:-Atazanavir
D:-Ritonavir
Correct Answer:- Option-A
Question37:-Which of the following is true about Diphtheria ?
A:-The inclubation period of diphtheria is 4 days
B:-If treated with Pencillin, it becomes non-infective after 1 week
C:-Contacts should be treated with oral penicillin for 2 weeks
D:-The shorter the duration of symptoms, the higher the dose of anti-toxin
Correct Answer:- Option-A
Question38:-In the peripheral smear of a patient with malaria, the prophozoite is seen in larger RBCs in the case of
A:-P. falciparum
B:-P. vivax
C:-P. malariae
D:-None of the above
Correct Answer:- Option-B
Question39:-Which of the following is not true about Post-streptococcal reactive arthristis ?
A:-It responds dramatically to NSAIDs
B:-Streptococcal pharyngitis precedes the arthritis by 2 weeks
C:-It may involve any joint, large or small
D:-There is a modest elevation of acute phase reactants
Correct Answer:- Option-A
Question40:-Individuals with Congenital Rubella are infective to others as they continue to carry the virus for prolonged
periods in
A:-Respiratory secretions
B:-Urine
C:-Blood
D:-None of the above
Correct Answer:- Option-B
Question41:-Exposure does not affect the odds of the outcome if the Odds Ratio is
A:-Equal to 1
B:-Less than 1
C:-Less than 2
D:-More than 1
Correct Answer:- Option-A
Question42:-The Chi-square test is used in the case of
A:-Two independent groups with qualitative variables
B:-Two independent groups with quantitative variables
C:-More than 2 independent groups with quantitative variables
D:-Two related groups with quantitative variables
Correct Answer:- Option-A
Question43:-Tumor lysis syndrome is characterised by
A:-Hyperphosphatemia
B:-Hyponatremia
C:-Hypocalcemia
D:-Metabolic alkalosis
Correct Answer:- Option-A
Question44:-A good prognostic indicator in Acute Lymphoblastic leukemia is
A:-BCR-ABL gene
B:-Hyperdiploidy
C:-Philadelphia chromosome
D:-Amplification of AML 1 gene
Correct Answer:- Option-B
Question45:-The risk of recurrence of atypical febrile seizures is
A:-3%
B:-6%
C:-9%
D:-12%
Correct Answer:- Option-B
Question46:-WADA is a procedure to determine _____ in an individual.
A:-Handedness
B:-Visual ability
C:-Area of the homunculus
D:-Seizure focus
Correct Answer:- Option-A
Question47:-Which drug exacerbates seizures if given to a child with Benign Rolandic Epilepsy ?
A:-Sodium valprorate
B:-Phenytoin
C:-Ethosuximide
D:-Carbamazepine
Correct Answer:- Option-D
Question48:-Lorenzo’s oil is used for treatment of
A:-Maple syrup urine disease
B:-Phenylketonuria
C:-Krabbe’s disease
D:-Adrenoleukodystrophy
Correct Answer:- Option-D
Question49:-Rapid sequence intubation refers to inducing a state of
A:-Excellent intubating conditions within one minute
B:-No cough or gag
C:-Vocal cords well visualised and glottis open
D:-None of the above
Correct Answer:- Option-A
Question50:-Chest compression in single-rescuer infant BLS is best done with
A:-Heel of the hand
B:-Two fingers
C:-Two thumbs
D:-Both hands
Correct Answer:- Option-B
Question51:-Left axis deviation is seen in
A:-Tetralogy of Fallot
B:-Tricuspid atresia
C:-Ebstein anomaly
D:-Pulmonary atresia
Correct Answer:- Option-B
Question52:-Nutmeg appearance of the liver is seen in
A:-Biliary cirrhosis
B:-Congestive cardiac failure
C:-Portal hypertension
D:-Wilson’s disease
Correct Answer:- Option-B
Question53:-Which of the following may be considered as abnormal in a 13 yr old girl who recently attained menarche ?
A:-The next period occurring 4 months later
B:-Irregular periods in the first 2 years after menarche
C:-The next period lasting for 2 days
D:-None of the above
Correct Answer:- Option-A
Question54:-The Ferriman Gallwey score is used to grade.
A:-Breast development
B:-Bone age
C:-Dental development
D:-Hirsutism
Correct Answer:- Option-D
Question55:-Indication for ICD in empyema in children is based on
A:-Clinical symptoms and signs
B:-The cell count of the pleural fluid
C:-The SAG ratio
D:-The pH of the fluid
Correct Answer:- Option-A
Question56:-Definition of steroid resistance in idiopathic nephrotic syndrome
A:-No response to treatment after 4 weeks of daily Prednisolone 2mg/kg
B:-No response to treatment after 6 weeks of daily Prednisolone 2mg/kg
C:-No response to treatment after 4 weeks of daily Prednisolone 2mg/kg and 3 doses of pulsed methyl prednisolone
D:-No response to treatment after 8 weeks of daily Prednisolone 2mg/kg
Correct Answer:- Option-A
Question57:-Intervention for biliary atresia is imperative before
A:-4 weeks of age
B:-6 weeks of age
C:-8 weeks of age
D:-12 weeks of age
Correct Answer:- Option-C
Question58:-The following are true about Trisomy 18 except
A:-Rocker-bottom feet are characteristically seen
B:-Over-lapping of fingers is seen in the newborn
C:-It is more common in males
D:-Mosaicism is known to occur
Correct Answer:- Option-C
Question59:-Growth Hormone therapy is indicated in
A:-Turner’s syndrome
B:-Down syndrome
C:-Constitutional growth delay
D:-None of the above
Correct Answer:- Option-A
Question60:-VDDR is characterised by
A:-Elevated S. Calcium and hypercalciuria
B:-Elevated S. Vitamin D levels
C:-Hypercalcemia and tetany
D:-Hyperphosphatemia and rickets
Correct Answer:- Option-C
Question61:-All of the following are seen in Glycogen storage disorder Type 1, except
A:-Hypoglycaemia
B:-Hyperuricemia
C:-Hyperlipidemia
D:-Low lactate levels
Correct Answer:- Option-D
Question62:-Neonatal resuscitation may be with held if
A:-Gestational age is less than 20 weeks, weight less than 400 gms
B:-Gestational age is less than 26 weeks, weight less than 500 gms
C:-Gestational age is less than 23 weeks, weight less than 400 gms
D:-Gestational age is less than 25 weeks, weight less than 500 gms
Correct Answer:- Option-C
Question63:-Which of the following statements regarding Neonatal Hyperglycemia is true ?
A:-It is defined as RBS more than 150mg/dL
B:-It should always be treated with Insulin
C:-It predisposes to diabetes in later life
D:-It is a strong predictor of mortality
Correct Answer:- Option-A
Question64:-Phototherapy of ________ wavelength is most effective to treat hyperbilirubinemia.
A:-320 nm
B:-400 nm
C:-460 nm
D:-520 nm
Correct Answer:- Option-C
Question65:-Acute Peritoneal Dialysis
A:-Is a good modality for management of the young infant with AKI
B:-Is not safe in the hemodynamically unstable child
C:-Is contraindicated in case of acute pulmonary edema
D:-Often precipitates disequilibrium syndrome
Correct Answer:- Option-A
Question66:-The theme of Breastfeeding Week 2017 was
A:-Breastfeeding: a key to sustainably development
B:-Sustaining breastfeeding together
C:-Breasfeeding and work: let’s make it work
D:-Breastfeeding: a winning goal for life
Correct Answer:- Option-A
Question67:-SDG 3 of the United Nations Development Program aims at
A:-Good health and well-being
B:-Zero hunger
C:-No child deaths
D:-Clean water and sanitation
Correct Answer:- Option-A
Question68:-According to the updated WHO Essential drug list for children the ues of Chloramphenicol is recommended only
for
A:-Typhoid fever
B:-Acute bacterial meningitis
C:-Very severe pneumonia
D:-Dysentery
Correct Answer:- Option-B
Question69:-What is true about the Visual Analog Scale ?
A:-Is also known as the Wong-Baker faces scale
B:-Grades pain from zero to ten
C:-Can be used reliably below the age of 7 years
D:-Is a pain scale especially designed for use in childhood
Correct Answer:- Option-D
Question70:-According to the current NACO guideline, Contrimoxazole prophylaxis is given to all of the following except.
A:-Newborn baby of mother with HIV infection
B:-Baby of indeterminate status
C:-All children with HIV infection below 5 years of age
D:-All children above 5 years with CD4 count below 350
Correct Answer:- Option-A
Question71:-Alternate drugs which are used in chronic ITP in children are all except.
A:-Dapsone
B:-Mycophenolate mofetil
C:-Rituximab
D:-Cyclophosphamide
Correct Answer:- Option-D
Question72:-Delayed dentition is defined by lack of dental eruption by
A:-11 months
B:-13 months
C:-15 months
D:-17 months
Correct Answer:- Option-B
Question73:-Prostaglandin E2 is an important mediator in the fetus that maintains the patency of the ductus arteriosus. It is
produced in the
A:-Fetal liver
B:-Fetal lungs
C:-Placenta
D:-Ductal endothelium
Correct Answer:- Option-C
Question74:-A 3-days-old full term neonate is found to have a harsh systolic murmur at the lower left sternal border. There
is no cyanosis. The likely diagnosis is
A:-PDA
B:-Innocent murmur
C:-VSD
D:-Truncus arteriosus
Correct Answer:- Option-C
Question75:-A preterm baby of GA 32 weeks & birth weight 1300 gms, had Respiratory Distress Syndrome, which resolved
after 48 hours. Feeds were started on day 3. On day 5 she developed abdominal distension and bilious gastric residuals.
What is the most likely diagnosis ?
A:-Neonatal sepsis
B:-Maltrotation
C:-Necrotising enterocolitis
D:-Meconium ileus
Correct Answer:- Option-C
Question76:-A 5-years old baby is admitted with fever of 6 days duration, coryza and hacking cough. On examination, he is
febrile (T 100.4 deg F), RR is 28/min, there are small target-like erythematous maculopapular lesions on his trunk.
Ausculation of the chest reveals equal breath sounds on both sides and a few scattered crepitations. His Chest X-ray shows
poorly defined hilar exudates from both hilar regions. You will prescribe.
A:-Amoxycillin
B:-Erythromycin
C:-Cloxacillin
D:-Oseltamivir
Correct Answer:- Option-B
Question77:-8-yr Anitha, who weight 25 kg, is admitted in a drowsy state, with thready pulse, deep sighing respiration and
cool extremities. Her glucometer RBS value is 380mg/dL. You will administer.
A:-Ringer lactate, 500 ml, as fast IV boluses over 20 minutes
B:-Normal saline, 500 ml as fast drip over 30 minutes
C:-Normal saline 250 ml over 1 hour
D:-Ringer lactate 250 ml over 30 minutes
Correct Answer:- Option-C
Question78:-Manu, aged 5 yrs, is brought with fever and iritability since 2 days. On examination, he has generalized
erythema with crusting around the mouth and nose. Your diagnosis is
A:-Kawasaki’s disease
B:-Staphylococcal scalded skin syndrome
C:-Erysipelas
D:-Exathemsubitum
Correct Answer:- Option-B
Question79:-Mary, a 30 yr old lady, is suffering from Bipolar Disorder. She has just been delivered of a term healthy infant.
She is on treatment with Olanzepine for acute mania. Your approach to feeding the infant is
A:-You will keep the baby safe in the nursery and feed him with formula
B:-You will allow the baby to be breast fed just prior to the dose of olanzapine, in order that there is no sedation and
the mother can bond with the infant
C:-You will counsel her relatives regarding the unsuitability of the baby being reared by such a mother and advise that
the baby may be put up for adoption
D:-You will inform ‘Child Line’ services to manage the case.
Correct Answer:- Option-B
Question80:-According to the IAP Consensus Statement on End of Life Care, with DNR (Do not Resuscitate) orders, a health
care worker is not required to do the following except
A:-Insert an advanced airway
B:-Start chest compressions
C:-Provide oxygen
D:-Defibrillate the heart
Correct Answer:- Option-C
Question81:-While providing Basic Life Support, the algorithm followed is
A:-A-B-C Airway-Breathing-Circulation
B:-C-B-C Chest compression-Breathing-Circulation
C:-C-A-B Compression-Airway-Breathing
D:-C-B-C Color-Breathing-Circulation
Correct Answer:- Option-C
Question82:-A 3-year-old girl is brought with history of profuse watery diarrhea since 2 days. On examination, she is drowsy,
her pulse rate is 140/min, her BP is 80/56, her core temperature is 103 deg F, the capillary filling time is 4 seconds. You will
categories her physiological status as
A:-Hypovolemic shock
B:-Compensated shock
C:-Septic shock
D:-Hypotensive shock
Correct Answer:- Option-B
Question83:-Pranav, 4 yrs old, has come with colicky abdominal pain and swelling of both ankles. On the third day he
develops palpable purpura on both lower limbs. You treatment will include
A:-Paracetamol, hot formentation of joints and IV fluids if needed
B:-Prednisolone 2mg/kg/day till the arthritis subsides
C:-Deflazacort 6mg daily for 7 days and then tapered
D:-Ibuprofen 10mg/kg for 3 days and reassess
Correct Answer:- Option-A
Question84:-NIRAMAYA is scheme of the Govt. of India with the following purpose.
A:-Providing financial support to individuals with psychiatric illness
B:-Social support to orphans
C:-Health insurance for persons with disability
D:-Providing employment to PLWA
Correct Answer:- Option-C
Question85:-Meenu, 4 yrs, is brought with history of a mild URI 2 weeks ago, followed by inability to walk since 3 days. On
examination she is found to have hypotonia, areflexia and weakness of all four limbs. She also has hoarseness, ineffective
cough and intercostal weakness. How will you protector her airway ?
A:-Rapid sequence intubation
B:-Keeping her in the semiprone position and suctioning the oral cavity
C:-Inserting an oral airway
D:-Head tilt and chin lift
Correct Answer:- Option-B
Question86:-Anti-snake vennon available in India protects against
A:-Najanaja, Bungarusceruleus, Russel’s Viper
B:-Pit viper, cobra, saw scaled viper
C:-King cobra, krait, saw scaled viper
D:-Hypnalehypnale, Najahana, Bungarus
Correct Answer:- Option-A
Question87:-Mini, 6 yrs old, is admitted with Acute Nephritis. She is hypertension and dyspnea with evidence of pulmonary
edema. Her urine output is 50 ml in the last 12 hours. Her B. Urea is 160mg/dL, S Creat is 3.4mg/dL, S. Na is 124mE/L, S.K is
5.6mE/L. Your next line of management would be
A:-Glucose insulin infusion, Inj. Frusemide, Oxygen inhalation and observe for the next 6 hours
B:-Nitroprusside infusion, Inj. Frusemide, Oxygen inhalation and observe for 6 hrs
C:-Early dialysis
D:-Nitroglycerine drip, Glucose insulin infusion and Methyl prednisolone
Correct Answer:- Option-C
Question88:-Aswini, 10 yr old girl, is brought with history of headache since the last 2 months associated with tearfulness,
apathy and refusal to go to school. Since 2 weeks she has fever and neck swellings. On examination she has pallor, palatal
petechiae, cervical lymphadenopathy and a rash over the trunk and face suggestive of erythema multiforme. Detailed
investigation is likely to reveal.
A:-Mycoplasma infection
B:-Tuberculosis
C:-Systemic lupus erythematosus
D:-Lymphoma
Correct Answer:- Option-C
Question89:-A 2 month old infant is admitted with history of URI and mild fever since 3 days with acute woresening 2 hours
ago. On examination he is grunting, with pale extremities. His pulse is thready and you are unable to count his pulse. An
important differential diagnosis is
A:-Supraventricular tachycardia
B:-H1N1 pneumonia
C:-Septic shock
D:-Poisoning with herbal medicine
Correct Answer:- Option-A
Question90:-Which of the following is not a risk factor for late neonatal hypocalcemia ?
A:-Maternal Vitamin D insufficiency
B:-Feeding with cow’s milk
C:-Maternal antriconvulsant use
D:-Gestational diabetes
Correct Answer:- Option-D
Question91:-Testicular volume of 3 ml corresponds to
A:-3 yrs of age
B:-13 years of age
C:-Prepubertal size
D:-Early pubertal size
Correct Answer:- Option-C
Question92:-Overweight in Indian children is defined by a BMI of
A:-23
B:-26
C:-27
D:-29
Correct Answer:- Option-A
Question93:-GAVI was launched with seed money provided by
A:-Rotary International
B:-Bill and Melinda Gates Foundation
C:-World Bank
D:-Asian Developement Bank
Correct Answer:- Option-B
Question94:-What is not true of marijuana ?
A:-It is the commonest illicit drug that is abused
B:-It causes a dose dependent suppression of testosterone production
C:-It is an anti-emetic
D:-It does not produce a withdrawal syndrome
Correct Answer:- Option-A
Question95:-According to the UNICEF, a young person is one aged between
A:-10 and 19 years
B:-15 and 24 years
C:-11 to 25 years
D:-19 to 25 years
Correct Answer:- Option-B
Question96:-Leukocyte Adhesion Defect is associated with all except.
A:-Delayed separation of the umbilical cord
B:-Gingivitis
C:-Large pustular lesions
D:-Significant neutrophillic leucocytosis
Correct Answer:- Option-C
Question97:-A 1 year old infant is brought with fever and muscosal bleeds and is found to have light hair and photophobia.
Her peripheral smear shows neutrophils with plenty of large granules. A likely diagnosis is
A:-May Hegglin anomaly
B:-Hemophagocytosis
C:-Chediak Higashi syndrome
D:-Phenyl ketonuria
Correct Answer:- Option-C
Question98:-Preethi, 6 yrs, has come to you with failure to thrive. She has pallor, lymphadenopathy, bilateral parotoid
fullness and early clubbing. Auscultation reveals scattered rales and crackles. She has mild hepatosplenomegaly. You will
consider
A:-Disseminated tuberculosis
B:-Celiac disease
C:-HIV infection
D:-All of the above
Correct Answer:- Option-C
Question99:-A 6 year old child who is known to have asthama is brought to you with respiratory failure. You will consider all
of the following to treat him except.
A:-Inj. Adrenaline
B:-Nebulized Salbutamol
C:-Inj. Methyl Prednisolone
D:-Nebulized Ipratropium
Correct Answer:- Option-D
Question100:-A 6-yr-old who is known to have asthama, is brought with acute breathlessness. He has a Becker’s score of 7.
You will
A:-Administer Salbutamol MDI 1 to 2 puffs every 2 to 5 minutes
B:-Shift him to the oxygen inhalation, nebulised Salbutamol and IV steroid
C:-Start mechanical ventilation
D:-Investigate for pneumothorax
Correct Answer:- Option-B