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(Single Best Answer) Question 1: A 2 year old boy presents with fever for 3 days which responded to administration of paracetamol. Three days later he developed acute renal failure, marked acidosis and encephalopathy. His urine showed plenty of oxalate crystals. The blood anion gap and osmolal gap were increased. Which of the following is the most likely diagnosis ?
A) Paracetamol poisoning
B) Diethyl glycol poisoning
C) Severe malaria
D) Hanta virus infection
Answer (Select an option above to get the answer):
(Single Best Answer) Question 2: A 30-year old lady delivered a healthy baby at 37 week of gestation. She was a known case of chronic hepatitis B infection. She was positive for HBsAg but negative for HBeAg. Which of the following is the most appropriate treatment for the baby ?
A) Both active and passive immunization soon after birth
B) Passive immunization soon after birth and active immunization at 1 year of age
C) Only passive immunization soon after birth
D) Only active immunization soon after birth
Answer (Select an option above to get the answer):
(Single Best Answer) Question 3: Deficit in weight for height in a 3 year old child indicates ?
A) Acute malnutrition
B) Chronic malnutrition
C) Concomittant acute and chronic malnutrition
D) Under weight
Answer (Select an option above to get the answer):
(Single Best Answer) Question 4: In the WHO recommended EPI Cluster sampling for assessing primary immunization coverage, the age group of children to be surveyed is ?
A) 0 - 12 months
B) 6 - 12 months
C) 9 - 12 months
D) 12 - 23 months
Answer (Select an option above to get the answer):
(Single Best Answer) Question 5: One year old male child is presented with poor urinary stream since birth. The investigation of choice for evaluation is ?
A) Voiding cystourethrography (VCUG)
B) USG bladder
C) Intravenous urography
D) Uroflometry
Answer (Select an option above to get the answer):
(Single Best Answer) Question 6: A newborn baby has been referred to the casualty as a case of congenital diaphragmatic hernia. The first clinical intervention is of ?
A) Insert a central venous pressure line
B) Bag and mask ventilation
C) Insert a nasogastric tube
D) Ventilate with high frequency ventilator
Answer (Select an option above to get the answer):
(Single Best Answer) Question 7: A newborn baby had normal APGAR score at birth and developed excessive frothing and choking on attempted feeds. The investigation of choice is ?
A) Esophagoscopy
B) Bronchoscopy
C) MRI chest
D) Xray chest and abdomen wiht the red rubber catheter passed per orally into oesophagus
Answer (Select an option above to get the answer):
(Single Best Answer) Question 8: All of the following methods are used for the diagnosis of HIV infection in a 2 month old child, except ?
A) DNA-PCR
B) Viral culture
C) HIV ELISA
D) p24 antigen assay
Answer (Select an option above to get the answer):
(Single Best Answer) Question 9: A three year old male child presents with history of constipation and abdominal distension for the last two years. The plain radiograph of abdomen reveals fecal matter containing distended bowel loops. A barium enema study done subsequently shows a transition zone at the rectosigmoid junction with reversal of recto-sigmoid ratio. The most probable diagnosis is ?
A) Anal atresia
B) Malrotation of gut
C) Hirschprung's disease
D) Congenital megacolon
Answer (Select an option above to get the answer):
(Single Best Answer) Question 10: Speech retardation may be considered if the child does not talk by ?
A) 12 months
B) 18 months
C) 24 months
D) 36 months
Answer (Select an option above to get the answer):
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