(Single Best Answer) Question 401: Consider the following statements regarding distal renal tubular acidosis : 1. Blood biochemistry reveals normal anion gap metabolic acidosis 2. There is defective secretion of H+ in the distal tubule 3. There may be associated muscle weakness and rickets 4. Children may present with polydipsia and polyuria.
Which of the above statements are correct ?
A) 1 only B) 2 and 3 only C) 2 and 4 only D) 1, 2, 3 and 4 Answer (Select an option above to get the answer):
(Single Best Answer) Question 402: A diagnosis of steroid dependent nephrotic syndorme is made in a 5 year old male child and he is initiated on a drug. After 6 weeks of therapy, he develops nausea, vomiting, neutropenia and gross hematuria. Which of the following is the most likely drug used ?
A) Cyclophosphamide B) Levamisole C) Cyclosporine D) Prednisolone Answer (Select an option above to get the answer):
(Single Best Answer) Question 403: A two year old child with acute watery diarrhea and severe dehydration presents to the emergency. Which of the following is the most appropriate initial treatment ?
A) Ringer lactate at 30 ml/kg given intravenously in 30 minutes B) Oral rehydration solution through nasogastric tube C) Ringer lactate at 10ml/kg given intravenously in 2 hours D) Normal saline at 10ml/kg given intravenously in 2 hours Answer (Select an option above to get the answer):
(Single Best Answer) Question 404: A 6 year old child presents with oliguria, haematuria, puffiness of face. He has a convulsion and blood pressure is found to be 200/100 mm of Hg. Laboratory tests reveal hemoglobin 12 g / dl, total leucocyte count: 7200 / mm3, platelet count: 3.1 lakhs / mm 3, blood urea : 80 mg / dl and serum creatinine : 1.1 mg / dl. What is the most likely diagnosis ?
A) Haemolytic uraemic syndrome B) Urinary tract infection C) Acute glomerulonephritis with hypertensive encephalopathy D) Obstructive uropathy Answer (Select an option above to get the answer):
(Single Best Answer) Question 405: A 2 year old previously healthy child develops abrupt onset high grade fever, drooling of saliva and respiratory distress. He has a toxic look and becomes severely ill within few hours. What is the most likely clinical diagnosis ?
A) Acute tonsilopharyngitis B) Tracheo-oesophageal fistula C) Acute Epiglottitis D) Laryngeal web Answer (Select an option above to get the answer):
(Single Best Answer) Question 406: A 6 week old infant presents with recurrent nonbilious vomiting with some dehydration. A mass is palpable in right upper quadrant of abdomen with visible peristalsis. The most likely diagnosis is ?
A) Intussusception B) Congenital hypertrophic pyloric stenosis C) Small intestine obstruction D) Duodenal atresia Answer (Select an option above to get the answer):
(Single Best Answer) Question 407: A patient with cirrhosis develops oliguria and worsening azotemia. Urinary sediment is normal. Urinary sodium concentration is 5 meq / L. The most likely cause could be ?
A) Acute cortical necrosis B) Acute tubular necrosis C) Acute glomerulonephritis D) Hepatorenal syndrome Answer (Select an option above to get the answer):