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Mcqs MBBS Exams India
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(Single Best Answer) Question 161: Which one of the following is not a feature of severe combined immunodeficiency in children ?
A) Enlarged thymus
B) Decreased serum immunoglobulin levels
C) Defective T cell function
D) Recurrent pulmonary infections
Answer (Select an option above to get the answer):
(Single Best Answer) Question 162: The following milestones can be achieved by a 12 month old infant except ?
A) Wave bye bye
B) Speak mama, baba, dada
C) Make a tower of 6 blocks
D) Stand without support
Answer (Select an option above to get the answer):
(Single Best Answer) Question 163: A 4 years old child presents with rash on lower limbs, arthritis and abdominal pain. Urine examination reveals microscopic hematuria. The most likely diagnosis is ?
A) Thrombaesthenia
B) Idiopathic thrombocytopenic purpura
C) Systemic lupus erythematosus
D) Henoch Schonlein purpura
Answer (Select an option above to get the answer):
(Single Best Answer) Question 164: A one year old male child presents with poor urinary stream and dribbling of urine since birth. A mass is palpable just above the symphysis pubis. The most likely diagnosis is ?
A) Tumor of the urinary bladder
B) Posterior urethral valve
C) Ureterocele
D) Neuroblastoma
Answer (Select an option above to get the answer):
(Single Best Answer) Question 165: 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 166: 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 167: 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 168: 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 169: 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 170: 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):