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):
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 43: 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 44: 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 45: 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 46: 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 47: 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 48: 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 49: 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 50: 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):