Paediatric MCQ 1105+

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• Dilatation of the pupil may be obtained by local administration of
  ক

  Homatropine

  খ

  Cocaine

  গ

  Phenylephrine

  ঘ

  Physostigmine

  ঙ

  Salbutamol
• Ptosis results from lesions of
  ক

  Levator palpebrae superioris

  খ

  Oculomotor nerve

  গ

  Cervical sympathetic outflow

  ঘ

  Facial nerve

  ঙ

  Muscles of facial expression
• Pupillary light reflex involves the
  ক

  Pretectal nucleus

  খ

  Edenger-Westphal nucleus

  গ

  Lateral geniculate body

  ঘ

  Nerve to the medial rectus

  ঙ

  Short ciliary nerve
• Recognized causes of deafness includes
  ক

  Meningitis

  খ

  Chloroquine

  গ

  Aminoglycosides

  ঘ

  Neonatal hyperbilirubinemia

  ঙ

  Sulphadiazine
• Following are the complications of oligo-hydromnios
  ক

  Pulmonary hypoplasia

  খ

  Meconium aspiration syndrome

  গ

  Renal agenesis

  ঘ

  Respiratory distress syndrome

  ঙ

  Cataract
• Inhalation anesthetic drugs are
  ক

  Isoflurane

  খ

  Enflurane

  গ

  Nitrous oxide

  ঘ

  Thiopental sodium

  ঙ

  Ketamine
• Osteoporosis can be caused by
  ক

  Rheumatoid arthritis

  খ

  Corticosteroid

  গ

  Chronic diarrhoea

  ঘ

  Hypoparathyroidism

  ঙ

  Hypothyroidism
• Biochemical changes that occur followingprolonged vomiting due to gastric outlet obstruction are
  ক

  Hypokalaemia

  খ

  Hypochloremia

  গ

  Metabolic acidosis

  ঘ

  Hypernatremia

  ঙ

  Hypoalbuminemia
• Recognized causes of deafness include/s
  ক

  Meningitis

  খ

  Chloroquine

  গ

  Aminoglycosides

  ঘ

  Neonatal hyperbilirubinemia

  ঙ

  Sulphadiazine
• Causes of macrosomia are
  ক

  Infant of diabetic mother

  খ

  Hydrops fetalis

  গ

  TORCH infection

  ঘ

  Congenital Nephrotic Syndrome

  ঙ

  Maternal hypothyroidism
• Intrauterine development of brain depends upon
  ক

  Folic acid

  খ

  Vitamin B12

  গ

  Zinc

  ঘ

  Iodine

  ঙ

  Vitamin C
• Alkaline phosphatase is increased in
  ক

  Biliary obstruction

  খ

  Primary biliary cirrhosis

  গ

  Rickets

  ঘ

  Acrodermatitis enteropathica

  ঙ

  Hypophosphatasia
• Very small anterior fontanelle is a feature of
  ক

  Craniosynostosis

  খ

  Microcephaly

  গ

  Hypophosphatasia

  ঘ

  Hyperthyroidism

  ঙ

  Osteogenesisimperfecta
• Creatine phosphokinase is raised in
  ক

  Muscular dystrophies

  খ

  Myocardial infarction

  গ

  Hyperthyroidism

  ঘ

  Viral hepatitis

  ঙ

  Parkinson’s disease
• Congenital cataract is found in
  ক

  Galactosemia

  খ

  Congenital rubella syndrome

  গ

  Retinoblastoma

  ঘ

  Osteogenesis imperfect

  ঙ

  Zellweger syndrome
• Spinal muscular atrophy
  ক

  Affects the peripheral nerve

  খ

  Associated with less fetal movements

  গ

  Presents with preserved intellectual function

  ঘ

  Associated with arthrogryposis multiplex congenita

  ঙ

  Is autosomal dominant disorder
• The correct genotype of down syndrome is/are
  ক

  47

  খ

  xy

  গ

  +21

  ঘ

  47

  ঙ

  xy

  চ

  +13 ’

  ছ

  47

  জ

  xy

  ঝ

  +18
• Karyotyping is indicated in
  ক

  Down syndrome

  খ

  Recurrent loss of pregnancy

  গ

  Primary ammenrrhoea

  ঘ

  Meningomyelocele

  ঙ

  Fallot's Tetralogy
• Following diseases are transmitted from consanguineous couple to their offspring
  ক

  Wilson's disease

  খ

  Congenital adrenal hyperplasia

  গ

  Galactosemia

  ঘ

  Huntington's chorea

  ঙ

  Marfan syndrome
• Prenatal diagnosis is possible in
  ক

  Down Syndrome

  খ

  Beta thalassaemia

  গ

  Duchene muscular dystrophy

  ঘ

  Laryngomalacia

  ঙ

  Diabetes mellitus
• True statements regarding identify a specific genetic cause in a dysmorphic child are
  ক

  Family history can give clue

  খ

  Birth history can give clue

  গ

  Thorough physical examination can give clue

  ঘ

  PCR can accurately identify the cause

  ঙ

  Microarray is the definite genetic test
• Vesicular rash found in
  ক

  Chicken pox

  খ

  Hand-foot and mouth disease

  গ

  Herpes Zoster

  ঘ

  Scarlet fever

  ঙ

  Rubella
• Benign skin rashes in newborn are
  ক

  Diaper dermatitis

  খ

  Eryethema toxicum

  গ

  Milia

  ঘ

  Epidermolysis bullosa

  ঙ

  Eryethema multiforme
• Kawasaki disease of children has the following features
  ক

  High fever 5 days or more

  খ

  A decreased in platelet count

  গ

  Coronary artery aneurysm

  ঘ

  Limping

  ঙ

  Decrease in white cell count
• Diagnostic criteria for systemic lupus erythematosus
  ক

  Malar rash

  খ

  Oral ulcer

  গ

  Photosensitivity

  ঘ

  Fever

  ঙ

  Hepatomegaly
• Major criteria of rheumatic fever are
  ক

  Migratory polyarthritis

  খ

  Subcutaneous nodule

  গ

  Carditis

  ঘ

  Arthralgia

  ঙ

  Fever
• Regarding rheumatic fever
  ক

  It is an autoimmune disease

  খ

  Chorea can be lone presentation

  গ

  Carditis usually does not occur in first attack

  ঘ

  Tricuspid valve is usually involved

  ঙ

  Subcutaneous nodule can be lone presentation
• Acute rheumatic fever
  ক

  Is post infectious immune response to Group A beta-haemolytic streptococcus infection

  খ

  Aschoff nodules are the hallmark of rheumatic fever

  গ

  Erythema marginatum is major criteria

  ঘ

  Age range is 15-20 years

  ঙ

  Elevated anti-streptococcal antibody titre is the hallmark
• Blood picture of iron deficiency anemia includes
  ক

  Microcytic hypochromic anemia

  খ

  Reticulocyte count is high

  গ

  Serum iron is low

  ঘ

  RDW is normal

  ঙ

  Serum ferritin is high
• In Haemophilia A, there are
  ক

  Normal bleeding time

  খ

  Normal platelet count

  গ

  Prolonged APTT (activated partial thromboplastin tim

  ঘ

  Decreased Christmas factor

  ঙ

  Prolonged PT (prothrombin tim