Paediatric gastroenterology and hepatology MCQ 31+

Test your knowledge with important Paediatric gastroenterology and hepatology MCQ and their applications. These MCQs are beneficial for competitive exams too. Explore 61+ more Paediatric gastroenterology and hepatology MCQs on Bissoy. Bissoy App

• The feature(s) of cholestatic liver disease is/are
  ক

  Dark urine

  খ

  Pruritus

  গ

  Malabsorption

  ঘ

  Pigmented stool

  ঙ

  Pallor
• Regarding liver function test
  ক

  Gamma glutamyl transpeptidase is increased in cholestatic liver disease

  খ

  Serum albumin may decrease in condition other than liver disease

  গ

  SGPT is more raised in chronic hepatitis than acute

  ঘ

  Prothrombin time may not be prolonged in acute liver failure

  ঙ

  Normal SGPT and prolonged prothrombin time indicate deterioration of liver disease
• Following diseases cause chronic liver disease in children
  ক

  Hepatitis C virus infection

  খ

  Wilson disease

  গ

  Hepatitis E virus infection

  ঘ

  Non alcoholic fatty liver disease

  ঙ

  Salmonella hepatitis
• In acute liver failure in children
  ক

  Hypokalaemia can aggravate the condition

  খ

  Hyperventilation can improve cerebral edema in acute liver failure

  গ

  Encephalopathy is a mandatory feature

  ঘ

  Paracetamol causes acute liver failure in idiosyncratic manner

  ঙ

  Auxillary liver transplantation is the treatment of choice
• Acute pancreatitis
  ক

  Is caused by anticancer drugs

  খ

  Is caused by Hepatitis A infection

  গ

  Is caused by hyperlipidaemia

  ঘ

  Is caused by hypocalcaemia

  ঙ

  Is caused by Giardiasis
• The causes of rectal bleeding in children are:
  ক

  Meckel’s diverticulum

  খ

  Juvenile polyp

  গ

  Cow’s milk intolerance

  ঘ

  Intususseption

  ঙ

  Intestinal TB
• Common causes of per rectal bleeding in children
  ক

  Anal fissure

  খ

  Rectal polyp

  গ

  Haemorrhoid

  ঘ

  Intussusception

  ঙ

  Rectal carcinoma
• Fresh per rectal bleeding in children is due to
  ক

  Rectal polyp

  খ

  Anal fissure

  গ

  Hirschprung’s disease

  ঘ

  Intestinal tuberculosis

  ঙ

  Amoebic dysentery
• A 3 year old child passes blood stool for 2 months, the causes might
  ক

  Fissure in Ano

  খ

  Rectal polyp

  গ

  Carcinoma rectum

  ঘ

  Hirschsprung’s disease

  ঙ

  Fistula in ano
• A 3 year old child passes bloody stool for 2 month, the causes might be
  ক

  Fissure in ano

  খ

  Rectal polyp

  গ

  Bacillary dysentery

  ঘ

  Intussusception

  ঙ

  Hirschsprung’s disease
• Haematemesis in children may be due to
  ক

  Extrahepatic portal hypertension

  খ

  Bleeding peptic ulcer

  গ

  Mallory Weiss syndrome

  ঘ

  Meckels diverticulum

  ঙ

  Intussusception
• Regarding vomiting of milk by infants
  ক

  Because of gastroesophegeal reflux

  খ

  Volumes of emesis are commonly 5-10ml

  গ

  These infants are otherwise healthy

  ঘ

  It resolves by 1 year in 90% of cases

  ঙ

  Complications like pneumonia

  চ

  apnea

  ছ

  failure to thrive are common
• Vomiting starts in the first week of life in infants with
  ক

  Duodenal atresia

  খ

  Meconium ileus

  গ

  Hiatus hernia

  ঘ

  Pyloric stenosis

  ঙ

  Coeliac disease
• A child with chronic diarrhoea may have deficiency of the following nutrients
  ক

  Zinc

  খ

  Copper

  গ

  Thiamine

  ঘ

  Niacin

  ঙ

  Iodine
• In osmotic diarrhea
  ক

  There is presence of reducing substance

  খ

  Stool osmotic gap is high

  গ

  Example is lactose intolerance

  ঘ

  Stool in alkaline

  ঙ

  Stool sodium> 70 meq/L
• In case of osmotic diarrhoea
  ক

  Osmotic gap is high

  খ

  Food withholding ceases diarrhoea

  গ

  Stool sodium is high

  ঘ

  Cholera is an example of osmotic diarrhoea

  ঙ

  Reducing substance negative in the stool
• Composition of WHO-ORS is litre pack
  ক

  Glucose – 20 gm

  খ

  NaCl - 1.75 gms

  গ

  KCl - 0.75 gms

  ঘ

  Trisodium citrate - 1.25 gms

  ঙ

  Bicarbonate - 1.45 gms
• ORS
  ক

  Is given 75 ml/kg in 4 hour for treating mild dehydration

  খ

  Contains Sodium 75 meq/L

  গ

  Can be given orally and parenterally

  ঘ

  Is indicated in severe dehydration

  ঙ

  Contains NaCl 6.2 gm/L
• Indications for IV saline in a child with diarrhoea are
  ক

  High purging rate

  খ

  Persistent vomiting

  গ

  Paralytic ileus

  ঘ

  Neonatal diarrhea

  ঙ

  Blood mixed stool
• Antibiotic are required in the management of following diarrheal disease:
  ক

  Cholera

  খ

  Shigella dysenteriae type 1 infection

  গ

  ETEC diarrhea

  ঘ

  Rotavirus diarrhea

  ঙ

  Non-typhoidal salmonella enteritis in an infant below 3 months of age
• Indications of antibiotic in diarrhoea in children include
  ক

  Pseudomembranous colitis

  খ

  Cholera

  গ

  Shigellosis

  ঘ

  E coli infection

  ঙ

  Rota virus infection
• Antibiotics are needed in following diarrhoeal disease/s
  ক

  Shigellosis

  খ

  Cholera

  গ

  Enterotoxigenic E coli

  ঘ

  Rotaviral diarrhoea

  ঙ

  Adenovirus infection
• Indications for antibiotics in childhood diarrhoea are
  ক

  Cholera

  খ

  Shigellosis

  গ

  Pseudomembranous colitis

  ঘ

  Entero toxicogenic E coli diarrhoea

  ঙ

  Rota virus diarrhoea
• Signs of severe dehydration are:
  ক

  Unable to drink

  খ

  Very sunken eyes

  গ

  Irritability

  ঘ

  Skin pinch goes back slowly

  ঙ

  5-10% loss of body eight
• Signs of severe dehydration in a child are
  ক

  Skin pinch goes back very slowly

  খ

  Lethargy

  গ

  Repeated vomiting

  ঘ

  Very eager to drink

  ঙ

  Irritability
• Signs of severe dehydration include
  ক

  Lethargy

  খ

  Sunken eyes

  গ

  Inability of drink

  ঘ

  Slow return of skin pinch

  ঙ

  Absence of tears
• For the assessment of dehydration, the key signs to be considered are
  ক

  Sunken eye

  খ

  Thirst

  গ

  Skin pinch

  ঘ

  Blood pressure

  ঙ

  Mental status
• Following are features of dehydration
  ক

  Loss of perspiration

  খ

  Skin pinch goes back slowly

  গ

  Excessive thirst

  ঘ

  Altered consciousness level

  ঙ

  Anaemia