Friday, 26 June 2015

PAEDIATRICS - AIPGMEE 2006 QUESTIONS AND ANSWERS



Q215.All of the following are features of prematurity in a neonate, except:

A.     No creases on sole.

B.     Abundant lanugo.

C.     Thick ear cartilage.

D.     Empty scrotum.

Ans: C.   Thick ear cartilage.

Q216.A normally developing 10 month old child should be able to do all of the following except :

A.     Stand alone.

B.     Play peek a boo.

C.     Pick up a pellet with thumb and index finger.

D.     Build a tower of 3-4 cubes.

Ans: D.  Build a tower of 3-4 cubes.

Q217.The following are characteristic of autism except :

A.     Onset after 6 years of age.

B.     Repetitive behaviour.

C.     Delayed language development.

D.     Severe deficit in social interaction.

Ans: A.   Onset after 6 years of age.

Q218.The earliest indicator of response after starting iron in a 6- year-old girl with iron deficiency is:

A.     Increased reticulocyte count.

B.     Increased hemoglobin.

C.     Increased ferritin.

D.     Increased serum iron.

Ans: A.   Increased reticulocyte count.

Q219.A 1 month old boy is referred for failure to thrive.  On examination, he shows features of congestive failure.  The femoral pulses are feeble as compared to brachial pulses.  The most likely clinical diagnosis is :

A.     Congenital aortic stenosis.

B.     Coarctation of aorta.

C.     Patent ductus arteriosus.

D.     Congenital aortoiliac disease.

Ans: B.   Coarctation of aorta.

Q220.The following features are true for Tetralogy of Fallot, except:

A.     Ventricular septal defect.

B.     Right ventricular hypertrophy.

C.     Atrial septal defect.

D.     Pulmonary stenosis.

Ans: C.   Atrial septal defect.

Q221.A malignant tumour of childhood, that metastasizes to bones most often, is:

A.     Wilm’s tumour.

B.     Neuroblastoma.

C.     Adrenal gland tumours.

D.     Granulosa cell tumour of ovary.

Ans: B.   Neuroblastoma.

Q222.The requirement of potassium in a child is :

A.     1-2 mEq/kg.

B.     4-7 mEq/kg.

C.     10-12 mEq/kg.

D.     13-14 mEq/kg.

Ans: A.   1-2 mEq/kg.

Q223.The most common etiological agent for acute bronchiolitis  in infancy  is :

A.     Influenza virus.

B.     Para influenza virus.

C.     Rhinovirus.

D.     Respiratory syncytial virus.

Ans: D.  Respiratory syncytial virus.

Q224.Which of the following is the principal mode of heat exchange in an infant incubator?

A.     Radiation.

B.     Evaporation.

C.     Convection.

D.     Conduction.

Ans: A.   Radiation.

Q225.Late onset hemorrhagic disease of newborn is characterized by all of the following features except:

A.     Usually occurs in cow-milk fed babies.

B.     Onset occurs at 4-12wk of age.

C.     Intracranial hemorrhage can occur.

D.     Intramuscular vitamin K prophylaxis at birth has a protective role.
Ans: D.  Intramuscular vitamin K prophylaxis at birth has a protective role.

Q226.Which of the following malformation in a newborn is specific for maternal insulin dependent diabetes mellitus?

A.     Transposition of great arteries

B.     Caudal regression

C.     Holoprosencephaly.

D.     Meningmyelocele.


Ans: B.   Caudal regression

Q227.With reference to mumps which of the following is true?

A.     Meningoencephalitis can precede parotitis.

B.     Salivary gland involvement is limited to the parotids.

C.     The patient is not infectious prior to clinical parotid enlargement.

D.     Mumps orchitis frequently leads to infertility.


Ans: A.   Meningoencephalitis can precede parotitis.

Q228.A child is below the third percentile for height.  His growth velocity is normal, but chronologic age is more than skeletal age. The most likely diagnosis is:

A.     Constitutional delay in growth.

B.     Genetic short stature.

C.     Primordial dwarfism.

D.     Hypopituitarism.

Ans: A.   Constitutional delay in growth.

Q229. The sodium content of ReSoMal (rehydration solution for malnourished children) is:

A.     90mmol/L.

B.     60mmol/L

C.     45mmol/L

D.     30mmol/L

Ans: C.   45mmol/L