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Paediatric quiz

Total questions: 28

Worksheet time: 14mins

Name
Class
Date
1.
Which of the following hepatitis viruses have significant perinatal transmision?
a)
Hepatitis E virus
b)
Hepatitis C virus
c)
Hepatitis B virus
d)
Hepatitis A virus
2.
HSP is characterised by all except
a)
Glomerulonephritis
b)
Hematochezia
c)
Thrombocytopenia
d)
Palpable purpura
3.

HSP is characterised by deposition of the following immunoglobulin around the blood vessels?

a)

IgM

b)

IgG

c)

IgA

d)

IgE

4.
Frequency of renal involvement in HSP is
a)
1-5%
b)
5-8%
c)
10-50%
d)
60-80%
5.
Most common vasculitis in children
a)
Kawasaki disease
b)
Takayasu arteritis
c)
HSP
d)
Microscopic PAN
6.

Kawasaki disease is associated with all except

a)

Erythema

b)

Cervical Lymphadenopathy

c)

Conjuctivitis

d)

Thrombocytopenia

7.

Following are the causes of unconjugated hyperbillirubinemia except?

a)

Thalasemia

b)

Physiological Jaundice in new born

c)

Gillbert Syndrome

d)

Viral hepatitis

8.
Which of the following is true regarding hepatocellular jaundice?
a)
Unconjugated Hyperbilirubinemia
b)
Urobilinogen is negative
c)
Stools are pale
d)
Alanine transaminase is markedly elevated
9.
Which of the folowing investigations denotes synthetic function of liver.
a)
Seum albumin
b)
Alkaline phosphatase
c)
ALT
d)
Bilirubin
10.

Which of the following is not true regarding lymphnodes?

a)

Cervical lymphnodes are normal up to 1 cm.

b)

Inguinal lymphnodes are normal up to 1.5 cm.

c)

Epitrochlear nodes are normal up to 2 cm.

d)

Supraclavicular nodes are suggestive of malignancy

11.
Biphasic pattern of fever is seen in
a)
measles
b)
rubella
c)
dengue fever
d)
typhoid fever
12.
Fever with vesicular rash is seen in
a)
hand foot and mouth disease
b)
rubella
c)
roseola infantum
d)
Henoch-Schonlein purpura
13.
The following statements about fever are True EXCEPT
a)
normal body temperature in children is lower than adults
b)
there is diurnal variation in body temperature
c)
the most accurate assessment of temperature is rectal temperature
d)
forehead strip measurement of temperature is not accurate
14.
The standard dose of oral paracetamol for children is
a)
5 mg/kg/dose
b)
15 mg/kg/dose
c)
20 mg/kg/dose
d)
25 mg/kg/dose
15.
The most common age for children to develop febrile convulsions is
a)
newborn to 6 months
b)
6 month-5 years
c)
6-8 years
d)
11-14 years
16.
A 10 day neonate is brought to ER with fever since past 2 days.The following statements are correct EXCEPT
a)
Fever during neonatal period is a medical emergency
b)
There is 5-15 % risk of serious bacterial infection
c)
neonates that look well cannot have serious bacterial infection
d)
the baby should be kept under close observation for signs of sepsis
17.

2 year child presents with h/o high grade fever, vomiting, irritability & development of rash. What is the most likely diagnosis after seeing the image?

a)

Measles

b)

Hand foot mouth disease

c)

Kawasaki

d)

Meningococcemia

18.

3 year unimmunised child presents with h/o high grade feverfor 4 days, cough, coryza & development of rash on 5th day of fever. What is the most likely diagnosis after seeing the image?

a)

Chicken pox

b)

Parvo virus infection

c)

Dengue fever

d)

Measles

19.
Normal findings in a newborn include all except-
a)
Mongolian blue spot
b)
Vaginal blood loss
c)
Lanugo hair
d)
Strawberry nevus
20.
Severe hypothermia is defined as-
a)
<32 degree C
b)
32-36 degree C
c)
36-36.5 degree C
d)
>37 degree C
21.

True regarding Transient Tachypnoea of the newborn is ?

a)

Occurs upto 48 hours post delivery

b)

Due to delayed absorption of fetal lung fluid

c)

Not common in LSCS delivered babies

d)

Due to pneumonitis

22.
Blueberry muffin appearance in infants with TORCH due to -
a)
Dermal erythropoiesis
b)
Palpable purpura
c)
Metastatic
d)
Viral lesion
23.

Marker of neonatal sepsis includes all except-

a)

Complete blood count

b)

Procalcitonin

c)

Micro ESR

d)

Urinary RBC cells

24.

Neonatal sepsis commonly caused by all except-

a)

E. Coli

b)

Listeria monocytogens

c)

Group B streptococcus

d)

Pneumocystis carinii

25.

Which of the following vital parameters are used as indicators of sepsis in neonates ?

a)

Heart rate,Respioratory rate, Temperature

b)

Heart rate, Temperature, Gestational Age

c)

Heart Rate, Respiratory rate, Weight

d)

Heart rate, Respiratory rate, Glucose

26.

Newborn Thermoregulation maintained by-

a)

Cutaneous receptors

b)

Brown Fat

c)

Muscle Shivering

d)

Breast feeding

27.
Criteria included in APGAR score include all except-
a)
Heart rate
b)
Respiratory rate
c)
Muscle tone
d)
Colour
28.

Risk factor for neonatal sepsis include all except

a)

Born >38 weeks of Gestational age

b)

Chorioamnionitis

c)

Maternal tachycardia

d)

Premature rupture of membranes

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