93 - pediatrics 3 bits

Question 1 : Bloody stools in patients with intusussception occur most commonly in patients

a) Diagnosed very late
b) With a complicating volvulus
c) Without pain
d) Below 2 yrs of age----------------------

Question 2 : Portal hypertension in absence of cirrhosis in childhood is due to

a) Intrahepatic biliary atresia
b) A tumor obstructing portal blood flow
c) Thrombosis / cavernous transformation of portal vein----------- * * Right
d) None of the above

Question 3 : Inguinal hernias in children are

a) More common on left side
b) Often bilateral
c) Never present at birth
d) Generally indirect------------------------------------------ *

Question 4 : A 3 day old infant presents with vomiting, rapidly distending abdomen and signs of shock. The vomitus is bile stained. Most likely diagnosis is

a) Meconium ileus
b) Mid gut volvulus----------------------------------- *
c) Achalasia
d) Duodenal atresia

Question 5 : A 3 day old, 34 weeks, appropriate for date baby, with Apqar score 4/10, 5/10 at 1 and 5 min on formula feed in a nursery develops lethargy, abdominal distention and passage of blood in stools. The most likely diagnosis and pathognomonic sign on X-ray is

a) Malrotation ; multiple air fluid lives
b) Intusussception ; Pneumoperitoneum
c) Intusussception ; Pneumatosis intestinalis-------------------- *
d) Malrotation ; gas under diaphragm

Question 6 : Profuse hematemesis in children is due to

a) Stomach polyp
b) Portal hypertension-----------------------------------* * Right
c) Esophagitis
d) Peptic ulcer

Question 7 : A 16 day old child presents in an OPD with gradually progressive jaundice from D2 and acholic stools. On blood biochemistry a Serum Bilirubin of 16mg % is found with a direct component of 14mg %. The most important investigation for making a diagnosis is

a) TORCH
b) Biliary scintiscan with imidoacetic acid --------------------* * Right
c) Phytate scan
d) Serum GGT levels

Question 8 : A neonate with prolonged physiological jaundice and constipation, probably has

a) Biliary Atresia
b) Erythromblastosis fetalis
c) Cretinism------------------------------------------------ *
d) Aganglionic megacolon

Question 9 : Most important cause of malabsorption syndrome in Indian children is

a) Amoebiasis
b) Giardiasis----------------------------- *
c) E.coli infection
d) Malrotation of gut

Question 10 : In Indian childhood cirrhosis, the most common biochemical change is

a) Serum copper level is increased while serum zinc levels are decreased
b) Both serum copper and zinc level is increased --------------------------------- *
c) Serum copper level is decreased while serum zinc level is increased
d) Both serum copper and zinc level are decreased

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