94 - pediatrics 4 bits

Question 1 : Treatment of choice in infantile spasm is

a) Phenobarbitone
b) Clonazepam
c) ACTH
d) Phenytoin----------------------------- *

Question 2 : The following statements regarding systemic onset JRA are all true except

a) Fever
b) Hepatosplenomegaly
c) Leucocytosis
d) Antinuclear antibodies positive----------- *

Question 3 : Most common cause of subdural effusion in children is

a) Staphlococcus aurus
b) H. Influenzae type B --------* * Right
c) Streptococcus pneumoniae
d) Neisseria meningitidis

Question 4 : A 4 year old boy is brought to pediatric emergency with complaints of fever and vomiting. Clinical examination reveals neck rigidity. CSF shows Protein 200mg %, sugar 50mg %, chloride 550 meq/dl. The most probable diagnosis is

a) Pyogenic meningitis
b) Tubercular meningitis * * Right
c) Aseptic meningitis
d) Brain abcess

Question 5 : A 2 year old boy is brought to pediatric emergency with history of fever, lethargy and vomiting for the last 4 days. His parents have observed seizures for the last half an hour. The most appropriate antiepileptic drug for him is

a) Phenytoin
b) Phenobarbitone
c) Diazepam *
d) Carbamazepine

Question 6 : Most common cause of death in a child with acute poliomyelitis is

a) Convulsion
b) Cardiac arrest
c) Respiratory failure * * Right
d) Intercostal muscle paralysis

Question 7 : A 3 year old boy is brought to pediatric OPD with history of seizures. On examination he is found to be mentally retarded and has sebaceous adenoma. He most probably has

a) Toxoplasmosis
b) Neurofilnomatosis
c) Hypothroidism
d) Tuberous silerosis * * Right

Question 8 : A 8 year old girl presents to the pediatric emergency with 3 day history of fever ( 101F ), vomiting, headache and seizures. CSF finding shows sugar 40mg %, Protein 200mg % with neutrophils 60% and lymphocyte 40%. The most probable diagnosis

a) Pyogenic meningitis
b) Tubercular meningitis * * Right
c) Viral meningitis
d) Brain abcess

Question 9 : Which of the following statements is least suggestive of Polio infection

a) Low grade fever and malaise with complete recovery in 2 - 3 days
b) Recovery of function upto 6 months after initial paralysis
c) Descending symmetric motor paralysis with preservation of deep tendon reflex and sensation--------------------- *
d) Meningeal symptoms and asymmetric flaccid paralysis

Question 10 : Earliest change in a 1 year old child with raised ICT is

a) Silver beaten appearance
b) Posterior clinoid erosion
c) Erosion of sella
d) Sutural seperation * * Right