96 - pediatrics 6 bits

Question 1 : A 5 days old child presents with fever, seizures, refusal to feed and features of meningeal irritation . His CSF examination shows Protein 300mg %, Sugar 10mg %, WBC 5000 / mm3. The most probable causative organism is

a) Tubercular
b) Mycoplasma
c) Listeria monocytogenes------------------------------------- *
d) Leptospira

Question 2 : All are seen in myotonic dystrophy except

a) Cataract
b) Respiratory failure
c) Cardiac defects
d) Enlarged testes * * Right

Question 3 : Cerebral palsy which manifests after the age of 1 year is

a) Ataxic
b) Spastic
c) Athetoid * * Right
d) Mixed

Question 4 : In cerebral edema which of the following drug is used

a) Prednisolone
b) Hydrocortisone
c) Betamethasone
d) Dexamethasone * * Right

Question 5 : A 2 days old child is presented to the neonatal ICU with fever and regurgitation of feeds. CSF examination shows WBCs 30/mm3 (60% polys ), RBCs 500/mm3, Protein 100mg %, Sugar 40mg %. The most probable diagnosis is

a) Pyogenic meningitis
b) Traumatic L.P.
c) Tubercular meningitis
d) Normal CSF ------------------------------ *

Question 6 : A 7 year old child is brought to the casualty with history of fever and vomiting for 2 days. On examination he is dehydrated, comatose and acidotic. The CSF examination shows WBCs 3 cells/mm3, Protein 20mg %, Sugar 300mg %. The child has

a) Tubercular meningitis
b) Salicylate poisoning
c) Hemolytic uremic syndrome
d) Diabetic coma------------------------------------ *

Question 7 : Which of the following does not present with hypotonia at birth

a) Cerebral palsy
b) Werding - Hoffman disease
c) Duchenne dystrophy * * Right
d) Pompe's disease

Question 8 : Cerebral palsy which may improve with time

a) Ataxic
b) Athetoid
c) Spastic-------------------------------------- *
d) Dyskinetic

Question 9 : Transient focal weakness following a seizure is called

a) Bell's palsy
b) Todd's palsy--------------------------------------- *
c) Cerebral palsy
d) Jacksonian palsy

Question 10 : Which of the following is not a feature of Struge - Weber Syndrome

a) Facial nevus
b) Complex partial seizures
c) Bilateral facial nerve palsy-------------------------- *
d) Intracranial calcification