MCQs on Pediatrics for Staff Nurse and Medical Exams

</>1"> 1. A two year old child was brought to the OPD by his parents with complaints of not eating anything On amination her weight is 11.5 kg (50lh percentile of normal)and height 75 percentile of normal management is
a) Advise multivitamin Tonic
b) Force to eat
c) Investigate for UTI    
d) Ask parents to stop worrying

2. Which of the following acts can a one year old child perform ?
a) Sits down from standing position                
b) Drinks from cup
c) Speaks one or two words with meaning
d) Rings bell purposefully

3. Prenatal diagnosis is possible for all of following except
a) Sickle cell trait
b) Beta Thalassemia
c) Ectodermal dysplasia
d) Duchennes muscular dystrophy

4. A 7 year old boy with reduced height and weight for age for past one year is likely to have
a) Malnutrition
b) Lymphoma
c) Chronic infection
d) Measles

5. Intra uterine growth retardation can be caused by all except
a) Nicotine
b) Alcohol
c) Propranolol
d) Phenothiazine

6. Which of the following childhood disorder improves with increase in age
a) Conduct disorder
b) Emotional problems  
c) Temper tantrum
d) Sleep disorder

7.A normal infant sits briefly leaning forward on her hands, reaches for and grasps a cube and transfers it from   hand to hand. She babbles but cannot wave bye-bye nor can she grasp objectives with the finger and thumb. Her age is
a) 4 months
b) 7 months
c) 10 months
d) 14 months

8.Atavism is when a child resembles his
a) Parents
b) Grand parents
c) Cousin
d) Twin

9. Two carpal bones are radiologically seen in the wrist X-ray of most of the children by the end of
a) 1 year
b) 2 years
c) 3 years
d) 4 years

10. An infants sits with minimal support, attempts to attain a toy beyond reach, rolls over from   supine to prone     position and does not have pincer grasp is at a development of
a) 3 months
b) 4 months
c) 6 months
d) 8 months

</>2" style="display: none;"> 11. Fetal Respiratory movements occur earliest at
a) 12 wks
b) 16 wks
c) 20 wks
d) 11 wks

12. Vocabulary of IViyear old child is
a) 1-10 words
b) 10-20 words
c) 20-30 words
d) 30-40 words

13.The antenatal diagnosis of all of the following conditions is feasible except
a) Huntington's chorea
b) Down's syndrome
c) Severe combined immunodeficiency syndrome
d) Anencephaly

14.Order of development of secondary sexual characteristic in male
a) Testicular development — pubic hair — Axillary hair — beard
b) Pubic hair — testicular development — axillary hair — beard
c) Testicular development — beard — pubic hair — axillary hair
d) Axillary hair — beard — pubic hair — testicular development

15. Which is incorrect about Thumb sucking
a) Can lead to malocclusion
b) is a source of pleasure
c) is a sign of insecurity
d) must be treated vigorously in the first year

16.Head control is possible in an infant by _____ months
a) 1
b) 2
c) 3
d) 6

17.IQ between 50-70 indicates
a) Mild mental retardation                            
b) Moderate retardation
c) Severe retardation
d) Profound retardation

18.Preference of use of one hand (handedness) is evident by
a) 6 months          
b) 1 year        
c) 2 years        
d) 3 years

19.Fetal bradycardia is defined as
a) Less than 100 beat/min    
b) between 100 and 200 beat/min  
c) Less than 120 beat/min
d) Less than 120 beat/min for a period of 15 min of continuous monitoring

20.Regarding "breath holdinaspells" in children, one of the following statements is not true (KAR 94)
a) It is fairly common in the first 2 years of life
b) It does not contribute to increased risk of seizure disorders
c) Parents are advised to ignore and not to reinforce these attacks
d) It must be immediately attended to prevent hypoxia and onset of seizures

</>3" style="display: none;"> 21.A 18-month old baby presents with recurrent episodes of excessive crying followed by cyanosis,     unconsciousness and occasional seizures since 9 months of age. The most likely diagnosis is
a) Epilepsy
b) Anoxic spells
c) Breath holding spells  
d) Vasovagal attack

22.Which among the following is not expected in a 3 year old

a) Draw a circle
b) Talk in sentence
c) Climb down stairs
d) hop 5 steps

23.By years all milk teeth are erupted
a) 1.5
b) 2
c) 2.5
d) 3

24.I-elayed dentition is most characteristic of
a) Mongolism
b) Acromegaly
c) Cretinism
d) Malnutrition

25.A new born baby has a head circumference of 35 cms at birth. His optimal head circumference  will be 43 cms at
a) 4 months of age
b) 6 months of age
c) 8 months of age
d) 12 months of age

26.Normal heart rate at birth is
a) 120-160/min    
b) 100-120      
c) 160-180      
d) is always less than 100

27.Fetal growth is maximally affected by
a) Insulin            
b) Growth Hormone                    
c) Cortisol                    
d) Thyroxine

28.A child can walk up and down the stairs alternating his feet by
a) 12 months        
b) 24 months                
c) 36 months                
d) 48 months

29.Gender of external genitalia of foetus becomes clearly distinguished by
a) 10 weeks          
b) 16 weeks                  
c) 12 weeks                  
d) 20 weeks

30.A child can copy a circle first at
a) 2 years of age  
b) one and half year    
c) 4 years                      
d) 3 years

</>4" style="display: none;"> 31.A three year old child can do which of the following except
a) Ride a tricycle  
b) Build a tower of ten cubes      
c) Knows his age and sex
d) Use scissors to cut out pictures
e) Count three objects correctly

32.Average birth weight of Indian child is
a) 2.9 Kg            
b) 2.8 Kg                      
c) 3.3 Kg                      
d) 2.5 Kg

33.Taste perception of baby develops at
a) Birth                
b) 4 months              
c) 6 months                  
d) 8 months

34.Increase is length in the first year of life is
a) 12 cms            
b) 15 cms                  
c) 25 cms                      
d) 35 cms

35.A child with mental age of seven and a chronological age of seven years has an I.Q of
a) 100
b) 120
c) 145
d) 80

36.Milestones at 10 months of age are
a) Pincer grasp                                              
b) Arranging 3 cubes
c) Walks few steps without support
d) Says mama dada

37.Child changes Rattle from one hand to another at the age of
a) 3 months
b) 6 months
c) One year
d) 2 years

38.IQ (Intelligence quotient) of a child means
a) The creative efficiency of the child
b) The capability of the child to perform intellectual tasks in relation to other children of same age
c) The efficiency of memory of child
d) Qualification of the learning ability of child

39.Normal height with decreased bone age is seen in
a) Cushings syndrome
b) Hypothyroidism
c) Thanatotrophic dwarfs
d) Down's syndrome

40.In asymmetrical IUGR which organ is not affected ?
a) Subcutaneous fat
b) Muscle
c) Liver
d) Brain

</>5" style="display: none;"> 41.Neonatal period extends up to
a) 21 day s of life
b) 30 days of life
c) 28 days of life
d) 35 days of life

42.First permanent tooth to erupt is
a) 1 st Premolar
b) 1 st Molar
c) 1st Incisor
d) 2nd premolar

43.How many digits can a five year old child remember
a) 4
b) 5
c) 8
d) 10

44.Increase in height in first year is by
a) 40%
b) 50%
c) 60%
d) 75%

45.The average B.P of a 1 year old child is
a) 120/80
b) 75/50
c) 95/65
d) 60/30

46.Delayed speech in a 5 year old child with normal motor and adaptive development is most likely due to  
a) Mental retardation        
b) Cerebral palsy          
c) Kernicterus
d) Deafness

47.Anthropometric assessment which does not show much change in 1-4 years
a) Mid arm circumference
b) Skin fold thickness
c) Chest circumference: Head circumference ratio
d) Height

48.A 5 year old child is assessed to have developmental age of one year. His developmental quotient would be
a) 100
b) 80
c) 60
d) 20

49.True breath holding attacks generally do not occur after
a) 1 year
b) 5 years
c) 2 years
d) 18 months

50.Sitting Height is equal to
a) Head circumference
b) Chest Circumference  
c) Upper segment
d) Crown-rump lengui

</>6" style="display: none;"> 51.Visual acuity reaches adult acuity by the age
a) 7
b) 9
c) 5
d) 3

52.Abstract thinking occur at the age of
a) 2 years
b) 3 years
c) 9 years
d) 12 years

53.A six week old infant cannot
a) Grasp dangling objects
b) Fix gaze
c) Lift and hold head
d) Turn head towards sound

54.Number of deciduous teeth is
a) 20
b) 24
d) 32
c) 28

55.Shakir tape is used for
a) measurement of height
b) measurement of length of infant
c) measurement of midarm circumference
d) measurement of skin pad thickness

56.Height increases (mean) in children from 2 to 10 years peryear is
a) 2 cms
b) 4 cms
c) 6 cms
d) 8 cms

57.The commonest cause of Enuresis in children is
a) Urinary tract infection
b) Spina bifida
c) Psychologic stress
d) Diabetes mellitus

58. Water content in infant
a) 60-70%
b) 75-80%
c) 80-90%
d) >90%

59.The upper segment: Lower segment ratio at 2 years of age in a normal child is
a) 1.8:1
b) 1.5:1
c) 1.25:1
d) 1.12:1

60.Which one is not unfavorable for fetal development
a) Herpes
b) Rubella
c) Alcohol
d) Tetracycline

</>7" style="display: none;"> 61.Pincer grasp is seen at
a) 4 weeks
b) 6 weeks
c) 16 weeks
d) 36 weeks

62.Which of the following would be considered normal in a 4 year child ?
a) Tics
b) Hyperexcitability
c) Anxiety
d) Hyperkinesis

63.A school age child is most apt to have fears about
a) Snakes
b) High places
c) Loud noises
d) Death or injury

64.Infant body weight is tripled by age of
a) 5 months
b) 11 months
c) 2 years
d) 18 months

65.Anterior fontanelle closes at the age of
a) lyear
b) 2 years
c) 3 years
d) 4 years

66. Weight gain during the first 3 months of age
a) 1/4 kg/month
b) 1/3 kg/month
c) 1/2 kg/month  
d) 3/4 kg/month

67.As infant beings to sit with support by _____ months
a) 4
b) 5
c) 6
d) 7

68.Peak stage in height growth corresponds to
a) I
b) II
c) ffl
d) rv

69. Most frequently occurring emotional disorder of children
a) Schizophrenia  
b) Neurosis
c) Mental retardation
d) Autism

70.Child smiles at familiar persons at the age of
a) 1 month
b) 2 months
c) 4 months
d) 6 months

</>8" style="display: none;"> 71.When a child is not able to perform the following motor functions such as skipping, walking on heels, hopping in place or going forwards in tandem gait, his motor development is considered to be below
a) 3 years            
b) 4 years        
c) 6 years        
d) 7 years

72.Birth weight of a child doubles at five months of age while the birth length doubles at the age of
a) 1 year
b) 2 years
c) 3 years
d) 4 years

73.Breathing movements and swallowing movement seen in the foetus by
a) 13-14weeks    
b) 18-24 weeks
c) 15-18 weeks
d) >30weeks

74.Length of a neonate is
a) 40cm                
b) 50cm          
c) 70cm          
d) 100 cm

75.A child takes self decisions at the age of_____years.
a) 3
b) 5
c) 7
d) 9

76.Child is not expected to do at 40 weeks of life
a) Creeps crawl
b) Walks with one hand held
c) Sits up alone
d) Pulls to standing position

77.Breast feeding is recommended at least for
a) 4 months          
b) 6 months          
c) 9 months    
d) 1 year

78.The most important factor to overcome protein energy malnutrition in children less than 3 years is    .
a) Supply of subsidized food from ration shop
b) Early supplementation of solids in infants
c) Immunization to the child
d) Treatment of anaemia and pneumonia in infant and toddlers

79.A 2 year old child has a weight of 6.4 kg and has vitamin A deficiency. What is the grade ofmalnutrition in this child ?
a) First degree
b) Second degree
c) Third degree
d) Fourth degree

80.Wind swept sign/deformity is seen in
a) Scurvy            
b) Rickets      
c) Achondroplasia        
d) Osteoporosis

</>9" style="display: none;"> 81.Breast feeding is contraindicated if the mother is taking
a) Propranolol      
b) Broad spectrum antibiotics    
c) Sulfonyl ureas        
d) Insulin

82.Fatty Acid necessary during 0to6 months of age is
a) Linolic acid
b) Linolenic acid
c) Arachidonic acid
d) Palmitic acid

83.Which one is wrong about human milk      
a) Gives energy of 67 Kcal/L                          
b) Carbohydrate forms 40% of total energy
c) Fats form > 50% of total energy
d) Proteins form 33% of total energy

84.One of the following is not reported to be a clinical manifestation of zinc deficiency state in children
a) Dwarfism and hypogonadism                    
b) Liver and spleen enlargement
c) Impaired cell mediated immunity
d) Macrocytic anaemia

85.The composition of breast milk, per 100ml
a) 67 calories, 3.5 protein, 3.5g fat and 4.5 g carbohydrate
b) 67 calories, 1.2g protein, 4 g fat and 4.5 g carbohydrate
c) 67 calories, 1.2g protein, 4g fat and 7 g carbohydrate
d) 100 calories, 3.5 protein, 4g fat and 7 g carbohydrate
e) 100 calories, 3.5g protein, 3.5g fat and 4.5 g carbohydrate

86. The following are radiographic features of Rickets except
a) Increased in width of growth plate
b) Decreased bone density
c) Rickety rosary
d) Subperiosteal bleeding

87. Breast milk at room temperature stored for
a) 4 hrs
b) 8hrs
c) 12hrs
d) 24hrs

88.Which vitamin deficiency is not seen in newborn ?
a) E
b) c
c) D
d) K

89.A 4 year old boy derives most of his caloric requirements from
a) Carbohydrates
b) Proteins
c) Fats    d
d) Minerals

90.Perioral rash, pigmentation of skin creases and neuritis is seen in deficiency of
a) Zinc
b) Copper
c) Magnesium
d) Biotin

</>10" style="display: none;"> 91.A patient presents with scorbutic rosary, bone pains and X-ray reveals Frenkel's lines.
a) Scurvy
b) Achondroplasia
c) Syphilis
d) Rickets

92.Vitamin K deficiency occurs in the following except
a) Biliary obstruction
b) Artificial milk feeds
c) Oral antibiotic Therapy
d) Malabsorption .

93.Breast feeding is best for the baby
a) But has no effect on the mother
b) But is likely to affect the mothers appearance significantly
c) But may cause breast cancer in the mother
d) And is also good for the mother

94.Excess of vitamin K in a new born causes
a) Bleeding tendencies
b) Hyperbilirubinemia  
c) Vomiting
d) Hemolysis

95. Costochondral junction swelling are seen in
a) Scurvy
b) Rickets
c) Chondrodystrophy
d) all of the above

96.Kwashiorkor is diagnosed in growth retarded children along with
a) edema and mental retardation
b) Hypopigmentation and anemia
c) edema and hypopigmentation
d) hepatomegaly and anemia

97.Which one of the following contains least fat content in the milk
a) Human milk
b) Goat milk
c) Buffalo milk
d) Cow milk

98.Earliest sign of rickets is
a) rickety rosary  
b) craniotabes
c) bow legs
d) Harrison's groove

99. The normal calorie requirement for a 5 year old child is
a) 800 calories
b) 1000 Calories
c) 1500 Calories
d) 2000 Calories

100.    In an infant exclusively on breast feed all are seen, except
a) GI bleeding due to vitamin K deficiency    
b) Relative prolongation of physiological jaundice
c) Evening colic
d) Golden colour stools

101.The foetal length is affected if the mother has under nutrition during the
a) First trimester
b) Second Trimester
c) Third trimester  
d) Any time during the pregnancy

102.During the treatment of severe malnutrition, calories required per kilogram body weight is
a) 125
b) 150
c) 200
d) 300

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