1.
First deciduous teeth to appear is
Correct Answer
B. Lower central incisors
Explanation
The lower central incisors are the first deciduous teeth to appear in a child's mouth. These teeth typically erupt between 6-10 months of age. They are located in the lower front part of the mouth and are important for biting and cutting food. The eruption of the lower central incisors is a normal developmental milestone in a child's oral health.
2.
Down's syndrome is trisomy of chromosome
Correct Answer
C. 21
Explanation
Down's syndrome is a genetic disorder caused by the presence of an extra copy of chromosome 21. This extra genetic material disrupts the normal development and causes the characteristic physical and intellectual disabilities associated with Down's syndrome. Trisomy 21 is the most common form of Down's syndrome, accounting for about 95% of cases.
3.
Steroids are useful in
Correct Answer
D. Minimal change type
Explanation
Steroids are useful in the treatment of minimal change type glomerulonephritis. Minimal change disease is a type of kidney disease that primarily affects children. It is characterized by minimal changes in the appearance of the kidney tissue under a microscope. Steroids, such as prednisone, are commonly used in the treatment of minimal change disease because they have been shown to be effective in reducing inflammation and proteinuria (excessive protein in the urine). Steroids help to suppress the immune response and reduce the abnormal immune activity that leads to kidney damage in minimal change disease.
4.
Not seen in Fallot's tetralogy
Correct Answer
A. ASD
Explanation
Fallot's tetralogy is a congenital heart defect characterized by four abnormalities: pulmonary stenosis, ventricular septal defect (VSD), overriding aorta, and right ventricular hypertrophy. ASD (atrial septal defect) is not seen in Fallot's tetralogy. ASD is a different congenital heart defect where there is a hole in the wall (septum) between the two upper chambers of the heart (atria). While VSD, pulmonary stenosis, and left ventricular hypertrophy are all associated with Fallot's tetralogy, ASD is not typically seen in this condition.
5.
Doll's eye phenomenon is also known as
Correct Answer
B. OculocepHalic reflex
Explanation
The Doll's eye phenomenon, also known as the Oculocephalic reflex, refers to the involuntary movement of the eyes in the opposite direction of head movement. This reflex is important for maintaining visual stability and is controlled by the brainstem. The term "Doll's eye" is used because the eye movement resembles the way a doll's eyes would move when the head is tilted or turned. The other options listed (Vagal reflex, Automatic reflex, and Vital reflex) do not accurately describe the specific eye movement seen in the Doll's eye phenomenon.
6.
Organism in bronchiolitis is
Correct Answer
D. RSV
Explanation
RSV stands for Respiratory Syncytial Virus, which is a common cause of bronchiolitis. Bronchiolitis is an infection that affects the small airways in the lungs, primarily in infants and young children. RSV is highly contagious and spreads through respiratory droplets. It can cause symptoms like coughing, wheezing, difficulty breathing, and fever. RSV is a leading cause of hospitalization in young children and can be especially severe in premature infants or those with underlying health conditions. Therefore, RSV is the correct answer as it is specifically associated with bronchiolitis.
7.
Recurrent respiratory infections occur in the following diseases , except
Correct Answer
B. Ventricular septal defect
Explanation
Recurrent respiratory infections can occur in various diseases, including bronchiectasis, atrial septal defect, and wheezy bronchitis. However, ventricular septal defect is not typically associated with recurrent respiratory infections. Ventricular septal defect is a congenital heart defect that involves a hole in the wall separating the two lower chambers of the heart. While it can cause symptoms such as shortness of breath and fatigue, it does not directly lead to recurrent respiratory infections.
8.
Match the following
Milestone Age of achieving
I.Social smile i. 10 months
II.Pinch a grasp ii. 5 months
III.Head Holding iii. 36 months
IV. circle coordina- iv. 1.5 months
tion
Correct Answer
D. I(iv) II(iii) III(ii) IV(i)
9.
The sequence of chages in status ashthmaticus is
I. Respriatory acidosis
II. Respiratory alkalosis
III. Metabolic acidosis
IV. Metabolic acidosis
Correct Answer
B. II,I,III
Explanation
The correct sequence of changes in status asthmaticus is respiratory alkalosis, followed by respiratory acidosis, and then metabolic acidosis. This is because during an asthma attack, there is initially hyperventilation, leading to a decrease in carbon dioxide levels and respiratory alkalosis. As the attack worsens, the individual becomes fatigued and unable to maintain adequate ventilation, resulting in respiratory acidosis. Finally, prolonged respiratory acidosis can lead to compensatory metabolic acidosis due to the retention of carbon dioxide.
10.
Match the following
I. Normal child i. Delayed S2
II. Hypertrophic cardiomy- ii. S3
opathy
III. Pulmonary stenosis iii. S4
IV.Atrial septal defect iv. Delayed P1
Correct Answer
C. I(ii) II(iii) III(i) IV(iv)
11.
Subdural effusion occurs in children with
Correct Answer
C. Pyogenic meningitis
Explanation
Pyogenic meningitis is the correct answer because subdural effusion is a common complication of this condition. Pyogenic meningitis is an infection of the meninges, the protective membranes surrounding the brain and spinal cord, caused by bacteria. The infection can lead to the accumulation of fluid in the subdural space, resulting in subdural effusion. This can cause symptoms such as headache, fever, neck stiffness, and neurological deficits. Tuberculous meningitis, trauma, viral encephalitis, and polio encephalomyelitis may have other complications or manifestations, but they are not specifically associated with subdural effusion.
12.
Commonest cause of systemic hypertension in children is
Correct Answer
B. Acute glomerulonepHritis
Explanation
Acute glomerulonephritis is the commonest cause of systemic hypertension in children. This condition occurs due to inflammation of the glomeruli in the kidneys, leading to impaired kidney function and increased blood pressure. The inflammation can be caused by various factors such as infections, autoimmune disorders, or certain medications. Hypertension is a common manifestation of acute glomerulonephritis and can be a result of fluid retention and increased renin-angiotensin-aldosterone system activity. Coarctation of aorta, nephrotic syndrome, and lactic acidosis can also cause hypertension, but they are not as common in children as acute glomerulonephritis.
13.
Epiphyseal dysgenesis is a pathognomonic feature of
Correct Answer
C. Hypothyroidism
Explanation
Epiphyseal dysgenesis refers to the abnormal development of the epiphysis, which is the rounded end of a long bone. This condition is commonly seen in individuals with hypothyroidism, a disorder characterized by an underactive thyroid gland. The thyroid gland plays a crucial role in bone development and metabolism, and a deficiency in thyroid hormones can lead to impaired bone growth and development. Therefore, epiphyseal dysgenesis is considered a pathognomonic feature of hypothyroidism.
14.
Bacterial meningitis in a 9 months old child is commonly caused by
Correct Answer
A. H. influenza
Explanation
Bacterial meningitis in a 9-month-old child is commonly caused by H. influenza. H. influenza, or Haemophilus influenzae, is a bacteria that can cause severe infections, including meningitis, especially in young children. It is one of the leading causes of bacterial meningitis in infants and young children. Other common causes of bacterial meningitis in this age group include Streptococcus pneumoniae (pneumococcus) and Group B Streptococcus. However, in this case, H. influenza is the most likely cause based on the information given.
15.
Physiological Icterus usually appears on the ........................... and regress by the...............
Correct Answer
B. Third day and Seventh day
Explanation
Physiological Icterus usually appears on the third day and regress by the seventh day.
16.
United Nations International Children's years was
Correct Answer
D. 1979
Explanation
The correct answer is 1979. The United Nations International Children's Year was a global initiative aimed at promoting the welfare and rights of children. It was observed in 1979, with the goal of raising awareness about the challenges faced by children worldwide and advocating for their well-being. This initiative helped to highlight the importance of child rights and led to the adoption of the Convention on the Rights of the Child in 1989.
17.
Height in inches and weight in pounds are equal by the age of
Correct Answer
B. 4 years
Explanation
By the age of 4 years, it is common for a child's height in inches and weight in pounds to be equal. This is because children experience rapid growth and development during their early years, and their weight tends to catch up with their height by this age. However, it is important to note that this may vary from child to child, as growth patterns can differ.
18.
Incidence of congenital hypertrophic pyloric stenosis is highest in
Correct Answer
B. First male babies
Explanation
The correct answer is "First male babies." Congenital hypertrophic pyloric stenosis is a condition where the muscle in the lower part of the stomach thickens, causing blockage of food from entering the small intestine. It is more commonly found in first-born males, with a higher incidence rate compared to other groups. The exact reason for this is not fully understood, but it may be related to genetic or environmental factors.
19.
According to the united Nations state of World population Report for 1992 , number of babies born every year is
Correct Answer
D. 97 million
Explanation
According to the United Nations State of World Population Report for 1992, the number of babies born every year is estimated to be 97 million. This statistic indicates the high global birth rate during that time period.
20.
Worm infections associated with Vit -A deficiency
Correct Answer
C. Round worm
Explanation
Roundworm infections are commonly associated with vitamin A deficiency. Vitamin A plays a crucial role in maintaining the integrity of the immune system and protecting against various infections, including worm infections. Roundworms, also known as Ascaris, are one of the most common types of parasitic worms that infect humans. These worms can cause a range of symptoms, including abdominal pain, diarrhea, and malnutrition. Vitamin A deficiency weakens the immune system and makes individuals more susceptible to roundworm infections. Therefore, roundworm is the correct answer in this context.