Pediatric Quiz (March 2010)

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| By Drbhavesh
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Drbhavesh
Community Contributor
Quizzes Created: 6 | Total Attempts: 9,418
Questions: 10 | Attempts: 1,089

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Pediatric Quiz (March 2010) - Quiz

Dear Friends,Academy of Pediatrics, Vadodara, Gujarat (India) welcomes you to Online Pediatric Quiz. You may attempt this quiz number of times upto your satisfaction. For change this time, you will be able to know the answers after attempting each question and also at the end of quiz. You may see your score and quiz related statistics immediately after finishing the quiz. A new quiz will be posted every month. You may still find and attempt prevoius month's quizzes in "Previous Quizzes" section. There will be 10 questions in each quiz of 10 mark each. There is no negative marking. You have to Read morefinish the quiz in 10 minutes.  At the end of 10 minutes the quiz will be submitted irrespective of the questions attemptedSo, GET READY! Happy Quizzing.


Questions and Answers
  • 1. 

     One of the following statements is true regarding Hearing Loss in child

    • A.

      Parents will know if their child has hearing loss by the time their child is 2-3 months age

    • B.

      Parents can identify hearing loss by clapping the hand behind the child’s head

    • C.

      Hearing loss identified beyond 6 months age can have speech and language delays

    • D.

      Children younger than 12 months can’t be fitted with hearing aids

    Correct Answer
    C. Hearing loss identified beyond 6 months age can have speech and language delays
    Explanation
    Hearing loss that is identified beyond 6 months of age can have speech and language delays. This means that if a child's hearing loss is not identified and treated before the age of 6 months, it can potentially affect their ability to develop speech and language skills. Therefore, early identification and intervention for hearing loss is crucial in order to prevent or minimize any delays in speech and language development.

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  • 2. 

       One of the following is not the risk factor for sensorineural hearing loss in infant

    • A.

      Severe birth asphyxia

    • B.

      Birth wt less than 1500 gms

    • C.

      Family H/O deafness

    • D.

      TORCH infections

    • E.

      Cleft Palate

    Correct Answer
    B. Birth wt less than 1500 gms
    Explanation
    Birth weight less than 1500 gms is not a risk factor for sensorineural hearing loss in infants. Sensorineural hearing loss can be caused by various factors such as severe birth asphyxia, family history of deafness, TORCH infections, and cleft palate. However, low birth weight alone is not considered a risk factor for sensorineural hearing loss.

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  • 3. 

      One of the following statement is not true regarding Thumb Sucking

    • A.

      It can start start as early as 15 weeks of gestation

    • B.

      It is not harmful to teeth and jaws until eruption of permanent teeth

    • C.

      Only few children suck their thumbs or fingers at some time in their early life

    • D.

      The only time it might cause concern is if it goes on beyond 6 to 8 years of age or affects the shape of the child's mouth and the position of teeth.

    Correct Answer
    C. Only few children suck their thumbs or fingers at some time in their early life
    Explanation
    The given statement is not true because thumb sucking is a common behavior among children, and many children suck their thumbs or fingers at some point in their early life.

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  • 4. 

       One of the following statement  is not true regarding Pertusis

    • A.

      The illness usually is milder in adults than in children, but the duration of the paroxysmal cough is just as long as in children

    • B.

      When treatment is initiated during the catarrhal stage, symptoms may be less severe

    • C.

      Adults and adolescents are the primary reservoir for pertussis.

    • D.

      It is usually diagnosed during paroxysmal stage

    • E.

      Treatment with an effective antibiotic doesn’t shorten the infectious period but generally alters the outcome of the disease

    Correct Answer
    E. Treatment with an effective antibiotic doesn’t shorten the infectious period but generally alters the outcome of the disease
    Explanation
    Pertussis, also known as whooping cough, is a respiratory infection caused by the bacterium Bordetella pertussis. The illness usually presents with a paroxysmal cough, which can last for several weeks. While the illness is generally milder in adults than in children, the duration of the paroxysmal cough is just as long. Treatment with an effective antibiotic can help alleviate symptoms and reduce the severity of the disease, but it does not shorten the infectious period. Instead, it generally alters the outcome of the disease by preventing complications and reducing the risk of transmission to others.

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  • 5. 

       One of the following statement  is not true regarding Acute Bronchiolitis:

    • A.

      Most common organism is RSV

    • B.

      It is essentially a clinical diagnosis

    • C.

      Use of Dexamethasone has been proved to be much beneficial in recovery

    • D.

      Nebulized epinephrine results in significant clinical improvement

    • E.

      Oxygen is drug of choice for hypoxic child with respiratory distress

    Correct Answer
    C. Use of Dexamethasone has been proved to be much beneficial in recovery
  • 6. 

        A child has presented with a palpable asymptomatic midline neck mass below the level of the hyoid bone. The mass on the neck moves during swallowing or on protrusion of the tongue. What is the most likely diagnosis

    • A.

      Thyroglossal Cyst

    • B.

      Ranula

    • C.

      Cystic Hygroma

    • D.

      Branchial Cleft Cyst

    Correct Answer
    A. Thyroglossal Cyst
    Explanation
    The most likely diagnosis for a palpable asymptomatic midline neck mass below the level of the hyoid bone that moves during swallowing or on protrusion of the tongue is a Thyroglossal Cyst. A thyroglossal cyst is a congenital anomaly that occurs due to the persistence of a remnant of the thyroglossal duct. It typically presents as a painless, fluctuant midline neck mass that moves with swallowing or tongue protrusion. This is in contrast to other options such as ranula (a cyst in the floor of the mouth), cystic hygroma (a lymphatic malformation), or branchial cleft cyst (a cyst in the lateral neck).

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  • 7. 

      Follwing are causes of Hypothyroidism in a 3 months old child Except

    • A.

      Congenital Hypothyroidism

    • B.

      Graves Disease

    • C.

      Hoshimoto’s Thyroiditis

    • D.

      Abnormal development of brain

    Correct Answer
    C. Hoshimoto’s Thyroiditis
    Explanation
    Hoshimoto's Thyroiditis is not a cause of hypothyroidism in a 3-month-old child. Hoshimoto's Thyroiditis is an autoimmune disorder that affects the thyroid gland, leading to inflammation and eventual destruction of the thyroid tissue. It is more commonly seen in older children and adults, rather than infants. Therefore, it is not a likely cause of hypothyroidism in a 3-month-old child.

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  • 8. 

       A 11 months old child presents with respiratory distress. On examination, there is B/L crepitations and rhonchi. Which of the following is most likely cause  

    • A.

      Pneumionia

    • B.

      Rhinovirus

    • C.

      Adenovirus

    • D.

      Respiratory Syncitial Virus

    Correct Answer
    D. Respiratory Syncitial Virus
    Explanation
    Respiratory syncytial virus (RSV) is the most likely cause in this scenario because it is a common cause of respiratory distress in infants. The presence of bilateral crepitations and rhonchi on examination suggests lower respiratory tract involvement, which is commonly seen in RSV infections. Pneumonia could also be a cause of respiratory distress, but the specific findings of crepitations and rhonchi point more towards RSV. Rhinovirus and adenovirus can cause respiratory symptoms, but they are less commonly associated with significant respiratory distress in young infants compared to RSV.

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  • 9. 

       A 3 years old child is diagnosed to have Hib Meningitis. The investigation to be done before discharge is

    • A.

      MRI of head

    • B.

      Physiotherapist’s consultation

    • C.

      BERA

    • D.

      Test for cerebellar functions

    Correct Answer
    C. BERA
    Explanation
    The correct investigation to be done before discharge for a 3-year-old child diagnosed with Hib Meningitis is BERA (Brainstem Evoked Response Audiometry). Hib Meningitis can cause damage to the auditory nerve, leading to hearing loss. BERA is a test that measures the electrical activity of the auditory nerve and brainstem in response to sound stimuli, helping to assess the child's hearing function. This test is important to ensure early detection and intervention for any hearing impairment caused by the meningitis.

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  • 10. 

        Acute flaccid paralysis is reported in age group

    • A.

      0-1 years

    • B.

      0-2 years

    • C.

      1-10 years

    • D.

      0-15 years

    Correct Answer
    D. 0-15 years
    Explanation
    Acute flaccid paralysis can occur in individuals within the age range of 0-15 years. This means that children from birth up to the age of 15 can experience sudden weakness or loss of muscle tone. It is important to note that acute flaccid paralysis can have various causes, including viral infections like polio, Guillain-Barré syndrome, or other neurological conditions. Therefore, it is crucial to consider this condition in children of all ages within the specified range.

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  • Mar 21, 2023
    Quiz Edited by
    ProProfs Editorial Team
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    Drbhavesh
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