392 - AIIMS May 2010 Paediatrics Mcqs

123. All are signs of impending Eisenmenger except
a) Increased flow murmur across tricuspid & pulmonary valve
b) Single S2
c) Loud P2
d) Graham Steele murmur

answer a. Increased flow murmur across Tricuspid and Pulmonary valve

124. Eisenmenger syndrome – True are A/E
a) Pulmonary veins are not distended
b) RV & LV walls come back to normal size
c) Dilatation of central pulmonary artery
d) Peripheral pruning of pulmonary arteries

answer b. RV and LV walls come back to normal size.

125. Chang staging is used for
a) Retinoblastoma
b) Medulloblastoma
c) Ewing’s sarcoma
d) Rhabdomyosarcoma

answer b. Medulloblastoma.

126. Which is the most common CNS tumor to metastasize outside the brain?
a) Glioblastoma multiforme
b) Medulloblastoma
c) Ependymoma
d) Choroid plexus tumor

answer a. Glioblastoma multiforme

127. Which of the following is a component of Pentalogy of Fallot
a) ASD
b) PDA
c) Coarctation of aorta
d) LVH

answer a. ASD

128. A newborn has been brought with seizures refractory to treatment and a continuous bruit through the anterior fontanelle. CT shows midline lesion with hypoechogenesity and dilated lateral ventricles. Diagnosis is
a) Vein of Galen malformation
b) Arachnoid cyst
c) Teratoma
d) Encephalocele

answer a. Vein of Galen malformation.

129. 6 weeks old female baby found unconscious suddenly in the crib. She was previously healthy. Normal blood pressure, hyperpigmentation of genitals, blood glucose 30 mg/dl. Diagnosis is
a) CAH due to 21-alpha hydroxylase deficiency
b) Familial glucocorticoid deficiency
c) Cushing’s syndrome
d) Insulinoma

answer b. Familial glucocorticoid deficiency.

130. Best indicator of growth monitoring in children
a) Weight
b) Mid-arm circumference
c) Rate of increase of height & weight
d) Head circumference

answer c. Rate of increase of height and weight

131. A child presents with failure to thrive with frequent vomiting,diarrhoea,hepatosplenomegaly & abdominal distension. CT shows adrenal calcification. Which of the following is the diagnosis?
a) Adrenal hemorrhage
b) Wolman’s disease
c) Pheochromocytoma
d) Addison’s disease

answer b. Wolman's disease.

132. Most sensitive indicator of intravascular volume depletion in infant
a) Stroke volume
b) Heart rate
c) Cardiac output
d) Blood pressure

answer b. Heart rate.

133. An alert 6 month old child is brought with vomiting & diarrhea. RR-45/min, HR-180/min, SBP-85 mm of Hg. Extremities are cold & mottled. Capillary refilling time is 4 secs. Diagnosis is
a) Early compensated hypovolemic shock
b) Early decompensated hypovolemic shock
c) Late compensated hypovolemic shock
d) Late decompensated shock due to SVT

answer c. Late compensated hypovolemic shock.