Senior Lecturer in Paediatrics NCA-14/2018

Senior Lecturer in Paediatrics NCA

Question Paper Code: 14/2018/OL

Category Code: 040/2017

Medium of Question: English

Date of Test 07-03-2018

Department Medical Education

Alphacode A

Question 1 : Article of Indian Constitution deals with Prohibition of Child Labour

1. 17

2. 21

3. 21 (A)

4. 24

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4. 24

Question 2 : Who nominates the chairperson of Public Accounts Committee of Indian Parliament ?

1. President

2. Prime Minister

3. Speaker of Lok Sabha

4. Finance Minister

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3. Speaker of Lok Sabha

Question 3 : Lok Sabha passed the Whistle Blowers Protection Act in

1. 2011

2. 2012

3. 2013

4. 2014

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1. 2011

Question 4 : Budget Allocation in crores for Mahatma Gandhi National Rural Employment Guarantee Scheme for the financial year 2017-18

1. 34699

2. 38500

3. 48000

4. 60000

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3. 48000

Question 5 : Swachh Bharat progrmme is aiming to end open defecation by

1. 2018

2. 2019

3. 2020

4. 2021

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2. 2019

Question 6 : Which city is included in AMRUT scheme of Central Government ?

1. Palakkad

2. Kottayam

3. Kannur

4. Kasargode

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1. Palakkad

Question 7 : The first “start-up” magazine in India

1. Business India

2. The Cofounder

3. Business Line

4. Entrepreneur

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2. The Cofounder

Question 8 : Which missionary group launched Tile Industry in Kerala ?

1. Salvation Army

2. CMS

3. LMS

4. BEM

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4. BEM

Question 9 : Acharabhooshanam is a work of

1. Chattambi Swami

2. Narayana Guru

3. Brahmananda Sivyogi

4. Pandit Karuppan

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4. Pandit Karuppan

Question 10 : Sahodaran Ayyappan organized Inter dining in 1917 at

1. Cherai

2. Mattancheri

3. Paravur

4. Kodungallur

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1. Cherai

Question 11 : Major issue raised by Malayali Memorial of 1891

1. Representation of backward classes in Legislative Assembly

2. Domination of Tamil Brahmins in Civil Service

3. Education of backward classes

4. Universal Voting right

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2. Domination of Tamil Brahmins in Civil Service

Question 12 : “Sreemathi” the womens journal was published by

1. Anna Chandi

2. Akkamma Cheriyan

3. Arya Pallam

4. K. Saraswathi Amma

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1. Anna Chandi

Question 13 : Narayana Guru consecrated the Mirror Idol at Kalavamkodam in

1. 1888

2. 1924

3. 1927

4. 1928

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3. 1927

Question 14 : Jatinashini Sabha of North Malabar was founded by

1. Vagbhatanandan

2. Swami Ananda Theerthan

3. Brahmananda Sivayogi

4. Nityachaitanya Yati

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2. Swami Ananda Theerthan

Question 15 : The Malayalam film Indulekha based on the novel of O. Chandu Menon was directed by

1. P. Bhaskaran

2. M. Krishnan Nair

3. Kalanilayam Krishnan Nair

4. Madhu

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3. Kalanilayam Krishnan Nair

Question 16 : Payment Banks came into existence as per the recommendations of the committee headed by

1. M. Nrasimham

2. Nachiket Mor

3. C. Rangarajan

4. Arvind Panagariya

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2. Nachiket Mor

Question 17 : Goods and Service Tax Council was constituted in

1. November 2009

2. December 2014

3. May 2015

4. September 2016

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4. September 2016

Question 18 : The 21st Conference of United Nations Framework Convention on climate change accorded its historic agreement in 2015 in

1. Paris

2. New York

3. Kyoto

4. Doha

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1. Paris

Question 19 : Who won FIFA Ballon d’or 2016 ?

1. Antoine Griezman

2. Neymar

3. Lionel Messi

4. Christiano Ronaldo

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4. Christiano Ronaldo

Question 20 : Empowerment project for the differently abled persons devised by Kerala IT Mission

1. Sampoorna

2. Samagra

3. Insight

4. Athulyam

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3. Insight

Question 21 : The WHO Child Growth Standards are based on data collected from

1. US, Brazil, Norway, Oman, Ghana, India

2. UK, Brazil, Denmark, Oman, Zambia, India

3. US, Brazil, Norway, Oman, Uganda, India

4. US, Brazil, New Zealand, Oman, Ghana, India

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1. US, Brazil, Norway, Oman, Ghana, India

Question 22 : VLBW infants catch up height by the age of

1. 18 months

2. 24 months

3. 30 months

4. 36 months

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3. 30 months

Question 23 : Failure to thrive is defined by

1. Dropping of weight for age over 2 major percentiles

2. Faltering of weight by 20%

3. Weight for height below 90%

4. Height for age less than 70%

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1. Dropping of weight for age over 2 major percentiles

Question 24 : The Goodenough Draw-a-Man test is used for

1. Assessment of Intelligence above the age of 3 years

2. Fine motor ability above the age of 5 years

3. Screening for autism above the age of 3 years

4. Assessment of cortical visuospatial functions above 6 years of age

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1. Assessment of Intelligence above the age of 3 years

Question 25 : Vineland Social Maturity Scale is used to assess

1. Social and adaptive behaviour in infancy

2. Social behaviour below 3 years

3. General understanding below 15 years

4. Social and adaptive behaviour upto 30 years

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4. Social and adaptive behaviour upto 30 years

Question 26 : Theory of mind is acquired by an individual

1. By 3 years of age

2. Between 3 and 5 years of age

3. Between 5 and 12 years of age

4. By 15 years of age

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2. Between 3 and 5 years of age

Question 27 : All of the following age-independent measures of nutritional status take into account height of the child, except

1. Kanawati index

2. QUAC stick

3. Rao’s index

4. Dugdale’s index

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1. Kanawati index

Question 28 : The RDA of Idoine for an infant below 6 months of age is

1. 10 mcg

2. 50 mcg

3. 110 mcg

4. 150 mcg

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3. 110 mcg

Question 29 : Protein content of 100 gms of Green Gram is

1. 14 gms

2. 18 gms

3. 24 gms

4. 28 gms

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3. 24 gms

Question 30 : Omega 3 fatty acids are not fount to be useful in treatment of

1. IgA nephropthy

2. Hypertriglyceridemia

3. Phrynoderma

4. PCOD

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4. PCOD

Question 31 : As per the WHO definition, an event is considered as an AEFI if it occurs

1. Within 24 hours

2. 48 hours

3. 7 days

4. None of the above

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4. None of the above

Question 32 : Dengue vaccine is

1. Chimeric vaccine

2. Live attenuated vaccine

3. Sub-unit vaccine

4. All of the above

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1. Chimeric vaccine

Question 33 : Steven-Johnson syndrome is commonly known to occur with all of the following except.

1. Phenobarbitone

2. Carbamazepine

3. Sodium valproate

4. Lamotrigine

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3. Sodium valproate

Question 34 : All of the following are used in the treatment of MRSA except

1. Vancomycin

2. Trimethoprim sulfamethoxazole

3. Co-amoxyclav

4. Linezolid

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3. Co-amoxyclav

Question 35 : The definition of ARDS is

1. PaO2/FiO2 less than 300 mmHg with PEEP of 5

2. Bilateral lung opactities not explained by consolidation or effusion

3. Origin of pulmonary edema not explained by cardiac causes or fluid overload

4. All of the above

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4. All of the above

Question 36 : Dyslipidemia is caused by all except

1. Lopinavir

2. Zidovudine

3. Atazanavir

4. Ritonavir

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1. Lopinavir

Question 37 : Which of the following is true about Diphtheria ?

1. The inclubation period of diphtheria is 4 days

2. If treated with Pencillin, it becomes non-infective after 1 week

3. Contacts should be treated with oral penicillin for 2 weeks

4. The shorter the duration of symptoms, the higher the dose of anti-toxin

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1. The inclubation period of diphtheria is 4 days

Question 38 : In the peripheral smear of a patient with malaria, the prophozoite is seen in larger RBCs in the case of

1. P. falciparum

2. P. vivax

3. P. malariae

4. None of the above

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2. P. vivax

Question 39 : Which of the following is not true about Post-streptococcal reactive arthristis ?

1. It responds dramatically to NSAIDs

2. Streptococcal pharyngitis precedes the arthritis by 2 weeks

3. It may involve any joint, large or small

4. There is a modest elevation of acute phase reactants

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1. It responds dramatically to NSAIDs

Question 40 : Individuals with Congenital Rubella are infective to others as they continue to carry the virus for prolonged periods in

1. Respiratory secretions

2. Urine

3. Blood

4. None of the above

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2. Urine

Question 41 : Exposure does not affect the odds of the outcome if the Odds Ratio is

1. Equal to 1

2. Less than 1

3. Less than 2

4. More than 1

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1. Equal to 1

Question 42 : The Chi-square test is used in the case of

1. Two independent groups with qualitative variables

2. Two independent groups with quantitative variables

3. More than 2 independent groups with quantitative variables

4. Two related groups with quantitative variables

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1. Two independent groups with qualitative variables

Question 43 : Tumor lysis syndrome is characterised by

1. Hyperphosphatemia

2. Hyponatremia

3. Hypocalcemia

4. Metabolic alkalosis

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1. Hyperphosphatemia

Question 44 : A good prognostic indicator in Acute Lymphoblastic leukemia is

1. BCR-ABL gene

2. Hyperdiploidy

3. Philadelphia chromosome

4. Amplification of AML 1 gene

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2. Hyperdiploidy

Question 45 : The risk of recurrence of atypical febrile seizures is

1. 3%

2. 6%

3. 9%

4. 12%

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2. 6%

Question 46 : WADA is a procedure to determine _____ in an individual.

1. Handedness

2. Visual ability

3. Area of the homunculus

4. Seizure focus

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1. Handedness

Question 47 : Which drug exacerbates seizures if given to a child with Benign Rolandic Epilepsy ?

1. Sodium valprorate

2. Phenytoin

3. Ethosuximide

4. Carbamazepine

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4. Carbamazepine

Question 48 : Lorenzo’s oil is used for treatment of

1. Maple syrup urine disease

2. Phenylketonuria

3. Krabbe’s disease

4. Adrenoleukodystrophy

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4. Adrenoleukodystrophy

Question 49 : Rapid sequence intubation refers to inducing a state of

1. Excellent intubating conditions within one minute

2. No cough or gag

3. Vocal cords well visualised and glottis open

4. None of the above

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1. Excellent intubating conditions within one minute

Question 50 : Chest compression in single-rescuer infant BLS is best done with

1. Heel of the hand

2. Two fingers

3. Two thumbs

4. Both hands

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2. Two fingers

Question 51 : Left axis deviation is seen in

1. Tetralogy of Fallot

2. Tricuspid atresia

3. Ebstein anomaly

4. Pulmonary atresia

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2. Tricuspid atresia

Question 52 : Nutmeg appearance of the liver is seen in

1. Biliary cirrhosis

2. Congestive cardiac failure

3. Portal hypertension

4. Wilson’s disease

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2. Congestive cardiac failure

Question 53 : Which of the following may be considered as abnormal in a 13 yr old girl who recently attained menarche ?

1. The next period occurring 4 months later

2. Irregular periods in the first 2 years after menarche

3. The next period lasting for 2 days

4. None of the above

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1. The next period occurring 4 months later

Question 54 : The Ferriman Gallwey score is used to grade.

1. Breast development

2. Bone age

3. Dental development

4. Hirsutism

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4. Hirsutism

Question 55 : Indication for ICD in empyema in children is based on

1. Clinical symptoms and signs

2. The cell count of the pleural fluid

3. The SAG ratio

4. The pH of the fluid

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1. Clinical symptoms and signs

Question 56 : Definition of steroid resistance in idiopathic nephrotic syndrome

1. No response to treatment after 4 weeks of daily Prednisolone 2mg/kg

2. No response to treatment after 6 weeks of daily Prednisolone 2mg/kg

3. No response to treatment after 4 weeks of daily Prednisolone 2mg/kg and 3 doses of pulsed methyl prednisolone

4. No response to treatment after 8 weeks of daily Prednisolone 2mg/kg

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1. No response to treatment after 4 weeks of daily Prednisolone 2mg/kg

Question 57 : Intervention for biliary atresia is imperative before

1. 4 weeks of age

2. 6 weeks of age

3. 8 weeks of age

4. 12 weeks of age

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3. 8 weeks of age

Question 58 : The following are true about Trisomy 18 except

1. Rocker-bottom feet are characteristically seen

2. Over-lapping of fingers is seen in the newborn

3. It is more common in males

4. Mosaicism is known to occur

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3. It is more common in males

Question 59 : Growth Hormone therapy is indicated in

1. Turner’s syndrome

2. Down syndrome

3. Constitutional growth delay

4. None of the above

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1. Turner’s syndrome

Question 60 : VDDR is characterised by

1. Elevated S. Calcium and hypercalciuria

2. Elevated S. Vitamin D levels

3. Hypercalcemia and tetany

4. Hyperphosphatemia and rickets

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3. Hypercalcemia and tetany

Question 61 : All of the following are seen in Glycogen storage disorder Type 1, except

1. Hypoglycaemia

2. Hyperuricemia

3. Hyperlipidemia

4. Low lactate levels

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4. Low lactate levels

Question 62 : Neonatal resuscitation may be with held if

1. Gestational age is less than 20 weeks, weight less than 400 gms

2. Gestational age is less than 26 weeks, weight less than 500 gms

3. Gestational age is less than 23 weeks, weight less than 400 gms

4. Gestational age is less than 25 weeks, weight less than 500 gms

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3. Gestational age is less than 23 weeks, weight less than 400 gms

Question 63 : Which of the following statements regarding Neonatal Hyperglycemia is true ?

1. It is defined as RBS more than 150mg/dL

2. It should always be treated with Insulin

3. It predisposes to diabetes in later life

4. It is a strong predictor of mortality

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1. It is defined as RBS more than 150mg/dL

Question 64 : Phototherapy of ________ wavelength is most effective to treat hyperbilirubinemia.

1. 320 nm

2. 400 nm

3. 460 nm

4. 520 nm

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3. 460 nm

Question 65 : Acute Peritoneal Dialysis

1. Is a good modality for management of the young infant with AKI

2. Is not safe in the hemodynamically unstable child

3. Is contraindicated in case of acute pulmonary edema

4. Often precipitates disequilibrium syndrome

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1. Is a good modality for management of the young infant with AKI

Question 66 : The theme of Breastfeeding Week 2017 was

1. Breastfeeding: a key to sustainably development

2. Sustaining breastfeeding together

3. Breasfeeding and work: let’s make it work

4. Breastfeeding: a winning goal for life

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1. Breastfeeding: a key to sustainably development

Question 67 : SDG 3 of the United Nations Development Program aims at

1. Good health and well-being

2. Zero hunger

3. No child deaths

4. Clean water and sanitation

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1. Good health and well-being

Question 68 : According to the updated WHO Essential drug list for children the ues of Chloramphenicol is recommended only for

1. Typhoid fever

2. Acute bacterial meningitis

3. Very severe pneumonia

4. Dysentery

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2. Acute bacterial meningitis

Question 69 : What is true about the Visual Analog Scale ?

1. Is also known as the Wong-Baker faces scale

2. Grades pain from zero to ten

3. Can be used reliably below the age of 7 years

4. Is a pain scale especially designed for use in childhood

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4. Is a pain scale especially designed for use in childhood

Question 70 : According to the current NACO guideline, Contrimoxazole prophylaxis is given to all of the following except.

1. Newborn baby of mother with HIV infection

2. Baby of indeterminate status

3. All children with HIV infection below 5 years of age

4. All children above 5 years with CD4 count below 350

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1. Newborn baby of mother with HIV infection

Question 71 : Alternate drugs which are used in chronic ITP in children are all except.

1. Dapsone

2. Mycophenolate mofetil

3. Rituximab

4. Cyclophosphamide

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4. Cyclophosphamide

Question 72 : Delayed dentition is defined by lack of dental eruption by

1. 11 months

2. 13 months

3. 15 months

4. 17 months

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2. 13 months

Question 73 : Prostaglandin E2 is an important mediator in the fetus that maintains the patency of the ductus arteriosus. It is produced in the

1. Fetal liver

2. Fetal lungs

3. Placenta

4. Ductal endothelium

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3. Placenta

Question 74 : A 3-days-old full term neonate is found to have a harsh systolic murmur at the lower left sternal border. There is no cyanosis. The likely diagnosis is

1. PDA

2. Innocent murmur

3. VSD

4. Truncus arteriosus

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3. VSD

Question 75 : A preterm baby of GA 32 weeks & birth weight 1300 gms, had Respiratory Distress Syndrome, which resolved after 48 hours. Feeds were started on day 3. On day 5 she developed abdominal distension and bilious gastric residuals. What is the most likely diagnosis ?

1. Neonatal sepsis

2. Maltrotation

3. Necrotising enterocolitis

4. Meconium ileus

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3. Necrotising enterocolitis

Question 76 : A 5-years old baby is admitted with fever of 6 days duration, coryza and hacking cough. On examination, he is febrile (T 100.4 deg F), RR is 28/min, there are small target-like erythematous maculopapular lesions on his trunk. Ausculation of the chest reveals equal breath sounds on both sides and a few scattered crepitations. His Chest X-ray shows poorly defined hilar exudates from both hilar regions. You will prescribe.

1. Amoxycillin

2. Erythromycin

3. Cloxacillin

4. Oseltamivir

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2. Erythromycin

Question 77 : 8-yr Anitha, who weight 25 kg, is admitted in a drowsy state, with thready pulse, deep sighing respiration and cool extremities. Her glucometer RBS value is 380mg/dL. You will administer.

1. Ringer lactate, 500 ml, as fast IV boluses over 20 minutes

2. Normal saline, 500 ml as fast drip over 30 minutes

3. Normal saline 250 ml over 1 hour

4. Ringer lactate 250 ml over 30 minutes

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3. Normal saline 250 ml over 1 hour

Question 78 : Manu, aged 5 yrs, is brought with fever and iritability since 2 days. On examination, he has generalized erythema with crusting around the mouth and nose. Your diagnosis is

1. Kawasaki’s disease

2. Staphylococcal scalded skin syndrome

3. Erysipelas

4. Exathemsubitum

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2. Staphylococcal scalded skin syndrome

Question 79 : Mary, a 30 yr old lady, is suffering from Bipolar Disorder. She has just been delivered of a term healthy infant. She is on treatment with Olanzepine for acute mania. Your approach to feeding the infant is

1. You will keep the baby safe in the nursery and feed him with formula

2. You will allow the baby to be breast fed just prior to the dose of olanzapine, in order that there is no sedation and the mother can bond with the infant

3. You will counsel her relatives regarding the unsuitability of the baby being reared by such a mother and advise that the baby may be put up for adoption

4. You will inform ‘Child Line’ services to manage the case.

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2. You will allow the baby to be breast fed just prior to the dose of olanzapine, in order that there is no sedation and the mother can bond with the infant

Question 80 : According to the IAP Consensus Statement on End of Life Care, with DNR (Do not Resuscitate) orders, a health care worker is not required to do the following except

1. Insert an advanced airway

2. Start chest compressions

3. Provide oxygen

4. Defibrillate the heart

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3. Provide oxygen

Question 81 : While providing Basic Life Support, the algorithm followed is

1. A-B-C Airway-Breathing-Circulation

2. C-B-C Chest compression-Breathing-Circulation

3. C-A-B Compression-Airway-Breathing

4. C-B-C Color-Breathing-Circulation

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3. C-A-B Compression-Airway-Breathing

Question 82 : A 3-year-old girl is brought with history of profuse watery diarrhea since 2 days. On examination, she is drowsy, her pulse rate is 140/min, her BP is 80/56, her core temperature is 103 deg F, the capillary filling time is 4 seconds. You will categories her physiological status as

1. Hypovolemic shock

2. Compensated shock

3. Septic shock

4. Hypotensive shock

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2. Compensated shock

Question 83 : Pranav, 4 yrs old, has come with colicky abdominal pain and swelling of both ankles. On the third day he develops palpable purpura on both lower limbs. You treatment will include

1. Paracetamol, hot formentation of joints and IV fluids if needed

2. Prednisolone 2mg/kg/day till the arthritis subsides

3. Deflazacort 6mg daily for 7 days and then tapered

4. Ibuprofen 10mg/kg for 3 days and reassess

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1. Paracetamol, hot formentation of joints and IV fluids if needed

Question 84 : NIRAMAYA is scheme of the Govt. of India with the following purpose.

1. Providing financial support to individuals with psychiatric illness

2. Social support to orphans

3. Health insurance for persons with disability

4. Providing employment to PLWA

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3. Health insurance for persons with disability

Question 85 : Meenu, 4 yrs, is brought with history of a mild URI 2 weeks ago, followed by inability to walk since 3 days. On examination she is found to have hypotonia, areflexia and weakness of all four limbs. She also has hoarseness, ineffective cough and intercostal weakness. How will you protector her airway ?

1. Rapid sequence intubation

2. Keeping her in the semiprone position and suctioning the oral cavity

3. Inserting an oral airway

4. Head tilt and chin lift

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2. Keeping her in the semiprone position and suctioning the oral cavity

Question 86 : Anti-snake vennon available in India protects against

1. Najanaja, Bungarusceruleus, Russel’s Viper

2. Pit viper, cobra, saw scaled viper

3. King cobra, krait, saw scaled viper

4. Hypnalehypnale, Najahana, Bungarus

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1. Najanaja, Bungarusceruleus, Russel’s Viper

Question 87 : Mini, 6 yrs old, is admitted with Acute Nephritis. She is hypertension and dyspnea with evidence of pulmonary edema. Her urine output is 50 ml in the last 12 hours. Her B. Urea is 160mg/dL, S Creat is 3.4mg/dL, S. Na is 124mE/L, S.K is 5.6mE/L. Your next line of management would be

1. Glucose insulin infusion, Inj. Frusemide, Oxygen inhalation and observe for the next 6 hours

2. Nitroprusside infusion, Inj. Frusemide, Oxygen inhalation and observe for 6 hrs

3. Early dialysis

4. Nitroglycerine drip, Glucose insulin infusion and Methyl prednisolone

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3. Early dialysis

Question 88 : Aswini, 10 yr old girl, is brought with history of headache since the last 2 months associated with tearfulness, apathy and refusal to go to school. Since 2 weeks she has fever and neck swellings. On examination she has pallor, palatal petechiae, cervical lymphadenopathy and a rash over the trunk and face suggestive of erythema multiforme. Detailed investigation is likely to reveal.

1. Mycoplasma infection

2. Tuberculosis

3. Systemic lupus erythematosus

4. Lymphoma

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3. Systemic lupus erythematosus

Question 89 : A 2 month old infant is admitted with history of URI and mild fever since 3 days with acute woresening 2 hours ago. On examination he is grunting, with pale extremities. His pulse is thready and you are unable to count his pulse. An important differential diagnosis is

1. Supraventricular tachycardia

2. H1N1 pneumonia

3. Septic shock

4. Poisoning with herbal medicine

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1. Supraventricular tachycardia

Question 90 : Which of the following is not a risk factor for late neonatal hypocalcemia ?

1. Maternal Vitamin D insufficiency

2. Feeding with cow’s milk

3. Maternal antriconvulsant use

4. Gestational diabetes

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4. Gestational diabetes

Question 91 : Testicular volume of 3 ml corresponds to

1. 3 yrs of age

2. 13 years of age

3. Prepubertal size

4. Early pubertal size

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3. Prepubertal size

Question 92 : Overweight in Indian children is defined by a BMI of

1. 23

2. 26

3. 27

4. 29

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1. 23

Question 93 : GAVI was launched with seed money provided by

1. Rotary International

2. Bill and Melinda Gates Foundation

3. World Bank

4. Asian Developement Bank

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2. Bill and Melinda Gates Foundation

Question 94 : What is not true of marijuana ?

1. It is the commonest illicit drug that is abused

2. It causes a dose dependent suppression of testosterone production

3. It is an anti-emetic

4. It does not produce a withdrawal syndrome

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1. It is the commonest illicit drug that is abused

Question 95 : According to the UNICEF, a young person is one aged between

1. 10 and 19 years

2. 15 and 24 years

3. 11 to 25 years

4. 19 to 25 years

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2. 15 and 24 years

Question 96 : Leukocyte Adhesion Defect is associated with all except.

1. Delayed separation of the umbilical cord

2. Gingivitis

3. Large pustular lesions

4. Significant neutrophillic leucocytosis

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3. Large pustular lesions

Question 97 : A 1 year old infant is brought with fever and muscosal bleeds and is found to have light hair and photophobia. Her peripheral smear shows neutrophils with plenty of large granules. A likely diagnosis is

1. May Hegglin anomaly

2. Hemophagocytosis

3. Chediak Higashi syndrome

4. Phenyl ketonuria

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3. Chediak Higashi syndrome

Question 98 : Preethi, 6 yrs, has come to you with failure to thrive. She has pallor, lymphadenopathy, bilateral parotoid fullness and early clubbing. Auscultation reveals scattered rales and crackles. She has mild hepatosplenomegaly. You will consider

1. Disseminated tuberculosis

2. Celiac disease

3. HIV infection

4. All of the above

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3. HIV infection

Question 99 : A 6 year old child who is known to have asthama is brought to you with respiratory failure. You will consider all of the following to treat him except.

1. Inj. Adrenaline

2. Nebulized Salbutamol

3. Inj. Methyl Prednisolone

4. Nebulized Ipratropium

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4. Nebulized Ipratropium

Question 100 : A 6-yr-old who is known to have asthama, is brought with acute breathlessness. He has a Becker’s score of 7. You will

1. Administer Salbutamol MDI 1 to 2 puffs every 2 to 5 minutes

2. Shift him to the oxygen inhalation, nebulised Salbutamol and IV steroid

3. Start mechanical ventilation

4. Investigate for pneumothorax

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2. Shift him to the oxygen inhalation, nebulised Salbutamol and IV steroid

FINAL ANSWER KEY

Question Paper Code: 14/2018/OL

Category Code: 040/2017

Exam: Senior Lecturer in Paediatrics NCA

Medium of Question: English

Date of Test 07-03-2018

Department Medical Education

Alphacode A