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Q-1. A 5 years old child presented with continuous fever and features of sepsis with a BP of 90/60 mmHg. Pulse rate 44/min and respiratory rate of 30/min. What is the initial fluid of choice for management?
a) 10 ml/kg of hydroxy-ethyl starch
b) 10 ml/kg of 10 % dextrose
c) 20 ml/kg of 0.9 % normal saline
d) 20 ml/kg of 0.45 % normal saline
Answer: 20 ml/kg of 0.9 % normal saline
Explanation:
Q-2. In a child with Tetralogy of Fallot with fever and diarrhea, which of the following is the surest sign of a cyanotic spell?
a) Hepatomegaly
b) Absence of murmur
c) S3 gallop rhythm
d) Arterial oxygen saturation of less than 75 %
Answer: Absence of murmur
Explanation:
Q-3. A mother comes with her 3 months child asking the physician if she can give cereals to her child. What problems can this lead to her child?
a) Allergy due to the food content
b) Retarded oro-mother development
c) Contaminated food leading to reflex
d) Risk of gastrointestinal infection
Answer: Allergy due to the food content
Explanation:
Q-4. Which is the most common congenital abnormality in the baby of diabetic mother?
a) Anencephaly
b) Meningomyelocele
c) Sacral agenesis
d) Ventricular septal defect
Answer: Ventricular septal defect
Explanation:
Q-5. A 16 years male presents with rapidly developing bilateral pleural effusion. The following chest radiograph was taken in the emergency. All are correct interpretation about this radiograph:
a) Bilateral intercostal chest tubes are present in correct place
b) Mediastinal is shifted.
c) Left side pleural effusion is present
d) Pneumothorax is present
Answer: Pneumothorax is present
Explanation:
Q-6. A 4 years old child is admitted in the ward with pneumonia. He developed sudden respiratory distress. The following chest X-ray was recorded. What will you do next?
a) Decrease mechanical ventilation
b) Increase mechanical ventilation
c) Immediate needle thoracostomy
d) Intercostal chest drainage tube insertion
Answer: Decrease mechanical ventilation
Explanation:
- A 5 year old male comes with complains of pain in neck and right shoulder with restricted range of motion. What is the likely diagnosis?
a) Ankylosing spondylitis
b) Klippel Feil Syndrome
c) Long thoracic nerve palsy
d) Fascio-scapulo-humeral muscular dystrophy
Answer: Fascio-scapulo-humeral muscular dystrophy
Explanation: