1. Autosomal dominant
inheritance
a) Haemophelia
b) Tuberous sclerosis
c) Thalassemia
d) Vitamin D resistant rickets
2. Complications of
Staphylococcus infections
a) Lung abscess
b) Empyema
c) Pneumothorax
d) Micrometastasis
e) Septic arthritis
3. T/F
a) Presence of splenomegaly
excludes Mycoplasma infection.
b) Respiratory rate of 40 is
abnormal in newborn.
c) Bronchiectasis is a
complication of Pertussis.
d) CXR pattern in IRDS – areas
of consolidation and hyperinflation
e) X ray features of
Bronchiolitis is similar to X ray of asthma.
4. Regarding childhood
malignancies
a) Retinoblastoma with optic
nerve involvement is not treated with annucleation
b) Infratentorial more common
than supratentorial
c) Neuroblastoma present as
intrathorasic tumour
d) ALL, bad prognosis if
present between 2-4 years
e) AML commoner in Down
syndrome
5. Hypokalaemia occurs in
a) Loop diuretic therapy
b) Hypertrophic pyloric
stenosis
c) Distal renal tubular
acidosis
d) Gastroenteritis
e) Treatment with
Spironolactone
6. Scabies in an infant treated
with
a) Permethrin
b) Gamma BHT
c) Benzyl benzoate
d) Sulfar ointment
e) 1% hydrocortisone
7.
Following are commonly matched
a) Deja vu – temporal lobe
epilepsy
b) Night terrors – petit mal
c) Vacant episodes – Abscense
seizures
d) Aura of fear – Benign
rolandic epilepsy
e) Development regression –
West syndrome
8. In Iron deficiency anemia
a) Increased red cell
distribution width
b) Increased red blood cell
count
c) Reduced mean corpuscular
volume
d) Reduced MCHC
e) Increased MCH
9. Short stature is a
recognized finding in
a) Klinefelter syndrome
b) Marfan syndrome
c) Achondroplasia
d) Hypothyroidism
e) Emotional deprivation
10. In Kwashiokor,
a) Oedema is due to heart
failure
b) Has high mortality than
marasmus
c) Have hypothermia
d) Appetite good
e) When giving nutritional
treatment, hospital admission is essential.
11. T/F
a) Erythromycin – Steven
Jhonson syndrome
b) Chloramphenicol – Intra
vascular haemolysis
c) Carbamezepine – Hirsutism
d) Vit K – increased liver
enzymes
e) Cyclophosphamide – increased
risk of malignancy
12. In Vit A deficiency
a) Usually subclinical
b) Bitot spots are reversible
c) Associated with respiratory
infection
d) Serum ferritin is low
e) Commonly cause night
blindness
13. Regarding congenital hypothyroidsm
a. Early closure of anterior fontanel is
seen
b. Thyroid dysgenesis is the main cause
c. Majority asymptomatic at birth
d. Neonatal screening is useful in
diagnosis
e.
Persistent neonatal jaundice is a recognized feature
14.
Rubella infection causes
a. Orchitis
b. Thrombocytopenic purpura
c. Arthritis
d. Lymphadenopathy
e.
Cataract
15.
Cardiac syncope caused by
a. AS
b. Mitral incompetence
c. PS
d. HOCM
e.
Congestive cardiac failure
16.
X-ray findings in cardiac diseases
a. Boot shaped heart in TOF
b. Egg on side in tricuspid atresia
c Figure8 in transposition of great
arteries
d. Pulmonary plethora in VSD
e.
Globular heart in pleural effusion
17.
Loud 2nd
heart
sound in
a. Uncomplicated VSD
b. TOF
c. Coarctation of aorta
d. PDA with eisenmenger syndrome
e. Transposition of great vessels
18.
The following are true regarding constipation in childhood
a. Soiling is a feature
b. Palpable abdominal faecal masses is
an indication for enema
c. Haemorrhoids is a feature
d. Most have a GI pathology
e.
Need long term treatment
19. Regarding Post streptococcal
glomerulonephritis
a. Monthly followup with benzathine
penicillin
b. Need to monitor for hypertension
c. Elevated ASOT is seen
d. Common among preschool children
e.
Diuretic phase is there in recovery
20.
Regarding hypertension in AGN
a. Associated with bradycardia
b. Presents with frontal headache
c. Leads to papilloedema
d. Treated with nifedipine
e.
Commonly persists beyond childhood
21.
Complications following nephritic syndrome
a. Abdominal pain
b. Increased urine output
c. Pulse pressure of 20mmHg
d. Frothy urine
e.
Cushinoid facies
22.
T/F
a. Early detection of hearing impairment
improves school performances
b. Ishihara test is used to assess the
colour vision
c. Visual acuity cannot be tested until
child can read letters
d. Drawmans test use to assess the
cognition
e.
Correction of prematurity done at 3 years
23.
Regarding CHDR
a. Gender specific
b. Up to 5 years only
c . Include information on childhood
feeding
d. Has information on siblings
e.
Has information on pubertal development
24. Development delay seen when
a.
Not walking by 15 mon.
b.
Not talking meaningful 3 words at 9 mon.
c.
Not self-feed by cup at 9 mon.
d. Stranger anxiety at 9 mon.
e. No mature
pincer grasp at 6 mon
25.Increasing trends in Sri Lanka
a.Rate of breast feeding at 4 months
b.Obesity among children
c.Stunting among school children
d.Clinically manifested Vitamin A deficiency
e.Type 2 diabetes mellitus
26.T/F
a.Prader villi syndrome – excessive eating
b.Tuberus sclerosis – epilepsy
c.Fragile X syndrome – Mental retardation
d.Downs syndrome – self injurious behaviour
e.Autism – tics
27.5year old child following indicate diagnosis of ADHD,
a.Not listening to classmates
b.Frequent loosing of pencils and books
c.Avoid eye contact
d.Excessive talkativeness
e.Not moving with peers
28.WOTF are in ICD 10 as specific
To onset in childhood and adolescent
a.Conduct disorder
b.Tourett’s Disorder
c.Generalised anxiety disorder
d.OCD
e.Asperger’s
29.Causes of per rectal bleeding in 10 year old boy
a.Rectal polyp
B.rectal diverticulitis
c.Rectal carcinoma
d.Meckel’s diverticulitis
e.Anal fissure
30.4year old child discharged following first episode of
acute severe asthma needing ICU treatment,
Regfading discharge
a.Daily use of β agonist MDI with spacer
b.Oral prednisolone for 2 weeks
c.Steroid MDI with spacer
d. β agonist MDI for symptomatic
e.Montelukast add for poor response to other prophylactic
treatment
31.Features of Iron deficiency anaemia
A.Increased red cell distribution
b.MCHc reduced
c.MCV reduced
d.MCH reduced
e.Red cell count increased
32.Regarding TB in childhood
a.BCG prevents tuberculosis meningitis
b.Renal TB manifest within 1 year
c.Pleural effusion
occurs in primary TB due to hypersensitivity reaction
d.Mantoux test is positive in milliary TB
e.Ethambutol is not used in the treatment of children
under 5years
33.Regarding childhood malignancies
a.Retinoblastoma with optic nerve involvement is not
treated with annucleation
b.Infratentorial more common than supratentorial
c.Neuroblastoma present as intrathorasic tumour
d.ALL has bad prognosis if present within 2-4years
e.AML common in Down,s syndrome
34.Hypokalaemia occurs in
a.Loop diuretic therapy
b.Hypertrophic pyloric stenosis
c.Distal renal tubular acidosis
d.Gastroenteritis
e.Treated with spironolactone
35.Scabies in an infant is treated with
a.Permethrin
b.γ
BHT
c.Benzyl
benzoate
d.Sulpher
ointment
e.1%
hydrocortisone.