Categories: FMGE Past PaperPediatrics FMGE Questions

Pediatrics FMGE Past Paper Questions

A 1-month old baby presents with frequent vomiting and failure to thrive. There are features of moderate dehydration. Blood sodium is 122 mEq/l and potassium is 6.1 mEq/l. The most likely diagnosis is:

Gitelman syndrome

Bartter Syndrome

21-hydroxylase deficiency

11-hydroxylase deficiency

Correct! Wrong!

A male child of 15 years, with a mental age of 9 years has an IQ of:

Correct! Wrong!

The most appropriate drug used for chelation therapy in beta-thalassemia major is:

Oral desferrioxamine

Oral deferiprone

Intramuscular EDTA

Oral Succimer

Correct! Wrong!

Which endocrine disorder is associated with epiphyseal dysgenesis?

Hypothyroidism

Cushings syndrome

Addison’s disease

Hypoparathyroidism

Correct! Wrong!

An albino girl gets married to a normal boy. What are the chances of their having an affected child and what are the chances of their children being carriers?

None affected, all carriers

All normal

50% carriers

50% affected, 50% carriers

Correct! Wrong!

Which one of the following statements is false with regard to Xanthogranulomatous pyelonephritis in children.

Often affects those younger than 8 years of age

It affects the kidney focally more frequently than diffusely

Boys are affected more frequently

Clinical presentation in children is same as in adults

Correct! Wrong!

Which one of the following statements is false with regard to pyuria in children?

Presence of more than 5 WBC/hpf (high power field) for girls and more than 3 WBC/hpf for boys

Infection can occur without pyuria

Pyuria may be present without urinary tract infection

Isolated pyuria is neither confirmatory nor diagnostic for urinary tract infection

Correct! Wrong!

Which one of the following is the most common cause of abdominal mass in neonates?

Neuroblastoma

Wilm’s tumour

Distended bladder

Multicystic dysplastic kidneys

Correct! Wrong!

Which of the following is not true about atrial septal defect:

There is a defect in region of fossa ovalis

Blood flow from left atrium to right atrium

Increased blood flow through lungs lead to pulmonary plethora

There is splitting of first heart sound

Correct! Wrong!

A neonate presents with jaundice and clay white stools. On liver biopsy giant cells are seen. Most likely diagnosis is:

Physiological jaundice

Neonatal hepatitis with extra biliary atresia

Neonatal hepatitis with physiological jaundice

Extra biliary atresia

Correct! Wrong!

A newborn has dribbling after feeds. He has respiratory distress and froth at the mouth. Diagnosis is:

Tracheoesophageal fistula

Tetralogy of Fallot

Respiratory distress syndrome

None of the above

Correct! Wrong!

Ramu, a 8-years-old boy presents with upper GI bleeding. On examination, he is found to have splenomegaly; there are no signs of ascites, or hepatomegaly; esophageal varices are found on UGIE. Most likely diagnosis is:

Budd Chiari syndrome

Non cirrhotic portal fibrosis

Cirrhosis

Veno-occlusive disease

Correct! Wrong!

A 5-years-old child suffering from nephrotic syndrome is responding well to steroid therapy. What would be the most likely finding on light microscopy:

No finding

Basement membrane thickening

Hypercellular glomeruli

Fusion of foot processes

Correct! Wrong!

Most common cause of urinary obstruction in a male infant is:

Anterior urethral valves

Posterior urethral valves

Stone

Stricture

Correct! Wrong!

A 5-years-old child presents with a calculus of size 2 cm in the upper ureter. He also complains of haematuria. USG shows no further obstruction in the urinary tract. Treatment of choice for this patient would be:

Ureterolithotomy

Endoscopic removal

ESWL

Observation

Correct! Wrong!

A patient presents with LVH and pulmonary complications. ECG shows left axis deviation. Most likely diagnosis is:

TOF

Tricuspid atresia

TAPVC

VSD

Correct! Wrong!

Potts shunt is anastomosis of:

Right subclavian artery to right pulmonary artery

Descending aorta to left pulmonary artery

Left subclavian to left pulmonary artery

Ascending aorta to right pulmonary artery

Correct! Wrong!

A neonate has recurrent attacks of abdominal pain, restless, irritability and diaphoresis on feeding. Cardiac auscultation reveals a nonspecific murmur. He is believed to be at risk for MI. Likely diagnosis is:

ASD

VSD

TOF

Anomalous coronary artery

Correct! Wrong!

A child aged 2 years presents with nonspecific symptoms suggestive of anemia. On peripheral blood smear target cells are seen. He has hypochromic microcytic picture and Hb of 6 gm%. He also has ‘a positive family history’. Next investigation of choice is:

Hb electrophoresis

Coombs’ test

liver function tests

Osmotic fragility test

Correct! Wrong!

Most common cause of meningitis in children between 6 months to 2 years of age is:

Pneumococcus

Staphylococcus

H. influenzae

E. coli

Correct! Wrong!

A child presents with seborrheic dermatitis, lytic skull lesions, ear discharge and hepatosplenomegaly. Likely diagnosis is:

Leukemia

Lymphoma

Histiocytosis X

Multiple myeloma

Correct! Wrong!

Which of the following is true regarding cretinism:

Short limbs compared to trunk

Proportionate shortening

Short limbs and short stature

Short limbs and long stature

Correct! Wrong!

Manifestations of endemic cretinism include:

Deafness and facial nerve involvement

Blindness and hypothyroidism

Goitre and hypothyroidism

Multinodular goitre and mental retardation

Correct! Wrong!

A 10 day old male pseudohermaphrodite child with 46 XY karyotype presents with BP of 110/80 mmHg. Most likely enzyme deficiency is:

21 hydroxylase

17 hydroxylase

11 hydroxylase

3-beta hydroxylase

Correct! Wrong!

Treatment of Kawasaki disease in children is:

Oral steroids

IV steroids

IV Ig

Mycophenolate mefentil

Correct! Wrong!

A neonate delivered at 32 weeks, is put on a ventilator. X-ray shows ‘white-out lung’ and ABG reveals PO2 of 75. Ventilator settings are on, FIO2 of 70, and rate of 50/minute. Next step to be taken should be:

Increase rate to 60 per minute

Increase FIO2 to 80

Continue ventilation with the same settings

Weaning ventilator

Correct! Wrong!

A 15-year old healthy boy with no major medical problem complaints that he breaks out with blocky areas of erythema that are pruritic over skin of his arm, leg and trunk every time within an hour of eating sea foods. The clinical features are suggestive of:

Localised immune-complex deposition

Cell mediated hypersensitivity

Localized anaphylaxis

Release of complement C3b

Correct! Wrong!

A 2-month baby presents with history of jaundice, turmeric colored urine and pale stools since birth. Examination reveals liver span of 10 cms, firm in consistency and spleen of 3 cms. The most specific investigation for establishing the diagnosis would be:

Liver function tests

Ultrasound abdomen

Peroperative cholangiogram

Liver biopsy

Correct! Wrong!

Transient myeloproliferative disorder of the newborn is seen in association with:

Turner syndrome

Down syndrome

Neurofibromatosis

Ataxia telangiectasia

Correct! Wrong!

FMGE Pediatrics Past Paper Questions

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Pediatrics FMGE Past Paper Questions

Pediatrics FMGE Past Paper Questions

A 1-month old baby presents with frequent vomiting and failure to thrive. There are features of moderate dehydration. Blood sodium is 122 mEq/l and potassium is 6.1 mEq/l. The most likely diagnosis is:

A male child of 15 years, with a mental age of 9 years has an IQ of:

The most appropriate drug used for chelation therapy in beta-thalassemia major is:

Which endocrine disorder is associated with epiphyseal dysgenesis?

An albino girl gets married to a normal boy. What are the chances of their having an affected child and what are the chances of their children being carriers?

Which one of the following statements is false with regard to Xanthogranulomatous pyelonephritis in children.

Which one of the following statements is false with regard to pyuria in children?

Which one of the following is the most common cause of abdominal mass in neonates?

Which of the following is not true about atrial septal defect:

A neonate presents with jaundice and clay white stools. On liver biopsy giant cells are seen. Most likely diagnosis is:

A newborn has dribbling after feeds. He has respiratory distress and froth at the mouth. Diagnosis is:

Ramu, a 8-years-old boy presents with upper GI bleeding. On examination, he is found to have splenomegaly; there are no signs of ascites, or hepatomegaly; esophageal varices are found on UGIE. Most likely diagnosis is:

A 5-years-old child suffering from nephrotic syndrome is responding well to steroid therapy. What would be the most likely finding on light microscopy:

Most common cause of urinary obstruction in a male infant is:

A 5-years-old child presents with a calculus of size 2 cm in the upper ureter. He also complains of haematuria. USG shows no further obstruction in the urinary tract. Treatment of choice for this patient would be:

A patient presents with LVH and pulmonary complications. ECG shows left axis deviation. Most likely diagnosis is:

Potts shunt is anastomosis of:

A neonate has recurrent attacks of abdominal pain, restless, irritability and diaphoresis on feeding. Cardiac auscultation reveals a nonspecific murmur. He is believed to be at risk for MI. Likely diagnosis is:

A child aged 2 years presents with nonspecific symptoms suggestive of anemia. On peripheral blood smear target cells are seen. He has hypochromic microcytic picture and Hb of 6 gm%. He also has ‘a positive family history’. Next investigation of choice is:

Most common cause of meningitis in children between 6 months to 2 years of age is:

A child presents with seborrheic dermatitis, lytic skull lesions, ear discharge and hepatosplenomegaly. Likely diagnosis is:

Which of the following is true regarding cretinism:

Manifestations of endemic cretinism include:

A 10 day old male pseudohermaphrodite child with 46 XY karyotype presents with BP of 110/80 mmHg. Most likely enzyme deficiency is:

Treatment of Kawasaki disease in children is:

A neonate delivered at 32 weeks, is put on a ventilator. X-ray shows ‘white-out lung’ and ABG reveals PO2 of 75. Ventilator settings are on, FIO2 of 70, and rate of 50/minute. Next step to be taken should be:

A 15-year old healthy boy with no major medical problem complaints that he breaks out with blocky areas of erythema that are pruritic over skin of his arm, leg and trunk every time within an hour of eating sea foods. The clinical features are suggestive of:

A 2-month baby presents with history of jaundice, turmeric colored urine and pale stools since birth. Examination reveals liver span of 10 cms, firm in consistency and spleen of 3 cms. The most specific investigation for establishing the diagnosis would be:

Transient myeloproliferative disorder of the newborn is seen in association with:

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