Aiims Neet-Pg 2017 Pediatrics Mcqs 91-100
Aiims Neet-Pg 2017 Pediatrics Mcqs 91-100
Aiims Neet-Pg 2017 Pediatrics Mcqs 91-100
Q-92. A child comes with steroid resistant nephritic syndrome secondary to FSGS, not responsive to methyl-
prednisolone. What next should be given?
a) Oral Cyclophosphamide
b) Oral cyclosporine
c) Oral Mycophenolate
d) IV Cyclophosphamide
Q-93. A previously healthy 6 week old female infant is found unresponsive in her crib. In the emergency department she
is noted to be well developed and well nourished with normal blood pressure and appearance of the genitalia but with
increased pigmentation of her skin. Blood glucose level is 30 mg/dl. The most likely diagnosis is
a) CAH due to 21 alpha hydroxylase deficiency
b) Familial glucocorticoid deficiency
c) Cushing syndrome
d) Insulinoma
Q-94. A 2 month old infant is presented with failure to thrive, recurrent emesis, hepato-splenomegaly and adrenal
insufficiency. Adrenal calcification is noted radiologically. The most likely diagnosis is
a) Adrenal hemorrhage
b) Wolmans disease
c) Pheochromocytoma
d) Addisons disease
Q-95. All of the following statement about congenital rubella are true except
a) IgG persists for more than 6 months
b) IgM antibody is present at birth
c) Most common anomalies are hearing and heart defects
d) Increased risk of congenital malformation if infection occur after 16 weeks
Q-96. A 5 yr old boy presents with pubic hair development. He is tall and has increased pigmentation of his genitalia
and phallic enlargement. Blood pressure is 130/90 mm Hg. Measurement of which of the following hormones would be
most likely to be diagnostic
a) Increase 17- hydroxyl progesterone
b) Increase cortisol
c) Increase aldosterone
d) Increase 11-deoxy-cortisol
Q-98. A 4 week old female child with normal genitalia presents to the emergency department with severe dehydration,
hyper-kalemia and hypo-natremia. The measurement blood levels of which of the following will helpful?
a) 17-hydroxy progesterone
b) Rennin
c) Cortisol
d) Aldosterone
Answer: Aldosterone
Explanation:
Aldosterone deficiency:
Dehydration
Salt wasting
Hypo-natremia
Hyper-kalemia
Failure to thrive
Normal genitalia
Q-99. A 3.5 kg male infant born at term after an uncomplicated pregnancy and delivery develops respiratory distress
shortly after birth and requires mechanical ventilation. The chest radiograph reveals a normal cardiothymic silhouette
but a diffuse ground glass appearance to the lung fields. Surfactant replacement fails to improve gas exchange. Over the
first week life, the hypoxemia worsens. Results of routine culture and echo-cardio-graphic finding are negative. A term
female sibling died at 1 month of age with respiratory distress. Which of the following is the most likely diagnosis?
a) Total anomalous pulmonary venous return
b) Meconium aspiration
c) Neonatal pulmonary alveolar proteinosis
d) Disseminated herpes simplex infection
Answer: Toxoplasmosis
Explanation:
Classical triad of congenital toxoplasmosis:
Chorio-retinitis
Intra-cranial calcification
Hydrocephalous
Acute maternal toxoplasmosis:
Cervical lymphadenopathy
Maculo-papular rashes
Fatigue and lassitude