Peads Paper For Final Prof.2013 (A) The Bold
Option is KEY:
1. Following are causes of neonatal jaundice except:
a. G6 Rd deficiency
b. Rh incompatibility
c. Cyanotic heart disease
d. Polycythemia
e. Cephalhematoma
2. Following is true about T.B:
a. Chocolate ager media is required for mycobacteria tuberculosis culture
b. Pyrazinamide is given in initiate 2 months treatment
c. Miliray T.B is tuberculosis in lungs
d. Ethambutol is hepatotoxic
e. Congenital T.B is miliary tuberculosis
3. Following is extra GIT cause of vomiting:
a. Cow’s milk allergy
b. Hepatitis
c. intussusception
d. Nephrotic syndrome
e. Pneumonia
4. Hyperkalemia occurs in all except:
a. Addison’s disease
b. Diabetic come treated with insulin
c. Intravascular haemolysis
d. Renal failure
e. Congenital adrenal hyperplasia
5. Causes of generalized edema are all except:
a. Congestive cardiac failure
b. Malnutrition
c. Mumps
d. Nephritic syndrome
e. Protein losing enteropathy
6. In iron deficiency disease, most useful diagnostic test is:
a. RBC protoporphyrin
b. MCV
c. Serum ferrites
d. TIBC (total iron binding capacity )
e. Plasma transferring
7. In hemophilia there is prolongation of the :
a. Bleeding time
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b. APTT
c. PT
d. B & c of the above
e. A , b , c
Iron can be deposited in all except:
a. Basal ganglia
b. Bone marrow
c. Heart
d. Liver
e. Spleen
Regarding Beta thalasemia following is true:
a. Is associated with decreases synthesis of alpha chain
b. Is associated with decreases synthesis of Beta chain
c. Is associated with increases synthesis of alpha chain
d. Is not a haemoglobinopathy
e. Is due to an enzyme defect
Changes seen in hemolytic jaundice include:
a. Increase unconjugated bilirubin in serum
b. Presence of bilirubin in urine
c. Increase serum alkaline phosphatase
d. Pole coloured stool
e. Decreased urobilinogen in urine
The most common cause of congenital heart disease:
a. Alcohol
b. Chromosomal disease
c. Infection
d. Drugs
e. Radiation exposure
Commonest cause of PDA is:
a. Chromosomal abnormality
b. Drugs
c. Infection
d. Malnutrition
e. Prematurity
Chronic renal failure causes all except:
a. Anemia
b. Decreased PH
c. Hypophosphatemia
d. Hyperkalemia
e. Hypocalcemia
14. Adrenal insufficiency result in all except:
a. Dehydration
b. Hyperkalemia
c. Hyponatremia
d. Hyperpigmentation
e. Lowered blood urea nitrogen
15. Down syndrome baby will above all of following feature except:
a. Abundant neck skin
b. Epicanthic fold
c. Flat facies
d. Microgenetic
e. Simian crease
16. Trisonary is seen in all of the following condition except:
a. Down’s syndrome
b. Cri due chat syndrome
c. Edward’s syndrome
d. Ehler Danlo’s syndrome
e. Patient’s syndrome
17. Anti DNA antibodies are usually seen in:
a. Pernicious anemia
b. Sjogren’ssyndrome
c. SLE
d. Rhematic fever
e. Rheumatic arthritis
18. Causes of metabolic acidosis include all except:
a. Diarrhea
b. Diabetic ketoacidosis
c. Shock
d. Starvation
e. Vomiting of gastric contents
19. VWB disease is:
a. Autosomal recursive
b. Autosomal dominant
c. X- linked
d. Characterized by decreased platelets
e.
Characterized by decreased bleeding time
20. Following coagulation factors are Vitamin K dependent:
a. II , VII, X
b. X , XI
c. VII , XI
d. II , VII , XI
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e. XI , XII
In anemia which of the following is always deceased:
a. Hb%
b. MCV
c. MCH
d. MCHC
e. Serum
Peripheral blood film of a patient suffering from vit B12 deficiency is most likely to show:
a. Hypochromic macrocytic anemia
b. Normochromic macrocytic anemia
c. Hyperchromic microcytic anemia
d. Hyperchromic microcytic anemia
e. Normochromic microcytic anemia
Anemia due to maturation failure is:
a. Haemolytic anemia
b. Microcytic anemia
c. Mediterranean anemia
d. Normocytic anemia
e. Pernicious anemia
Factor VIII is derived from:
a. Bone
b. Endothelial cells
c. Liver
d. Lymph nodes
e. Kuffer cells
Patients with anemia tends:
a. Low cardiac output
b. Decreased heat rate
c. Pallor of mucous membrane
d. Low Po2 in arterial blood
e. High ESR
A 7 year boy having diarrhea for 2-3 days. Biochemistry shows increased BUN & creative most
likely lesion found in kidney is:
a. Acute glomerulonephritis
b. Acute tubular necrosis
c. Nephrotic syndrome
d. Obstructive nephropathy
e. Pyelonephritis
Which vitamin is deficient in a child with cystic fibrosis:
a. Vitamin C
b. Vitamin B12
c. Vitamin D
d. Folic acid
e. Thiamin
28. Child is complaining of night blindness, most likely cause is:
a. Cataract
b. Optic alcophy
c. Glaucoma
d. Keratinization of epithelium
e. Vitamin A deficiency
29. Effect of malnutrition in infant include all of the following :
a. Thinking of have
b. Pigmented skin
c. Generalized edema
d. Constipation
e. Angular stomatitis
30. A girl with webbed neck and shield like chest with widely spaced nipple , she is suffering from
which syndrome?
a. Klinefelter syndrome
b. Turner syndrome
c. Down syndrome
d. Triple x- syndrome
e. Patau syndrome
31. Angular cheilitis is caused by all of the following except:
a. Iron deficiency
b. Folic deficiency
c. Niacin deficiency
d. Riboflavin deficiency
e. Ascorbic acid deficiency
32. Regarding tumor syndrome , all are true except:
a. Is caused by partial or complete monosomy of short arm of X- chromosomes
b. Has XXY pattern
c. Has rudimentary ovaries
d. Has webbed neck
e. Has been bodies in some cases
33. Anti DNA antibodies are usually seen in:
a. SLE
b. Sjogren Syndrome
c. Pernicious anemia
d. Rheumatoid arthritis
e. Rhematic fever
34. A 12 year old child on anti – tuberculous therapy develop eye symptoms. Which drug is
responsible?
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a. INH
b. Pyrazinamide
c. Ethambutol
d. Rifampicin
e. Streptomycin
Which of the following is most likely cause of failure to thieve?
a. Absence of ganglia in distal colon
b. Anatomic bowel obstruction
c. Hormone deficiency
d. Malabsorption
e. Psychological neglect
A patient comes with cervical lymphadenopathy and histopathology of node shows
granulomatous inflammation. For T.B most diagnostic test is:
a. Monteux Test
b. PCR
c. Caseation necrosia
d. AFB
e. X-ray Orest
Among the following infection, there is specifically lymphoid hyperplasia except in:
a. Chronic Molina
b. Cutaneous leishmaniasis
c. Kala oral
d. Sub acute bacterial endocarditis
e. Infections mononucleosis
A 10 year old boy meningitis , causative organism is:
a. Klebille
b. E. Coli
c. Neisseria meningitides
d. Staphylococcus aurous
e. Salmonella
TORCH complex infections show all of the following except:
a. Cataract
b. Microcephaly
c. Splenomegaly
d. Hepatomegaly
e. Pneumonia
Plasmodium falciparum infections produces all of the following except:
a. Severe anemia
b. Coma
c. Uremia
d. Pulmonary edema
e. Cough
41. Neonatal meningitis is caused by:
a. E.Coli
b. H. infections
c. Meningo coca
d. Streptococcus pneumoniae
e. Streptococcus aurous
42. A patient having low Hb, WBC and platelet count what is diagnosis:
a. Aplastic anemia
b. Hemolytic anemia
c. Megaloblastic anemia
d. Multiple myeloma
e. Non hodgkin's lymphoma
43. Chronic renal failure causes all of the following effects except:
a. Hypocalcemia
Hypophosphatemia
b. Hyperkalemia
c. Decreased PH
d. Anemia
44. Nephrotic syndrome has following felices except:
a. Hyponatremia
b. Hypercholesterolemia
c. Proteinuria
Hypoproteinemia
d. Edema
45. BCG vaccine is given:
a. Subcutaneously
b. Intravenously
c. Intradermally
d. Intramuscularly
e. Orally