Download MBBS UHS Lahore Final Year Paediatrics MCQ Question Paper

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MBBS FINAL PROFESSIONAL

MODEL QUESTIONS FOR ANNUAL 2009

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Paediatrics

(Multiple Choice Questions)

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Q.1

A 5 years old boy presents with joint swelling after minor trauma,

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mother gives history of prolonged bleeding from circumcision site. His

platelets count is 170000, PT is 10 seconds and APTT is 60 seconds. What

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is most likely the diagnosis?

a) Idiopathic thrombocytopenic purpura

b) Platelets function defect

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c) Von willibrand disease

d) Hemophilia

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e) Vitamin K deficiency


Q.2

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A 10 years old girl presented with fever and bruises for last 2 weeks. On

examination she is pale; however there is no evidence of

lymphadenopathy or hepatosplenomegaly. Her Hb is 6g/dl, TLC is 2700

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and platelets are 90000. The most appropriate investigation to clinch the

diagnosis is:

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a) Bone marrow aspiration

b) Retics count

c) Bleeding time

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d) PT and APTT

e) Factor VIII assay

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Q.3

A 5 months child is brought for routine care. During auscultation of heart

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you find a short systolic murmur at left upper sternal border with soft

2nd heart sound. The most likely diagnosis is?

a) Ventricular septal defect

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b) Atrial septal defect

c) Patent ductus arteriosus

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d) Pulmonary stenosis

e) Aortic regurgitation

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Q.4

A 2 years old girl presents with blue discoloration of nails and lips. On

examination she is cyanosed and clubbed, heart auscultation reveals a

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short systolic murmur at left upper sternal border. The most likely

diagnosis is?

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a) VSD

b) Tetrology of fallot

c) Tricuspid atresia

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d) Trunchus arteriosus

e) Pulmonary stenosis

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Q.5

A 6 months old boy presents with respiratory distress and feeding

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difficulty. On examination heart rate is 130/min and there is a

pansystolic murmur at left lower sternal border. What is the most likely

diagnosis?

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a) Mitral regurgitation

b) Mitral valve prolaspe

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c) Ventricular septal defect

d) Coarctation of aorta

e) Atrial septal defect

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Q.6

A 4 years old boy presents with low grade fever and malaise. Throat

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examination reveals a grayish white membrane which is tightly adherent

and bleeds on an attempt to remove. The most likely diagnosis is:

a) Acute Follicular tonsillitis

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b) Diphtheria

c) Herpetic infection

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d) Infectious mononucleosis

e) Oral thrush

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Q.7

A 1-year old boy presents with high grade fever and conjunctivitis for 4

days followed by generalized maculopapular rash. One of his elder

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siblings had similar complaints 10 days back. The most likely diagnosis

is?

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a) Rubella

b) Kawasaki disease

c) Scarlet fever

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d) Drug rash

e) Measles

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Q.8

A 5-year old girl presents to ER with fever, convulsions and

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unconsciousness of one day duration. On examination she is pale,

Glasgow coma scale is 8 and there are no signs of meningial irritation

and no focal neurological signs. The most likely diagnosis is:

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a) Viral encephalitis

b) Pyomeningitis

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c) Tuberculous meningitis

d) Cerebral malaria

e) Tetanus

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Q.9

A 5-year old boy presents with afebrile generalized tonic-clonic seizure

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lasting for 5 minutes. Previously he was healthy and had no such

problem. On examination there is no abnormality. Your plan of

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management should be:

a) Start anticonvulsant therapy

b) Request for an EEG and wait for its report

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c) Request for an EEG and start anticonvulsant therapy immediately

d) Request for EEG and MRI brain

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e) Request for EEG and CT brain


Q.10 A 7 year old boy came to OPD with history of difficulty in rising up from

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sitting position. Examination reveals hypertrophy of calf muscles with

trendelenburg gait. The most likely diagnosis is:

a) Beckers muscular dystrophy

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b) Deuchenne muscular dystrophy

c) Myotonic muscular dystrophy

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d) Cerebral palsy

e) Myasthenia gravis

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