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RadiologyGeneral Radiology
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Q1092. A very preterm baby on 30 mL/.kg of enteral feeding developed sudden servere abdominal distension with visible bowel loops on day 6 of life. The baby also showed temperature instability and lethargy. X-ray of the abdomen showed portal venous gas. The staging of NEC is

A.Ib
B.2a
C.2b
D.3a

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Obstetrics & GynaecologyObstetrics
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Q1093. Which of the following babies has the least risk of developing hypoglycemia?

A.A baby born to mother treated with beta blockers
B.Infant of diabetic mothers
C.Appropriate for gestational age babies
D.IUGR babies

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PaediatricsNeonatology
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Q1094. The most common fungal infection in the neonates transmitted by caregiver’s hands is

A.Candida albicans
B.Candida glabrata
C.Candida tropicalis
D.Candida parapsilosis

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PaediatricsNutrition
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Q1095. A child has deficient bone mineralization with low serum calcium, high serum phosphorus, with decreased urinary excretion of calcium and phosphorus and elevated levels of alkaline phosphatase. The most likely diagnosis is

A.Nutritional rickets
B.Renal tubular rickets
C.Renal glomerular rickets
D.Celiac rickets

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PaediatricsInfectious Disease Pediatrics
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Q1096. Bull-neck is seen in severe cases of which of the following?

A.Diphtheria
B.Tubercular lymphadenitis
C.Mumps
D.Goitre

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PhysiologyAcid-Base & Fluid
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Q1097. In a rural clinic, a 3-year old girl child is brought by her mother and is emaciated. Her hemoglobin was 5g/dL. The girl also has edema over her knees and ankles with discrete rash on her knees, ankles and elbows. Th emost likely worm infeststion causing these manifestations is

A.Hook worm
B.Round worm
C.Whip worm
D.Pin worm

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PaediatricsPediatric Infections
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Q1098. A 6-week baby presents with cough and cold for the past 3 days. Respiratory rate is 48/min. On examination, patient is febrile with wheezing but no chest in drawing. Which of the following is not true?

A.Child has pneumonia
B.Antibiotics are not required
C.Wheezing to be treated
D.Fever to be treated

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ENTEar
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Q1099. A 10-year old presents with edema, oliguria and frothy urine. HE has no past history of similar complaints, On examination, his urine was positive for 3 + proteinuria, no RBCs/WBCs and no casts. His serum albumin was 2.5 g/L and serum creatinine was 0.5 mg/dL. The most likely diagnosis is

A.IgA nephropathy
B.Minimal change disease
C.Acute interstitial nephritis
D.Membraneous nephropathy

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Q1100. A 6 – year old girl presents with fever for the past 5 days, generalized erythematous rash, strawberry tongue and cervical lymphadenopathy. The most likely diagnosis is

A.Kimura disease
B.Kawasaki disease
C.Scarlet fever
D.Rosie-Dorfman syndrome

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Q1101. A 6-year old girl presents with fever for the past 5 days, generalized erythematous rash, strawberry tongue and cervical lymphadenopathy. The most likely diagnosis is

A.Kimura disease
B.Kawasaki disease
C.Scarlet fever
D.Rosie-Dorfman syndrome

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BiochemistryLipid Metabolism
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Q1102. Enzyme replacement therapy is available for

A.Gaucher’s disease
B.Pompe disease
C.San Philipo disease
D.Fabry’s disease

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PaediatricsGeneral Pediatrics
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Q1103. A child presents will albinism. He should be evaluated for

A.ENT consultation
B.Eye consultation
C.Electrocardiography
D.Neurosurgery

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Q1105. A 7-year old boy presents with a right sided hemangioma and left sided focal seizures. The most likely diagnosis is www.EduMedWeb.com www.EduMedWeb.com Page 23 www.EduMedWeb.com www.EduMedWeb.com www.EduMedWeb.com

A.Neurofibromatosis
B.Incontinetia pigmenti
C.Hypermelanosis of Ito
D.Sturge-Weber disease

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Q1106. A 1.5 year old female is brought to the clinic with complaints of excessive enlargement of head, intolerance to feeds and severe malnourishment. MRI imaging was suggestive of a medulloblastoma causing obstructive hydrocephalus. Which of the following is an example of irrational management of the patient?

A.Craniotomy and sub-total excision of the tumour. Surgeon leaves the layer of the tumour
B.First ventriculoperitoneal shunt was done
C.CCNU and vincristine were given as chemotherapy
D.Radiotherapy 35-40 Gy was given to the whole craniospinal axis

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Q1107. In a case of tuberculosis of the thoracic spine, the earliest sign of cord compression is

A.Bladder dysfunction
B.Extensor plantar
C.Motor weakness
D.Sensory loss

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AnatomyLower Limb
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Q1108. A 5-year old boy presents with painand swelling in diaphysis of tibia. He also complains of fever. On examination, his ESR was raised, Which of the following is the likely diagnosis?

A.Ewinng arcoma
B.Chondrosarcoma
C.Osteogenic sarcoma
D.Fibrosarcoma

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PathologyNeoplasia
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Q1109. The signs of malignant transformation in osteochondroma are all except

A.Pain
B.Weight loss
C.Increase in size
D.Increase in thickness of cartilage cap

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PsychiatryMood Disorders
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Q1110. Olympian brow and rhagades are seen in

A.CMV inclusion disease
B.Ectodermal dysplasia
C.Congenital syphilis
D.Hyper IgE syndrome

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PharmacologyAntibiotic / Antimicrobial
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Q1111. A 19-year old male presents with several comedones, papules and pustules on face and trunk. The appropriate drug of choice for the patient would be

A.Topical retinoic acid
B.Topical retinoic acid + Oral doxycycline
C.Topical clindamycin
D.Topical azithromycin

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ENTEar
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Q1112. A 37 year female presents with multiple, linear, itchy wheals, with itching for 30 minutes at the site. The most probable diagnosis is

A.Dermatographic urticaria
B.Pressure urticaria
C.Acute urticaria
D.Chronic urticaria

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