Multiple choice questions for PRELIMS 1. All the following are treatment options for fever except a.

Paracetamol b. Maintaining hydration c. Cold water sponging d. Avoiding extraclothing and blankets 2. The commonest organism associated with occult bactermia is a. Streptococcus pneumoniae b. Hemophilus influenzae c. Staph aureus d. E. coli 3. The dose of ceftriaxone in children is a. 100mg/kg/day b. 50mg/kg/day c. 25mg/kg/day d. 200mg/kg/day 4. The drug of choice for management of febrile seizure a. Phenytoin b. Valproate c. ACTH d. Diazepam 5. The term Systemic inflammatory response syndrome (SIRS) is defined based on all except a. Temperature b. Pulse rate c. Blood pressure d. Leucocyte count 6. koplik spots are pathognomonic of a. measles b. mumps c. varicella d. Herpes simplex stomatitis 7. forcheimer spots are seen in a. measles b. mumps c. varicella d. Herpes simplex stomatitis

8. black measles presents with a. hemorrhagic skin eruption b. hematuria c. hypotension d. myocarditis 9. Which of the following drug is tried in SSPE a. Ribavirin b. IVIg c. Isoprinosine d. Adalizumomab 10. Which of the following is the least common feature of Congenital rubella syndrome a. Cataract b. Heart disease c. Deafness d. Intracranial calcification 11. The pathogenic species of entamoeba is a. Coli b. Histolytica c. Dispar d. Gingivalis 12. Entamoeba histolytica trophozoites are seen in a) Stomach b) duodenum c) caecum d) Rectum 13. The portal of entry for the hookworm larva is a) Cutaneous b) Feco oral c) Respiratory d) Unknown 13. Most important pathogen causing croup is a. Hemophius influenzae b. Respiratory syncitial virus c. Parainfluenza virus d. Mycoplasma pneumoniae 2. All the following are treatment options in bronchiolitis except

a) b) c) d)

Humidified Oxygen Racemic epinephrine nebulisation Bronchodilators Corticosteroids

3. Most common organism causing bronchiolitis is a) Influenzae b) Adenovirus c) Respiratory syncytial virus ( RSV) d) Hemophilus influenzae 4. Which among the following causes atypical pneumonia a) Pneumococcus b) Staphylococcus aureus c) Hemophilus influenzae d) Mycoplasma pneumoniae 5. Which drug is used to treat community acquired pneumonia on OPD basis a) Norfloxacin b) Amoxicillin c) Vancomycin d) Clindamycin 6. Fever, barking cough and inspiratory stridor is a common mode of presentation of a) Pneumonia b) Bronchioloitis c) Croup d) Bronchiectasis 7. Rise in cold agglutinin titres are characteristically seen in pneumonia due to a) pneumococcus b) Chlamydia c) Mycoplasma d) Hemophilus influenzae 1. The amount of pleural fluid present in normal children a) 10 ml b) 20 ml c) 30 ml d) 40 ml 2. Which of the following is a characteristic of pleuritic chest pain a) Radiation to the Left hand b) Exaggerated on deep breathing

c) Relieved with food intake d) Generalised in location 3. Which among the following causes exudate type of pleural effusion a) Congestive cardiac failure b) Nephrotic syndrome c) pneumonia d) Liver cirrhosis 4. Catamenial pneumothorax is associated with a) Underlying lung disease b) Connective tissue disorder c) menstruation d) trauma 5. All the following signs are present in a child with pneumothorax except a) Decreased breath sounds b) Tympanitic note on percussion c) Mediastinal shift to the opposite side d) Crowding of ribs 6. Earliest sign to appear on a chest Xray in a child with pleural effusion a) Widening of interlobar septa b) Obliteration of costophrenic angle c) Cardiomegaly d) Homogenous density obliterating normal lung markings 7. Which among the following is a definite indication of chest tube drainage in case of pleural effusion a) Presence of organisms in gram stain b) Bilateral pleural effusion c) Pleural pH > 7.2 d) Pleural fluid glucose > 60mg%