Pediatrics MCQs -Dr. Ranjan Singh www.drmentors.

com
– Part 1
GROWTH & DEVELOPMENT verbal communication then what is
his probable age: (AI-2012)
12mo/ 15mo/
1. From 6 week to 12 week infant
18mo/ 24mo
weight increases @ of- (NEET)
30g/d/ 40g/d 50g/d 9. A child is able to say short sentences
60g/d of 6 words (NEET)
2yr/ 3yr/ 4yr/
2. Weight of newborn quadruples by 5yr
(NEET)
10. A child makes tower of 4 cubes at-
9mo/ 12mo/ 2yr/
(AI-13)
3yr
1 yr/ 18 month/ 3yr/
4yr
3. Average gain of height in 1st year is-
(NEET) 11. Which of the following cannot be
25 cm/ 50cm/ 75cm/ done by a 3 year old child- (NEET)
100cm a) Draw a triangle
b) Draw a circle
c) Can arrange 9 cubes
4. Total no of milk teeth in human d) Can go up and downstairs
being (NEET)
24/ 20/ 28/ 32 12. All of the following suggest a
developmental delay in milestones
5. Delayed dentition is seen in all except- (AIIMS-13)
a) Absence of pincer grasp at 9
except (NEET)
months
a)Down syndrome c)
b) Not climbing stairs up and down
Congenital hypothyroidism at 2 & 1/2 years
b) Rickets d) c) Not speaking two word phrases
none of the above at 18 months
d) Not able to sit at 9 months
6. Purposeful movement is started at 13. The developmental age of child who
knows her full name and gender, can
(NEET)
eat without spilling and can dress
6 mo/ 8mo/ 9mo/
herself without supervision- (AIIMS-
Infant 12)
2 yr/ 3 yr/ 4
7. Sitting in tripod position at which yr/ 5 yr
month (NEET)
5mo/ 6mo/ 8mo/ 14. A child is below the third percentile
9mo for height. His chronological age is
more than skeletal age. The most
8. A child who can use 4-5 words
likely diagnosis is (AI-11)
including meaningful nouns and
a) Constitutional delay in growth
represents his idea mostly by non
c) Primordial dwarfism
Pediatrics MCQs -Dr. Ranjan Singh www.drmentors.com
– Part 1
b) Genetic short stature
d) Hypopituitarism

15. First sign of pubertal development in

boy is (NEET)
a) Enlargement of penis
c) Appearance of pubic hair
b) Enlargement of testis
d) Appearance of axillary hair

16. 5 year old child with bed wetting. Rx

of choice (AI-13)
a) Desmopressin
c) Imipramin
b) No treatment
d) Motivational therapy

17. All of the following are

characteristics of Rett syndrome
except- (AIIMS-13)
a) Increased incidence of mental
retardation
b) Seizures
c) Abnormal dendritic morphology
in cortical pyramidal cells
d) Macrocephaly
Pediatrics MCQs -Dr. Ranjan Singh www.drmentors.com
– Part 1
NEONATOLOGY
1. A 3 hour old neonate with apnea is
on bag & mask ventilation for last 30
second, now showing spontaneous
breathing with HR 110/min. The next
step should be- (AI-92)
a) Discontinue ventilation
c) Give chest compression
b) Continue ventilation
d) ET intubation
2. A baby is born with meconium
stained liquor. All of the following
are taken into account in terming
the baby vigorous except- (AIIMS-
09)
a) Tone b) Colour
c) HR d) Respiration
3. Which of the following is not true
about newborn assessment (AIIMS-
11)
a) Apgar at 7 minute indicate about
neonatal mortality
b) Apgar at 1 minute, indicator for
neonatal resuscitation
c) Fetus can rapidly wash out CO2
through placenta
d) Anaerobic metabolism causes
academia
4. Bag and mask ventilation is
contraindicated in (AIIMS)
a) Cleft lip
b) Meconium aspiration
c) Diaphragmatic hernia
d) Hyaline membrane disease
5. Dose of i.v adrenaline in term infant
during neonatal resuscitation-
(NEET)
a) 0.1-0.3 ml/kg in 1:1000
b) 0.3-0.5 ml/kg in 1:1000
c) 0.1-0.3 ml/kg in 1:10000
d) 0.3-0.5 ml/kg in 1:10000
6. Not seen in small for date babies
a) Hypoglycemia
c)Intracranial bleed
b) Polycythemia
d)Hypocalcemia
7. A 32 week pre-term infant, weighing
1400gm , vitals stable, admitted in
NICU. What is the best feeding
procedure (AIIMS-2014)
a) Keep nil orally, start I.V fluid
c) I.V fluid and oral feeding
b) Oral nasogastric tube/ alternate
oral route d) TPN
8. A 3 month old child with history of
complicated delivery presented with
asymmetric moro reflex. What would
be the probable cause (AIIMS-2014)
a) Brain injury
c) HIE
b) Erb’s palsy
d) All of the above
9. Reflex which is not present in child at
birth is- (AIIMS-07)
a) Moro’s reflex
b ) Symmetric tonic neck reflex
c) Crossed extensor reflex
d) Asymmetric tonic neck reflex
Pediatrics MCQs -Dr. Ranjan Singh www.drmentors.com
– Part 1
10. A pregnant lady had mild cervical
st
lymphadenopathy in 1 trimester.
She was prescribed Spiramycin but
she was non compliant. Baby was
born with hydrocephalus and
intracerebral calcification. Which of
these is likely cause- (AIIMS-11)
a) Rubella
c) Toxoplasmosis
b) CMV
d) Herpes
11. Olympian brow and rhagades seen
in (AIIMS-2014)
a) Measles
Congenital syphilis
b) Rubella
CMV
12. The late features of kernicterus
include all except- (AI-13)
a) Hypotonia
b) Sensorineural hearing loss
c) Choreoathetosis
d) Upward gaze palsy
13. Idiopathic Neonatal hepatitis not
true is (NEET)
a) Always conjugated
hyperbilirubinemia
b) More common in preterm or
IUGR baby
c) Caused by virus
d) May get positive family history
14. A case of jaundice with 50% direct
bilirubin, other LFT normal.Diagnosis
is- (AIIMS-09)
a) Rotor syndrome
c) Glucuronyl transferase
deficiency
b) Gilbert syndrome
d) Primary biliary cirrhosis
15. True about jaundice in neonates is:
(AI-2012)
a) Can be seen after ventouse
delivery
b) Physiological jaundice is seen
within 48 hours of birth
c) Increased conjugated bilirubin
leads to kernicterus
d) Breast milk jaundice is maximum
c) in 7 days from birth
d) 16. Which of the following if seen on
Day 10 on life, is worrisome (AIIMS-
2014)
a) Conjugated hyperbilirubinemia
b) Dolls eye reflex
c) No weight gain
d) Unconjugated
hyperbilirubinemia
17. A term gestation newborn
developed respiratory distress.
Which of the following would favour
Respiratory distress syndrome
(HMD) (AIIMS-2012)
a) History of receiving antenatal
steroid
b) Air bronchogram on chest X-ray
c) Onset of distress after 6 hour of
birth
d) Term birth
18. A 1.5 kg child born at 32 weeks by
LSCS presents with moderate
respiratory difficulty. Which of the
Pediatrics MCQs -Dr. Ranjan Singh www.drmentors.com
– Part 1
following is the appropriate
management (AIIMS-2010)
a) CPAP
b) Mechanical ventilation
c) Warm oxygen
d) Surfactant and ventilation
19. Which of the following is least
important prognostic factor in
congenital diaphragmatic hernia
(AIIMS-2011; AI-11)
a) Pulmonary hypertension
b) Delay in emergent surgery
c) Size of defect
d) Gestational age at diagnosis
20. Most important prognostic factor in
congenital diaphragmatic hernia( AI-
11;AIIMS-2009)
a) Pulmonary hypertension
c) Timing of surgery
b) Size of hernia
d) Gestational age
21. In Diaphragmatic hernia, most
common anomaly is seen in (NEET)
a) Urinary tract
b) Cardiovascular
c) Craniofacial anomaly
d) Skull anomaly
22. A term baby with birth weight 3.5 kg,
developed respiratory distress at
birth, not responded to
administration of surfactant.
Echocardiogram was normal. X-ray
chest shows ground glass
appearance and culture negative.
Apgar 4 and 5 at 1 and 5
minutes.There is history of death of
female sibling at 1 month of age.
What is the diagnosis (AIIMS-11, 08,
07)
a) TAPVC
b) Meconium aspiration
c) Neonatal alveolar proteinosis
d) Diffuse herpes simplex infection
23. Which of the following malformation
in a newborn is specific for maternal
insulin dependent diabetes mellitus
(AI-06)
a) Transposition of great arteries
b) Caudal regression
c) Holoprosencephaly
d) Meningomyelocele
24. Which of the following babies has
the least risk of developing
hypoglycaemia
a) Infant of diabetic mother
( AIIMS-2014)
b) A baby born to mother treated
with beta-blockers
c) Appropriate for gestational age
babies
d) IUGR
25. A large for gestational age baby
delivered at 40 weeks was found to
be lethargic. The blood sugar was
measured to be 35 mg/dl. The
management is- (AI-12)
a) Fortified breast milk
c) Oral glucose solution
b) 10% I.V Dextrose
d) Normal saline
26. Staging of HIE with lethargy,
hypotonia and 2 episodes of seizure:
(AIIMS-2014)
Pediatrics MCQs -Dr. Ranjan Singh www.drmentors.com
– Part 1
a) 1 c) 3
b) 2 d) 2B
Pediatrics MCQs -Dr. Ranjan Singh www.drmentors.com
– Part 1
NEPHROLOGY blanching purpura on the lower limb.
Probable diagnosis is-
a) Henoch Schonlein purpura
1. Which of the following is not seen in (AIIMS-11)
Nephritic syndrome- (NEET) b) Wegeners granulomatosis
a) Edema c) Vasculitis
c) Hypercholesterolemia d) Kawasaki disease
b) Hypertension
d) Hematuria 7. Not seen in HSP- (NEET)
a) Thombocytopenia c)
2. A 3 year old child having protein 3+ Arthralga
in urine with oliguria with edema. No b) Abdominal pain d)
hematuria. What is the diagnosis Renal involvement
(AIIMS-2014)
a) Minimal change GN 8. In shigella dysentery associated
c) Mesangioproliferative GN haemolytic uremic syndrome, the
b) Membrabous GN false statement is- a) Leucocytosis
d) RPGN (NEET)
b) Neurological abnormalities
3. Which is seen in nephrotic c) Hepatic failure
syndrome-(NEET) d) Thrombotic angiopathy
a) Low serum calcium
b) Raised AT-III 9. A child has diarrhea since 8 days. He
c) Low lipid is dehydrated and urine output is
d) Platelet activation reduced. Which of the following is
not correct regarding renal failure in
4. A 7 year old child with steroid this patient (AI-10)
dependent nephrotic syndrome has a) Urine sodium > 40meq/L
developed corticosteroid toxicity and b) Urine osmolality > 500
posterior subcapsular cataract. Mosmol/L
Which of the following is the best c) FE Na < 1
alternative for treatment of the d) BUN/Creatinine > 20
patient- (AIIMS-13)
a) Levamisole 10. Abnormality in RTA with rickets is-
b) Cyclophosphamide (NEET)
c) Mycophenolate mofetil a) Loss of HCO3- c) Loss
d) Rituximab of Ca+
b) Loss of K+ d) All of
5. The most common gene defect in the above
idiopathic steroid resistant nephrotic
syndrome-
a) ACE c) NPHS2 11. A male child with Fanconi syndrome
(AIIMS-11,07,06) with nephrocalcinosis has a variant
b) HOX11 d) PAX of Dent disease all are true except
(AIIMS- 2011)
6. A 5 year old child presents with a) Hypercalciuria
perivascular IgA deposition and c) Proteinuria
neutrophilic collection. There is non
Pediatrics MCQs -Dr. Ranjan Singh www.drmentors.com
– Part 1
b) Similar presentation in father
d) Rickets

12. True about Bartter’s syndrome are all

except- (NEET)
a) Hyperkalemic alkalosis
b) Present in neonates with
sensorineural hearing loss
c) Decreased K+ absorption from
thick ascending loop of henle
d) Autosomal recessive

13. Features of Cystinuria are- (NEET)

a) Impaired proximal tubular
reabsorption of cystine
b) Autosomal recessive
c) Recurrent renal stone
d) All of the above
Pediatrics MCQs -Dr. Ranjan Singh www.drmentors.com
– Part 1
CENTRAL NERVOUS SYSTEM
6. True about Status marmoratus is all
1. Which of the following is not
except- (DNB-13)
associated with increase in the risk of
a) Present in basal ganglia
seizures in future in a child with
b) Associated with asphyxia
febrile convulsion (AI-10)
c) Habe a marbled appearance
a) Developmental delay
d) Unilateral
b) Late age of onset
c) Complex febrile convulsion
7. Most common cause of fetal
d) Family history positive
ventriculomegaly is (DNB-13)
a) Arnold Chiari malformation-I
2. Initial drug of choice in a child with
b) Arnold Chiari malformation-II
status epilepticus-(NEET)
c) Aqueductal stenosis
a) Lorazepam
d) Dandy Walker malformation
b) Phenobarbitone
c) Valproate
8. What is most common genetic cause
d) Phenytoin
of mental retardation- (NEET)
a) Tuberous sclerosis
c) Cri- du chat syndrome
b) Fragile-Xsyndrome
3. The most common causative agent d) Angelman syndrome
of meningitis in the age group of 6
month- 3 year among the following 9. A 4 year girl presents with severe
is- (NEET) vomiting after viral fever of 6 days.
a) Streptococcus She develops cerebral edema later
c) Staphylococcus on. What would be the liver biopsy
b) H. Influenza findings- (AIIMS-14)
d) Meningococcus a) Centri-zonal hemorrhagic
necrosis
4. In a small child diagnosed with H. b) Marked micro vesicular steatosis
Influenza meningitis, what c) Ring granuloma
investigation must be done before d) Non alcoholic steato-hepatitis
discharging the patient- (NEET)
BERA/ CT Scan/ 10. An adult male patient presented with
MRI/ X-ray Skull mental retardation and convulsion.
His 6 year old son has same
5. The most common intracranial problem. On skin there is
tumor in children is- (NEET) hypopigmented skin lesion. What is
a) Glioma the diagnosis- (AIIMS-14)
c) Meningioma a) Neurofibromatosis type-1
b) Ependymoma b) Neurofibromatosis type-1I
d) Lymphangioma
Pediatrics MCQs -Dr. Ranjan Singh www.drmentors.com
– Part 1
c) Autosomal dominant inheritance d) Proteus syndrome
d) Xeroderma pigmentosa

11. A child presents with precocious

puberty and episodes of
uncontrollable laughing. MRI was
done and the diagnosis is confirmed.
What is the most probable
diagnosis-
a) Hypothalamic hamartoma
(AIIMS-12)
b) Pituitary adenoma
c) Pineal germinoma
d) Craniopharyngioma

12. A new born presents with congestive

cardiac failure. On examination there
is bulging anterior fontanelle and
bruit on auscultation.
Transfontanellar USG shows a
hypoechoic mid line mass with
dilated lateral ventricles. Most likely
diagnosis is-
a) Medulloblastoma
(AIIMS-11)
b) Encephalocele
c) Vein of Galen malformation
d) Arachnoid cyst

13. A 10 year old child presented with

seizure disorder. On examination a
vascular plaque was found along the
ophthalmic and maxillary division of
the trigeminal nerve. The mother
informed the paediatrician that the
lesion was present since birth. The
most likely possibility is- (AIIMS-
12)
a) Infantile hemangioma
b) Sturge weber syndrome
c) Congenital hemangioma