Pediatric mcq

mcq in pediatric nursing with answer

1. Pediatric MCQ By: Mohana AIIMS Rishikesh

2. 1. A two year old child was brought to the OPD by his grandparents with complaints of not eating anything . On examination her weight is 11.5 kg (50lh percentile of normal)and height is 75 percentile. What is the management? a) Advise multivitamin Tonic   b) Force to eat c) Investigate for UTI       d) Ask parents to stop worrying  

3. Ans:d 2. Which of the following acts a one year old child can perform?   a) Sits down from standing position                   b) Drinks from cup c) Speaks one or two words with meaning   d) Rings bell purposefully  

4. Ans:c 3. Which of the following prenatal diagnosis is possible for all of following condition except:   a) Sickle cell trait   b) Beta Thalassemia c) Ectodermal dysplasia   d) Duchennes muscular dystrophy  

5. Ans:c 4. A 7 year old boy with reduced height and weight for age for past one year is likely to have which of the following condition? a) Malnutrition   b) Lymphoma   c) Chronic infection   d) Measles

6. Ans:c 5. Intra uterine growth retardation can be caused by all of the following agent except: a) Nicotine b) Alcohol c) Propranolol d) Phenothiazine  

7. Ans:d 6. Which of the following childhood disorder improves with increase in age? a) Conduct disorder   b) Emotional problems       c) Temper tantrum d) Sleep disorder

8. Ans:c 7.A normal infant sits briefly leaning forward on her hands, reaches for and grasps a cube andtransfers it from one hand to another hand. She babbles but cannot wave bye-bye nor can she grasp objectiveswith the finger and thumb. What might be her age?   a) 4 months   b) 7 months   c) 10 months   d) 14 months

9. Ans:b 8.Atavism is when a child resembles his _ a) Parents   b) Grand parents c) Cousin d) Twin

10. Ans:b 9. Which year Two carpal bones are radiologically seen in the wrist X-ray of most of the children? a) 1 year   b) 2 years   c) 3 years   d) 4 years    

11. Ans:a 10. An infant’s sits with minimal support, attempts to attain a toy beyond reach, rolls over from   supine to prone position and does not have pincer grasp is at a development of which months? a) 3 months   b) 4 months   c) 6 months   d) 8 months

12. Ans:c 11. Foetal Respiratory movements occur earliest at what weeks? a) 12 wks   b) 16 wks   c) 20 wks   d) 11 wks  

13. Ans:d 12. Vocabulary of Five-year old child is how many words? a) 1-10 words   b) 10-20 words c) 20-30 words     d) 30-40 words  

14. Ans:a 13.The antenatal diagnosis of all of the following conditions is feasible except in which of the following? a) Huntington's chorea   b) Down's syndrome c) Severe combined immunodeficiency syndrome   d) Anencephaly  

15. Ans:c 14.What is the Order of development of secondary sexual characteristic in male child? a) Testicular development — pubic hair — Axillary hair — beard b) Pubic hair — testicular development — axillary hair — beard c) Testicular development — beard — pubic hair — axillary hair d) Axillary hair — beard — pubic hair — testicular development

16. Ans:a 15. Which is incorrect about Thumb sucking? a) Can lead to malocclusion b) is a source of pleasure c) is a sign of insecurity d) must be treated vigorously in the first year

17. Ans:d 16.Head control is possible in an infant by which month? a) 1   b) 2   c) 3   d) 6  

18. Ans:c 17.IQ between 50-70 indicates which of the following classification? a) Mild mental retardation                                 b) Moderate retardation c) Severe retardation   d) Profound retardation

19. Ans:a 18.Preference of use of one hand (handedness) is evident at what age? a) 6 months               b) 1 year             c) 2 years             d) 3 years  

20. Ans : c 19.Fetal bradycardia is defined as  when hear rate is? a) Less than 100 beat/min         b) between 100 and 200 beat/min       c) Less than 120 beat/min d) Less than 120 beat/min for a period of 15 min of continuous monitoring

21. Ans : d 20.Regarding "breath holding spells" in children, one of the following statements is not true? a) It is fairly common in the first 2 years of life b) It does not contribute to increased risk of seizure disorders c) Parents are advised to ignore and not to reinforce these attacks d) It must be immediately attended to prevent hypoxia and onset of seizures

22. Ans : d 21.A 18-month old baby presents with recurrent episodes of excessive crying followed by cyanosis,     unconsciousness and occasional seizures since 9 months of age. What is the most likely diagnosis is? a) Epilepsy     b) Anoxic spells   c) Breath holding spells       d) Vasovagal attack  

23. Ans:c 22.Which among the following is not expected in a 3 year old child   a) Draw a circle   b) Talk in sentence   c) Climb down stairs   d) hop 5 steps

24. Ans:d 23.By which years all milk teeth are erupted ? a) 1.5 years   b) 2  years c) 2.5  years d) 3 years

25. Ans:b 24.Delayed dentition is most characteristic of which of the following?   a) Mongolism   b) Acromegaly   c) Cretinism   d) Malnutrition

26. Ans:c 25.A new born baby has a head circumference of 35 cm’s at birth. His optimal head circumference will be 43 cm’s at which months?   a) 4 months of age   b) 6 months of age   c) 8 months of age     d) 12 months of age

27. Ans:d 26.what is the normal heart rate at birth? a) 120-160/min         b) 100-120           c) 160-180           d) is always less than 100

28. Ans:a 27.Fetal growth is maximally affected by  which of the following hormone? a) Insulin                 b) Growth Hormone                         c) Cortisol                         d) Thyroxine  

29. Ans:a 28.A child can walk up and down the stairs alternating his feet by   a) 12 months             b) 24 months                     c) 36 months                     d) 48 months    

30. Ans:b 29.Gender of external genitalia of foetus becomes clearly distinguished at what weeks of the gestation? a) 10 weeks               b) 16 weeks                       c) 12 weeks                       d) 20 weeks

31. Ans:a 30.A child can copy a circle first at what age?   a) 2 years of age       b) one and half year         c) 4 years                           d) 3 years

32.   Ans:d 31.A three year old child can do which of the following except?   a) Ride a tricycle       b) Build a tower of ten cubes           c) Knows his age and sex d) Use scissors to cut out pictures    

33. Ans:d 32.what is the average birth weight of Indian child?  a) 2.9 Kg                 b) 2.8 Kg                           c) 3.3 Kg                           d) 2.5 Kg

34. Ans:b 33.Taste perception of baby develops at what age?  a) Birth                     b) 4 months                   c) 6 months                       d) 8 months  

35. Ans:a 34.how much the length will increase in the first year of life? a) 12 cms                 b) 15 cms                       c) 25 cms                           d) 35 cms  

36. Ans:c 35.how much is the IQ of a child with mental age of seven and a chronological age of seven years? a) 100   b) 120   c) 145   d) 80  

37. Ans:a 36.what is the milestones at 10 months of age are a) Pincer grasp                                                     b) Arranging 3 cubes c) Walks few steps without support   d) Says mama dada

38.   Ans:d 37.Child changes Rattle from one hand to another at the age? a) 3 months   b) 6 months   c) One year   d) 2 years  

39. Ans:b 38. what is IQ (Intelligence quotient) of a child means?   a) The creative efficiency of the child b) The capability of the child to perform intellectual tasks in relation to other children of same age c) The efficiency of memory of child   d) Qualification of the learning ability of child

40. Ans:b 39.Normal height with decreased bone age is seen in  which of the following condition? a) Cushings syndrome     b) Hypothyroidism c) Thanatotrophic dwarfs     d) Down's syndrome  

41. Ans:a 40.In asymmetrical IUGR which of the following organ is not affected?   a) Subcutaneous fat   b) Muscle   c) Liver   d) Brain

42.   Ans : d 41.Neonatal period extends up to how many days? a) 21 day s of life   b) 30 days of life c) 28 days of life   d) 35 days of life  

43. Ans : c 42.What is the first permanent tooth to erupt? A) 1st Premolar   b) 1st Molar c) 1st Incisor   d) 2nd premolar  

44. Ans : b 43.How many digits can a five year old child can remember? A) 4   b) 5   c) 8 d) 10

45.   Ans : b 44.How much is the Increase in height in 2nd year of life? a) 40%   b) 25%   c) 60% d) 75%  

46. Ans : b 45.What is the average B.P of a 1 year old child? a) 120/80 mm/Hg b) 75/50  mm/Hg c) 95/65   mm/Hg d) 60/30 mm/Hg  

47. Ans : b 46.Delayed speech in a 5 year old child with normal motor and adaptive development is most likely due to which of the following condition?    a) Mental retardation             b) Cerebral palsy               c) Kernicterus     d) Deafness

48.   Ans:d 47.Which of the following anthropometric assessment which does not show much change in 1-4 years?   a) Mid arm circumference b) Skin fold thickness c) Chest circumference: Head circumference ratio   d) Height  

49. Ans:a 48.A 5 year old child is assessed to have developmental age of one year. His developmental quotientwould be of what?   a) 100   b) 80   c) 60   d) 20

50. Ans : d 49.True breath holding attacks generally do not occur after which year of the following? a) 1 year   b) 5 years   c) 2 years   d) 18 months

51.   Ans : b 50.Sitting Height is equal to which of the following?   a) Head circumference     b) Chest Circumference       c) Upper segment     d) Crown-rump length  

52. Ans : d 51. At what age visual acuity reaches adult acuity? a) 7   b) 9   c) 5   d) 3

53. Ans : a 52.When abstract thinking will occur? a) 2 years   b) 3 years   c) 9 years   d) 12 years

54.   Ans : b 53.A six week old infant cannot perform which of the following? a) Grasp dangling objects b) Fix gaze c) Lift and hold head d) Turn head towards sound  

55. Ans : a 54.How many number of deciduous teeth can be seen in children? a) 20   b) 24 d) 32 c) 28  

56. Ans : a 55.Shakir tape is used for measuring which of the following? a) Measurement of height b) Measurement of length of infant c) Measurement of mid arm circumference d) Measurement of skin pad thickness    

57. Ans : c 56.How much Cm of Height increases (mean) in children from 2 to 10 years per year? a) 2 cm’s   b) 4 cm’s   c) 6 cm’s   d) 8 cm’s

58. Ans : c 57.What is the commonest cause of Enuresis in children? a) Urinary tract infection   b) Spina bifida c) Psychologic stress   d) Diabetes mellitus

59.   Ans : c 58. How much is the water content in infant body weight? a) 60-70%   b) 75-80% c) 80-90% d) >90%

60.   Ans:b 59.How much is the upper segment: Lower segment ratio at 2 years of age in a normal child? a) 1.8:1   b) 1.5:1   c) 1.25:1   d) 1.12:1

61.   Ans:d 60.Which one of the following condition will not affect foetal development? a) Herpes   b) Rubella   c) Alcohol   d) Tetracycline  

62. Ans:a 61. At what weeks of development Pincer grasp is seen? a) 4 weeks   b) 6 weeks   c) 16 weeks   d) 36 weeks

63. Ans:d 62.Which of the following would be considered normal in a 4 year child? a) Tics   b) Hyper excitability   c) Anxiety   d) Hyperkinesis

64.   Ans : d 63.For what a school age child is most apt to have fears? a) Snakes   b) High places   c) Loud noises     d) Death or injury  

65. Ans : d 64.Infant body weight is tripled at what age? a) 5 months   b) 11 months   c) 2 years d) 18 months

66. Ans : b 65.Anterior fontanels closes at what age? a) l year   b) 2 years   c) 3 years d) 4 years  

67. Ans : b 66. Weight gain during the first 3 months of age is how much? a) 1/4 kg/month   b) 1/3 kg/month   c) 1/2 kg/month       d) 3/4 kg/month  

68. Ans : d 67.As infant beings to sit with support by at what months? a) 4   b) 5   c) 6 d) 7

69. Ans : b 68.Peak stage in height growth corresponds to which of the following stage? a) I   b) II   c) III d) Iv  

70.   Ans : b 69. What is the most frequently occurring emotional disorder of children? a) Schizophrenia       b) Neurosis   c) Mental retardation d) Autism  

71. Ans : b 70.At what age a Child smiles at familiar persons? a) 1 month   b) 2 months   c) 4 months   d) 6 months

72. Ans : b 71.When a child is not able to perform the following motor functions such as skipping, walking on heels, hopping in place or going forwards in tandem gait, his motor development is considered to be below of which years?   a) 3 years                 b) 4 years             c) 6 years             d) 7 years

73.   Ans : b 72.Birth weight of a child doubles at five months of age while the birth length doubles at the age of? a) 1 year   b) 2 years   c) 3 years   d) 4 years    

74. Ans : d 73.At what weeks of gestation breathing movements and swallowing movement seen in the foetus?  a) 13-14weeks         b) 18-24 weeks     c) 15-18 weeks     d) >30weeks

75. Ans : c 74.What is the length of a neonate?   a) 40cm                     b) 50cm               c) 70cm               d) 100 cm  

76. Ans : b 75.A child takes self-decisions at the age?   a) 3   b) 5   c) 7   d) 9

77.   Ans:c 76.Which of the following is not expected to do at 7 months of life?   a) Creeps crawl     b) Walks with one hand held     c) Sits up alone     d) Pulls to standing position

78.   Ans:b 77.Breast feeding is recommended at least for how many months?  a) 4 months               b) 6 months               c) 9 months         d) 1 year    

79. Ans:b 78.Which of the following is the most important factor to overcome protein energy malnutrition in children less than 3 years? a) Supply of subsidized food from ration shop   b) Early supplementation of solids in infants c) Immunization to the child   d) Treatment of anaemia and pneumonia in infant and toddlers

80. Ans:b 79.A 2 year old child has a weight of 6.4 kg and has vitamin A deficiency. What is the gradeofmalnutrition ? a) First degree   b) Second degree   c) Third degree d) Fourth degree

81.   Ans:d 80.Wind swept sign/deformity is seen in  which of the following condition? a) Scurvy                 b) Rickets           c) Achondroplasia             d) Osteoporosis  

82. Ans:a 81.Breast feeding is contraindicated if the mother is taking which of the following medication?   a) Propranolol           b) Broad spectrum antibiotics         c) Sulfonyl urea’s             d) Insulin

83. Ans:c 82.Which of the fatty acid is necessary during 0to6 months of age?  a) Linolic acid   b) Linolenic acid   c) Arachidonic acid   d) Palmitic acid  

84. Ans:b 83.Which one is wrong about human milk?         a) Gives energy of 67 Kcal/L                               b) Carbohydrate forms 40% of total energy c) Fats form > 50% of total energy   d) Proteins form 33% of total energy  

85. Ans:a 84.Which One of the following is not reported to be a clinical manifestation of Zinc deficiency state inchildren ? a) Dwarfism and hypogonadism                         b) Liver and spleen enlargement c) Impaired cell mediated immunity   d) Macrocytic anaemia

86. Ans:b 85.What is the composition of breast milk, per 100ml?   a) 67 calories, 3.5 protein, 3.5g fat and 4.5 g carbohydrate b) 67 calories, 1.2g protein, 4 g fat and 4.5 g carbohydrate c) 67 calories, 1.2g protein, 4g fat and 7 g carbohydrate d) 100 calories, 3.5 protein, 4g fat and 7 g carbohydrate e) 100 calories, 3.5g protein, 3.5g fat and 4.5 g carbohydrate

87.   Ans:c 86. Which of the following are not radiographic features of Rickets? a) Increased in width of growth plate   b) Decreased bone density c) Rickety rosary   d) Subperiosteal bleeding

88.   Ans:d 87. Breast milk at room temperature stored for how many hours? a) 4 hrs   b) 8hrs   c) 12hrs d) 24hrs  

89. Ans:b 88.Which vitamin deficiency is not seen in new-born? a) E   b) c   c ) D   d ) K

90. Ans:a 89.A 4 year old boy derives most of his caloric requirements from which of the following? a) Carbohydrates     b) Proteins   c) Fats     d) Minerals

91.   Ans:a 90.Perioral rash, pigmentation of skin creases and neuritis is seen in deficiency of which minerals? a) Zinc   b) Copper     c) Magnesium     d) Biotin    

92. Ans:a 91.When a patient presents with scorbutic rosary, bone pains and X-ray reveals Freckle’s lines indicates what? a) Scurvy   b) Achondroplasia   c) Syphilis   d) Rickets

93. Ans:a 92.Vitamin K deficiency will not occurs in which of the following condition? a) Biliary obstruction b) Artificial milk feeds     c) Oral antibiotic Therapy     d) Malabsorption .

94.   Ans:b 93.For what reason breast feeding is best for the baby? a) But has no effect on the mother b) But is likely to affect the mothers appearance significantly c) But may cause breast cancer in the mother   d) And is also good for the mother  

95. Ans:d 94.Excess of vitamin K in a new born causes which of the following condition? a) Bleeding tendencies   b) Hyperbilirubinimia       c) Vomiting d) Haemolysis

96. Ans:b 95. Costochondral junction swelling are seen in which condition? a) Scurvy   b) Rickets   c) Chondrodystrophy d) all of the above    

97. Ans:d 96.Kwashiorkor is diagnosed in growth retarded children when the child have which of the following manifestation? a) oedema and mental retardation b) Hypo pigmentation and anaemia c) oedema and hypo pigmentation   d) hepatomegaly and anaemia

98. Ans:c 97.Which one of the following contains least fat content in the milk? a) Human milk   b) Goat milk   c) Buffalo milk d) Cow milk

99.   Ans:a 98.what is the earliest sign of rickets? a) Rickety rosary       b) Craniotabes c) Bow legs d) Harrison's groove

100.   Ans:b 99. What is the normal calorie requirement for a 5 year old child? a) 800 calories   b) 1000 Calories   c) 1500 Calories d) 2000 Calories  

101. Ans:c 100.    In an infant with exclusive breast feed cannot be presented with which of the following condition? a) GI bleeding due to vitamin K deficiency         b) Relative prolongation of physiological jaundice c) Evening colic   d) Golden colour stools

102.   Ans:c