Paediatrics PYQ 2017 AIIMS 2017 Solve Paediatrics AIIMS 2017 Total Questions: 13 1. Dried blood spot (DBS) testing is commonly done in infants for: Coombs Test Bilirubin testing Inborn errors of metabolism Blood grouping None 2. The most appropriate expansion of Apgar is: Alert, pulse, grimace, activity, respiration Assessment, pulse, grimace, alive, respiration Appearance, pressure, grimace, activity, respiration Appearance, pulse, grimace, activity, respiration None 3. A 4 day old baby is active and feeding well. He has a bilirubin level of 8 mg/dl. What is the next step in the management of the baby? IV fluids and phototherapy Stop breastfeeding and start phototherapy Exchange transfusion Continue breastfeeding None 4. A 15-day-old infant had conjunctivitis, which later developed into respiratory distress and pneumonia. Chest Xray examination revealed bilateral lung infiltrates. Peripheral smear count showed 14,300/µL (N 43, L 54, E3). Which of the following is the most likely pathogenic organism? Mycoplasma pneumonia Neisseria gonorrhoeae Streptococcus pneumonia Chlamydia trachomatis None 5. Of the following, all are findings of the condition in the below chest X-ray except: Narrow vascular pedicle Right atrial enlargement Pulmonary venous hypertension Increased pulmonary blood flow None 6. A 4-year-old child was brought to the hospital with a history of loose stools. No history of fever or blood in stools. The mother says he is irritable and eagerly drinks water if given. On examination, eyes are sunken and in the skin pinch test, the skin retracted within two seconds but not immediately. What treatment is advised for the child? Give oral fluids and ask mother to continue the same and visit again the next day. Give oral fluids and zinc supplementation only and ask mother to come back if danger sign develops. Consider severe dehydration start IV fluids, IV antibiotics, and refer to higher centre. Wait and observe. None 7. In fetal alcohol syndrome, which of the following is not seen? Microcephaly Macrocephaly Thinning of corpus callosum Holoprosencephaly None 8. A baby in the NICU is being evaluated for his features of microcephaly and hepatomegaly. CT scan revealed nodular periventricular calcifications. Congenital CMV infection is suspected. Which of the following samples is the best to detect the organism using PCR? Urine Blood CSF Liver biopsy None 9. A child presented with complaints of itching and discharges on flexure aspect of elbow and the lesions were red as shown below. What is your diagnosis? Atopic dermatitis Psoriasis Pemphigus vulgaris Post traumatic pigmentation None 10. Identify the disease shown in the karyotype: Bloom syndrome Angelman syndrome Cri-du-chat syndrome Fragile X syndrome None 11. Which of the following fits into the criteria of severe variable deceleration, variations less than: 70 beats per minute lasting for 60 seconds 100 beats per minute lasting for 60 seconds 90 beats per minute lasting for 60 seconds 80 beats per minute lasting for 60 seconds None 12. Which of the following milestones would you generally expect a 3 year old child to display? Spoon handling Hopping on one foot Repeats sentence of 10 syllables Copying a triangle None 13. Which of the following constitutes Hutchinson's triad? Interstitial keratitis, 8th nerve deafness, Hutchinson molars Interstitial keratitis, 8th nerve deafness, Hutchinson incisors Interstitial keratitis, 8th nerve deafness, mulberry molars Interstitial keratitis, 8th nerve deafness, mulberry incisors None 1 out of 13 Time's up
