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Pediatric neurology mcq

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pediatric neurology mcq for ug

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Pediatric neurology mcq

  1. 1. Pediatric neurology Hari Shankar Meshram
  2. 2. Boring topic that too in afternoon
  3. 3. Waiting for the last slide
  4. 4. For passing marks LP finding in APM and TBM Apm : very low glucose, neutrophilic, very high protein Tbm : low glucose, lymphocytic, high protein, cob web appearance
  5. 5. Neurofibromatosis has all of the following except 1. Crowe sign 2. Lisch nodule 3. Brushfield iris 4. Neurofibroma 3
  6. 6. Recent Tuberous sclerosis has all skin lesion except 1. Ash leaf macule 2. Adenoma sebacium 3. Shagreen patch 4. Angel kiss 4
  7. 7. Reversible gallbaldder sludge detected by USG during treatment of bacterial meningitis is caused by 1. Ceftriaxone 2. Cefotaxime 3. Vancomycin 4. Meropenem 1
  8. 8. Floppy baby Spinal muscular dystrophy important genetic cause of floppy baby invloves chromosome 1. 5 2. 6 3. 7 4. 9 1
  9. 9. AFP Transverse myleitis involves mostly 1. Thoracic 2. Lumbar 3. Lumbosacral 4. Cervical 1 Afp causes are polio, gullian barre ,transverse myelitis, traumatic neuritis
  10. 10. floppy Almond shaped eyes , with hyperphagia ,and obesity and hypogonadism and history of hypotonia in newborn period 1. Angelman 2. Prader willi 3. Gaucher 4. Tay Sach 2
  11. 11. Anterior fontonalle closes at months 1. 2 -3 2. 4-7 3. 9-12 4. 18-24 4
  12. 12. Total volume of CSF in neonate is 1. 50 ml 2. 100 ml 3. 25 ml 4. 150 ml 1 and 2 in adult
  13. 13. Neural tube and neural migration Which of the following is neuronal migration defect 1. Shizencephaly 2. Myelomeningocele 3. SSPE 4. Gaucher 1
  14. 14. True about hydranencephaly 1.Absent cerebral hemisphere 2. Sun setting sign 3.Mental retardation 4.Normal sized ventricle 1
  15. 15. Hydranencephaly
  16. 16. CSF production rate per hour is 1. 20 ml 2. 10 ml 3. 25 ml 4. 15 ml 1
  17. 17. Normal ICP in a child is mmH20 1. 30 – 70 2. 50 – 80 3. 100 -150 4. 50 – 150 2 And 4 answer in case of adult
  18. 18. Choose one 1. 3. 2. 4. All of the above
  19. 19. Development Razing at what age 1. 4 m 2. 6 3. 8 4. 10 1
  20. 20. Neck control at what age 1. 3 2. 6 3. 8 4. 10 1
  21. 21. Recently asked 9 cube tower at what age month 1. 40 2. 30 3. 20 4. 15 Answer is 2. 2 cubes 15 month 4 cubes 18 month 6 cubes 22 month 7 cubes 24 9 cube 30 10 cube 36 month
  22. 22. Casting at what age 1. 10 month 2. 6 3. 8 4. 12 4 casting means throwing things
  23. 23. Mouthing and stranger anxiety and moros reflex should disapper at what age 1. 4 2. 6 3. 8 4. 10 2
  24. 24. Object permenance, peek a boo game , waves bye bye , and immature pincer grasp at what age 1. 4 2. 6 3. 9 4. 10 3
  25. 25. Separational anxiety, transitional object at what age 1. 12 2. 18 3. 15 4. 10 2
  26. 26. 13yr old child presented with fever and altered sensorium with MRI shwoing medial temporal lobe involvement 1. HSV 2. Neisseria 3. Cerebral malaria 4. Fungal meningitis 1
  27. 27. • Most common neurological sequele in bacterial meningitis 1.Recurrent seizures 2 Hearing loss 3 Cognitive loss 4 Visual loss 2
  28. 28. Excessive irritability, crying,vomiting and difficulty feeding with history of frequent change in formula feeds suggests 1. Tay sach disease 2. Krabbes disease 3. Metachromatic leucodystrophy 4.Gaucher disease 2
  29. 29. A child with painful acroparastheisa and angiokeratoma in skin with zebra bodies and maltese cross in urine sample suggests 1. Tay sach disease 2. Krabbes disease 3. Fabry disease 4.Gaucher disease 3
  30. 30. Recent • Seizures with aphasia as abnormal finding is seen in 1. Absence seizures 2. West syndrome /Infantile spasm 3. Rolandic seizures 4. Landau klefner syndrome 4
  31. 31. Recent • Hypsarrythmia is seen in 1. Absence seizures 2. West syndrome /Infantile spasm 3. Rolandic seizures 4. Landau klefner syndrome 2
  32. 32. Recent • Periodic lateralised slowing in EEG is seen in 1. Absence seizures 2. Herpes simplex meningitis 3. Rolandic seizures 4. Landau klefner syndrome 2
  33. 33. Recent • Multiple seizures of all types is seen in 1. Lennox gestaut syndrome 2. West syndrome /Infantile spasm 3. Rolandic seizures 4. Landau klefner syndrome 1
  34. 34. Choose one 1. 3. 2. 4. All of the above
  35. 35. Recent • Lafora disease has 1. Absence seizures 2. Infantile spasm 3. myoclonic seizures 4. GTCS 3
  36. 36. Kernicterus in neonatal period is a major cause of 1. Spastic diplegia CP 2. Spastic hemiplegia CP 3. Spastic quadriplegia CP 4. Athetoid CP 4
  37. 37. Most important risk factors for reurrence of febrile seizures is 1. Age < 2 yrs 2. Family History 3. Seizures at peak of fever 4. Long prolonged fever before seizure 2
  38. 38. Passing mark q Cerebral palsy Cerebral palsy in which upper limb is more affected than lower limb is 1. Spastic diplegia CP 2. Spastic paraplegia CP 3. Spastic quadriplegia CP 4. Athetoid CP 1
  39. 39. Prematurity is a major cause of 1. Spastic diplegia CP 2. Spastic hemiplegia CP 3. Spastic quadriplegia CP 4. Athetoid CP 1
  40. 40. Birth asphyxia is a major cause of 1. Spastic diplegia CP 2. Spastic hemiplegia CP 3. Spastic quadriplegia CP 4. Athetoid CP 3
  41. 41. A newborn presents with prominent hiccups,seizures and lethargy progressing to coma 1. Nonketotic hyperglycenemia 2. Alexander disease 3. Maple syrup disease 4. Canavan disease 1
  42. 42. A 10 yr child with macrocephaly and developmental delay and frontal region changes in MRI suggests 1. Nonketotic hyperglycenemia 2. Alexander disease 3. Maple syrup disease 4. Canavan disease 2
  43. 43. A 10 yr child with seizures and developmental delay and parietocccipital changes in MRI suggests 1. X linked adrenoleucodystrophy 2. Alexander disease 3. Maple syrup disease 4. Canavan disease 1
  44. 44. Very long chain fatty acid is elevated and is diagnostic in 1. X linked adrenoleucodystrophy 2. Alexander disease 3. Maple syrup disease 4. Canavan disease 1
  45. 45. Lorenzo oil is used in treatment of 1. X linked adrenoleucodystrophy 2. Alexander disease 3. Refsum Disease 4. Canavan disease 3
  46. 46. 11yr child with suspected inborn error of metabolism and hyperammonimia 1. X linked adrenoleucodystrophy 2. Maple syrup disease 3. Organic aciduria 4. Urea cycle defect 4
  47. 47. Drugs for treatment of partial seizures 1. Valproate 2. Carbamazepine 3. Phenytoin 4. Phenobarbitone 1
  48. 48. Recent SSPE is diagnosed by all except 1. EEG 2. Brain biopsy 3. Antibody of measles in blood 4. Antibodies in CSF. 3
  49. 49. Cerebral palsy with most seizures is 1. Spastic diplegia CP 2. Spastic hemiplegia CP 3. Spastic quadriplegia CP 4. Athetoid CP 1
  50. 50. Swallowing develops at weeks of gestation 1. 10 2. 12 3. 14 4. 16 2
  51. 51. Recent asked Eye lid opening at what gestational age 1. 24 week 2. 26 3. 28 4. 20 2
  52. 52. Prader willi syndrome is suspected in a floppy infant and involved chromosome is 1. 10 2. 12 3. 15 4. 16 3
  53. 53. Angelman syndrome is suspected in a female with over friendly and happy puppet face is having chromosome involved 1. 10 2. 12 3. 15 4. 16 3
  54. 54. Thanks N Happy vacation

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