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
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
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
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
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
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