List of top Paediatrics Questions

Which of the following is a known complication of subpulmonic VSD
A 2-year-old child with cyanotic congenital heart disease presents with sudden onset of deep cyanosis and irritability while crying. On evaluation, the child is diagnosed with a hypercyanotic spell. Regarding management and timing of surgery in Tetralogy of Fallot, which of the following is most accurate?
Which is the correct statement regarding fetal circulation?
In a case of extra-thoracic airway obstruction, where does the airway collapse occur and during which phase of respiration?
A child presents with tachypnea, vomiting, and altered sensorium after accidentally ingesting a drug used by his father. Labs show respiratory alkalosis and hyperglycemia. Which of the following is most likely the ingested drug?
Venturi mask delivers oxygen and flow?
What is the first line management of raised ICP in children?
A child was involved in an RTA. Below the CT image is given., What is the diagnosis?
A 3-year-old child accidentally swallowed a coin. X-ray shows the coin is now in the stomach, and the child is asymptomatic. What is the correct next step?
A 16-year-old boy develops sore throat followed by high fever and rigors. After a week, he presents with septicemia and neck pain. Imaging reveals thrombosis of the internal jugular vein. This clinical scenario is most consistent with:
A 5-year-old boy is diagnosed with Plasmodium vivax malaria and presents with danger signs (drowsiness, persistent vomiting). What is the most appropriate initial treatment?
A 5-day-old newborn presents with mild conjunctivitis and cough. The baby subsequently develops interstitial pneumonia. Gram stain of conjunctival discharge shows no organisms. What is the most likely etiological agent?
A 10-year-old boy presents with focal seizures. MRI brain shows multiple small ring-enhancing lesions suggestive of neurocysticercosis. What is the appropriate management?
A 6-year-old child with culture-proven Salmonella septicemia presents in cardiogenic shock. Ceftriaxone therapy has already been initiated. What is the next best step in management?
A 7-year-old boy presents with right lower quadrant abdominal pain and fever, mimicking acute appendicitis. Stool culture grows the likely organism. Which infection best explains this clinical scenario?
A 3-year-old boy presents with low-grade fever, painful oral ulcers, and vesicular rash on palms and soles. Several children in his daycare have a similar illness. Which of the following organisms is the most likely cause?
A neutropenic child with acute myeloid leukemia presents with fever and cough. CT chest shows a halo sign, and serum galactomannan is positive. Which antifungal is the drug of choice?
A 10-year-old child presents with arthritis involving the wrist and first MCP joint. Examination shows nail pitting. Which of the following is the most likely diagnosis?
A 14-year-old girl with SLE presents with edema and nephrotic-range proteinuria. Renal biopsy shows diffuse thickening of the glomerular basement membrane without proliferative lesions. This corresponds to which class of lupus nephritis?
A 6-year-old boy presents with abdominal pain, palpable purpura over the lower limbs, and arthralgia. Urinalysis shows microscopic hematuria. The clinical picture is consistent with which diagnosis?
In pediatric patients receiving cyclophosphamide for autoimmune disease, a significant risk of permanent azoospermia is associated with a cumulative dose above:
A 2-year-old child presents with persistent fever for 4 days. Examination shows conjunctival injection and periungual desquamation, but criteria for complete Kawasaki disease are not met. You plan to evaluate for incomplete Kawasaki disease as per AHA guidelines. Which of the following investigations is NOT routinely recommended in this evaluation?
A 27-year-old pregnant woman with systemic lupus erythematosus (SLE) is concerned about the risk of congenital heart block in her fetus due to anti-Ro/SSA antibodies. Which of the following medications is not recommended antenatally to prevent cardiac manifestations of neonatal lupus?
A 2-week-old infant presents with a photosensitive annular erythematous rash on the face. ECG reveals complete heart block. Which is the most likely diagnosis?