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Examination Class: MCPS

Code: ______

Cognition level: C2

Subject: PAEDIATRICS

Theme: Chronic Cough

Sub Specialty: PULMONOLOGY

Sub theme: DIFFERENTIAL DIAGNOSIS

1250PED A 6 year child presents with cough at night for the last one month. On examination, he is
noticed to have bilateral rhonchi. Most likely disease would be:A.
B.
C.
D.
E.

Bronchial Asthma*
Bronchiectasis
Chronic Bronchitis
Interstitial lung disease
Tuberculosis

Importance: Essential

Estimation of Difficulty: Easy

Reference: Nelson Textbook of Pediatrics, page no 954

Date:-____________

______________________________
Reviewers Signature

Examination Class: FCPS-II


Subject: PAEDIATRICS

Code: ______

Cognition level: C2
Theme: Acute Hepatitis

Sub Specialty: Hepatology

Sub theme: DIFFERENTIAL DIAGNOSIS

1249PED A 10 year old child presents with fever and yellow discoloration of eyes for the last 5
days. On examination, liver is palpable by 3 cm below the right costal margin. Most likely diagnosis
would be:-

A.
B.
C.
D.
E.

Drug induced hepatitis


G 6-PD deficiency
Hepatitis A*
Hepatitis B
Hepatitis C

Importance: Essential

Estimation of Difficulty: Moderate

Reference: Nelson Textbook of Pediatrics, page no 1681

Date:-____________

______________________________
Reviewers Signature

Examination Class: MCPS

Code: ______

Cognition level: C1

Subject: PAEDIATRICS

Theme: TONSILLITIS

Sub Specialty: INFECTIOUS DISEASE

Sub theme: TREATMENT

1248PED The most suitable drug for the treatment of streptococcal tonsillitis in an 8 year old boy
would be:

A.
B.
C.
D.
E.

Benzathene penicillin single dose IM*


Cefixine oral for 5 days
Ceftriaxone IM for 3 days
Cotrimoxazole oral for 5 days
Erythromycin oral for 5 days

Importance: Important

Estimation of Difficulty: Easy

Reference: Nelson Textbook of Pediatrics, page no 1756

Date:-____________

______________________________
Reviewers Signature

Examination Class: MCPS

Code: ______

Cognition level: C2

Subject: PAEDIATRICS

Theme: SORE THROAT

Sub Specialty: INFECTIOUS DISEASE

Sub theme: DIAGNOSIS

1247PED A 5 year child presents with fever and pain in throat. He has red, enlarged tonsils and
tender jugulodigastric lymph nodes. Most likely diagnosis would be:-

A. Diphtheria
B. Ludwigs angina

C. No throat problem
D. Streptococcal sore throat*
E. Viral Sore throat

Importance: Important
Estimation of Difficulty: Easy
Reference: Nelson Textbook of Pediatrics, page no 1756

Date:-____________

Examination Class: FCPS-II

______________________________
Reviewers Signature

Code: ______

Cognition level: C3

Subject: PAEDIATRICS

Theme: EPILEPSY

Sub Specialty: NEUROLOGY

Sub theme: DIAGNOSIS

1246PED A 2 year old boy present with history of episodic events in which child cries becomes
blue and unconscious. Most likely diagnosis of these events would be:-

A.
B.
C.
D.
E.

Absence seizures
Breath holding spells*
Complex Partial seizures
Temper Tantrums
Tics

Importance: Important
Estimation of Difficulty: Moderate
Reference:
Nelson Textbook of Pediatrics, page no 2476

Date:-____________

______________________________

Reviewers Signature

Examination Class: MCPS

Code: ______

Cognition level: C2

Subject: PAEDIATRICS

Theme: COMA

Sub Specialty: INFECTIOUS DISEASES

Sub theme: DIAGNOSIS

1245PED A 10 year old boy presenting from a village alongside the river has history of fever for 3
days and unconsciousness for one day. On examination GCS=10, spleen is palpable. Most likely
provisional diagnosis would be:-

A.
B.
C.
D.
E.

Cerebral Malaria*
Meningococcal Meningitis
Pneumococcal Meningitis
Typhoid encephalopathy
Viral encephalitis

Importance: Essential
Estimation of Difficulty: Easy
Reference: Nelson Textbook of Pediatrics, page no 1478

Date:-____________

Examination Class: FCPS-II

______________________________
Reviewers Signature
Code: ______

Cognition level: C1

Subject: PAEDIATRICS

Theme: PNEUMONIA

Sub Specialty: INFECTIOUS DISEASES

Sub theme: DIAGNOSIS

1244PED A 5 year old child presents with respiratory distress and opaque hemithorax on chest Xray. Needle aspiration reveals creamy coloured pus. Gram staining shows Gram positive cocci in
clusters. Most likely causative organism is:-

A. Hemophilus influenzae
B. Klebsiella pneumaniae
C. Staphylococcus aureus*

D. Streptococcus Pneumaniae
E. Streptococcus pyogenes

Importance: Supplementary
Estimation of Difficulty: Easy
Reference:
Nelson Textbook of Pediatrics, page no 1796

Date:-____________

Examination Class: FCPS-II

______________________________
Reviewers Signature
Code: ______

Cognition level: C2

Subject: PAEDIATRICS

Theme: SEIZURES

Sub Specialty: NEUROLOGY

Sub theme: DIAGNOSIS

1243PED A eight year old girl presents with history episodic events in which she briefly becomes
unconscious and stares ahead. Most likely diagnosis would be:-

A.
B.
C.
D.
E.

Absence seizures*
Complex partial seizures
Generalized seizures
Partial seizures
Tics

Importance: Essential
Estimation of Difficulty: Moderate
Reference: Nelson Textbook of Pediatrics, page no 2462

Date:-____________

______________________________
Reviewers Signature

Examination Class: FCPS-II

Code: ______

Cognition level: C2

Subject: PAEDIATRICS

Theme: MALNUTRITION

Sub Specialty: NUTRITION

Sub theme: Complications

1242PED Regarding pathological changes in children suffering from severe malnutrition


(marasmus), the least likely to occur is:-

A.
B.
C.
D.
E.

Hypoalbuminemia
Hypogamaglobulinemia
Hypoglycemia
Hypokalemia
Hyponatremia*

Importance: Important
Estimation of Difficulty: Moderate
Reference:
Nelson Textbook of Pediatrics, page no 231

Date:-____________

Examination Class: FCPS-II

______________________________
Reviewers Signature
Code: ______

Cognition level: C3

Subject: PAEDIATRICS

Theme: ASTHMA

Sub Specialty: PULMONOLOGY

Sub theme: MANAGEMENT

1241PED A Child presents with asthma that occurs once every month for a couple of days. What
would be the best treatment for this child?-

A.
B.
C.
D.
E.

Allergen avoidance
Bronchodilators (Salbutamol)*
Inhaled steroids regularly
Monitoring of symptoms
Patient education

Importance: Important
Estimation of Difficulty: Hard
Reference: Nelson Textbook of Pediatrics, page no 958

Date:-____________

Examination Class: FCPS-II

______________________________
Reviewers Signature

Code: ______

Cognition level: C1

Subject: PAEDIATRICS

Theme: EPILEPSY

Sub Specialty: NEUROLOGY

Sub theme: TREATMENT

1240PED A 8 year old girl presents with absence seizures occurring daily. The choice of
medication should be:-

A.
B.
C.
D.
E.

Acetazolamide
Carbamazepine
Ethosuximide*
Phenobarbitone
Sodium valproate

Importance: Important
Estimation of Difficulty: Moderate
Reference:
Nelson Textbook of Pediatrics, page no 2468

Date:-____________

Examination Class: MCPS

______________________________
Reviewers Signature
Code: ______

Cognition level: C1

Subject: PAEDIATRICS

Theme: ASTHMA

Sub Specialty: PULMONOLOGY

Sub theme: Management

1239PED A 2 year old child presents with runny nose for the last 2 days and noisy breathing for
the last one day. On examination child is having fast breathing, chest indrawing and bilateral
rhonchi. Most likely diagnosis would be:-

A.
B.
C.
D.
E.

Acute bronchitis
Acute larynogotracheobronchitis
Asthma*
Bronchiolitis
Bronchopneumonia

Importance: Important
Estimation of Difficulty: Easy
Reference:
Nelson Textbook of Pediatrics, page no 958

Date:-____________

Examination Class: FCPS-II

______________________________
Reviewers Signature

Code: ______

Cognition level: C1

Subject: PAEDIATRICS

Theme: ASTHMA

Sub Specialty: PULMONOLOGY

Sub theme: Management

1238PED A 2 year old child presents with runny nose for the last 2 days and noisy breathing for
the last one day. On examination child is having fast breathing, chest indrawing and bilateral
rhonchi. Most likely diagnosis would be:-

A. Acute bronchitis
B. Acute larynogotracheobronchitis

C. Asthma*
D. Bronchiolitis
E. Bronchopneumonia

Importance: Important
Estimation of Difficulty: Easy
Reference:
Nelson Textbook of Pediatrics, page no 954

Date:-____________

Examination Class: FCPS-II

______________________________
Reviewers Signature

Code: ______

Cognition level: C3

Subject: PAEDIATRICS

Theme: ASTHMA

Sub Specialty: PULMONOLOGY

Sub theme: CLASSIFICATION

1237PED A eight year old child presenting with cough and wheeze for the last are one month
occurring twice in a month for 2-3 days each. He also complains of night coughing 2-3 times in a
week. How would you classify his asthma?

A.
B.
C.
D.
E.

Cannot be classified
Mild intermittent
Mild persistent
Moderate Persistent*
Severe persistent

Importance: Important
Estimation of Difficulty: HARD
Reference: Nelson Textbook of Pediatrics, page no 962

Date:-____________

______________________________
Reviewers Signature

Examination Class: MCPS

Code: ______

Cognition level: C2

Subject: PAEDIATRICS

Theme: Acute Stridor

Sub Specialty: PULMONOLOGY

Sub theme: MANAGEMENT

1236PED Following measure will be least useful in the management of the child suffering from
acute larynogotracheobronchitis?

A.
B.
C.
D.
E.

Nebulized epinephrine*
Nebulized salbutamol
Nebulized steroids
Systemic steroids
Tracheostomy

Importance: Important
Estimation of Difficulty: Easy
Reference:
Nelson Textbook of Pediatrics, page no 1765

Date:-____________

Examination Class: FCPS-II

______________________________
Reviewers Signature

Code: ______

Cognition level: C1

Subject: PAEDIATRICS

Theme: TORCH

Sub Specialty: INFECTIOUS DISEASES

Sub theme: DIAGNOSIS

1235PED A 3 month old baby presents with delayed milestones. On examination he is noticed to
have microcephaly, microopthalmia and congenital cataract. Most likely diagnosis would be:--

A. Congenital Rubella infection*


B. Congenital cytomegalovirus infection
C. Congenital herpes infections

D. Congenital syphilis infection


E. Congenital toxoplasmosis infection

Importance: Essential
Reference: Nelson Textbook of Pediatrics, page no 1337

Estimation of Difficulty: Moderate

Date:-____________

______________________________
Reviewers Signature

Examination Class: MCPSI

Code: ______

Cognition level: C2

Subject: PAEDIATRICS

Theme: DEHYDRAITON

Sub Specialty: GASTROENTEROLOGY

Sub theme: MANAGEMENT

1234PED The amount of glucose in standard ORS solution is:-

A.
B.
C.
D.
E.

30 mmol/l
60 mmol/l
91 mmol/l
111 mmol/l*
131 mmol/l

Importance: Essential
Estimation of Difficulty: Easy
Reference:
Nelson Textbook of Pediatrics, page no 1614

Date:-____________

______________________________
Reviewers Signature

Examination Class: FCPS-II

Code: ______

Cognition level: C2

Subject: PAEDIATRICS

Theme: SPLENECTOMY

Sub Specialty: INFECTIOUS DISEASES

Sub theme: MANAGEMENT

1233PED Following vaccine would be best useful in the management of the child planned to
undergo splenectomy:-

A.
B.
C.
D.
E.

Hib vaccines
Hepatitis B vaccine
Meningococcal vaccine
Pneumococcal vaccine*
Typhoid vaccine

Importance: Important
Estimation of Difficulty: Hard
Reference: Nelson Textbook of Pediatrics, page no 1134

Date:-____________

Examination Class: MCPS

______________________________
Reviewers Signature

Code: ______

Cognition level: C1

Subject: PAEDIATRICS

Theme: DEHYDRAITON

Sub Specialty: GASTROENTEROLOGY

Sub theme: MANAGEMENT

1232PED The substance that increases the shelf life of ORS is:-

A.
B.
C.
D.

Glucose
Potassium
Sodium bicarbonate
Sodium chloride

E. Trisodium citrate

Importance: Supplementary
Estimation of Difficulty: Hard
Reference: Islam, M. R. (1986). "Citrate can effectively replace bicarbonate in
oral rehydration salts for cholera and infantile diarrhoea." Bull World
Health Organ 64(1): 145-150.

Date:-____________

Examination Class: MCPS

______________________________
Reviewers Signature

Code: ______

Cognition level: C1

Subject: PAEDIATRICS

Theme: POLIO

Sub Specialty: INFECTIOUS DISEASES

Sub theme: PREVENTION

1231PED Vaccination under 5 year children for poliomyelitis is in:-

A.
B.
C.
D.
E.

Asymptomatic phase
Early pathogenic phase
Late pathogenic phase
Pathogenic phase
Pre-pathogenic phase*

Importance: Essential
Estimation of Difficulty: Easy
Reference:
Nelson textbook of Pediatrics , page no 1350
Date:-____________

______________________________
Reviewers Signature

Examination Class: FCPS-II

Code: ______

Cognition level: C1

Subject: PAEDIATRICS

Theme: NUTRITION

Sub Specialty: GROWTH AND DEVELOPMENT

Sub theme: DAILY REQUIREMENT

1230PED In formulation mid-day meal of school children the meal should supply______ total
energy requirement and protein requirement as one of the following:-

A.
B.
C.
D.
E.

and 1/3
1/3 and
and 2/3
2/3 and 1/3
and

Importance: Supplementary
Reference:

Estimation of Difficulty: Hard

Date:-____________

Examination Class: MCPS

______________________________
Reviewers Signature

Code: ______

Cognition level: C1

Subject: PAEDIATRICS

Theme: NUTRITION

Sub Specialty: GROWTH AND DEVELOPMENT

Sub theme: PROPHYLAXIS

1229PED Dose of oral vitamin A given as prophylaxis is:-

A.
B.
C.
D.
E.

100000 IU
160000 IU
200000 IU*
500000 IU
660000 IU

Importance: Important
Estimation of Difficulty: Easy
Reference:
Nelson Textbook of Pediatrics, page no 1335

Date:-____________

Examination Class: MCPS

______________________________
Reviewers Signature

Code: ______

Cognition level: C1

Subject: PAEDIATRICS

Theme: VITAMIN A PROPHYLAXIS

Sub Specialty: GROWTH AND DEVELOPMENT

Sub theme: SUPPLEMENTATION

1228PED Oral vitamin A prophylaxis is given to children every:-

A.
B.
C.
D.
E.

1 year
2 months
4 months
6 months*
9 months

Importance: Essential
Estimation of Difficulty: Easy
Reference:
Nelson Textbook of Pediatrics, page no 1335

Date:-____________

Examination Class: FCPS-II


Subject: PAEDIATRICS

______________________________
Reviewers Signature

Code: ______

Cognition level: C3
Theme: PROTEIN CALORIE MALNUTRITON

Sub Specialty: GROWTH AND DEVELOPMENT

Sub theme: DIAGNOSIS

1227PED Essential diagnostic criteria for diagnosis of kwashiorkor:-

A.
B.
C.
D.
E.

Growth retardation, Oedema, psychomotor retardation*


Hair change, Oedema, psychomotor retardation
Hair change, growth, psychomotor retardation
Oedema, growth retardation, hair changes
Oedema, skin changes and psychomotor retardation

Importance: Essential
Estimation of Difficulty: Hard
Reference: Nelson Textbook of Pediatrics, page no 229

Date:-____________

Examination Class: FCPS-II

______________________________
Reviewers Signature

Code: ______

Cognition level: C3

Subject: PAEDIATRICS

Theme: PROTEIN CALORIE MALNUTRITON

Sub Specialty: GROWTH AND DEVELOPMENT

Sub theme: DIAGNOSIS

1226PED A normal six month old child would require about how many calories per kg daily:-

A.
B.
C.
D.
E.

25
40
50
75
110*

Importance: Essential

Estimation of Difficulty: Easy

Reference:

Nelson Textbook of Pediatrics, page no 220

Date:-____________

Examination Class: FCPS-II

______________________________
Reviewers Signature

Code: ______

Cognition level: C3

Subject: PAEDIATRICS

Theme: PROTEIN CALORIE MALNUTRITON

Sub Specialty: GROWTH AND DEVELOPMENT

Sub theme: DIAGNOSIS

1225PED Caloric requirement above the normal during the first 6 month of lactation is:-

A.
B.
C.
D.
E.

300 kcal/day
400 kcal/day
550 kcal/day*
600 kcal/day
750 kcal/day

Importance: Essential
Estimation of Difficulty: Hard
Reference:
Chaudhury, R. H. (1984). "Determinants of nutrient adequacy
for lactating and pregnant mothers in a rural area of Bangladesh."
Bangladesh Dev Stud 12(4): 107-122.

Date:-____________

Examination Class: FCPS-II

______________________________
Reviewers Signature
Code: ______

Cognition level: C3

Subject: PAEDIATRICS

Theme: PROTEIN CALORIE MALNUTRITON

Sub Specialty: GROWTH AND DEVELOPMENT

Sub theme: DIAGNOSIS

1224PED A baby fed on cow milk only is likely to develop:-

A.
B.
C.
D.
E.

Beri beri*
Growth retardation
Night blindness
Rickets
Scurvy

Importance: Essential
Estimation of Difficulty: Hard
Reference:
Reference: Nelson Textbook of Pediatrics, 18th edition, page no 243

Date:-____________

Examination Class: FCPS-II

______________________________
Reviewers Signature

Code: ______

Cognition level: C3

Subject: PAEDIATRICS

Theme: NUTRITION

Sub Specialty: GROWTH AND DEVELOPMENT

Sub theme: DIAGNOSIS

1223PED ICMR recommendation for protein intake for 13 to 15 years old girls is:-

A.
B.
C.
D.
E.

0.5 gm/kg
0.95 gm/kg
1.3 gm/kg*
1.85 gm/kg
2 gm/kg

Importance: Supplementary
Estimation of Difficulty: Hard
Reference: Reference: Nelson Textbook of Pediatrics, 18th edition, page no 212

Date:-____________

Examination Class: FCPS-II

______________________________
Reviewers Signature

Code: ______

Cognition level: C3

Subject: PAEDIATRICS

Theme: PROTEIN CALORIE MALNUTRITON

Sub Specialty: GROWTH AND DEVELOPMENT

Sub theme: DIAGNOSIS

1222PED Prophylactic administration of vitamin A in a child is:-

A.
B.
C.
D.
E.

Health promotion
Rehabilitation
School health Programme
Specific protection*
Treatment of cases

Importance: Important
Estimation of Difficulty: Easy
Reference: Reference: Nelson Textbook of Pediatrics, 18th edition, page no 1335

Date:-____________

Examination Class: FCPS-II

______________________________
Reviewers Signature

Code: ______

Cognition level: C1

Subject: PAEDIATRICS

Theme: VITAMIN PROPHYLAXIS

Sub Specialty: GROWTH AND DEVELOPMENT

Sub theme: NEW BORN

1221PED Vitamin A prophylaxis schedule of new born is:-

A.
B.
C.
D.
E.

11 mg
27.5 mg*
55 mg
110 mg
165 mg

Importance: Supplementary
Estimation of Difficulty: Hard
Reference: Nelson Textbook of Pediatrics, 18th edition, page no 245

Date:-____________

______________________________
Reviewers Signature

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