1.An eight year old boy presented to the casualty with high fever,
pruritic erythematous rash, joint pain and lymph node enlargement.
There is a history of upper respiratory tract infection for which he was
on cefaclor – 8 days completed of a 10 day course. The most likely
diagnosis is?
A. Serum sickness like illness
B. HSP
C. Type III hypersensitivity
D. Kawasaki disease
Correct answer : A. Serum sickness like illness
Serum sickness like reaction can occur following the use of certain drugs, especially cefaclor in children. It presents with an urticarial / purpuric rash, arthritis, lymphadenopathy and fever. But unlike true serum sickness (a type III hypersensitivity response), it is not caused by circulating immune complexes.
A. Serum sickness like illness
B. HSP
C. Type III hypersensitivity
D. Kawasaki disease
Correct answer : A. Serum sickness like illness
Serum sickness like reaction can occur following the use of certain drugs, especially cefaclor in children. It presents with an urticarial / purpuric rash, arthritis, lymphadenopathy and fever. But unlike true serum sickness (a type III hypersensitivity response), it is not caused by circulating immune complexes.
2.A one year old child presented to the OPD with the history of
short stature, tiredness and constipation. Examination revealed a
palpable goitre. Serum T4 was decreased and TSH levels were increased.
Which is the most probable diagnosis?
A. Thyroid dysgenesis
B. Thyroid Dyshormonogenesis
C. TSH receptor blocking antibody
D. Central hypothyroidism
Correct answer : B. Thyroid Dyshormonogenesis
Among the options given, only Thyroid Dyshormonogenesis presents with a palpable goitre.
A. Thyroid dysgenesis
B. Thyroid Dyshormonogenesis
C. TSH receptor blocking antibody
D. Central hypothyroidism
Correct answer : B. Thyroid Dyshormonogenesis
Among the options given, only Thyroid Dyshormonogenesis presents with a palpable goitre.
A. AML
B. CML
C. ALL
D. JMML (Juvenile myelomonocytic leukemia)
Correct answer : D. JMML (Juvenile myelomonocytic leukemia)
Children with NF1 have a 200-500 times increased incidence of JMML.
B. CML
C. ALL
D. JMML (Juvenile myelomonocytic leukemia)
Correct answer : D. JMML (Juvenile myelomonocytic leukemia)
Children with NF1 have a 200-500 times increased incidence of JMML.
A. IgM antibodies
B. Lysozyme
C. Mast cells
D. IgA antibodies
Correct answer : D. IgA antibodies
Although breast milk contains both breast milk and antibodies; antibodies play the major role in providing immunity. Breast fed babies have lower incidence of diarrhoea, otitis media, pneumonia, bacteremia and meningitis.
B. Lysozyme
C. Mast cells
D. IgA antibodies
Correct answer : D. IgA antibodies
Although breast milk contains both breast milk and antibodies; antibodies play the major role in providing immunity. Breast fed babies have lower incidence of diarrhoea, otitis media, pneumonia, bacteremia and meningitis.
5.All of the following therapies may be required in a 1 hour old infant with severe birth asphyxia except:
A. Glucose
B. Dexamethasone
C. Calcium gluconate
D. Normal saline
Correct answer : B. Dexamethasone
Steroids should not be used in management of infants with asphyxia
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