Pediatrics Quiz

From the list below, who is considered a baby at risk? Infant born with a weight of 2.5 kg Infant receiving artificial feeding Infant of a working mother or single parent Infant born 1 week before expected date of delivery Second-born infant

A. 2,3

B. 1,2,3,4

C. 4,5

D. 1,4

---

2. A 3-year-old child is brought to the OPD for a regular check-up. His growth chart shows a BMI between the 85th and 95th percentile. Which of the following categories would you place him in?

A. Moderate wasting

B. Severe acute malnutrition

C. Overweight

D. Obese

---

3. A mother expresses concern about her child's unwillingness to eat properly. Her 15-month-old son's length falls 2 standard deviations below the median for his age. What is the most probable medical condition?

A. Acute malnutrition

B. Severe wasting

C. Moderately underweight

D. Moderate stunting

---

4. Gonadal growth corresponds with _____.

A. Brain

B. Skeletal system

C. Lymphoid growth

D. Dental growth

---

5. A 6-year-old child is brought for evaluation of short stature. His height is comparable with his parents' height and his bone age corresponds to his chronological age. What is the diagnosis?

A. Familial short stature

B. Constitutional delay

C. Undernutrition

D. Growth hormone deficiency

---

46 6. What is the most reliable indicator of proper growth in an infant weighing 2.8 kg at birth?

A. Increase in length of 25 centimetres in the first year

B. Weight gain of 300 grams per month till 1 year

C. Anterior fontanelle closure by 6 months of age

D. Weight under the 75th percentile and height under the 25th percentile

---

7. A 16-month-old boy weighs 8 kg. A WHO growth chart (weight-for-age) is provided below. What is the most appropriate advice for this child?

A. No malnutrition - assure the mother

B. Mild malnutrition - home treatment

C. Severe malnutrition - refer to nutrition rehabilitation center

D. Moderate malnutrition - teach the mother on how to feed

---

8. How many primary teeth does a 3-year-old child have?

A. 20

B. 24

C. 16

D. 32

---

9. A child is brought to the pediatrician with short stature. On evaluation, growth hormone levels are found to be high and insulin-like growth factor (IGF-1) levels are low. What could be the abnormality here?

A. GH deficiency

B. GHRH deficiency

C. GH receptor resistance

D. IGF-1 deficiency

---

10. At what age does a child reach half of their adult height?

Page 2

47 A. 12- 18 months

B. 20 -24 months

C. 32 - 36 months

D. 40 - 48 months

---

11. Where would you place the pulse oximeter to measure preductal oxygen saturation in an infant who was born 3 minutes ago?

A. Left upper limb

B. Left lower limb

C. Right upper limb

D. Right lower limb

---

12. At what age is it recommended to introduce solid foods to an infant while continuing breastfeeding?

A. 2 months

B. 6 months

C. 12 months

D. 18 months

---

13. A 10-year-old child is brought to the OPD with a history of repeated fractures for the past 2 years. On examination, blue sclera and dental abnormalities are noted. There is a family history of similar complaints. Which of the following is the diagnosis?

A. Scurvy

B. Rickets

C. Osteogenesis imperfecta

D. Osteomalacia

---

14. Specific sign of kwashiorkor is:

A. Pitting edema

B. Weight loss

C. Flag sign

D. Muscle wasting

---

15. At what age does transfer of one object to another hand happen?

A. 6 months

B. 9 months

C. 7 months

Page 3

48 D. 12 months

---

16. At what age does stranger anxiety appear?

A. 7 months

B. 9 months

C. 12 months

D. 15 months

---