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Latest DHFWS Nadia Specialist Medical Officer Paediatrics Polyclinic Exam Question (Objective Questions), MCQ in English

Subjects : Paediatrics

Question Bank DHFWS Nadia Specialist Medical Officer (Paediatrics) Polyclinic Exam - English
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Paediatrics

Question 1Single Answer
The most accurate parameter to assess chronic malnutrition (stunting) in children 0–5 years is:
  1. AMUAC
  2. BWeight-for-age
  3. CWeight-for-height
  4. DHeight-for-age
Question 2Single Answer
According to WHO 2006 growth charts, severe stunting is defined as height-for-age Z-score below:
  1. A–3 SD
  2. B–2 SD
  3. C–1 SD
  4. D–4 SD
Question 3Single Answer
The median age of attainment of independent walking (without support) is:
  1. A18 months
  2. B15 months
  3. C12 months
  4. D9 months
Question 4Single Answer
The primitive reflex that disappears last among the following is:
  1. AMoro
  2. BPlantar grasp
  3. CPalmar grasp
  4. DTonic neck
Question 5Single Answer
The age by which a child can build a tower of 10 cubes is:
  1. A48 months
  2. B24 months
  3. C36 months
  4. D30 months
Question 6Single Answer
According to Erikson, the psychosocial stage between 3–6 years is:
  1. ATrust vs Mistrust
  2. BAutonomy vs Shame
  3. CIndustry vs Inferiority
  4. DInitiative vs Guilt
Question 7Single Answer
The language milestone at 24 months is approximately:
  1. A50 words + 2-word sentences
  2. B200–300 words + 3–4 word sentences
  3. C10 words
  4. D900 words
Question 8Single Answer
The most common cause of short stature with normal growth velocity in Indian children is:
  1. AFamilial short stature / Constitutional delay of growth and puberty (CDGP)
  2. BHypothyroidism
  3. CTurner syndrome
  4. DChronic malnutrition
Question 9Single Answer
A 14-year-old girl has height 135 cm (–4 SD), no breast development, widely spaced nipples. Most likely diagnosis is:
  1. ANoonan syndrome
  2. BTurner syndrome
  3. CConstitutional delay
  4. DHypopituitarism
Question 10Single Answer
The bone age in constitutional delay of growth and puberty is:
  1. AVariable
  2. BAdvanced
  3. CEqual to chronological age
  4. DDelayed (behind chronological age)
Question 11Single Answer
The most common cause of pathological short stature in Indian school children is:
  1. AChronic undernutrition (stunting)
  2. BHypothyroidism
  3. CGH deficiency
  4. DCeliac disease
Question 12Single Answer
The height velocity in puberty for girls peaks at Tanner stage:
  1. AB1
  2. BB4
  3. CB2–B3
  4. DB5
Question 13Single Answer
Peak height velocity in boys occurs approximately at age:
  1. A15–16 years
  2. B11–12 years
  3. C13.5–14 years
  4. D10 years
Question 14Single Answer
The mid-parental height (MPH) for a boy is calculated as:
  1. A(Father’s height + Mother’s height + 13)/2 cm
  2. B(Father’s + Mother’s height – 13)/2
  3. CFather’s height + 6.5 cm
  4. DMother’s height + 13 cm
Question 15Single Answer
Target height range for a child is mid-parental height ±:
  1. A5 cm
  2. B8.5 cm (boys) / 8 cm (girls)
  3. C10 cm
  4. D2 SD
Question 16Single Answer
The most common cause of tall stature in children is:
  1. AMarfan syndrome
  2. BKlinefelter syndrome
  3. CFamilial tall stature
  4. DHomocystinuria
Question 17Single Answer
A 10-year-old boy has height 158 cm (+3.5 SD), arachnodactyly, lens dislocation upward. Diagnosis is:
  1. AHomocystinuria
  2. BKlinefelter
  3. CMarfan syndrome
  4. DSotos syndrome
Question 18Single Answer
A 12-year-old boy has height 162 cm (+4 SD), lens dislocation downward, mental retardation. Diagnosis is:
  1. AMarfan
  2. BHomocystinuria
  3. CSotos
  4. DBeckwith-Wiedemann
Question 19Single Answer
The earliest clinical sign of puberty in girls is:
  1. AMenarche
  2. BPubarche
  3. CThelarche (breast bud)
  4. DGrowth spurt
Question 20Single Answer
Precocious puberty in a 7-year-old girl with breast development and advanced bone age is most commonly:
  1. APeripheral
  2. BCentral (GnRH-dependent)
  3. CPremature thelarche
  4. DPremature adrenarche
Question 21Single Answer
A 3-year-old girl has isolated breast development, no pubic hair, bone age equal to chronological age. Diagnosis is:
  1. ACentral precocious puberty
  2. BPremature thelarche
  3. CMcCune-Albright
  4. DHypothyroidism
Question 22Single Answer
Delayed puberty in a 14-year-old boy with short stature and anosmia is suggestive of:
  1. AKlinefelter
  2. BKallmann syndrome
  3. CConstitutional delay
  4. DTurner
Question 23Single Answer
The most common cause of delayed puberty in boys in India is:
  1. AHypogonadotropic hypogonadism
  2. BConstitutional delay of growth and puberty (CDGP)
  3. CKlinefelter
  4. DChronic illness
Question 24Single Answer
The most common cause of obesity in Indian children is:
  1. APrader-Willi
  2. BCushing syndrome
  3. CHypothyroidism
  4. DExogenous (lifestyle)
Question 25Single Answer
The most accurate method to assess bone age in Indian children is:
  1. ATanner-Whitehouse
  2. BGreulich-Pyle atlas
  3. CIndian-specific Joshi-Chaudhary method
  4. DLeft-hand X-ray only
Question 26Single Answer
A 9-year-old boy has bone age 6 years, height –2.5 SD, normal growth velocity. Most likely diagnosis is:
  1. AConstitutional delay of growth and puberty
  2. BFamilial short stature
  3. CGH deficiency
  4. DHypothyroidism
Question 27Single Answer
The single most useful investigation to differentiate GH deficiency from constitutional delay is:
  1. AGH stimulation test (clonidine/insulin)
  2. BIGF-1 + IGFBP-3 levels
  3. CBone age
  4. DMRI pituitary
Question 28Single Answer
Peak GH response in clonidine stimulation test should be:
  1. A>7 ng/ml
  2. B>10 ng/ml
  3. C>5 ng/ml
  4. D>15 ng/ml
Question 29Single Answer
A 4-year-old child has height –3.5 SD, weight –2 SD, head circumference normal. Most likely diagnosis is:
  1. APrimordial dwarfism
  2. BChronic malnutrition (stunting)
  3. CGH deficiency
  4. DSkeletal dysplasia
Question 30Single Answer
The most common genetic cause of short stature with normal proportions in girls is:
  1. ANoonan syndrome
  2. BTurner syndrome (45,XO)
  3. CRussell-Silver
  4. DPrader-Willi
Question 31Single Answer
The characteristic facial feature in Turner syndrome is:
  1. AEpicanthic folds
  2. BTriangular face, low posterior hairline, webbed neck
  3. CHigh palate
  4. DMicrognathia
Question 32Single Answer
The most common cardiac lesion in Turner syndrome is:
  1. AVSD
  2. BCoarctation of aorta
  3. CASD
  4. DBicuspid aortic valve (30–50%)
Question 33Single Answer
The most common cause of disproportionate short stature with short limbs is:
  1. ARickets
  2. BHypothyroidism
  3. CAchondroplasia
  4. DTurner
Question 34Single Answer
The gene mutation in achondroplasia is:
  1. APTPN11
  2. BSHOX
  3. CGH receptor
  4. DFGFR3 (gain-of-function)
Question 35Single Answer
The most common cause of failure to thrive in infancy in India is:
  1. ACeliac disease
  2. BCow milk protein allergy
  3. CInadequate breastfeeding / complementary feeding
  4. DCongenital heart disease
Question 36Single Answer
The WHO definition of failure to thrive is:
  1. AWeight-for-age <–2 SD or weight faltering across 2 centiles
  2. BHeight <–2 SD
  3. CMUAC <11.5 cm
  4. DAll
Question 37Single Answer
The most common cause of obesity with developmental delay and hypogonadism is:
  1. ALaurence-Moon-Biedl
  2. BPrader-Willi syndrome
  3. CAlström
  4. DCushing
Question 38Single Answer
The most common cause of obesity with red hair and fair skin in children is:
  1. AMC4R mutation
  2. BPOMC deficiency
  3. CLeptin deficiency
  4. DAlbright hereditary osteodystrophy
Question 39Single Answer
The most common endocrine cause of obesity in children is:
  1. AType 2 diabetes
  2. BCushing syndrome
  3. CPCOS
  4. DHypothyroidism
Question 40Single Answer
The most common cause of pathological tall stature with intellectual disability is:
  1. AMarfan
  2. BKlinefelter
  3. CSotos syndrome
  4. DHomocystinuria
Question 41Single Answer
The most common cause of tall stature with marfanoid habitus and normal intelligence is:
  1. AHomocystinuria
  2. BMarfan syndrome
  3. CKlinefelter
  4. DXXY
Question 42Single Answer
The most common cause of microcephaly in Indian neonates is:
  1. AMetabolic
  2. BGenetic (primary)
  3. CZika virus
  4. DPerinatal asphyxia / congenital infections (TORCH)
Question 43Single Answer
The head circumference at birth in term Indian baby is approximately:
  1. A32 cm
  2. B34–35 cm
  3. C37 cm
  4. D30 cm
Question 44Single Answer
The head circumference increases by approximately how much in first year?
  1. A15 cm
  2. B8 cm
  3. C12 cm
  4. D6 cm
Question 45Single Answer
The most common cause of macrocephaly in infants is:
  1. AFamilial
  2. BHydrocephalus
  3. CMegalencephaly
  4. DSotos syndrome
Question 46Single Answer
The most common cause of asymmetrical growth retardation is:
  1. ANoonan
  2. BRussell-Silver
  3. CTurner
  4. DHemihypertrophy / Beckwith-Wiedemann
Question 47Single Answer
The most common cause of delayed fontanelle closure is:
  1. AHypothyroidism
  2. BRickets
  3. CHydrocephalus
  4. DAchondroplasia
Question 48Single Answer
The anterior fontanelle normally closes by:
  1. A9–18 months
  2. B6 months
  3. C24 months
  4. D3 months
Question 49Single Answer
The average birth weight of term Indian baby is:
  1. A3.5 kg
  2. B3.2–3.4 kg
  3. C2.5 kg
  4. D2.8–3.0 kg
Question 50Single Answer
The weight doubles by age:
  1. A4 months
  2. B6 months
  3. C5 months
  4. D7 months
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