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pbcr by Dr D Kanjilal MD, pediatric board review, pbcr

Pediatric Board Review Multiple Choice Questions & Answers Vol. 4

Q21. The mode of inheritance in patients with Pompe disease (glycogenosis II) is:
  1. Autosomal recessive
  2. Autosomal dominant
  3. X-linked recessive
  4. X-linked dominant
  5. Multifactorial
Q22. The enzyme deficiency in patients with Pompe disease is:
  1. Pyruvate dehydrogenase
  2. Glucose-6-phosphate translocase
  3. Liver phosphorylase
  4. Glycogen synthetase
  5. Acid maltase
Q23. The preferred diagnostic study in patients with Pompe disease is:
  1. Renal biopsy
  2. Muscle biopsy
  3. Serum CK level
  4. Acid maltase levels in WBCs
  5. Serum acid maltase level
Q24. An infant is born with erythroblatosis fetalis. The infant may have the following finding:
  1. High insulin levels in serum
  2. Low insulin levels in serum
  3. High glucagon levels in serum
  4. Hyperglycemia
  5. High TSH levels in serum
Q25. Beckwith-Wiedemann syndrome has all of the following features except:
  1. Exomphalos
  2. Gigantism
  3. Visceromegaly
  4. Lateral earlobe fissure
  5. Macrocephaly
Q26. The patients with Beckwith-Wiedemann syndrome may develop all of the following tumors except:
  1. Retinoblastoma
  2. Wilms tumor
  3. Adrenal carcinoma
  4. Hepatoblastoma
  5. Rhabdomyosarcoma
Q27. Beckwith-Wiedemann syndrome is due to the mutation in the following chromosome:
  1. Chromosome 7
  2. Chromosome 11
  3. Chromosome 13
  4. Chromosome 15
  5. Chromosome 17
Q28. A full term male infant appears jaundice during the first 24 hours of life due to AO incompatibility and Coombs positive results. His serum bilirubin level is 35 mg/dL. A double-volume exchange transfusion is performed. The most likely morbidity is:
  1. Seizures
  2. Spastic diplegia
  3. Hydrocephalus
  4. Spastic quadriplegia
  5. Choreoathetotic cerebral palsy
Match the following perinatal and neonatal illnesses and morbidities (29-30):

Q29. Sensorineural hearing loss
Q30. Blindness
  1. Intraventricular hemorrhage
  2. Periventricular leukomalacia
  3. Gentamicin
  4. Birth trauma
  5. Retinopathy of prematurity

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