AIIMS June 2020 Paediatrics Questions

Some of the AIIMS June 2020 Paediatrics questions as recalled by students 

(These are recall based questions and hence the options and reconstruction of questions may slightly vary from original questions)

((Disclaimer - Subjected to Memory bias - ☺))

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Q1. Hand to hand shift development in a 6 months old baby, what does it indicate? 

a. Visual motor coordination 

b. Voluntary release 

c. Hand brain coordination 

d. Release phenomenon

explaination -Reference Nelson Page 132 

Q2.Vitamin deficiency causing neonatal seizure: 

a. Pyridoxine 

b. Pantothenic acid 

c. Biotin 

d. Thiamine

explaination -Pyridoxine dependency and pyridoxal -5 phosphate dependency causes neonatal seizures

Q3. Correction of VSD is done to avoid or correct:

a. Failure to thrive 

b. Arrythmia 

c. Heart attack 

d. Respiratory alkalosis

explaination -Indications for surgical closure of VSD 

a. Patient at any age with large defects in whom clinical symptoms and failure to thrive cannot be controlled medically. 

b. Infant between 6 and 12 months of age with moderate to large defect associated with pulmonary hypertension even if the symptoms are controlled by medication. 

c. Patient older than 24 months with Qp : Qs ratio greater than 2 : 1 

d. Supracristal VSD 

Q4. All are true in a severe acute malnutrition except: 

a. Weight for age less than 3 SD 

b. Weight for height less than 3SD 

c. Oedema 

d. Mid arm circumference less than 110 mm

explaination -Diagnosis of SAM a. Weight for height <70% of expected or < - 3Z score b. Mid upper arm circumference < 11.5 cm c. Edema

 

Q5. In phototherapy bilirubin is converted to: 

a. Lumirubin 

b. Biliverdin

explaination -In phototherapy – • Structural isomerisation o Bilirubin is converted to lumirubin 

Photo isomerisation o 4Z, 15Z – bilirubin is converted to 4Z, 15E – bilirubin

Q6. 2 months back history of fever with bloody diarrhoea in a child followed by swollen, red and errythematous joint: 

a. Rota virus 

b. Shigella 

c. E. Coli 

d. Giordia

explaination -Post infectious complication in entric infections 

a. Reactive arthritis 

i. Salmonella

 ii. Shigella 

iii. Yersinia

 iv. Campylobacter 

b. Guillain – Barre syndrome

 i. Campylobacter 

c. Haemolytic uremic syndrome – 

i. STEC

 ii. Shigella dysentenae 1

Q7. Features of severe dehydration except: 

a. Thirsty child 

b. Sunken fontanelle 

c. Skin pitch return slowly 

d. Drowsy

Q8. All are indicative of paediatric asthma except: 

a. Increase in FEV1 > 12% after bronchodilator 

b. AM : PM variation > 15% 

c. FEV1 decrease more than 15% after exercise 

d. FEV1 / FVC < 80%

explaination - Lung Function Abnormalities in Asthma and Assessment of Airway Inflammation 

• Spirometry (in clinic) 

• Airflow limitation: 

o Low FEV1 (relative to percentage of predicted norms) 

o FEV1/FVC ratio <0.80 

• Bronchodilator response (to inhaled β-agonist) assesses reversibility of airflow limitation. 

• Reversibility is determined by an increase in either FEV1>1 2% or predicted FEV1)10% after inhalation of a short-acting 

• B-agonist (SABA) 

• Exercise challenge: 

o Worsening in FEV1 ≥ 15% 

• Daily peak expiratory flow (PEF) or FEV1 monitoring: day-to-day and / or AM-to-PM variation ≥20%

Q9. Osteomalacia is developed due to excess excretion of phosphate in urine. What is the diagnosis: 

a. Antiepileptic drug 

b. Vit D resistance 

c. Hereditary 

d. Vit D deficiency

explaination -Among the genetic disorders causing rickets

 X linked hypophosphatemic is the most common 

Increased fibroblast excretion Overproduction of FGF23 is also seen in –

a. Tumour induced osteomalacia 

b. McCune Albright syndrome 

c. Fanconisyndrome 

d. Dent disease

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