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Thursday, October 11, 2012

pediatrics MCI 2102- result expected before weekend

MCI September 2012 Paediatrics


1. At what  age does child know his gender ?

a. 1 yr

b. 1- 2 yr

c. 21/2- 3 yrs!

d. 4 yrs

A child can tell his age gender by 3 years of age. He can recall a story as well for example if some child ate his lunch then he would come home and can complain to the mother for the same. A child at 3 yrs has 20 teeth was asked in previous examination. A child at three can draw a circle at 3 yrs.

So when you sit in next exam, do invest 15 minutes into what a child can do ? at 2 yrs ,3 yrs and 4 yrs. this is asked as the preschool age group shapes the personality of child and therefore one of the most important periods of growth.

Reference: DIAMS pediatric notes .



2. Not a sign of good attachment of baby to breast :

a. Baby suckles with lower lip inverted!

b. Upper part of areola visible.

c. Baby suckles in slow pauses

d. Chin of baby touches the breast.

Well think logically if the baby is to suckle properly, the lower lip must be EVERTED. This is a repeat question .

3. 1st sign of sexual maturity in boys

a. Phallic enlargement

b. Testicular volume!

c. Change of voice

d. Change in body structure and skin changes

1st sexual change in boys is increase in testicular enlargement while in girls would be thelarche. REPEAT

4. A baby can lift his head and chest of the bed in prone position by the age of

a. 3 months

b. 4 months

c. 6 months!

d. 9 month

a child in prone position /or held in ventral suspension at birth would be like a rag doll with inability to hold neck.

Head control comes at 4 months and child placed in prone position can raise his head of couch but not the chest.

A child at 6 months can raise his head neck and chest off the couch using strength of his shoulder muscles.

Those who attended my class would recall 3 6 8 12 rule

3- neck becomes strong

6- shoulders become strong

8- back muscles become strong

12 – leg muscles become strong.



5. The length of baby becomes 100 cm at

a. 1 yrs

b. 2 yrs

c. 3 yrs

d. 4yrs !



6. Musty odour of urine is seen in

a. Phenylketonuria!

b. Maple syrup urine disease

c. Isovaleric academia

d. Organic aciduria



7. Sub-periosteal bleeding is seen in:

a. Scurvy!

b. Rickets

c. Diamond balckfann syndrome

d. Acute ITP

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