PEDIATRICS HUBs
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Channel Posts
161.explanation
Correct Answer - D
Ans. is 'd' i.e., Two words with meaning.
* A child can transfer the objects from one hand to another by 5-7
months.
* A child can build a tower of 6 cubes by 21 months
* A child can pull himself up by the age of 10 months.
* A child makes a simple sentence for the first time by the age of 2 years.
* Pincer grasp develops by 9 months.
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| 2 | 161. 10 month old child cannot perform? | 759 |
| 3 | 160.explanation
Correct Answer - B
Ans. is 'b' i.e., Urea cycle enzyme deficiency.
••Urea cycle enzyme defect
*Catabolism of amino acid leads to free ammonia which is highly
toxic.
*Free ammonia is converted into urea by a group of 5 enzymes.
*A newborn is usually asymptomatic but later on becoming symptomatic
after giving protein.
*Treatment is dietary protein restriction.
••MSUD (maple syrup urine disease)
*Defective decorboxglation of branch chain amino acid (leucine,Isoleucine, valine).
*Autosomal recessive.
*Smell of maple syrup in urine.
••Phenyl ketonuria
*Autosomal recessive
*Deficiency of phenylalanine hydroxylase.
*Defect in conversion of phenylalanine to tyrosine.
*This leads to an increased level of phenylalanine.
*This increases phenylalanine converted into phenylpyruvate and phenyl acetate.
*This phenyl acetate gives mousy or musty odour in urine/body.
••Other point to remember:
*Sweaty feat odour -Isovaleric academia.
*In Alkaptonuria - Urine become darkish brown when exposed to air while purplish brown in porphyria.
*Smoky sweat - MSUD
*Mousy or Musty - Phenylketonuria
*Boiled cabbage - Tyrosinemia.
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| 4 | 160. 3 days old newborn with unknown inborn error of metabolism, hyperammonemia in blood. | 634 |
| 5 | 159.explanation
Correct Answer - D
Ans. is 'd' i.e., Stop breast tad and prepare for exchange blood
transfusion.
*In hemolytic disease, immediate exchange
transfusion indication :
a) Cord bilirubin is > 4.5 mg/dl and Hb < 11 gm%
b) Bilirubin rising > 1 mg/dl/hour despite phototherapy
c) Hb level 11-13 gm/dl and bilirubin rising more than 0.5 mg/dl/hour
d) Bilirubin is rising inspite of phototherapy
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| 6 | 159. Baby '0* positive, blood group, mother Rh negative, cord bilirubin 7 mg%, conjugated I now treatment is? | 858 |
| 7 | 158.explanation
Correct Answer - B
Ans. is 'b' i.e., Male sexual characteristic with ovary
••Female pseudo hermaphroditism
*Have internal genitalia female type
*Katy() type XX
*Masculinisation of external genitalia
*Most common - CAN
••Congenital adrenal hyperplasia
M-C. 21 hydroxylase deficiency
*Other cause excess maternal androgen due to - o Maternal ovarian tumor.
*Maternal drug intake
*Treatment
*Hormonal therapy
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| 8 | 158. Female hermaphrodite is? | 718 |
| 9 | 157.explanation
Correct Answer - D
Ans. is 'd' i.e., All of the above
Causes of hypocalemia
*Hypo parathyroidism
*Digeorge syndrome
*PTH receptor defect (pseudo hypoparathyroidism)
*Magnesium deficiency
*Exogenous organic phosphate excess
*Vit D deficiency
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| 10 | 157. Hypocalcemia in a child may be
associated with | 758 |
| 11 | 156.explanation
Correct Answer - C
Ans. is `c'i.e., Congenital heart disease
*Approximately 30% of infants with a single umbilical artery have congenital abnormalities.
*Trisomy 18 is one of the more frequent abnormalities.
*The most common congenital anomalies in chromosomally normal fetuses and neonates were.
*Genitourinary (6.48%)
*Cardiovascular (6.25%)
*Musculoskeletal (5.44%).
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| 12 | 156. Single umbilical artery is associated with? | 939 |
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| 18 | Hello Docopsians !
We're Excited To Introduce Our New
" Docopsy Point " channel on WhatsApp! 🩺📰
If you've been following us on Telegram , Instagram , YouTube and our Subject wise HUBs for daily questions , you already know that we're committed to bringing you the latest Questions , Cases , Scenarios based on CBME pattern . Now, we're expanding our reach to make it even easier for you to stay informed.
Join Our WhatsApp channel to receive daily updates
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Thank you for your continued support
Regards
Dr Pavan ( @TheNeuros )
Cheif Mentor , Docopsy Point | 103 |
| 19 | Because of some security concern telegram may ban in India after 12 PM so must follow WhatsApp channel for all updates
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| 20 | 155.explanation
Correct Answer - D
Ans. is 'd' i.e., All of the above
*Mildly elevated bilirubin especially indirect and normal liver enzyme
seen in hemolytic anemia.
*In the above question all causes hemolytic anemia.
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