Author: Renu Maurya

Image Based Question – 74557


A 4 years old child is admitted in the ward with pneu­monia. He develops sudden respiratory distress. The following chest X-ray was recorded. What will you do next?

A. Decrease mechanical ventilation

B. Increase mechanical ventilation

C. Intercostal chest drainage tube insertion

D. Immediate needle thoracostomy


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Image Based Question – 74560


A 5 years old male comes with complaints of pain in neck and right shoulder with restricted range of motion. What is the likely diagnosis?

A. Klippel-Flei I syndrome

B. Facioscapulohumeral dystrophy

C. Ankylosing spondylitis

D. Long thoracic nerve palsy


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Image Based Question – 74563


A 16 years old male presents with rapidly developing bilateral pleural effusion. The following chest radio-graph was taken in the emergency. All are correct in-terpretations about this radiograph except:

A. Pneumothorax is present

B. Bilateral intercostal chest tubes are present in correct place

C. Mediastinum is shifted

D. Left ided pleural effusion is present


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Image Based Question – 74763


A patient presented with fever and cough with expectoration. Raised total leukocyte count was seen on hemogram. The chest X- ray has been shown below. What is the likely causative organism?

A. Haemophilus influenzae

B. Streptococcus pneumoniae

C. Staphylococcus aureus

D. Mycoplasma


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Image Based Question – 74755


A 6 years old child presents with fever, pancytopenia, generalized weakness and weight loss. On examination, he is pale with generalized lymphadenopathy. Peripheral smear of the patient has been shown below. What is the likely diagnosis?

A. Aplastic anemia





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Image Based Question – 74956


A 4-year-old child presented with painless genu yarum. X-ray  bilateral knee was done and is shown below. Which of the fotlowing is most likely diagnosis?

A. Rickets

B. Scurvy

C. Congenital anomaly

D. Trauma to epiphysis causing degeneration


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Image Based Question – 74955


A child underwent Kasai’s portoenterostomy for management of EHBA; apart from the relations depicted in the given image which one of the following is not associated with this condition?

A. Renal agenesis

B. Malrotation of gt

C. Polysplenia

D. Aberrant right hepatic artery


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Image Based Question – 74957


A 3-year-old child presented with umbilical cord discharge as shown in the image, with no palpable mass in the abdomen. What is the best step?

A. USG Abdomen

B. Diagnostic laparotomy and proceed

C. MRI abdomen



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Image Based Question – 74317


Which of the regions marked in the following picture represents the zone 3 of retroperitoneal hemorrhage?

A. major vascular injury

B. Renal trauma

C. Pelvic fracture

D. colonic injury


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