A child is below the third percentile for height. Growth velocity is normal, but chronologic age is more than skeletal age. The most likely diagnosis is______________?

Related Mcqs:

1. A child’s CSF was examined I contains slightly raised or normal PMN cells, raised lymphocytes, absence of mycotic growth, value of protein is normal or above normal, glucose level is normal. The most probable diagnosis is____________?

   A. Pyogenic bacterial meningitis
   B. Viral meningitis
   C. Fungal meningitis
   D. Tuberculous meningitis

2. A 4-year old child has a normal complemented of primary teeth but they are gray and exhibit extensive occlusal and incisal wear. Radiographic examination indicates extensive deposits of secondary dentin in these teeth. Most likely this condition is______________?

   A. Neonatal hypoplasia
   B. Amelogenesis imperfecta
   C. Cleidocranial dysplasia
   D. Dentinogenesis imperfecta

3. During a routine checkup a 70 year old male is found to have Serum Alkaline Phosphatase three time the upper limit of normal. Serum Calcium, Serum Phosphorous and liver function tests are normal. The most likely diagonsis is______________?

   A. Primary hyperparathyroidism
   B. Paget’s disease of the bone
   C. Osteomalacia
   D. Metastatic bone disease

4. A 3-year old child presented with progressive anaemia, jaundice & failure to thrive. O/E: pallor, splenomegaly are seen Peripheral smear showed normoblasts and small round intensely stained red cells. The likely diagnosis is________________?

   A. Here ditary spherocytosis
   B. Thalassaemia
   C. Sickle cell anaemia
   D. Vitamin B12 deficiency anaemia

5. A five-year old child presents with chronic bed wetting and bilateral loose deciduous first molars. His mother says that she want to drink of water several times during each night. Which of the following is the most likely diagnosis ?

   A. Hand-Schuller Christian disease
   B. Marble bone diasease
   C. Nieman pick disease
   D. Polyostotic fibrous dysplasia

6. A 10-years-old child presents with anemia and recurrent fractures. The X-ray shows diffuse hyper density of bone The diagnosis is most likely to be______________?

   A. Osteogenesis imperfecta
   B. Osteopetrosis
   C. Osteochondroma
   D. Hyperparathyroidism

7. The most likely diagnosis in a 23 year old, mentally alert, male dwarf with disproportionate arm and leg to body growth, prominent forehead and retruded maxilla is_______________?

   A. Cretinism
   B. Pituitary dwarfism
   C. Acromegaly
   D. Achondroplasia

8. A 60 year old male presents with a 2 day history of a severe left ear ache with a burning sensation in the ear and loss of taste. There is left sided weakness of both upper and lower facial muscles. Facial sensation is normal. A few vesicles are seen in the pharynx. What is the most likely diagnosis ?

   A. Bell’s palsy
   B. Acoustic neuroma
   C. Diphtheria
   D. Ramsay Hunt syndrome

9. A 15-year old boy shows an inverted pear shaped radiolucency between the upper central incisors. The teeth are normal in all aspects The most likely diagnosis is________________?

   A. Globulomaxillary cyst
   B. Nasopalatine cyst
   C. Aneurysmal cyst
   D. Dentigerous cyst

10. A child is brought with drowsiness, decreased deep tendon reflexes and seizures. On examination the child has a blue line on gums. There is history of constipation. Which will be most appropriate drug that should be used in this child ?

    A. EDTA
    B. DMSA
    C. BAL
    D. Penicillamine