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Give crisp and concise answer from latest edition of Ghai textbook of pediatrics

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All questions answered. Here is a quick summary of the MCQ keys for easy reference:

MCQ Answer Key - Quick Reference

QAnswerKey Point
1(b) NECPneumatosis intestinalis in preterm = NEC
2(b) SAMWHZ < -3 SD = SAM
3(d) Both A and C≥4 relapses/12 months OR ≥2 relapses/6 months
4(b) ParainfluenzaCroup = Steeple sign = Parainfluenza type 1
5(c) Fast breathing >40/minIMNCI most sensitive sign for pneumonia
6(a) Rectal Suction BiopsyGold standard for Hirschsprung
7(b) Knee-chest positionIncreases SVR, reduces right-to-left shunt
8(c) DTwPWhole-cell pertussis contraindicated in progressive neurological disease
9(a) Sydenham's ChoreaMajor Jones criterion (Fever/ESR/Arthralgia = minor)
10(b) 2 ml/kg of 10% Dextrose IV= 200 mg/kg glucose bolus
11(a) Low C3APSGN = low C3, normal C4
12(a) Duodenal AtresiaDouble bubble = duodenal atresia
13(d) Coronary Artery AneurysmKawasaki disease - most serious complication
14(a) VigabatrinDOC for West syndrome with TSC
15(c) 18 monthsWalking + 2-3 words + 2-cube tower = 18 months
16(c) IV AdrenalineNRP: PPV + compressions → if HR <60, give IV Adrenaline
17(d) HDNVit K at birth prevents VKDB/HDN
18(a) Target cellsThalassemia major smear hallmark
19(b) IV Fluid Bolus NSDKA: fluids first, insulin second
20(d) Koplik's spotsPathognomonic of measles
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