Pediatric Environmental Health Practice Questions

Question 1

All of the following are dashboard indicators used for monitoring of India Newborn Action Plan (INAP). Which one of them is an impact level indicator ?

Accepted Answer

Neonatal mortality rate

Answer

Caesarean section rate

Answer

Percentage of preterm births

Answer

Exclusive breastfeeding rate

Question 2

A 3 yrs old child is brought to the emergency room by his parents after they found him having a generalized seizure at home. The child's breath smells of garlic, and he has bloody diarrhea, vomiting, and muscle twitching. Which poison is it likely that this child has encountered?

Accepted Answer

Arsenic

Answer

Thallium

Answer

Carbon monoxide

Answer

Lead

Question 3

Which of the following are the principal causes of infant mortality in India?

1. Acute respiratory infections
2. Congenital anomalies
3. Childhood cancers
4. Diarrhoeal diseases

Accepted Answer

1, 2 and 4

Answer

2, 3 and 4

Answer

1, 2 and 3

Answer

1, 3 and 4

Question 4

Which among the following is an iron chelator?

Accepted Answer

Desferrioxamine

Answer

BAL

Answer

EDTA

Answer

Penicillamine

Question 5

Which of the following tests is commonly used for the detection of heavy metals?

Accepted Answer

Atomic absorption spectroscopy

Answer

Harrison's Gilroy test

Answer

Neutron activation analysis

Answer

Thin layer chromatography

Question 6

School health checkup comes under which level of prevention?

Accepted Answer

Secondary

Answer

Tertiary

Answer

Primary

Answer

Primordial

Question 7

A sexually active 16-year-old presents for STI screening with recent assault history, multiple partners, inconsistent condom use. Which comprehensive prevention strategy is most appropriate?

Accepted Answer

HPV vaccination, counseling, PrEP evaluation, and regular screening

Answer

Condoms and annual screening

Answer

Single STI screen and treatment if needed

Answer

Abstinence counseling only

Question 8

A 6-year-old boy is admitted to the ward with drowsiness, dull deep tendon reflexes and seizures. On examination the child has a line on gums and there is a history of constipation. Which will be most appropriate drug that should be used for this child?

Accepted Answer

DMSA

Answer

EDTA

Answer

BAL

Answer

Penicillamine

Question 9

Match the following: A) Caplan syndrome- 1) Found first in coal worker B) Asbestosis- 2) Upper lobe predominance C) Mesothelioma- 3) Involves lower lobe D) Sarcoidosis- 4) Pleural effusion is seen

Accepted Answer

A-1, B-4, C-3, D-2

Answer

A-3, B-4, C-2, D-1

Answer

A-4, B-2, C-3, D-1

Answer

A-2, B-4, C-3, D-1

Question 10

Which of the following is the recommended treatment for iron poisoning in a 4-year-old child?

Accepted Answer

Deferoxamine IV at a dose of 15 mg/kg/hour

Answer

Blood transfusion

Answer

Stomach lavage

Answer

Observation and supportive care

Pediatric Environmental Health

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Environmental Toxins and Children

Lead Poisoning

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