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Common Childhood Diseases and Their Management MCQ - Practice Questions with Answers

Solve 12 Common Childhood Diseases and Their Management questions for RAS/RPSC preparation.

Practice questions

Q1A child with diarrhoea is being given ORS. Which additional measure is commonly recommended to reduce the duration and recurrence of childhood diarrhoea?

A Replacing ORS with plain water only
B Giving zinc supplementation as advised for the child
C Giving cough syrup after every loose stool
D Stopping breastfeeding until stools become normal
Explanation

ORS is the immediate life-saving treatment for dehydration risk, while zinc is an important adjunct in childhood diarrhoea. Zinc supports intestinal recovery and reduces the chance that diarrhoea will continue longer or recur soon after the episode.

Q2Under India's routine immunization approach for infants, which vaccine choice is most directly linked to protection against diphtheria, pertussis and tetanus in early childhood?

A MR vaccine only
B BCG only
C Pentavalent or DPT-containing vaccine
D Vitamin A solution
Explanation

Diphtheria, pertussis and tetanus are prevented through vaccines containing the DPT components. In India's immunization schedule these components are delivered through pentavalent doses in infancy and DPT boosters later, while BCG and MR target different diseases.

Q3In a child under five with cough or difficult breathing, which sign most directly supports a clinical diagnosis of pneumonia in community screening?

A A dry cord stump without redness
B Mild abdominal bloating after meals
C Itchy skin without fever
D Fast breathing or lower chest wall indrawing
Explanation

WHO guidance for children under five emphasizes fast breathing or lower chest wall indrawing in a child with cough or difficult breathing. These signs reflect lower respiratory involvement and help separate pneumonia from an uncomplicated upper respiratory infection.

Q4A child has sore throat, fever and a thick grey coating over the tonsils and throat, with difficulty swallowing. Which disease should be suspected first?

A Pneumonia
B Measles
C Pertussis
D Diphtheria
Explanation

Diphtheria can produce a thick grey coating over the nose, tonsils or throat within a few days of infection. This membrane can obstruct breathing or swallowing, and the toxin can cause severe disease, making early recognition important.

Q5A newborn has repeated muscle spasms, excessive crying and inability to suck after delivery in unhygienic conditions. Which disease is the most likely concern?

A Neonatal tetanus
B Neonatal conjunctivitis
C Whooping cough
D Pulmonary tuberculosis
Explanation

Neonatal tetanus is a serious vaccine-preventable condition associated with low maternal immunization and unclean birth or cord practices. Inability to suck followed by spasms is a key danger pattern and requires emergency care.

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More questions

6Which combination is most suggestive of pulmonary tuberculosis and should prompt referral for evaluation?

ASudden jaw spasm after a dirty wound
BPersistent cough with fever, night sweats and unexplained weight loss
CRed eyes with purulent discharge in a newborn
DOne day of loose stools after eating stale food

7In a child with vomiting, which finding should be treated as a general danger sign requiring urgent referral rather than routine home care?

AVomiting everything offered and inability to drink
BOne episode of vomiting after overeating, followed by normal play
CRefusal of a disliked food while accepting water
DMild nausea but normal urine output and normal activity

8A child has high fever, runny nose, red eyes and then a widespread rash a few days later. Which infection best fits this pattern?

ATetanus
BDiphtheria
CPulmonary tuberculosis
DMeasles

9A newborn has red eyes, swollen eyelids and discharge of pus from both eyes. Which condition is most directly suggested by this presentation?

APhysiological jaundice
BNeonatal conjunctivitis
CUmbilical granuloma
DSimple heat rash

10Which symptom pattern best distinguishes pertussis from an ordinary short-duration cold in a young child?

ASudden rash with red eyes after fever
BJaw stiffness after a wound
CRepeated hacking cough spells followed by a whooping sound
DGrey membrane over tonsils with difficulty swallowing

11During a home visit, which umbilical cord finding in a newborn most strongly suggests local infection requiring medical assessment?

AA dry dark stump that is separating without redness
BA tiny spot of dry blood after the stump is rubbed by clothing
CPus draining from the umbilicus with redness spreading to nearby skin
DSlight crusting at the base with a well baby and no swelling

12A mother reports that her two-year-old has passed loose stools several times since morning. The child is alert, thirsty and able to drink. What is the most appropriate first advice at home while arranging assessment if danger signs appear?

AGive oral rehydration solution in small frequent sips and continue feeding
BStop all food and fluids for six hours to rest the intestine
CStart an antibiotic for every episode of watery stool
DGive only carbonated soft drinks because they contain sugar

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