Pediatric Image-Based Questions for NEET PG

Q1. You are examining an LGA neonate who presents with the physical finding shown in the image below. Given this finding, you suspect the neonate might have an associated congenital heart anomaly. What is the most common congenital heart anomaly you would suspect in this case?​

1. Atrial Septal Defect (ASD)
2. Tetralogy of Fallot (TOF)
3. Ventricular Septal Defect (VSD)
4. Patent Ductus Arteriosus (PDA)

Ans. 3) Ventricular Septal Defect (VSD)

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Q2. A 10-day-old preterm infant, born at 30 weeks of gestation, presents with sudden abdominal distension and a bluish discoloration of the abdominal wall. The infant appears lethargic and is not feeding well. An abdominal X-ray is performed, which is given below. What Bell's stage of necrotizing enterocolitis (NEC) is most consistent with the radiographic finding?​

1. Stage IIa
2. Stage IIIa
3. Stage IIIb
4. Stage IV

Ans. 3) Stage IIIb

Q3. Refer to the image provided. Which of the following statements is correct regarding the features shown in the image?​

1. ​The system provides an open care environment
2. The system does not include an option for humidification.
3. The system primarily loses heat through radiation.
4. The system is known for being low in cost.

Ans. 3) The system primarily loses heat through radiation.

Q4. Which of the following is true about the scoring tool? 

1. ​Used solely to assess the neuromuscular maturity
2. Used to assess gestational age based on Physical and Neuromuscular maturity
3. Used only to assess physical maturity
4. Used exclusively to determine the baby's weight

Ans. 2) Helps identify physical maturity and gestational age

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Q5. Which of the following features correctly describes the conditions depicted in images 1 and 2?​ 

a) Severe wasting

b) Flaky paint dermatitis

c) Baggy pants

d) Skin and bone appearance

e) Nutritional anaemia

f) Sugar baby

g) Flag sign

h) Monkey facies

1. ​1- a,d,e,f; 2- b,c,g,h
2. 1- b,d,g,h; 2- a,c,e,f
3. 1- a,b,c,e; 2- d,f,g,h
4. 1- a,c,d,h; 2- b,e,f,g

Ans. 1) 1- a,c,d,h; 2- b,e,f,g

Q6. Based on the image provided, which of the following statements is TRUE?​

1. Measure from the acromion to the olecranon and mark the midpoint.
2. MUAC assesses the nutritional status of children aged three months to five years.
3. In Shakir’s tape, the Yellow zone indicates 11.5 to 13.5 cm.
4. In Shakir’s tape, the Green zone indicates >11.5 cm.

Ans. 1) Measure from the acromion to the olecranon and mark the midpoint

Q7. A 4-month-old infant presents with a 5-week history of scaly lesions on the face, trunk, and limbs as given in the image, along with irritability, dehydration, and generalized oedema. Laboratory tests reveal hypoalbuminemia and hypokalemia. Based on these findings, what is the most likely diagnosis?​

1. Marasmus
2. Flaky paint dermatosis
3. Flag sign
4. Acrodermatitis Enteropathica

Ans. 2) Flaky paint dermatosis

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Q8. Which enzyme converts tyrosine to 4-OH phenylpyruvate?​

1. ​Tyrosinase
2. Tyrosine aminotransferase
3. 4 HPPD (Hydroxy Phenyl pyruvate dioxygenase)
4. None of the above​

Ans. 2) Tyrosine aminotransferase

Q9. Match the symbols with their correct representation 

1. ​a-2, b-3, c-4, d-1, e-5
2. a-4, b-3, c-2, d-5, e-1
3. a-2, b-3, c-4, d-5, e-1
4. a-4, b-3, c-2, d-1, e-5

 Ans. 2) a-4, b-3, c-2, d-5, e-1​

Q10. A genetic counselor is analyzing a family pedigree for a rare condition. The pedigree shows the following characteristics:

Which of the following best describes the most likely mode of inheritance for this condition?

1.  Autosomal recessive
2. X-linked dominant
3. X-linked recessive
4. Mitochondrial inheritance

 Ans. 3) X-linked recessive 

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Q11. A 13-year-old adolescent boy presents with intellectual disability, a long face, large ears, and macroorchidism. Genetic testing reveals more than 200 CGG repeats in the X-chromosome. Which of the following statements about this condition is incorrect?

1. The gene involved is the FMR-1 gene on the X-chromosome
2. Normal population carries 55-200 CGG repeats
3. Carriers may experience premature ovarian failure
4. Hyperextensible joints and mitral valve prolapse are associated features

Ans. 2) Normal population carries 55-200 CGG repeats

Q12. A 33-year-old pregnant woman was found to have an abnormal NT scan. An amniocentesis revealed a chromosomal karyotype given below. This result most commonly occurs due to which of the following?

1. Non-disjunction in maternal meiosis
2. Non-disjunction in paternal meiosis
3. Robertsonian translocation
4. Mosaic pattern

Ans. 1) Non-disjunction in maternal meiosis

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Q13. The image shows a child with distinctive facial features. Which of the following are the features associated with this syndrome?

1. Short stature and triangular face
2. Hypoplastic mandible cheek and ear abnormalities
3. Facial asymmetry and triangular face
4. Retracted mandible

Ans. 2) Hypoplastic mandible cheek and ear abnormalities

If you wish to access the detailed explanations for the correct and incorrect options of Top Image-Based Pediatric Questions for NEET PG Pediatrics 2025 download the Pdf now.

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