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UPSC CMS Pediatrics - Pediatric Emergencies, Intensive Care & Toxicology

Attempt UPSC CMS Pediatrics - Pediatric Emergencies, Intensive Care & Toxicology under real exam conditions. Features timed computer-based test interface, textbook explanations, and detailed subject rank analytics.

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Real CBT Simulator Grid & Percentile
Duration
15 Mins
Countdown timer with review palette.
Marking Scheme
+2.08 / -0.69
Exact negative marking as per official exam rules.
Textbook Citations
Harrison & Bailey
Standard medical textbook solution references.
Target Exam
UPSC CMS
Official paper pattern & syllabus coverage.

📝 Sample Question Preview from UPSC CMS Pediatrics - Pediatric Emergencies, Intensive Care & Toxicology

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Question 1

Which of the following statements are correct regarding the fluid management of pediatric inpatients with burn injuries ?

1. The Parkland formula estimates the amount of fluid to be replaced over 24 hours.

2. Volume of fluid (mL) = 4 mL × Weight (kg) × Total body surface area burn(%).

3. Additional maintenance fluid therapy is also to be given to the child.

4. Half of the resuscitation volume should be given over 6 hours and the remaining half over the next 18 hours.

Select the answer using code given below :

A. 1, 2 and 4
B. 1, 2 and 3
C. 1, 3 and 4
D. 2, 3 and 4
Textbook Explanation Highlight:
🎯 Core Clinical Snapshot Correct Option: B (1, 2 and 3) Key Takeaway: The Parkland formula is the cornerstone of fluid resuscitation in pediatric burn patients, estimating fluid replacement over 24 hours. Maintenance flui...
Question 2

A 3-year old child develops severe respiratory distress after inhalation of fumes arising from burning plastic. The child is started on supportive ventilation. Which one of the following antidotes needs to be given?

A.

Hydroxycobalamin

B.

Amylnitrate

C.

Sodium nitrite

D.

N-acetyl cysteine

Textbook Explanation Highlight:
🎯 Core Clinical SnapshotCorrect Option: A — HydroxycobalaminKey Takeaway: Hydroxocobalamin is the antidote for suspected cyanide from burning plastic fumes🔍 Step-by-Step Option EliminationOptionStatusClinical Reasoning & Distractor BreakdownOpt...
Question 3
A 4-year-old boy presents to the emergency department with a 3-hour history of sudden onset severe abdominal pain, bilious vomiting, and inconsolable crying. On examination, he is lethargic, pale, and tachycardic (HR 160 bpm). His abdomen is distended, and a sausage-shaped mass is palpable in the right upper quadrant. Rectal examination reveals red currant jelly stool. An abdominal ultrasound confirms an ileocolic intussusception. The child is hemodynamically unstable despite initial fluid resuscitation. Which of the following is the most appropriate initial management step AFTER stabilizing the patient with fluid resuscitation?
A. Diagnostic laparoscopy for reduction.
B. Pneumatic reduction under fluoroscopic guidance.
C. Immediate exploratory laparotomy.
D. Administration of intravenous antibiotics and observation.
Textbook Explanation Highlight:
The patient presents with classic signs of intussusception (abdominal pain, bilious vomiting, red currant jelly stool, palpable mass) and is hemodynamically unstable. While pneumatic reduction is often the first-line treatment for stable intussuscept...
Question 4
A 10-year-old with severe traumatic brain injury has a GCS of 4, hypertension, bradycardia, and extensor posturing. Which treatment is NOT recommended for raised intracranial pressure caused by traumatic brain injury?
A. Secure the airway and provide controlled ventilation
B. Hypertonic saline with urgent neurosurgical management
C. Head elevation with avoidance of hypoxia and hypotension
D. Intravenous dexamethasone
Textbook Explanation Highlight:
Corticosteroids, including dexamethasone, are not recommended in severe traumatic brain injury and may worsen outcomes. Immediate priorities include airway protection, prevention of hypoxia and hypotension, hyperosmolar therapy when indicated, and ur...
Question 5

In a child with high anion gap metabolic acidosis, poisoning with which of the

following may be suspected?

A.

Iron

B.

Digoxin

C.

Rifampicin

D.

Beta blockers

Textbook Explanation Highlight:
🎯 Core Clinical Snapshot Correct Option: A: Iron Key Takeaway: Iron poisoning is a significant cause of high anion gap metabolic acidosis in pediatric populations, primarily due to direct cellular toxicity, uncoupling of oxidat...
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