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UPSC CMS Pediatrics - Pediatric Gastroenterology & Hepatology

Attempt UPSC CMS Pediatrics - Pediatric Gastroenterology & Hepatology 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 Gastroenterology & Hepatology

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Question 1

A 7 year old girl presents to you with non-specific abdominal pain, mild abdominal distension, and not growing well. The child weighs 14 kg and height is 95 cm. Systemic examination is normal. The haemoglobin was 7.5 g/dL (microcytic hypochromic RBCs) and has not responded to iron therapy. Which of the following will be the first investigation you will like to do for diagnosing the condition?

A.

Bone marrow aspiration

B.

Tissue transglutaminase antibodies

C.

Lower GI contrast examination

D.

Colonoscopy/sigmoidoscopy

Textbook Explanation Highlight:
Celiac Disease Definition: An enteropathy caused by permanent sensitivity to gluten in genetically susceptible individuals. Epidemiology: Frequently identified as a common cause of chronic diarrhea in children over 2 years in North India. High-Risk G...
Question 2
A 7-year-old child with portal hypertension presents with acute hematemesis from suspected esophageal varices. After airway and circulatory stabilization, which vasoactive medicine is preferred while urgent endoscopic therapy is arranged?
A. Octreotide
B. Oral propranolol
C. Intramuscular vitamin K alone
D. Aspirin
Textbook Explanation Highlight:
After resuscitation, octreotide is commonly used to reduce portal inflow in acute pediatric variceal bleeding while definitive endoscopic therapy is arranged. Propranolol is not used for immediate control of an active bleed, and aspirin would worsen...
Question 3

What is the next step in management for a one year old child on exclusive milk feeds presenting with constipation and no fecal impaction?

A.

Oral lactulose

B.

Increasing intake of vegetables and cereals

C.

Colonic enemas using polyethylene glycol

D.

Milk of Magnesia

Textbook Explanation Highlight:
Functional Constipation in Children Functional constipation is prevalent among children due to low-residue diets and sedentary lifestyles. It is diagnosed by meeting at least two of the following criteria: Defecation Frequency: Two or fewer times in...
Question 4

Match List I with List II and select the correct answer using the code given below the lists:

List I (Association with hepatomegaly)                            

List II (Presentation)


A. Skin lesion  1. Histiocytosis
B. Engorged neck veins     2. Galactosemia
C. Cataract  3. Toxoplasmosis
D. Hydrocephalus

4. Constrictive pericarditis

     
A.

A1 B4 C2 D3

B.

A2 B3 C4 D1

C.

A4 B1 C3 D2

D.

A3 B4 C2 D1

Textbook Explanation Highlight:
Langerhans Cell Histiocytosis Non-specific Symptoms: Fever, lethargy, weight loss, diarrhea. Bone Lytic Lesions: Can be unifocal or multifocal. Common sites: Skull, long bones, flat bones. Skin and Soft Tissue: Scaly erythematous lesions and red papu...
Question 5
A 15-month-old child presents with chronic watery diarrhea, abdominal distension, failure to thrive, and muscle wasting. Physical examination reveals marked pallor, edema, and protuberant abdomen. Stool studies show steatorrhea. Intestinal biopsy reveals villous atrophy, crypt hyperplasia, and increased intraepithelial lymphocytes. Genetic testing is pending, but the family history reveals a sibling with similar symptoms who responded dramatically to a specific dietary intervention. Which of the following is the most likely diagnosis?
A. Cystic Fibrosis
B. Cow's Milk Protein Allergy
C. Celiac Disease
D. Alpha-1 Antitrypsin Deficiency
Textbook Explanation Highlight:
The clinical picture of chronic watery diarrhea, abdominal distension, failure to thrive, muscle wasting, pallor, edema, steatorrhea, and the characteristic intestinal biopsy findings (villous atrophy, crypt hyperplasia, increased intraepithelial lym...
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