Nutrition: rickets: practice question

A Pediatrics question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Pediatrics · Nutrition: rickets

Sample item

A toddler has delayed walking, bowed legs, widened wrists, and low vitamin D level. What diagnosis is most likely?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

C. Nutritional rickets

Vitamin D deficiency impairs mineralization at growing epiphyses, causing rickets with bony deformities and widened wrists. Calcium intake and underlying malabsorption risk should also be assessed.

Option by option

  • A. Acute osteomyelitis

    Osteomyelitis causes focal painful bone infection.

  • B. Osteogenesis imperfecta

    Osteogenesis imperfecta causes bone fragility and blue sclerae in many forms.

  • C. Nutritional rickets (correct)

    Correct. Bowing and metaphyseal changes in a deficient toddler indicate rickets.

  • D. Scurvy

    Scurvy causes bleeding and impaired collagen formation.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this Pediatrics question

What is the answer to this Pediatrics question?

The best answer is C, Nutritional rickets. Vitamin D deficiency impairs mineralization at growing epiphyses, causing rickets with bony deformities and widened wrists.

Why is "Acute osteomyelitis" not the answer?

Osteomyelitis causes focal painful bone infection.

Why is "Osteogenesis imperfecta" not the answer?

Osteogenesis imperfecta causes bone fragility and blue sclerae in many forms.

Why is "Scurvy" not the answer?

Scurvy causes bleeding and impaired collagen formation.

What concept does this question test?

It tests Nutrition: rickets in Pediatrics. Calcium intake and underlying malabsorption risk should also be assessed.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Nutrition: rickets?

Memorise milestones and the vaccine schedule as tables and revise them often. Then use the flashcards and the other Pediatrics questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.