2019 Scheme
Q.P. Code: 320001
Reg. No.: .....................
Third Professional MBBS (Part II) Degree Supplementary (SAY)
Examinations July 2024
Time: 3 Hours
Total Marks: 100
Answer all questions to the point neatly and legibly ? Do not leave any blank pages between
answers ? Indicate the question number correctly for the answer in the margin space
Draw table/diagrams/flow charts wherever necessary
Long Essays:
(2x15=30)
1. A 2-year-old male is brought to the Emergency room (ER) with history of fever and cough
from sleep, abdominal distension and reduced urine output. No past history of similar
illness
a) What is the probable diagnosis
b) Mention the criteria to diagnose the above clinical condition
d) Describe the management of the child
e) List four complication of the condition
f) Enumerate the advices you will give at discharge
(1+3+3+4+2+2)
difficulty in speaking ?one day. On examination he has respiratory rate of 42/mt and
SPO2 is 88% and bilateral rhonchi present. He gives history of recurrent episodes of
cough and breathlessness and has been advised regular treatment to which he is not
compliant
b) Enumerate the points from history and examination to substantiate the diagnosis
c) Describe the steps in the management of this child in casualty
d) Enumerate the long term drug management plan for this child
e) List the advices you will give regarding home care to prevent further episodes
Short essays
(5x8=40)
3. Describe the hemodyanamics, clinical features and complications of Ventricular Septal
Defect
four complications of a child with cerebral palsy
5. Define Short Stature. List the causes of short stature. Describe the clues to etiology from
history and examination and investigations in a child with short stature
6. A 3-day old term baby is brought with jaundice up to soles, abnormal cry and poor
and describe the management strategies. Enumerate the differences between
physiological jaundice and pathological jaundice.
7. Enumerate the facial features, genetic basis and system wise complications in a child
with Down syndrome
Short answers
(5x4=20)
8. Elaborate with diagnosis the maternal and neonatal reflexes that help in breast feeding
unimmunized child regarding the need for vaccination
10. Enumerate the clinical features of Congenital Hypothyroidism in a neonate
11. Enumerate the clinical features and investigations in a child with acute torsion testis
12. Enumerate the WHO classification for a xerophthalmia
(10x1=10)
14. List two common Rheumatological diseases in children
15. List two surgical causes for delayed passage of meconium
16. Name two drugs used in the treatment of Acute lymphoblastic leukemia in children
17. List two drugs used in Organophosphorus Poisoning
19. List two Iron Chelators used in children with Thalassemia who are on regular Packed
Red Blood Cells transfusion
20. List two metabolic causes of chronic liver disease in children.
21. Define Microcephaly
*******************
Q.P. Code: 320001
Reg. No.: .....................
Third Professional MBBS (Part II) Degree Supplementary (SAY)
Examinations July 2024
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Pediatrics and NeonatologyTime: 3 Hours
Total Marks: 100
Answer all questions to the point neatly and legibly ? Do not leave any blank pages between
answers ? Indicate the question number correctly for the answer in the margin space
--- Content provided by FirstRanker.com ---
Answer all parts of a single question together ? Leave sufficient space between answersDraw table/diagrams/flow charts wherever necessary
Long Essays:
(2x15=30)
1. A 2-year-old male is brought to the Emergency room (ER) with history of fever and cough
--- Content provided by FirstRanker.com ---
for 3 days followed by puffiness of face, more in the morning hours as soon as getting upfrom sleep, abdominal distension and reduced urine output. No past history of similar
illness
a) What is the probable diagnosis
b) Mention the criteria to diagnose the above clinical condition
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c) Enumerate the investigations with expected findingsd) Describe the management of the child
e) List four complication of the condition
f) Enumerate the advices you will give at discharge
(1+3+3+4+2+2)
--- Content provided by FirstRanker.com ---
2. A 12-year-old boy is brought to casualty with history of cough, breathing difficulty anddifficulty in speaking ?one day. On examination he has respiratory rate of 42/mt and
SPO2 is 88% and bilateral rhonchi present. He gives history of recurrent episodes of
cough and breathlessness and has been advised regular treatment to which he is not
compliant
--- Content provided by FirstRanker.com ---
a) What is the probable diagnosisb) Enumerate the points from history and examination to substantiate the diagnosis
c) Describe the steps in the management of this child in casualty
d) Enumerate the long term drug management plan for this child
e) List the advices you will give regarding home care to prevent further episodes
--- Content provided by FirstRanker.com ---
(1+3+4+3+4)Short essays
(5x8=40)
3. Describe the hemodyanamics, clinical features and complications of Ventricular Septal
Defect
--- Content provided by FirstRanker.com ---
4. Define Cerebral palsy. Classify cerebral palsy based on topography and etiology. Listfour complications of a child with cerebral palsy
5. Define Short Stature. List the causes of short stature. Describe the clues to etiology from
history and examination and investigations in a child with short stature
6. A 3-day old term baby is brought with jaundice up to soles, abnormal cry and poor
--- Content provided by FirstRanker.com ---
feeding. Baby is A+ and mother is O+. Name the complications the child has developedand describe the management strategies. Enumerate the differences between
physiological jaundice and pathological jaundice.
7. Enumerate the facial features, genetic basis and system wise complications in a child
with Down syndrome
--- Content provided by FirstRanker.com ---
(PTO)Short answers
(5x4=20)
8. Elaborate with diagnosis the maternal and neonatal reflexes that help in breast feeding
--- Content provided by FirstRanker.com ---
9. Define autonomy in medical practice. How do you counsel parents of a one-year-oldunimmunized child regarding the need for vaccination
10. Enumerate the clinical features of Congenital Hypothyroidism in a neonate
11. Enumerate the clinical features and investigations in a child with acute torsion testis
12. Enumerate the WHO classification for a xerophthalmia
--- Content provided by FirstRanker.com ---
Precise answers--- Content provided by FirstRanker.com ---
(10x1=10)
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13. List four glomerular causes of Hematuria14. List two common Rheumatological diseases in children
15. List two surgical causes for delayed passage of meconium
16. Name two drugs used in the treatment of Acute lymphoblastic leukemia in children
17. List two drugs used in Organophosphorus Poisoning
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18. Define Perinatal Mortality Rate (PMR)19. List two Iron Chelators used in children with Thalassemia who are on regular Packed
Red Blood Cells transfusion
20. List two metabolic causes of chronic liver disease in children.
21. Define Microcephaly
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22. List four causes of Acute Flaccid Paralysis in children.*******************