Download RUHS MBBS 4th Year 2024 January Paediatrics Question Paper

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18-01-2024

III-MBBS (Part-II)

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RUHS

1441

Third Professional M.B.B.S. Part-II (Main) Examination (New Scheme)

January 2024

Paediatrics

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Paper-I

Time: Three Hours

Maximum Marks: 100

Attempt all questions in both sections.

Section-A

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1. Fill in the blanks: 6x01=6
   1. Haemophilia is inherited as ......
   2. Midparental height (MPH) is calculated by ......
   3. ......is the antidote of Paracetamol poisoning.
   4. ......deficiency causes Haemorrhagic disease of newborn.
   5. The most common etiological agent for diarrhoea in under 5 children is

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   6. The commonest cause of Hypokalemia in children is ......
2. Answer the following: 4x1=4
   1. Which of the following is an example of live attenuated vaccine?
      1. Hepatitis B
      2. DPT
      3. Measles

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      4. Pneumococcal vaccine
   2. Which is not a major criteria of modified Jones criteria?
   3. 1. Carditis
      2. Arthritis

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      3. Chorea
      4. Fever
   4. Which is not a component of Tetralogy of Fallot?
      1. VSD
      2. Pulmonary stenosis

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      3. ASD
      4. Overriding of Aorta
   5. Following statement regarding absence seizures are correct except:
      1. They start at 5-8 years
      2. Hyperventilation for 3-5 min can precipitate absence seizures

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      3. A significant postictal phase is seen in absence seizures
      4. 3 Hz spikes and slow waves discharges may be seen on EEG
3. A 7 year old child present to casualty with complain of generalised swelling all over the body since last 10 days and red colour urine since last 7 days. On examination his respiratory rate is 40 breaths per minute and blood pressure is 140/90 mmHg:
   1. What are the differential diagnosis? 02

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   2. What are the investigations needed? 03
   3. How will you manage this case? 04
   4. What will be the complications of this illness? 04
   5. What are the causes of Gross hematuria? 02

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4. Write briefly on (Any five): 5x2=10
   1. Varicella vaccine
   2. Complications of Mumps
   3. Hand-foot mouth disease
   4. Neonatal seizure
   5. WEST syndrome

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   6. Radiological changes of Scurvy
5. Explain why (Any Three): 3x5=15
   1. Surfactant therapy is indicated in severe RDS newborn baby.
   2. Phototherapy used in management of neonatal jaundice.
   3. Dietary restriction of wheat is recommended in Celiac disease.

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   4. Mantoux test is done before starting steroid in Nephrotic syndrome.

Section B

6. How will you approach a child present with Panotopenia? Describe etiology, clinical feature and management of Megaloblastic Anemia. 20
7. Write briefly on (Any Five): 5x2=10
   1. Kangaroo mother care

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   2. Complications of Scrub Typhus
   3. APGAR Score
   4. Dukes criteria
   5. Management of Juvenile Arthritis (JIA)
   6. Failure to Thrive

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8. Write shorts notes on: 4x5=20
   1. Neonatal resuscitation protocol (Flow chart)
   2. ADHD
   3. Congenital Hypothyroidism
   4. Hyperkalemia

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