SS/MBBS-III (Part-1)/1st IA/PAED/07-24
2024
(July)
PAEDIATRICS
Full Marks: 100
The figures in the margin indicate full marks for the questions
Answer all questions
1. Define growth and development. Describe the factors affecting normal
growth. What are the periods of growth spurts? Describe the velocity of
3+5+3+4=15
2. Describe the physiology of breast feeding, benefits of breast milk and
problem during breast feeding. 5+5+5=15
3. Write short notes on: 5x8=40
b) Essential investigations (Level 1) in a child with short stature.
c) Complementary feeding in the breastfed infant.
d) Treatment and prevention of vitamin A deficiency.
e) Physical and psychological changes during adolescence.
g) Aetiology, clinical features and management of Enuresis.
h) Approach to a child with development delay.
4. Answer in brief: 2x5=10
b) Define intellectual disability.
c) Ocular findings in vitamin A deficiency.
d) Uses of growth charts.
e) Criteria to define Encopresis.
Her plots on the WHO growth chart shows weight for length, weight for age
and head circumference to be within normal limit. However, her length for age
is below -3 Z score for her age. What is your interpretation from the above
mentioned findings? Approach to find out the clues to aetiology of the
6. An 8 years old child presents with lymphadenopathy, mild fever and weight
loss for last 1 to 2 months. Examination of the neck shows large rubbery lymph
nodes that are also present in the axilla and groin. There is a palpable spleen.
The patient undergoes a lymph node biopsy. The pathologist reported it as
requests the doctor that the final diagnosis has to be altered to tuberculosis by
whitening out the pathologist's report. When the doctor looks up he tells the
doctor "Sir, I googled lymphoma. It is almost like cancer. My wife will not be
able to handle the diagnosis. She has always been a worried frightened
a right to know the diagnosis? Should the parents be told about the diagnosis,
therapy and prognosis? Are there exceptions to full disclosure and can father
request withholding of information from mother? 1+2+2=5
7. Choose the correct option: 1x5=5
a) 20 cm per year
b) 25 cm per year
c) 30 cm per year
d) None of the above
a) 1250
b) 1500
c) 1750
d) 2000.
a) birth asphyxia
b) iodine deficiency
c) iron deficiency
d) prematurity
a) 3
b) 6
c) 9
d) 12
a) 4 hours
b) 8 hours
c) 12 hours
d) 24 hours
SS/MBBS-III (Part-1)/1st IA/PAED/07-24
2024
(July)
PAEDIATRICS
Full Marks: 100
--- Content provided by FirstRanker.com ---
Time: 3 hoursThe figures in the margin indicate full marks for the questions
Answer all questions
1. Define growth and development. Describe the factors affecting normal
growth. What are the periods of growth spurts? Describe the velocity of
--- Content provided by FirstRanker.com ---
growth in weight, length and head circumference during infancy.3+5+3+4=15
2. Describe the physiology of breast feeding, benefits of breast milk and
problem during breast feeding. 5+5+5=15
3. Write short notes on: 5x8=40
--- Content provided by FirstRanker.com ---
a) Health problems during adolescence.b) Essential investigations (Level 1) in a child with short stature.
c) Complementary feeding in the breastfed infant.
d) Treatment and prevention of vitamin A deficiency.
e) Physical and psychological changes during adolescence.
--- Content provided by FirstRanker.com ---
f) Not enough breast milk.g) Aetiology, clinical features and management of Enuresis.
h) Approach to a child with development delay.
4. Answer in brief: 2x5=10
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a) Define adolescence and stages of adolescence.b) Define intellectual disability.
c) Ocular findings in vitamin A deficiency.
d) Uses of growth charts.
e) Criteria to define Encopresis.
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5. Riya is an 18 months old girl who weighs 8.5 kg and has a length of 73.5 cm.Her plots on the WHO growth chart shows weight for length, weight for age
and head circumference to be within normal limit. However, her length for age
is below -3 Z score for her age. What is your interpretation from the above
mentioned findings? Approach to find out the clues to aetiology of the
--- Content provided by FirstRanker.com ---
case. 2+8=106. An 8 years old child presents with lymphadenopathy, mild fever and weight
loss for last 1 to 2 months. Examination of the neck shows large rubbery lymph
nodes that are also present in the axilla and groin. There is a palpable spleen.
The patient undergoes a lymph node biopsy. The pathologist reported it as
--- Content provided by FirstRanker.com ---
lymphoma. The father comes with the report in the doctor's office andrequests the doctor that the final diagnosis has to be altered to tuberculosis by
whitening out the pathologist's report. When the doctor looks up he tells the
doctor "Sir, I googled lymphoma. It is almost like cancer. My wife will not be
able to handle the diagnosis. She has always been a worried frightened
--- Content provided by FirstRanker.com ---
person. I want you to tell my wife that our child has TB." Do the parents havea right to know the diagnosis? Should the parents be told about the diagnosis,
therapy and prognosis? Are there exceptions to full disclosure and can father
request withholding of information from mother? 1+2+2=5
7. Choose the correct option: 1x5=5
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i. The average length velocity in the first year of life isa) 20 cm per year
b) 25 cm per year
c) 30 cm per year
d) None of the above
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ii. The daily energy requirement (kcal/day) of a 15 kg old child isa) 1250
b) 1500
c) 1750
d) 2000.
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iii. The most common preventable cause of mental retardation in children isa) birth asphyxia
b) iodine deficiency
c) iron deficiency
d) prematurity
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iv. Stranger anxiety is present in a child by the age (months) ofa) 3
b) 6
c) 9
d) 12
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v. Breast milk can be stored in a refrigerator fora) 4 hours
b) 8 hours
c) 12 hours
d) 24 hours
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****SS/MBBS-III (Part-1)/1st IA/PAED/07-24