Download VNSGU MBBS 2306000104040401 S Paediatrics Level 4 MarchApril2024 Question Paper

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2306000104040401-S

EXAMINATION MARCH-APRIL 2024

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THIRD YEAR MBBS PART-2

PAEDIATRICS - LEVEL 4

Instructions:

1. Fill up strictly the following details on your answer book.
   1. Name of the Examination: THIRD YEAR MBBS PART-2
   2. Name of the Subject: PAEDIATRICS – LEVEL 4

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   3. Subject Code No: 2306000104040401-S
2. Sketch neat and labelled diagram wherever necessary.
3. Figures to the right indicate full marks of the question.
4. All questions are compulsory.

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5. This paper contains Section - I, Section - II & Section - III (MCQs).
6. Section - I (MCQs) - 20 Marks are in different sheets.
7. Write each section in a separate answer sheet.

SECTION – I

1. Q.1 1) "Koplic Spots" are seen in which condition? 20

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   1. Measles
   2. Dengue
   3. Malaria
   4. Chicken Pox

   2) "NESTROFT Test" is used to diagnose this condition...

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   1. Sickle Cell Disease
   2. Iron Deficiency Anemia
   3. Thalassemia Major
   4. Megaloblastic Anemia

   3) What is the normal Upper segment to lower segment ratio at birth?

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   1. 1.7:1
   2. 1.3:1
   3. 1:1
   4. 1.5:1

   4) All of the following are live vaccines except:

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   1. BCG
   2. OPV
   3. Hepatitis B
   4. Measles

   5) This component is not a part of Tetrology of Fallots.

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   1. Ventricular Septal Defect (VSD)
   2. Overriding of Aorta
   3. Right Ventricular Hypertrophy
   4. Mitral Stenosis

   6) Drug of choice of Malaria in Children is

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   1. Chlorpheniramine
   2. Chloramphenicol
   3. Chlorhexidine
   4. Chloroquine

   7) These are Fat Soluble Vitamins except

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   1. Vitamin A
   2. Vitamin C
   3. Vitamin D
   4. Vitamin E

   8) Overall, the most common cause of Short Stature is ...

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   1. Familial Short Stature
   2. Constitutional Delay
   3. Rickets
   4. Turner Syndrome

   9) Toddler include which periods of growth and Development

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   1. 9 Months to 1 year of age
   2. 1 to 3 Years of age
   3. 3 to 6 Years of age
   4. First 4 Weeks after birth

   10) Microcephaly is defined as Head circumference

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   1. 2 SD less than mean
   2. 3 SD less than mean
   3. <33 cm at birth
   4. <40cm at 6 months

   11) Hemophilia B is caused by deficiency of

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   1. Factor VIII
   2. Factor IX
   3. Factor VII
   4. Factor XIII

   12) Common causes of Gross Hematuria are all except ________

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   1. Urinary Tract Infection
   2. Post Infectious Glomerulonephritis
   3. Urolithiasis
   4. Rhabdomyolysis

   13) According to IMNCI, upto 2 months of age, Fast Breathing is considered if Respiratory Rate is....

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   1. = 40 per minutes
   2. = 50 per minutes
   3. = 60 per minutes
   4. = 70 per minutes

   14) 12-year-old girl having Joint Pain, Fever and Butterfly Skin Rash over face. Her Renal Function is also abnormal. First Clinical suspicion will be....

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   1. Acute Lukemia
   2. Systemic Lupus Erythematosus (SLE)
   3. Chronic Renal Disease
   4. Leprosy

   15) Name the Trisomy that is associated with Endocardial Cushion Defect.

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   1. Klinefelter Syndrome
   2. Down's Syndrome
   3. Marfan Syndrome
   4. None of above

   16) What is the Fourth Cranial Nerve called?

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   1. Trigeminal
   2. Trochlear
   3. Occulomotor
   4. Facial

   17) The most common etiological agent for Acute Bronchiolitis is ________.

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   1. Respiratory Syncytial Virus
   2. Influenza Virus
   3. Para Influenza Virus
   4. Rhino Virus

   18) Calcium Gluconate is used for treatment of which condition?

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   1. Hypoglycemia
   2. Hypocalcemia
   3. Dehydration
   4. Shock

   19) Name a Protective Reflex that appears in late infancy but persist through out life.

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   1. Moro's Reflex
   2. Tonic Neck Reflex
   3. Parachute Reflex
   4. Grasping Reflex

   20) Which medication is advised in First Trimester of Pregnancy?

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   1. Folic Acid
   2. Iron
   3. Antibiotics
   4. Steroids

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SECTION - II

1. Q.1 Structured Long Essay Type Question. (Clinical Problem Based) 10

   3-year-old female child presented with complaints of swelling of the wrist and ankles and BOW legs

   Which vitamin deficiency is responsible for these features?

   Write other Clinical Features, Radiological Findings, and Management of this child.

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Q.2 Short Notes: - (Six) 30

1. Components of Safe Vaccine Practice
2. Duchene Muscular Dystrophy
3. Counselling regarding Breastfeeding to Primi mother

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4. Autism Spectrum Disorder
5. Clinical Features and Management of Severe Dehydration in 4-year-old child
6. Status Asthmaticus

SECTION - III

Q.3 Unstructured Long Question. 10

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Define Post - Streptococcal Glomerulonephritis. Write Etio-Pathology, Clinical Features, and Management of Post-Streptococcal Glomerulonephritis.

Q.4 Short Notes: - (Six) 30

1. Newer diagnostic tools for Tuberculosis in children
2. Common surgical conditions of the newborn
3. Sickle Cell Crisis and its treatment

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4. Approach to a child with Pyrexia of unknown origin
5. Counselling of parents of child with Down's Syndrome
6. Rotavirus Vaccine

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