Download MBBS HNBUMU Final Year 2018 Pediatrics Including Neonatology Question Paper

FINAL MBBS Part II, First Terminal Examination

Paediatrics Including Neonatology

Time: Two Hours

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Maximum Marks: 40

Note: 1) Use separate answer sheets for Section A & B.

II) Attempt all the questions.

Section A

Q.1 A 4 year old child presents to you with complaints of gradually increasing swelling all over the body, starting from face, for last 2 days. Child has decreased urine output but no change in colour. On examination Blood Pressure is 86/56 mm of Hg (Normal), Cardiovascular system examination is normal. His investigations show heavy proteinuria (++++), serum albumin 2.0 gm/dl & serum cholesterol is 560 mg/dl.

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a) What is the most probable diagnosis (1 mark)

b) What is the differential diagnosis. (2 marks)

c) Enumerate the complications that may occur. (2 marks)

d) How will you treat this child? (3 marks)

Q.2 Write short notes on: 4 Marks each (4 x 3 = 12)

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a) Management of status epilepticus.

b) Management of cyanotic spell in Tetralogy of Fallot.

c) Breast Feeding guidelines for a newborn, born to an HIV positive mother.

Section B

Q. 3 Write briefly about: (any five) 3 Marks each (3 x 5 = 15)

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a) Define Protein Energy Malnutrition. How do you differentiate between Kwashiorkar

b) Investigations of a case of short stature

c) Treatment of iron deficiency anemia

d) IPV Vaccine

e) Febrile Seizures

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f) Management of Jaundice in newborn due to Rh/ABO group incompatibility

g) Management of a case of Ac. Gastroenteritis with severe dehydration.

Q. 4 Give simple diagrammatic representation of: (2.5 x 2 = 5)

a) Flowchart of neonatal resuscitation.

b) Vitamin D metabolism.

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