Download BFUHS MBBS Final Year MBN408 Paediatrics Paper I Mar 2024 mcq Question Paper

Total No. = 03 pages
Q.P. Code: MBN408
M.B.B.S. Final Prof. Part-II
(New Scheme w.e.f. 2019 admission onwards)

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BF/2024/03
Paediatrics
M.M. : 100
Time : 3 Hours(First 30 Min. for MCQs)
Note: 1.

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Use OMR Sheet to answer Multiple Choice Questions(MCQs).
2.
Attempt all questions. Illustrate your answers with suitable diagrams
3.
NO SUPPLEMENTARY SHEET SHALL BE ALLOWED/PROVIDED

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4.
The student must write Q.P. Code in the space provided on OMR Sheet and the Title page of
the Answer Book.
Q.1
MCQs (Attempt on OMR sheet)

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[1x20]
1.
A 2 years old child presented with loose stool and reduced frequency of urination since 1 day. On
examination, child had some dehydration, distension of abdomen and absent bowel sounds. What is
the most likely complication?

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a.
Hyocalemia
b.
Hypokalemia
c.

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Hyponatremia d.
Low levels of zinc
2.
Familial short stature is associated with
a.

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Delayed puberty
b.
Delayed bone age
c.
Family history of delayed puberty d.

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Normal height velocity
3.
Which of the following clinical feature is suggestive of Autism spectrum disorder
a.
Inattention

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b.
Hyperactivity
c.
Impulsive, intrusive behaviour
d.

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Impaired verbal communication
4.
A girl has generalized breast enlargement extending beyond the areola, pigmented pubic hair coarse
and beginning to curl. Her sexual maturity rating (SMR) is
a.

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2
b.
3
c.
4

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d.
5
5.
A 2 year old unwell child requires intravenous replacement fluid for fluid loss due to repeated gastric
aspiration. Which replacement fluid would you advice?

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a.
? Normal Saline with KCL
b.
Normal Saline with NaHCO3 and KCl
c.

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Normal Saline with NaHCO3
d.
5% Dextrose with KCl
6.
A 10 months old child presented with repeated episodes of loose stools since 1 month. On

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examination, the weight was 6 kg and length 65 cm (i.e. weight-for-height z-score -4; weight-for-age
z-score -3.1), mid upper arm circumference 11.3 cm and no edema. What is the most appropriate
description of the patient?
a.
Moderate acute malnutrition

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b.
Wasting and no stunting
c.
Stunting and no wasting
d.

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Severe acute malnutrition
7.
A 2 years old child was brought with complaint of not eating enough. On examination, anterior
fontanella was open, only 2 milk teeth present, protuberant abdomen, bow legs and wide ankles were
noted. What is the most likely diagnosis?

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a.
Vitamin B6 deficiency
b.
Vitamin C deficiency
c.

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Vitamin E deficiency
d.
Vitamin D deficiency
8.
A 3 year old girl with rickets is treated with Stoss therapy consisting of mega dose of 6 lac units of

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vitamin D. The therapy can lead to
a.
Low calcium levels in urine
b.
Low calcium levels in blood

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---

c.
Increase in Parathormone levels
d.
Nephrocalcinosis
Page 1 of 3

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9.
A term male neonate not breathing at birth is still gasping after receiving initial steps of resuscitation
including suction. Next step should be
a.
Oxygen

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b.
Positive pressure ventilation
c.
CPAP
d.

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Chest compression
10.
A neonate at birth is having loose skin folds over back and buttocks and weighing 2.8 kg. The closest
diagnosis is
a.

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Preterm
b.
Low birth weight
c.
Small for date

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d.
Intra Uterine Growth restriction
11.
A 6 day old male neonate is having jaundice over palms and soles. His approximate total serum
Bilirubin level is likely to be

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a.
2 mg/dl
b.
5 mg/dl
c.

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10 mg/dl
d.
15 mg/dl
12.
A 14 weeks old female has come for Pentavalent vaccine. The site of injection should be

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a.
Deltoid
b.
Triceps
c.

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Anterolateral aspect of thigh
d.
Upper and outer quadrant of Gluteal region
13.
A 4 year old boy has come with fever for 6 days. Which test will you do for diagnosing Dengue

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a.
Virus detection by PCR
b.
NS1 antigen
c.

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IgM antibodies
d.
IgG antibodies
14.
Maculopappular rash in measles appears on which day of fever

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a.
Second
b.
Fourth
c.

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Seventh
d.
Tenth
15.
In a twelve year old boy having mumps, epididymoorchitis will occur

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a.
Before Parotitis
b.
Simultaneous with onset of parotitis
c.

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1 week after parotitis
d.
1 month after parotitis
16.
Anhydrous glucose concentration in WHO recommended ORS is

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a.
65 mmol/L
b.
75 mmol/L
c.

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90 mmol/L
d.
245 mmol/L
17.
A 5 years old boy is having anemia, mild jaundice with splenomegaly. Peripheral smear shows

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microcytosis. The most likely diagnosis is
a.
Nutritional anaemia
b.
Thalassaemia

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c.
Autoimmune haemolytic anaemia
d.
G6PD deficiency
18.

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The antidote for acute paracetamol poisoning is-
a.
Flumazenil
b.
Naloxone

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c.
N-Acetylcysteine
d.
Pralidoxime
19.

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Surgical treatment of ventricular septal defect (VSD) is indicated if there is
a.
Small muscular VSD
b.
Severe pulmonary artery hypertension

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c.
Significant right to left shunt
d.
Large left to right shunt
20.

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A child with polyuria is having urine osmolality < 300mOsm/L and on water deprivation test , it is
<750mOsm/L. The most likely diagnosis is
a.
Diabetes insipidus
b.

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Aldosterone resistance
c.
Diabetes mellitus
d.
Adrenal insufficiency

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Q.2.
Make a table of age of achievement of key milestones in the first year of life in gross motor, fine
motor, personal social and language domains.

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[3+3+3+3]
Q.3.
Write short notes on:-

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[5x4]
a.
Management of Status Epilepticus.
b.
Laboratory investigations for diagnosis of Iron deficiency.

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c.
Management of a 1 year old child with Serum Sodium 115 meq/L.
d.
Inhalation devices for drug therapy in bronchial asthma.
Q.4.

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Explain the reason why:-
[3x5]
a.
A child with acute ITP with platelet count 50,000/microliter does not require platelet
transfusion.

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b.
Steroid doses when shifted to every other day in continuation phase of nephrotic syndrome to
be preferably given as a single morning dose.
c.
A child with a congenital heart disease with left to right shunt becomes symptomatic at 6-8

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weeks of life.
d.
Short acting adrenergic agonists (SABAs) are not effective for wheeze in infants less than 2
months of age.
e.

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Antibiotics need not be given in all cases of blood mixed stools.
Q.5.
Write short notes on:-
[6x3]
a.

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Management of severe hypothermia in neonates
b.
Diagnosis of neonatal sepsis
c.
Eradication and endgame strategic plan of global polio eradication initiative.

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Q.6.
Write short notes on:

[5x3]
a.

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Evaluation of an infant with cholestasis
b.
Define cerebral palsy and enumerate the causes
c.
Discuss the medico-legal, socio cultural, professional and ethical issues pertaining to

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malpractice.
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