0124 E604
Final Year MBBS Examination
III MBBS Part 2 Pediatrics (New)
Time: 3 hours
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Max Marks: 1001. Answer to the points.
2. Figure to the right indicates marks.
3. Use separate answer books for each
section.
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4. Draw diagrams wherever necessary.5. Write legibly.
Section 1
1. Write in detail (Any one out of two)(10)
a) Define development Enumerate
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Principles of development. Mentionreceptive and expressive language
development till 2 years, What are the
screening tools for development till 2
years of age?
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b) Define Severe acute malnutrition.Management principles of severe acute
malnutrition.How do you manage acute
diarrhoea with shock in severe acute
malnutrition?
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2. Case based scenario/applied shortnotes (Any two out of three)
(12)
a) The 9 months old infant presented with
a history of fever of 2 days and recurrent
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convulsions of 1 day. Enumerate thecauses of convulsion. What are the
Cerebrospinal fluid findings of pyogenic
meningitis? How do you manage pyogenic
meningitis?.
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b) The 13 months old child presented withno eruption of teeth. When do you say
vitamin D levels are low? How do you
manage Vitamin D deficiency? Mention
fat soluble vitamins.
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c) When do you say metabolic acidosis?How do you differentiate normal and
increased anion gap metabolic acidosis?
Mention 3 causes of increased anion gap
metabolic acidosis.
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3. Write short notes (any three out of
four)
(18)
a) What is the early neonatal mortality
rate? What are 3 most common causes of
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early NMR in India? Mention 3 actionsmost important to reduce neonatal
mortality rate
b) Vaccination at 6 weeks as per universal
immunization programme
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c) Management of Tuberculomad) Laboratory diagnosis of Vitamin B12
deficiency and it's management
4. Answer only in 2-3 sentences (Any five
out of six)
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(10)a) Formula to calculate the weight and
height in 8-year-old child
b) Mention developmental age for roll
over, waving bye bye, recognition of
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mother monosyllable wordsc) Define Respiratory acidosis
d) Polio vaccination in UIP
e) Dose and safety of paracetamol
f) What is the rate of increase of head
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circumference till 6 months of age?
Section 2
5. Write in detail (any one out of two) (10)
a) What is temperature in nicu for
minimum energy expenditure with normal
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body temperature? How do you measuretemperature in newborn?What are the
components of 2 a warm chain?How do
manage mild hypothermia
b) When world prematurity day is
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celebrated ?How do you manage a preterm(32 weeks) b weighing 1.4 kgs.How is the
growth monitoring done in follow up?
6. Case based scenario/applied short
notes (Any two out of three)
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(12)a) A5 months old infant presenting with
fever of 3 days and cold to touch, to the
emergency department i) Write causes of
shock in infant. ii) How do clinically
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classify severity of shock iii)How domanage septic shock in infant?
b) A4 year old presents with decreased
activity and pallor. i) What are the siiiges
of pallor in a 4 year old child? ii) How do
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you manage the child with Hb-6g/dLwithmicrocytic hypochromic in peripheral
smear having no splenomegaly? iii) Write
a Note on weekly iron and folic acid
supplementation.
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c) Anomalies in infant of diabetic mother.Write on hemodynamics and management
of D transposition of great vessel
7. Write short notes (any three out of
four)
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(18)a) Diagnosis and management of minimal
change nephrotic syndrome
b) Mention the clinical features of acute
severe asthma Out line it's management
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c) Enumerate preventable causes of mentalretardation.Write briefly on newborn
screening for hypothyroidism
d) Drugs used in treatment of hypertension
8. Answer only in 2-3 sentences (Any five
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out of six)(10)
a) Define hypocalcemia in neonate How
do you treat it?
b) Mention 4 late complications of blood
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transfusion in thalassemia children.c) Diagnostic criteria for diabetic
ketoacidosis
d) Treatment of rickettsial fever in
children
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e) Rabies vaccination schedule Treatmentof uncomplicated Urinary tract infection
f) Treatment of uncomplicated urinary
tract infection
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