0225 E581
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.
4. Draw diagrams wherever necessary.
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5. Write legibly.Section 1
1.Write in detail (Any one out of twc) LxL0-10
marks
(10)
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a) Enumerate Principles of growth anddevelopment. Mention fine motor/ adaptive,
receptive and expressive language development
till 3 years. What are the screening tools for
development till 6 years of age?
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b) Define severe acute malnutrition. How do youmanage 18 month old child with severe acute
malnutrition presenting with decreased
responsiveness?
2.Case based scenario/applied short notes
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Anytwcooutotthree)) 2x6= 12 marks(12)
a) 3 months oid infant oresented with a history of
fever of 5 days and decreased feeding for 1 day.
What are the differential diagnoses? Briefly
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discuss managementb) The 15 months old child was presented with
loose stools for 3 days. Examination revealed
impaired response, rapid & feeble oulse, doughy
skin. His weight was 8 kgs and serum sodium was
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165 mEq/L.Discuss the management.c) How do you classify Vitamin A deficiency?
How co you treat vitamin A deficiency in 10
month oid infant weighing 5.5 Kg and not taking
orally. Enumerate Vitamin A rich food and their
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vitamin A content.3.Write short notes (any three out of four) 3x6
=18 marks
(18)
a) What is the Infant mortality rate? What are 5
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most common causes of IMR in India? Discuss 3preventable causes of IMR
b) Vaccination of un immunized coming at 15
months of age and whose creatinine is 2.5 mg/dL
c) Discuss about 6 veer old child presenting with
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afebrile seizures and MRI of brain showing ringenhancing lesion
d) Laboratory diagnosis of Nutritional
megaloblastic anemia in adolescent and it?TMs
management
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4.Answer only in 23 sentences (Any five)(10)
a) How do you calculate head circumference in
first 2 years of life?
b) Mention developmental age for standing with
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support putting an oblect to mouth, recognition ofstranger, 2 meaningful words
c) Normal bicarbonate level in infancy and
formula to calculate PCO2 in metabolic acidosis
d) Define Type 2 respiratory failure. Mention 2
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causes.e) Preurnococcal vaccination in immunization
programme.
f) Dose and safety of iouprofen.
Section 2
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5.Write in detail (Any one out of two) ix10marks
(10)
a) Define shock in neonate. How do you approach
3 day preterm neonate with alow volume central
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pulse? Write briefly on managing sepsis.
b) Define perinatal asphyxia. Discuss the
management and post discharge follow up.
6.Case based scenario/agplied short notes (Any
two out of three) 2x6= 12 marks
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(12)a) A 4 year old child presenting with wheeze of i
day and is unable to speak words. He had a
similar history in the past. i. Write causes of
recurrent wheeze in 4 year old child ii. How do
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clinically classify severity in 4 year old iii. Howdo you manage status asthmaticus?
b) A 2 year old presents with decreased activity
and pallor. i, What are the causes of pallor in a 2
year old child? ii. How do you manage the child
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with Hb-4gm/dt with microcytic hypo chromic inperipheral smear having no splenomegaly? iil,
Write a Note on weekly iron and folic acid
supplementation as outlined in Anemia Mukt
Bharat Programme.
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c) Write a note on pulse oximetry screening in
neonate. Write on hemodynamics and
management of Total Anomalous pulmonary
venous return.
7.Write short notes (any three out of four) 3x6
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=18 marks(18)
a) Diagnosis and management of post
streptococcal glomerulonepshritis
b) Mention the clinical features of very severe
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pneumonia .Out line itaTMs management,c) Enumerate preventable causes of hearing loss.
Write briefly on auditory screening in jess than 1
year
d) Drugs used in treatment of Congestive Cardiac
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failure.8.Answer only in 2-3 sentences (Any five out of
six) 2x5=10 marks
(10)
a) Define hypoglycemia in neonate.How do you
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treat it?
b) Mention 4 complications of intravenous
immunoglobulin for GB syndrome.
c) Diagnostic criteria for Acute renal failure
d) Treatment of Leptospirosis in children
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e) HPV vaccinationf) Treatment of Acute suppurative otitis media