0424 E016
Final Year MBBS
Examination
III MBBS Part 2 Pediatrics
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(New)Time: 3 hours
Max Marks: 100
Instructions:
1. Answer to the points.
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2. Figure to the right indicates marks.3. Use separate answer books for each
section.
4. Draw diagrams wherever necessary.
5. Write legibly.
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Section 11. Write in detail (any one out of two)
1x10=10 marks (10)
a) Define
persistent diarrhoea. How will you
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assess dehydration and manage a 2-year-old child weighing 10 Kg
presenting with persistent diarrhoea
with severe dehydration.
b) Define Global developmental
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delay. Write causes ofdevelopmental delay in children and
its approach for management.
2. Case based scenario/applied short
Notes (any two out of three)
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2x6=12 Marks (12)a) A one-year-old
low birth weight child presented with
severe anemia. child was on bottle
feedigg since birth. Currently he is
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consuming | liter of milk every daywith a poor complementary diet. a.
What are the causes and type of
anaemia in this child. b. Write
Laboratory investigation and its
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management.b) A 4-year-old Female presented
with high grade fever, headache,
vomiting for + days and convulsion
and unconsciousness for | day- a.
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What is the possible differentialdiagnosis in this child? b. Write
Laboratory investigation and its
management.
c) A 2-year-old child came with high
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grade fever for 3 days with coughand cold. He is Dull. Lethargic, not
feeding well, his R.R is 66/min,
severe chest indrawing. SPO2 89 on
room air a. Classify his illness as per
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IMNCI. b. Write the investigation andmanagement.
3. Write short notes (any three out of
four)
3X6=18 marks (18)
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a) Write 10 steps of management ofsevere acute malnutrition_E
b) Management of acute severe
attack of bronchial asthma.
c) Pneumococcal vaccine.
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d) Management of pulmonary T.B asper National tuberculosis elimination
program.
4. Answer only in 2-3 sentences (any
5 out of six)
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2x5=10 (10)a) Diagnostic criteria for severe acute
malnutrition.
b) Sodium and glucose concentration
in WHO ORS.
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c) Site, route and contraindication ofBCG vaccine.
d) Danger signs in Dengue fever.
e) WHO classification of Vitamin A
deficiency.
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f) Diagnostic criteria for attentiondeficit hyperactive disorder.
Section 2
5. Write in detail (any one out of two)
1x10=10 marks (10)
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a) what isperinatal asphyxia? write the staging
of Hypoxic ischemic encephalopathy
and management of neonatal
seizure.
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b) What is physiological Jaundice?
Write the causes of pathological
jaundice and its management in
newborn.
6. Case based scenario/applied short
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Notes (any two out of three)2x6=12 Marks (12)
a) A 5-year-old
child has generalized oedema which
started as facial puffiness and
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oliguria since 8 days. Writedifferential diagnosis, laboratory
investigation and management of
first attack of nephrotic syndrome.
b) 4-year-old boy presented with
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severe auemia aiid hepato -spleaomegaly with Hb 4. He has
been receiving blood transfusion
every 2-3 months since 6 month of
age. He is not growing well. write
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differential diagnosis, Laboratorinvestigation and management.
c) A 8-month-old girl presented with
recurrent pneumonia, suck- rest-
suck cycle of feeding, failure to thrive
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with fast breathing. write.causes ofleft to right Shunts and
hemodynamics of ventricular septal
defect.
7. Write short notes (any three out of
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four)3X6=18 mark (18)
a) Acute flaccid paralysis surveillance
program.
b) Antiinfective property of Breast
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milk.c) congenital hypothyroidism
d) Kawasaki disease.
8. Answer only in 2-3 sentences (any
5 out of six)
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2x5=10 (10)a) 4 Causes of fever with rash.
b) 4 benefits of kangaroo mother
care.
c) Signs of raised intracranial
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tension.d) Post exposure prophylaxis for
rabies.
e) Strategies in Anaemia mukt Bharat
program.
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f) Management of breath holdingspell..