Download MBBS KUHS Final Year 2008 February Pediatrics and Neonatology Question Paper

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D 42773

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Name:........................

Reg. No........................

THIRD PROFESSIONAL M.B.B.S. DEGREE EXAMINATION, FEBRUARY 2008

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Part II

PAEDIATRICS INCLUDING NEONATOLOGY

(New Scheme)

Time: Two Hours Maximum: 40 Marks

Answer all the questions.

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Draw diagrams wherever necessary.

Answer Section A and B in separate answer books.

MCQs should be answered first in the response sheet provided.

Section A

I. Multiple Choice Questions. Single response type 8 (separate sheet attached). (8 × ¼ = 4 marks)

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II. Match the following. Single response type 8 (separate sheet attached). (8 × ¼ = 4 marks)

III. Draw and label:

1. Roundworm ova.
2. Urine findings in acute glomerulonephritis.

(2 × 1 = 2 marks)

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IV. Short answer questions:

1. Composition of WHO oral rehydration solution.
2. Define Infant Mortality rate.
3. Moro reflex.
4. Organisms causing acute bacterial meningitis in a 18 month old baby.

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(4 × 1 = 4 marks)

V. Write short notes on:

1. Cyanotic spell.
2. Complications of measles.
3. Causes of short stature.

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(3 × 2 = 6 marks)

Section B

VI. Read the paragraph and answer the following questions:

A 1½ year old child is brought with failure to thrive, difficulty in breast feeding, and recurrent lower respiratory infections.

O/E there is a pansystolic murmur in the lower left sternal border.

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1. What is the probable diagnosis?
2. How will you investigate this child?
3. How will you treat this child?
4. What are the complications of this condition?

(1+3+3+3= 10 marks)

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VII. Short answer questions:

1. IAP classification of malnutrition.
2. Treatment of severe dehydration.
3. Causes of seizures in the newborn.
4. Complication of DPT vaccine.

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(4 × 1 = 4 marks)

VIII. Write short notes on:

1. Clinical features of congenital hypothyroidism.
2. Prevention of parent to child transmission of HIV.
3. Management of acute fulminant liver cell failure.

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(3 × 2 = 6 marks)

L 42773

PAEDIATRICS INCLUDING NEONATOLOGY

I. MULTIPLE CHOICE QUESTIONS

Note.-(1) Do not write anything on the question paper.

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(2) Write your register number in the answer-sheet provided.

(3) Select one most appropriate response and encircle the corresponding alphabet against each question number in the answer-sheet provided.

1. Causes of stridor in children include all the following except:

(A) Laryngotracheobronchitis. (B) Bronchiolitis.

(C) Acute epiglottitis. (D) Foreign body aspiration.

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2. The antimalarial drug contra indicated in pregnancy is:

(A) Primaquine. (B) Chloroquine.

(C) Quinine. (D) Amodiaquine.

3. Ideal weight, height and head circumference of a 1 year old child is:

(A) 80 cm, 10 kg, 45.5 cm. (B) 75 cm, 10 kg, 45 cm.

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(C) 75 cm, 12 kg, 45.5 cm. (D) 80 cm, 11 kg, 47 cm.

4. Which of the following requires immediate surgical intervention in the newborn period?

(A) Caphalhaematoma. (B) Phimosis.

(C) Umbilical hernia, 1 cm reducible. (D) None of the above.

5. Complication tetralogy of Fallot includes all the following except:

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(A) Cyanotic spell. (B) Congestive heart failure.

(C) Cerebral thrombosis. (D) Cerebral abscess.

6. Inheritance in haemophilia is:

(A) Autosomal dominant. (B) Autosomal recessive.

(C) Sex linked recessive. (D) Multifactorial.

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7. All of the following conditions cause indirect hyper bilirubinaemia in the neonate except:

(A) Rh incompatibility. (B) Criggler-Najjar syndrome.

(C) Biliary atresia. (D) Breast milk jaundice.

8. Pincer grasp is achieved at:

(A) 4 - 6 months. (B) 6 - 9 months.

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(C) 9 - 12 months. (D) 12 - 15 months.

D 42773

PAEDIATRICS INCLUDING NEONATOLOGY

II. Match the following :-

A 1 Café au lait spot (a) Toxoplasmosis.

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2 Cataract (b) Cytomegalic inclusion disease.

3 Hydrocephalus (c) von Recklinghausen disease.

4 Ash leaf macule (d) Tuberous sclerosis.

(e) Congenital rubella syndrome.

B 1 Reticulocytosis (a) Wiskott-Aldrich syndrome.

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2 Philadelphia chromosome (b) Spherocytosis.

3 Thrombocytopenia (c) Iron deficiency anaemia.

4 Thrombocytosis (d) Chronic myeloid leukaemia.

(e) Kawasaki disease.

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