Download MBBS (Bachelor of Medicine, Bachelor of Surgery) TMU (Teerthanker Mahaveer University) Final Year (4th Year) 2016 MBBS402 Paediatrics Previous Question Paper
MBBS III (Third) Professional Part-2 Examination
2015-16
Course Code:MBS402
Paper ID:0314135
Paediatrics
Time: 2 Hours 10 Minutes
Max Marks: 30
Note: Attempt all questions. Draw proper diagrams to support
your answer.
Part `B'
1.
Define Diabetic ketoacidosis and how will you manage a
child with severe DKA. (7)
2.
Approach to a child with short stature. (7)
Part `C'
3.
Write in brief about the following: (4x4=16)
a)
Bed wetting
b)
Advantages of breast feeding
c)
Hyponatremia
d)
Phototherapy
MBBS III (Third) Professional Part-2 Examination 2015-16
Roll No.
Student's Name
Student's Signature
Invigilator's Signature
Course Code:MBS402
Paper ID: 0314105
Paediatrics
Part `A'
Time: 20 Minutes
Max Marks: 10
Note: 1. Attempt all questions and return this part of the question paper to the invigilator after 20 Minutes.
2. Please tick () correct one only. Cutting, overwriting or any other marking are not allowed.
3. For answering please use Ball- pen only.
Q.1
Which of the following suggest a diagnosis of
epiglottitis rather than croup:
Q.7
In neonatal resuscitation chest compression is
a)
Onset over days
indicated when heart rate is below ----------
b)
Severe barking cough
beats/min after 30 sec of positive pressure
c)
Temperature of 38?C
ventilation with 100% oxygen:
d)
A toxic, ill-looking child
a)
60
b)
100
c)
120
d)
40
Q.2
A baby girl is considered normal at birth but
Q.8
Which of the following sign is not included in
on the second day of age cyanosis is noted.
Apgar score:
No murmur is heard and there is no
a)
Heart rate
respiratory distress. On the third day, cyanosis
b)
Muscle tone
is more obvious and the respiratory rate is
c)
Reflex irritability
increased. Which of the following is correct
d)
Respiration rate
concerning this patient:
a)
Cyanosis is most likely due to
P.T.O.
congenital heart defect
Q.9
The milk secreted before and during initial 3-
b)
The baby's colour should improve
4 days after delivery is called:
rapidly after giving 100% 02
a)
Preterm milk
c)
The baby's chest x-ray shows a small
b)
Transitional milk
heart. This is against the diagnosis of
c) Colostrum
congenital heart disease
d)
Fore milk
d)
The lack of murmur is against the
diagnosis of CHD
Q.10 Dermal stainingin neonatal hyperbiliru-
binemia progresses in which distribution:
Q.3
Term new born regain birth weight at:
a)
Centripetal
a)
10th day of life
b)
Centrifugal
b)
14th day of life
c)
Craniocaudal
c)
20th day of life
d)
No specific pattern
d)
28th day of life
Q.11 Acute Flaccid Paralysis Surveillance is
Q.4
In pediatric shock, which of the following is
conducted under which programme:
true:
a)
Global Polio Eradication Initiative
a)
Hypotension is an early sign of
b)
Revised National Tuberculosis
hypovolemia
Control Programme
b)
The initial crystalloid bolus is 20
c)
Universal Immunization Programme
ml/Kg
d)
National vector-borne disease control
c)
Normal capillary refill time is < 1
programme
second
d)
The colloid of choice is 4.5% albumin
Q.12 Composition of electrolytes in low
osmolarORS in mmol/L:
Q.5
Features of pyloric stenosis include:
a)
Na- 80, K- 15, Cl- 60, glucose-80
a)
Hypochloremic hypokalemic metabolic
b)
Na- 75, K- 20, Cl- 65, glucose-75
alkalosis
c)
Na- 90, K- 20, Cl- 80, glucose-111
b)
Bile-stained vomiting
d)
Na- 90, K- 25, Cl- 60, glucose-90
c)
Greater incidence in girls than boys
d)
Association with Down's syndrome
Q.13 Which micronutrient supplementation during
acute diarrhoea leads to faster recovery and
Q.6
In a 6 month old child with meningitis, the
improved outcome in children:
following organisms should be covered by
a)
Calcium
first line antibiotic therapy:
b)
Magnesium
a)
Group B Streptococcus
c)
Zinc
b)
Listeria monocytogenes
d)
Manganese
c)
E. Coli
d)
HaemophilusInfluenzae Type B
Q.14 Earliest valvular lesion in a case of acute
rheumatic fever is:
a)
Mitral regurgitation
b)
Aortic regurgitation
c)
Mitral stenosis
d)
Aortic stenosis
Q.15 All are characteristic of Fallot'stetralogy
except:
a)
Infundibular stenosis
b)
Ventricular septal defect
c)
Overriding of aorta
d)
Left ventricular hypertrophy
Q.16 Reliculocyte count in hemolytic anemia:
a)
Increase
b)
Decrease
c)
No change
d)
Initially increase then decrease
Q.17 All of the following are decreased in
nephrotic syndrome, except:
a)
Serum transferrin
b)
Serum fibrinogen
c)
Serum ceruloplasmin
d)
Serum albumin
Q.18 A 5 year old child admitted with facial
puffiness, pedal edema, blood pressure -
190/100 mm Hg and cola coloured urine. His
most probable diagnosis is:
a)
Nephrotic syndrome
b)
Renal amyloidosis
c)
Renal vein thrombosis
d)
Acute glomerulonephritis
Q.19 Which vitamin deficiency is responsible for
neonatal seizure:
a)
Pyridoxine
b)
Vitamin C
c)
Thiamine
d)
Methylcobalamine
Q.20
Kernig's sign is seen in:
a)
Acute bacterial meningitis
b)
Mental retardation
c)
Cerebral palsy
d)
Empyemathoracis
This post was last modified on 17 February 2022