Q.P. Code: 320001
Reg. no.: .....................
Third Professional MBBS Part II Degree Supplementary Examinations
October 2025
Pediatrics and Neonatology
Time: 3 Hours
Total Marks: 100
Answer all questions to the point neatly and legibly ? Do not leave any blank pages between answers
Indicate the question number correctly for the answer in the margin space
Draw table/diagrams/flow charts wherever necessary
1. Multiple Choice Questions
(20x1=20)
The MCQ questions (Q.No. i to Q.No. xx) shall be answered only in the OMR sheet provided at page
marked in any other part/page of the answer book will not be valued. For marking the correct responses
use X mark only
Question numbers i-v case scenario-based questions
A 10-month old girl brought with irritability and is on predominantly milk diet, not eating well. On
i. As per IMNCI, what is the classification of anaemia in this child.
a) Mild palmar pallor
c) Moderate palmar pallor
b) Some palmar pallor
ii. What investigations do you do in this child to confirm your diagnosis
a) Complete blood count
b) Peripheral smear c) Serum ferritin
d) All the above
a) Iron deficiency anaemia
b) Aplastic anaemia c) Thalassemia
d) Hemolytic anaemia
iv. All are causes of microcytic hypochromic anaemia except
b) Folate deficiency c) Thalassemia
d) Lead poisoning
v. Name the first sign of improvement seen after treatment of Iron deficiency anaemia
a) Rise in reticulocyte count
b) Rise of hemoglobin store
d) Repletion of iron stores
Question numbers vi-x consist of two statements - Assertion (A) and Reason (R). Answer these
questions by selecting the appropriate options given below.
c) A is correct; R is incorrect
b) Both A & R are correct, and R is not correct explanation of A
d) A is incorrect; R is correct
vi. Assertion (A): The head circumference should be taken 24 hours after birth in a newborn
vii. Assertion (A): Term and preterm LBW newborns tend to lose weight in the first seven days
Reason (R): Birth weight of newborns are regained by 21 days
viii. Assertion (A): Engorgement of both breasts is a normal physiologic phenomenon in babies of both
sexes
ix. Assertion (A): A child with Ventricular septal defect becomes symptomatic at 6- 10 weeks of age
Reason (R): The pressure in both ventricles are equal soon after birth, but left to right shunt increases as
pulmonary vascular resistance falls
x. Assertion (A): Newborn screening for congenital hypothyroidism is done after 48- 72 hours of birth
Question numbers xi-xv are multiple-response type questions. Read the statements & mark the
answers appropriately.
xi. Long term complications of Failure to thrive include
1) Neurocognitive delay
3) Short stature
4) Adult onset metabolic diseases
a) 1 and 2 are correct
c) 1, 2 and 3 are correct
d) 1, 2, 3 and 4 are correct
xii. The clinical forms of tetanus include
1) Generalised
2) Localised
4) Abdominal
a) 1 and 2 are correct
c) 1, 2 and 3 are correct
b) 2 and 4 are correct
(PTO)
xiii. Nadas major criteria include
1) Cyanosis
2) Congestive heart failure
4) Systolic murmur less than grade 3
a) 1 and 2 are correct
c) 1, 2 and 3 are correct
b) 2 and 4 are correct
xiv. The following vaccines are administered to children at 9 months as per National Immunization Schedule
1) MR
2) f IPV
3) PCV
a) 1 and 2 are correct
c) 1, 2 and 3 are correct
b) 2 and 4 are correct
d) 1, 2, 3 and 4 are correct
1) Chin touching the breast
2) Mouth wide open
3) Lower lip turns outward
4) More areola visible above than below the mouth
c) 1, 2 and 3 are correct
b) 2 and 4 are correct
d) 1, 2, 3 and 4 are correct
Question numbers xvi-xx are single-response type questions
a) 1 lakh IU
b) 2 lakh IU
c) 50000 IU
d) 2,5 lakh IU
a) Diarrhoea
b) Dermatitis
c) Alopecia
d) All the above
a) Pneumonia
c) Prematurity and low birth weight
b) Diarrhea
d) Birth asphyxia and birth trauma
a) Severe croup
b) Shock
c) Anaphylaxis
d) All the above
a) Metered dose inhaler directly
c) Metered dose inhaler with spacer and mask
b) Metered dose inhaler with spacer
d) Any of the above may be used
(2x10=20)
2. A 8 month old baby weighing 8 kg was brought to you with history of watery diarrhoea from 3 days. She
has sunken eyes and is eagerly drinking fluids.
a) Write your diagnosis.
c) What are the different grades of dehydration as per WHO ADD control program
d) Write the management of diarrhea in a child. Which plan will your give for your patient in question
e) Write the content of oral rehydration solution (ORS)
(1+2+2+3+2)
crying at birth.
a) Write three things you do before delivery.
b) Write the algorithmic approach to management of the baby after delivery
c) What are the possible reasons why the baby doesn't improve when given bag and mask ventilation
d) Write TWO indications for positive pressure ventilation (PPV)
e) Write ONE contraindication for bag & mask - ventilation
(1+4+3+1+1)
Short Essays:
4. Describe the language milestones from birth to 5 years of age.
5. How do you advice on complimentary feeding for a six month old baby
6. Write the clinical features and complications of measles
7. Write the National Immunization Schedule including vaccine, dose and route of administration
9. Write management of foreign body aspiration in infants and children.
Short Answers:
(6x4=24)
10. Describe the Sexual Maturity Rating in girls
12. Write on Kerosene poisoning in children and its management
13. Discuss the approach to evaluation of proteinuria in children
14. Discuss the treatment of congestive heart failure in children
15. Discuss medico legal sociocultural professional and ethical issues pertaining to malpractice.
Reg. no.: .....................
Third Professional MBBS Part II Degree Supplementary Examinations
October 2025
Pediatrics and Neonatology
--- Content provided by FirstRanker.com ---
(2019 Scheme)Time: 3 Hours
Total Marks: 100
Answer all questions to the point neatly and legibly ? Do not leave any blank pages between answers
Indicate the question number correctly for the answer in the margin space
--- Content provided by FirstRanker.com ---
Answer all parts of a single question together ? Leave sufficient space between answersDraw table/diagrams/flow charts wherever necessary
1. Multiple Choice Questions
(20x1=20)
The MCQ questions (Q.No. i to Q.No. xx) shall be answered only in the OMR sheet provided at page
--- Content provided by FirstRanker.com ---
No. 51 of the answer book (the inner portion of the back cover page (PART III)). Responses for MCQsmarked in any other part/page of the answer book will not be valued. For marking the correct responses
use X mark only
Question numbers i-v case scenario-based questions
A 10-month old girl brought with irritability and is on predominantly milk diet, not eating well. On
--- Content provided by FirstRanker.com ---
examination, the skin of the child's palm looks white and creases are pale tooi. As per IMNCI, what is the classification of anaemia in this child.
a) Mild palmar pallor
c) Moderate palmar pallor
b) Some palmar pallor
--- Content provided by FirstRanker.com ---
d) Severe palmar pallorii. What investigations do you do in this child to confirm your diagnosis
a) Complete blood count
b) Peripheral smear c) Serum ferritin
d) All the above
--- Content provided by FirstRanker.com ---
iii. The most common cause of anaemia in children isa) Iron deficiency anaemia
b) Aplastic anaemia c) Thalassemia
d) Hemolytic anaemia
iv. All are causes of microcytic hypochromic anaemia except
--- Content provided by FirstRanker.com ---
a) Sideroblastic anaemiab) Folate deficiency c) Thalassemia
d) Lead poisoning
v. Name the first sign of improvement seen after treatment of Iron deficiency anaemia
a) Rise in reticulocyte count
--- Content provided by FirstRanker.com ---
c) improved activity and appetiteb) Rise of hemoglobin store
d) Repletion of iron stores
Question numbers vi-x consist of two statements - Assertion (A) and Reason (R). Answer these
questions by selecting the appropriate options given below.
--- Content provided by FirstRanker.com ---
a) Both A & R are correct, and R is correct explanation of Ac) A is correct; R is incorrect
b) Both A & R are correct, and R is not correct explanation of A
d) A is incorrect; R is correct
vi. Assertion (A): The head circumference should be taken 24 hours after birth in a newborn
--- Content provided by FirstRanker.com ---
Reason (R): Due to caput at birth the head circumference may be falsely elevatedvii. Assertion (A): Term and preterm LBW newborns tend to lose weight in the first seven days
Reason (R): Birth weight of newborns are regained by 21 days
viii. Assertion (A): Engorgement of both breasts is a normal physiologic phenomenon in babies of both
sexes
--- Content provided by FirstRanker.com ---
Reason (R): It is due to maternal progesterone and estrogen transferred from the mother.ix. Assertion (A): A child with Ventricular septal defect becomes symptomatic at 6- 10 weeks of age
Reason (R): The pressure in both ventricles are equal soon after birth, but left to right shunt increases as
pulmonary vascular resistance falls
x. Assertion (A): Newborn screening for congenital hypothyroidism is done after 48- 72 hours of birth
--- Content provided by FirstRanker.com ---
Reason (R): There is a physiological neonatal TSH surge.Question numbers xi-xv are multiple-response type questions. Read the statements & mark the
answers appropriately.
xi. Long term complications of Failure to thrive include
1) Neurocognitive delay
--- Content provided by FirstRanker.com ---
2) Behavioural problems3) Short stature
4) Adult onset metabolic diseases
a) 1 and 2 are correct
c) 1, 2 and 3 are correct
--- Content provided by FirstRanker.com ---
b) 2 and 4 are correctd) 1, 2, 3 and 4 are correct
xii. The clinical forms of tetanus include
1) Generalised
2) Localised
--- Content provided by FirstRanker.com ---
3) Neonatal4) Abdominal
a) 1 and 2 are correct
c) 1, 2 and 3 are correct
b) 2 and 4 are correct
--- Content provided by FirstRanker.com ---
d) 1, 2, 3 and 4 are correct(PTO)
xiii. Nadas major criteria include
1) Cyanosis
2) Congestive heart failure
--- Content provided by FirstRanker.com ---
3) Abnormal second sound4) Systolic murmur less than grade 3
a) 1 and 2 are correct
c) 1, 2 and 3 are correct
b) 2 and 4 are correct
--- Content provided by FirstRanker.com ---
d) 1, 2, 3 and 4 are correctxiv. The following vaccines are administered to children at 9 months as per National Immunization Schedule
1) MR
2) f IPV
3) PCV
--- Content provided by FirstRanker.com ---
4) Rota virus vaccinea) 1 and 2 are correct
c) 1, 2 and 3 are correct
b) 2 and 4 are correct
d) 1, 2, 3 and 4 are correct
--- Content provided by FirstRanker.com ---
xv. Signs of good attachment include1) Chin touching the breast
2) Mouth wide open
3) Lower lip turns outward
4) More areola visible above than below the mouth
--- Content provided by FirstRanker.com ---
a) 1 and 2 are correctc) 1, 2 and 3 are correct
b) 2 and 4 are correct
d) 1, 2, 3 and 4 are correct
Question numbers xvi-xx are single-response type questions
--- Content provided by FirstRanker.com ---
xvi. Vitamin A dose for a child aged 18 months but weighs 6 kg isa) 1 lakh IU
b) 2 lakh IU
c) 50000 IU
d) 2,5 lakh IU
--- Content provided by FirstRanker.com ---
xvii. Clinical features of Zinc deficiency includea) Diarrhoea
b) Dermatitis
c) Alopecia
d) All the above
--- Content provided by FirstRanker.com ---
xviii. Most common cause of under 5 mortality in Indiaa) Pneumonia
c) Prematurity and low birth weight
b) Diarrhea
d) Birth asphyxia and birth trauma
--- Content provided by FirstRanker.com ---
xix. Indications of adrenaline includea) Severe croup
b) Shock
c) Anaphylaxis
d) All the above
--- Content provided by FirstRanker.com ---
xx. In a 2-year-old child with asthma Pressurized Metered dose inhaler must be used witha) Metered dose inhaler directly
c) Metered dose inhaler with spacer and mask
b) Metered dose inhaler with spacer
d) Any of the above may be used
--- Content provided by FirstRanker.com ---
Long Essays:(2x10=20)
2. A 8 month old baby weighing 8 kg was brought to you with history of watery diarrhoea from 3 days. She
has sunken eyes and is eagerly drinking fluids.
a) Write your diagnosis.
--- Content provided by FirstRanker.com ---
b) Why do you say soc) What are the different grades of dehydration as per WHO ADD control program
d) Write the management of diarrhea in a child. Which plan will your give for your patient in question
e) Write the content of oral rehydration solution (ORS)
(1+2+2+3+2)
--- Content provided by FirstRanker.com ---
3. You are called to attend the delivery of a term neonate. The baby is a term baby who is limp and notcrying at birth.
a) Write three things you do before delivery.
b) Write the algorithmic approach to management of the baby after delivery
c) What are the possible reasons why the baby doesn't improve when given bag and mask ventilation
--- Content provided by FirstRanker.com ---
and the corrective steps you take if sod) Write TWO indications for positive pressure ventilation (PPV)
e) Write ONE contraindication for bag & mask - ventilation
(1+4+3+1+1)
Short Essays:
--- Content provided by FirstRanker.com ---
(6x6=36)4. Describe the language milestones from birth to 5 years of age.
5. How do you advice on complimentary feeding for a six month old baby
6. Write the clinical features and complications of measles
7. Write the National Immunization Schedule including vaccine, dose and route of administration
--- Content provided by FirstRanker.com ---
8. Describe the strategy of Anaemia Mukt Bharat program.9. Write management of foreign body aspiration in infants and children.
Short Answers:
(6x4=24)
10. Describe the Sexual Maturity Rating in girls
--- Content provided by FirstRanker.com ---
11. Write on TB preventive therapy12. Write on Kerosene poisoning in children and its management
13. Discuss the approach to evaluation of proteinuria in children
14. Discuss the treatment of congestive heart failure in children
15. Discuss medico legal sociocultural professional and ethical issues pertaining to malpractice.
--- Content provided by FirstRanker.com ---
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