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C 24422
(Pages: 4)
Name:.....................................
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Reg. No:.....................................
FINAL M.B.B.S. DEGREE EXAMINATION, MARCH 2003
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Part II
PAEDIATRICS INCLUDING NEONATOLOGY
Time: Two Hours
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Maximum: 40 Marks
Answer all the questions.
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Draw diagrams wherever necessary.
MCQs should be answered first in the response sheet provided.
Section A
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I. Multiple Choice Questions. Single response type 8 (separate sheet attached). (8×1/2 = 4 marks)
II. Match the following. Single response type 8 (separate sheet attached). (8 x 1/2 = 4 marks)
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III. Draw and label:
- Bitots spots.
- Murmur of aortic regurgitation.
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(2x1/2 marks)
IV. Short answer questions:
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- Significance of Moro reflex.
- Primary dentition.
- Hills sign.
- Constant features of Kwashiorkor.
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(4 x 1/4 marks)
V. Write short notes on:
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- Oral polio vaccine.
- CSF findings in Tuberculous meningitis.
- Salbutamol.
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(3 x 2 = 6 marks)
Section B
VI. Read this paragraph and answer the following questions :-
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1 year old child is brought with pyoderma, fever and cough. On examination he is cyanosed, respiratory rate is 62/minute, grunting and chest retractions are present.
- What is the diagnosis ?
- What treatment will you advise ?
- What investigations will you order?
- What complication will you expect?
- What is the duration of antibiotic therapy?
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(2+4+2+1+1=10 marks)
Turn over
C 24422
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VII. Short answer questions:
- Preservation of BCG vaccine.
- Complications of atrial septal defect.
- Drug therapy in hypothyroidism.
- ABCs of resuscitation.
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(4 x 1 = 4 marks)
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VIII. Write short notes on:
- Apgar score.
- Cyanotic spells.
- Management of hookworm infestation.
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(3x2=6 marks)
C 24422
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PAEDIATRICS INCLUDING NEONATOLOGY
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I. MULTIPLE CHOICE QUESTIONS
Note.-(1) Do not write anything on the question paper.
(2) Write your register number in the answer-sheet provided.
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(3) Select one most appropriate response and encircle the corresponding alphabet against each question number in the answer-sheet provided.
- The earliest clinical sign of rickets in an infant is:
- Costochondral beading.
- Craniotabes.
- Wrist swelling.
- Bow legs.
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- The most common cause of hypochromic microcytic anemia in an infant is:
- Beta thalassemia.
- Hereditary spherocytosis.
- Iron deficiency anemia.
- Lead poisoning.
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- The commonest cause of neonatal seizure is :
- Developmental anomaly of brain.
- Hypoglycemia.
- Narcotic withdrawal syndrome.
- Hypoxic ischemic encephalopathy.
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- All are features of Reye syndrome except :
- Vomiting.
- Hepatomegaly.
- Convulsions.
- Prolonged prothrombin time.
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- What is not true about rotavirus diarrhoea is ?
- It affects older children.
- Vomiting is an early feature.
- Lactose intolerance is common.
- It produces watery diarrhoea.
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- The most common clinical presentation of portal hypertension in children below five years is:
- Hematemesis.
- Melena.
- Splenomegaly.
- Massive ascites.
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- Roths spots are located over :
- Conjunctiva.
- Lips.
- Retina.
- Palms.
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- Mantoux test is done with 0.1 ml. of PPD solution containing :
- 0.1 mg.
- 0.01 mg.
- 0.001 mg.
- 0.0001 mg.
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(8 x 1/2 = 4 marks)
C 24422
PAEDIATRICS INCLUDING NEONATOLOGY
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II. Match the following:-
A | B | ||||||||||||||||||||||||||||
1 | Egg | 1 | Hemoglobinuria | ||||||||||||||||||||||||||
2 | Aluminium | 2 | Ceftriaxone | ||||||||||||||||||||||||||
3 | Epstein Barr virus | 3 | Benzyl penicillin | ||||||||||||||||||||||||||
4 | Pyrimethamine | 4 | Dextrocardia |
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(a) | Toxoplasmosis. | (a) | Hib meningitis. | |||||||||||||||||||||||||||
(b) | Aplastic anemia. | (b) | Tetanus. | |||||||||||||||||||||||||||
(c) | Reference protein. | (c) | Diaphragmatic hernia. | |||||||||||||||||||||||||||
(d) | Toxic element. |
(8 x 1/2 = 4 marks)
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