D 12013
(Pages: 2+1 + 1 = 4)
Name................................
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Reg. No................................
THIRD PROFESSIONAL M.B.B.S. DEGREE EXAMINATION, DECEMBER 2005
Part II
PAEDIATRICS INCLUDING NEONATOLOGY
Time: Two Hours
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Maximum: 40 Marks
Answer all the questions.
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× 12 = 4 marks)
II. Match the following. (Single response type 8, separate sheet attached). (8 x 12 = 4 marks)
III. Draw and label:
- Mitral regurgitation murmur.
- Human Immuno deficiency virus.
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(2x12 marks)
IV. Short answer questions:
- Developmental milestones of a 2 year old child.
- Chemical score of protein.
- Role of zinc.
- Define Failure to Thrive.
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(4 x 14 marks)
V. Write short notes on:
- Breath holding spell.
- Balanced diet.
- HIB vaccine.
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(3 x 26 marks)
Section B
VI. Read the paragraph and answer the following questions :-
A 5 year old child is brought with joint pain, abdominal pain, high coloured urine. She has sore throat 10 days back. O/E skin rash present in the lower limbs.
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- What is the probable diagnosis?
- What investigations will you order?
- What treatment will you give?
- What are the differential diagnosis?
(1+3+3+3 = 10 marks)
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VII. Short answer questions:
- Causes of Rickets.
- Classification of ALL.
- Treatment of Scabies.
- Treatment of Mycoplasma pneumonia.
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(4 x 14 marks)
VIII. Write short notes on:
- Autism.
- Treatment of congestive cardiac failure.
- Clinical features of Down's syndrome.
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(3 x 2 = 6 marks)
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D 12013
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PAEDIATRICS INCLUDING NEONATOLOGY
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.
- Erythromycin is the drug of choice in the following except:
- Pertussis.
- Mycoplasma.
- Mycobacterium avium complex.
- Chlamydia.
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- Neonatal seizure is associated with poor prognosis in the following except :
- Hypoglycemia.
- Hypocalcemia.
- Meningitis.
- Intra ventricular Haemorrhage.
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- Pseudo membranous colitis is caused by:
- Clostridium welchi.
- Clostridium difficile.
- Enteropathogenic E-coli.
- Yersenia enterocolitis.
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- The most common cause of infant mortality is:
- Perinatal insults.
- Malnutrition.
- Diarrhoeal disease.
- ARI.
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- The following may be left alone except:
- No teeth till 1 year of age.
- No walking till 1 year of age.
- Illegible speech till 2 year of age.
- No social smile till 10 weeks of age.
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- Bilious vomiting in a newborn is due to :
- Duodenal atresia.
- Pyloric stenosis.
- Tracheo-oesophageal atresia.
- Intussusception.
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- Alpha feto protein is reduced in:
- Neural tube defect.
- Hepatocellular carcinoma.
- Down's syndrome.
- Teratoma.
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- Steroids may be useful in:
- Viral encephalitis.
- Hepatic coma.
- Meconium aspiration syndrome.
- Lung immaturity.
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D 12013
PAEDIATRICS INCLUDING NEONATOLOGY
II. Match the following :-
(8 x 12 = 4 marks)
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A | 1 Brushfield spots | (a) Trisomy 13. |
2 Webbing of neck | (b) Trisomy 18. | |
3 Absent radius | (c) Trisomy 21. | |
4 Cleft lip and palate | (d) Turner's syndrome. | |
(e) Fanconis Pancytopenia. |
B | 1 Nevirapine | (a) Mycoplasma. |
2 Erythromycin | (b) SARS. | |
3 Ribavirin | (c) CMV. | |
4 Gancyclovir | (d) HIV. |
(8 x 12 = 4 marks)