C 33274
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Name: ...............................................................
Reg. No: ...............................................................
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THIRD PROFESSIONAL M.B.B.S. DEGREE EXAMINATION
JULY/AUGUST 2007
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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
I. Multiple Choice Questions. Single response type (separate sheet attached). (8×1/2 = 4 marks)
II. Match the following. Single response type (separate sheet attached). (8x¼=2 marks)
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III. Draw and label:
- Psmear in acute lymphoblastic leukaemia.
- Oxytocin reflex (Let down reflex).
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IV. Short answer questions: (4x1¼ marks)
- Physiologic jaundice.
- Colostrum.
- 4 causes of global developmental delay.
- Contraindications for doing lumbar puncture.
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V. Write short notes on: (3×2=6 marks)
- Management of dogbite on the face.
- Complications of severe malnutrition.
- Clinical signs of liver cell failure.
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Section B
VI. Read the paragraph and answer the following questions :-
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A 4 month old baby is brought with a history of cold, cough and difficulty in breathing. On examination his respiratory rate is 66/min. He has intercostal and subcostal recession. His chest looks prominent and hyper-resonant to percuss. Auscultation reveals a scattered rhonchi.
- What is the probable diagnosis?
- What is the organism which causes this condition?
- What are the differential diagnosis ?
- What are the Chest X-ray findings in this child?
- How will you manage this child?
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(1+1+2+3+3=10 marks)
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Turn over
VII. Short answer questions: (4x1¼ marks)
- Infantile myoclonic seizure.
- 4 causes of splenomegaly in children.
- Adverse events following DPT vaccine.
- Congenital rubella syndrome.
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VIII. Write short notes on: (3x2=6 marks)
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- Complications of Prematurity.
- Treatment of congestive cardiac failure.
- Investigations in a child with recurrent bleeding.
- Hyperkalaemia.
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C 33274
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PAEDIATRICS INCLUDING NEONATOLOGY
I. MULTIPLE CHOICE QUESTIONS (8x½ = 4 marks)
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.
- Shake test is done to confirm :
- Fetomaternal haemorrhage.
- Gestational age.
- Pulmonary maturity.
- Meconium aspiration.
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- A child makes 3 word sentences at:
- 1 year.
- 1½ years.
- 2 years.
- 3 years.
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- The gold standard of diagnosis of urinary infection is :
- Raised ESR.
- Pus cells in urine.
- 103 organisms/mil of urine.
- 105 organisms/ml of urine.
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- Neonatal cholestasis is a feature of:
- Biliary atresia.
- Choledochal cyst.
- Neonatal hepatitis.
- All of the above.
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- Drug of choice in complex partial seizures is:
- Sodium valproate.
- Clobazam.
- Carbamazepine.
- Lamotrigine.
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- The protein content of breast milk is :
- 1.1 gms/100 ml.
- 2.2 gms/100 ml.
- 3.3 gms/100 ml.
- 4.4 gms/100 ml.
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- Metabolic alkalosis is seen in :
- Renal failure.
- Shock.
- Pyloric stenosis.
- Diarrhoea.
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- Microcytic hypochromic anemia is a feature of all the following except:
- Thalassemia trait.
- Sideroblastic anemia.
- Lead Poisoning.
- Folate deficiency.
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C 33274
PAEDIATRICS INCLUDING NEONATOLOGY
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II. Match the following :- (8x¼=2 marks)
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