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Third Year M. B. B. S. (Part - II) Examination
July/August-2018
Paediatrics
Time : 2 Hoursl tTotal Marks : 40
Instructions : (1) There are two sections in paper and
each section carly two questions.
(2) Atternpt each section in different
answer book.
(3) Figures right indicate marks to each
question.

SECTION -I
MCQ type (6 items), attempt all by either 1x6=6
encircling or tick or direct one word answer :
(A) Which fluid is to be avoided in newborn ?
(a) Normal saline (b) Ringer lactate
(c) DNS (d) Isolyte - p
(B) Fluid of first choice in SAM child with shock
is
(a) Normal Saline (b) DNS
(c) Ringer lactate (d) RL with b% dextrose
(C) Write down the formula for calculating serum
-.
(D) Commonest cause of epistaxis in 5 yrs old
child is
(a) Hemophilia O) Vitamin K deficiency
(c) ITP (d) Nose picking trauma
(E) Drug of choice for treatment of scorpion sting
poisoning.
(a) Adrenaline (b) Dobutamine
G) Prazocine (d) Pentazocine
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E) A six year old" child.eil4e.in. emergency,with
II/O swelling around face and vomiting. On
examination is having anasarra, BP 124186.
Past history of pyoderma 20 days back over
legs. Most.likely diagrrosis is ,

(a) Nephroticsynd.rome
o) PSAGN
(c) Rheumatic fever with CHF
(d) cLD

Write short notes on any two : 5x2=10


(a) Polio eradication strategies and brief about
bopv.
(b) Define perinatal mortality rate and how to
reduce it.
(c) WHO classification of dehydration tabulated
and describe management of hypovolemic shock
in a two year child weighing 10 kS.
. SECTION - II
Write short notes on any three : 4x3=12
(a) Mission Ind.radhanus
(b) WHO classification of pneumonia
(c) Milestones of a one year old child
(d) Mantoux test.

Write to the point about arqr,three : 4x8=L2 i


(a) Management of DKA in a 4 years old child.
(b) Management of hyperkalemia.
(c) Sensory stimulation in management'of SAM.
(d) Transport of sick child.
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