Digitally signed 1 Paper

by Jyotindro
Adhikarimayum Full Marks:
Date: Pass Marks:
2023.02.24
23:52:17 +05'30' PAEDIATRICS Time: 3 hours

GROWTH Short note:

5 Marks
1. Define growth and development. Describe the factors affecting growth and
development. Write down the laws of growth. (2+6+2) (2021) (2014)
+ Discuss the different types of growth with suitable diagram (5) (2021)
2. Enumerate the major development milestones achieved in a healthy one year old infant.
What is the full form of “SMR" in terms of pubertal changes? State its different
stages. (2+1+2+1+3+1) (2011)
3. What is growth? What is development? Mention the factors influencing growth and
development during natal and post-natal period. Mention various periods of growth
and different types of body build. Mention important mile-stones at a glance.
(1+1+2+1+1+1)
4. S/N: Growth charts (2010)
5. Write down the anthropometric measurements necessary for nutritional assessment of
a 2 ½ year old child. (6) (2007)

DEVELOPMENT
1. S/N: Target milestones. (5) (2010)

DEVELOPMENTAL & BEHAVIOURAL DISORDERS

1. S/N: Temper tantrums (2022)
2. S/N: Developmental milestones in a 10-month-old infant (2009)

NUTRITION
1. S/N: Age independent Anthropometric Indices/criteria (2020) (2013) (2007)
2. S/N: Management of hypoglycemia in the SAM child (Severe Acute Malnutrition)
(2020)
3. S/N: VIT D deficiency (2018)
4. Describe WHO classification of PEM in children. (4) (2017)
 5. S/N: Clinical features of PEM. (2013)
6. Describe briefly vitamin D Metabolism in Health. What are the Radiological features of
Active and Healing Rickets? (5+5) (2013) (2005)
7. Describe the IAP grading of Protein Energy Malnutrition. Define severe Protein
Energy Malnutrition and write briefly on treatment of severe PEM according to
WHO-guidelines. (3+2+5) (2013)
8. Define PEM. How do you grade PEM according to IAP classification? Outline the
management of severe PEM. (1+1+6) (2011) (2010)
9. Describe the clinical features of Kwashiorkor and treatment of complications (2+4+4)
(2009)
10.S/N: Clinical features of Rickets (2008)
11.How do you classify protein energy malnutrition? Mention clinical features and
treatment of marasmus. (3+4+3) (2005)
12.S/N: Diet in kwashiorkor (2005)

MICRONUTRIENTS IN HEALTH & DISEASES

1. S/N: WHO classification of Xerophthalmia (2009) (2006)
2. S/N: Symptoms and Signs of Scurvy (2008)
3. S/N: Fat soluble vitamin and their toxicity (2005)

NEWBORN INFANTS
1. A 2-day old neonate is brought with history of convulsions –
a) What are the likely causes?
b) How will you investigate the case?
c) Discuss management. (2+3+5) (2023)
2. Define neonatal sepsis. Classify it. Describe etiology, clinical features, and management
of neonatal sepsis. (1+1+2+2+4) (2022)
3. S/N: Sepsis screen (2021) (2016)
4. S/N: Warm chain (2021)
5. A day S preterm 1.8 kg baby is brought from the post-natal ward with lethargy and
cold extremities. On examination, temperature is 30° C, CRT=5 secs, respiratory
rate 64/min, Heart rate 170/min, Sp02 85%. (1+2+3+4) (2020)

a) What is the grade of hypothermia in this newborn?

b) Classify neonatal hypothermia based on axillary temperature.

c) Discuss the mechanism of thermoregulation in the newborn.

d) Give a brief outline of management of the above newborn based on the

given findings.

6. S/N: Antenatal corticosteroids (ACS) (2020)

7. S/N: Hypothermia in the newborn (2018) (2007)
8. S/N: Diagnosis of prematurity in the newborn (2018)
9. S/N: Sepsis screen in newborn (2018)
10. Discuss Neonatal sepsis screen. Describe schematic description of bilirubin
metabolism. Mention the steps of prevention of neonatal hypothermia. (4+4+4)
(2017)
11. S/N: Complications of LBW babies. (2017)
12. S/N: Hyaline membrane disease (2017)
13. S/N: Management of pathological jaundice in new born. (2017) (2010)
14. S/N: Delivery room management of an asphyxiated term new born (2017)
15. S/N: Subtle seizure (2017) (2015)
16. S/N: Neonatal Mortality Rate (NMR) (2016)
17. S/N: Phototherapy (2016) (2010)
18. S/N: Hypoxic Ischaemic Encephalopathy (HIE) (2016)
19. S/N: Clinical features of hyaline membrane disease. (2015)
20. S/N: Kangaroo mother care. (2015) (2013) (2009)
21. S/N: Delivery room management of an asphyxiated term new born (2015)
22. S/N: Breast milk jaundice. (2015)
23. Describe the grade of hypothermia in Newborn with a diagram. Describe the
treatment of a newborn with severe hypothermia. (4+6) (2015) (2011) (2008)
24. S/N: Criteria of pathological jaundice (2014)
25. S/N: Causes of neonatal seizure (2014)
 26. S/N: Advantages of breast feeding. (2014) (2008)
27. S/N: Common birth injuries. (2013)
28. S/N: Level III Neonatal care. (2013)
29. S/N: Hypoglycaemia in Newborn (2013)
30. S/N: Initial steps of Resuscitation in newborn (2013)
31. S/N: Criteria of Physiological Jaundice (2013)
32. S/N: Feeding of LBW babies (2013)
33. S/N: Indirect markers of Neonatal sepsis (2013)
34. S/N: Risk factors and investigations of Neonatal Sepsis. (2012)
35. S/N: Neonatal transport (2012)
36. S/N: Management of birth asphyxia. (2012)
37. Define Low Birth Weight (LBW). Enumerate the causes of LBW. Write briefly the
problems of LBW. Outline the principles of management of LBW babies. (1+3+3+3)
(2011)
38. What is neonatal hypothermia? What are the different grades of neonatal
hypothermia? How do the newborn response to cold? Discuss KMC and other
modes of keeping the newborn warm? What is hemorrhagic disease of the newborn?
(1+1+3+4+1) (2011)
39. S/N: Physiological handicaps of L.B.W babies and management of L. B. W. babies.
(2010)
40. S/N: Define RDS in new born. Describe medical causes of RDS (2010)
41. S/N: Physiological Jaundice (2010) (2005)
42. S/N: Discuss briefly the thermogenesis in a newborn (7) (2008)
43. Describe the physiology of lactation. Mention the causes of lactation failure. (7+3)
(2005)

IMMUNIZATION & IMMUNODEFICIENCY

1. S/N: Adolescent Immunisation (2023) (2018)
2. S/N: Immunization of the adolescent girl child. (2020)
3. Write briefly on "Hib-vaccine" - the new introduction in the National immunisation
schedule (4) (2017)
 4. S/N: I.A.P. Immunisation schedule. (2015)
5. S/N: National Immunisation Schedule (2013)
6. S/N: Pulse Polio Immunization (2008)
7. S/N: Cold chain in Polio vaccine (2005)
8. S/N: Measles vaccine (2005)

INFECTIONS & INFESTATIONS

1. S/N: Pediatric HIV infection (2023)
2. S/N: Prevention of parent to child transmission of HIV (2018)
3. S/N: Management of Dengue shock syndrome (2018)
4. S/N: Diagnostic approach of Pyrexia of unknown origin (2017)
5. S/N: Differential Diagnosis of Acute Flaccid Paralysis (AFP) (2017) (2014)
6. What is primary complex of childhood tuberculosis? What are the common forms of
extra-pulmonary tuberculosis in children and how will you investigate and manage a
case of TB lymphadenitis? (2+2+3+3) (2013)
7. S/N: Features of Dengue Hemorrhagic fever (2013)
8. S/N: AFP Surveillance (2008)
9. What are the differences of childhood and adult tuberculosis? Give an outline of the
management of TB meningitis (4+6) (2005)

DISEASES OF GIT & LIVER

1. S/N: Recurrent Abdominal Pain (2022)
2. S/N: Management of Acute watery diarrhoea with some dehydration (2020) (2014)
3. A 36 hrs old Neonate was brought to Paediatrics emergency with complaint of
yellowish discolouration of whole-body including palm & sole who was delivered in a
remote PHC. Describe bilirubin metabolism in neonate. Enumerate the common causes
of neonatal jaundice in first 2 days of life. How you will manage neonatal jaundice of
Rh incompatibility. (3+2+5) (2019)
4. S/N: WHO Plan C treatment for acute diarrhoeal dehydration in an infant (2017)
5. S/N: Hepatic Encephalopathy (2016) (2011)
6. S/N: Principle of management of acute gastroenteritis in children. (2015)
 7. S/N: Features of Acute Hepatocellular failure (2013)
8. S/N: Assessment and treatment of acute watery diarrhoea with severe dehydration in
a child of 2 years age weighing 12 kg (2012) (2005)
9. S/N: Neonatal cholestasis – management (2012)
10.S/N: Management of some dehydration due to diarrhoea. (2012)
11.S/N: Portal hypertension (2011)
12.S/N: Low osmolarity ORS (2010) (2009)
13.Name the aetiopathogenesis of acute gastroenteritis in children. Give an outline of the
management of severe dehydration in a child. (5+5) (2008) (2006)
14.S/N: Assessment of severe dehydration and management in young infant (2007)
15.S/N: Vertical Transmission of Hepatitis B Virus (2005)
16.S/N: ORS therapy (2005)

HAEMATOLOGICAL DISORDERS
1. A two-year-old child presented with hepatosplenomegaly, severe anemia and bleeding
manifestations.
a) What is the differential diagnosis?
b) What are important investigations to come to diagnosis?
c) Outline management of acute lymphatic leukaemia. (2+3+5) (2023)
2. S/N: Iron deficiency anemia-clinical features, treatment, and prevention (2022)
(2021)
3. S/N: β thalassemia trait-diagnosis and counselling (2017)
4. S/N: Clinical features of Acute Lymphoblastic Leukaemia (ALL) (2014)
5. S/N: Laboratory investigations of Beta-Thalassemia (2013)
6. S/N: Management of Immune Thrombocytopenia Purpura (ITP) (2013)
7. Classify haemolytic anaemia. Enumerate the differentiating points between Beta
Thalassemia minor and Iron deficiency anaemia. Give an outline of treatment of Beta
Thalassemia major. (2+2+4) (2012)
8. Define WHO classification of iron deficiency anaemia. What are the causes of iron
deficiency anaemia? Write the management of iron deficiency anaemia and its
prevention. (2+3+3+2) (2011)
9. S/N: Management of ITP (2011)
 10.What are the causes of purpura? Discuss briefly the management of acute idiopathic
thrombocytopenic purpura (3+7) (2008)
11.A three-year-old male child presented with high fever of seven days duration along
with mild splenic enlargement. Discuss the differential diagnosis (10) (2007)

12.A 4-year-old child presents with fever for the last 3 weeks, gum bleeding, severe
pallor, generalised lymphadenopathy & hepatosplenomegaly
i) What is the most likely diagnosis?
ii) Discuss the outline of management of the case. (2+8) (2005)

DISORDERS OF RESPIRATORY SYSTEM

1. Anju, 3-year-old girl, is brought to the pediatric emergency with a history of fever,
cough, fast breathing since days. On examination, she is febrile, sick, respiratory rate
is 55/min, in drawing, grunting and central cyanosis are present.
a) What is the diagnosis? Justify your diagnosis.
b) What are the common etiological agents that may be responsible at this
age?
c) Discuss the management (investigations, supportive and specific therapy of
this child.
d) What are the possible complications in this child? (2+2+5+1) (2020)

2. S/N: Diagnosis and management of mild persistent bronchial asthma. (2020)

3. Give the WHO classification of Pneumonia. How will you investigate & treat severe
Pneumonia? (3+3+4) (2018)
4. S/N: Clinical features and treatment of acute bronchiolitis. (2017)
5. Describe the clinical features, aetiology, differential diagnosis, and management of
bronchiolitis in an infant. (3+2+2+3) (2016)
6. S/N: Management of acute attack of bronchial asthma (2015)
7. S/N: Management of bacterial Pneumonia in children. (2013)
8. S/N: Respiratory distress syndrome in newborn. (2013)
9. S/N: Management of lobar pneumonia. (2012)
 10.Define bronchial asthma. Discuss the clinical features & management of it. How does
it differ from congestive cardiac failure & bronchiolitis? (1+4+3) (2011) (2009)
11.Classify Acute Exacerbation of Asthma. Outline the management of Acute Severe
Asthma. (4+4) (2010)
12.A one-year-old child was admitted with acute respiratory distress since yesterday with
fever. Discuss the important cause and management of the case. (3+7) (2008)
13.S/N: Treatment protocol of very severe pneumonia as per ARI Control programme
(2007)
14.A 2 years old child presents with cyanosis and respiratory distress. Discuss the
differential diagnosis. (10) (2006)

DISORDERS OF CVS
1. S/N: Fallot's Tetralogy (2023) (2005)
2. Describe the pathogenesis, clinical features, diagnosis, and management of infective
endocarditis. (2+2+2+4) (2022)
3. S/N: Management of CCF (congestive cardiac failure) in a 6 months old child (2019)
4. S/N: Modified Jones criteria for the diagnosis of Rheumatic fever. (2017) (2009)
5. Define congestive cardiac failure. Describe the clinical features and management of
congestive cardiac failure. (2+4+4) (2017) (2015)
6. S/N: Cyanotic Spells (2016)
7. Describe the clinical features and management of ventricular septal defect (4+4)
(2015)
8. S/N: Clinical presentation and treatment of acute rheumatic carditis (2012)
9. S/N: Management of large VSD (ventricular septal defect) in infancy. (2012)
10.S/N: Prophylaxis for rheumatic fever (2010)

DISORDERS OF KIDNEY & URINARY TRACT

1. S/N: Haemolytic Uraemic Syndrome (HUS) (2021) (2011) (2010)
2. S/N: Management of first attack of nephrotic syndrome (2020)
3. S/N: Complications of Post streptococcal glomerulonephritis (PSGN) in children
(2017)
 4. Define acute nephritic syndrome. Describe the clinical features and management of
acute nephritic syndrome. (2+4+4) (2017)
5. S/N: Complication of Nephrotic Syndrome (2016)
6. S/N: Clinical features of acute nephritic syndrome (2015)
7. S/N: Complications of acute nephritic syndrome. (2013)
8. What is Minimal Change Nephrotic Syndrome? Describe its complications and
management. (2+3+5) (2013)
9. What is the etiopathogenesis of Acute post streptococcal glomerulonephritis? Write
down the management and complications. (4+3+3) (2012)
10.S/N: Haematuria in children (2011)
11.S/N: Treatment of nephritic syndrome. (2010)
12.A two-year-old child presented with gradual anasarca and diminished urine output for
the last 2 days. Discuss the differential diagnoses and outline of management (5+5)
(2008)
13.Write the etiology, pathogenesis, and pathology of acute glomerulonephritis. Briefly
outline the management of acute glomerulonephritis. (3+7) (2006)

ENDOCRINE & METABOLIC DISORDERS

1. Discuss thyroid hormone regulation in children. Mention the causes of congenital
hypothyroidism. Mention the clinical features of cretinism. How would you manage a
case of cretinism? (2+2+2+2) (2010)

DISEASES OF CNS
1. S/N: Early signs of cerebral palsy. (2023)
2. Enumerate the aetiology of acute bacterial meningitis in children according to age.
How will you diagnose bacterial meningitis? Describe the clinical features and outline
the management. (2+3+3+2) (2021)
3. A 1 yr. 6 months old male child was admitted to the Paediatrics ICU following high
grade temperature with generalised seizure for 2 days which was preceded by URI &
whose blood picture shows PMN leucocytosis. His immunisation history is not well
 documented. Write the differential diagnosis, approach & management of the case.
(2+4+4) (2019)
4. A seven-year-old girl is brought to the casualty with fever and convulsions lasting for
more than 30 minutes. Give your differential diagnosis. How will you investigate such
a case? Discuss the management. (3+3+4) (2018)
5. S/N: Differentiation of simple and complex febrile convulsion. (2017)
6. S/N: CSF findings in meningitis (2017)
7. Define febrile convulsion. Describe the differential diagnosis, clinical features, and
management of febrile convulsion. (2+2+3+3) (2015)
8. Define meningitis. Name the common organisms causing meningitis in children.
Describe briefly the clinical features and management of pyogenic meningitis.
(2+2+3+3) (2013)
9. S/N: Treatment of ongoing seizure and prevention of febrile seizure (2012)
10.What are the clinical features of Tubercular Meningitis? Write down the diagnosis and
management. (4+3+3) (2012)
11.S/N: Management of febrile seizure (2011)
12.S/N: Febrile seizure (2010) (2009) (2005)
13.Describe formation, circulation, and absorption of normal CSF along with its
composition. Discuss in brief management of tubercular meningitis (5+2+3) (2008)

POISONING, INJURIES & ACCIDENTS

1. S/N: Organophosphorus poisoning-clinical features and management. (2020)

PAEDIATRIC CLINICAL CARE

1. Define shock. Enumerate the clinical features and management of septicaemic shock
in children. (2+3+5) (2016)
2. S/N: Cardiogenic shock (2013)
3. S/N: Erb's Palsy in a newborn. (2010)
4. S/N: Cephalhematoma as a birth injury (2010)
Miscellaneous
1. S/N: RBSK (2022)
2. S/N: NSSK (2018)
3. Define IMR and current IMR in India. Write the measures to reduce IMR in our
country. (1+1+5) (2010)