Rajiv Gandhi University of Health Sciences Bachelor of Medicine and Bachelor of SurgeryPediatrics Previous Year Question Papers

Management of a baby born to Hepatitis B positive mother

Causes of stridor in a 3 year old child.

X linked disorders.

Peripheral smear in Iron deficiency Anemia

Short note on ways to prevent bleeding in a school boy with hemophilia

Clinical features of Hypocalcemia.

Investigations in 8 years old girl with first episode of urinary tract infection.

Moro’s reflex.

Clinical features of Congenital Hypothyroidism.

Temper Tantrum

Importance of genital examination in newborns.

Kangaroo mother care.

Principles of Integrated Management of Neonatal and Childhood Illnesses (IMNCI)

Mention three drugs used in management of congestive cardiac failure in children

WHO classification of Vitamin A deficiency.

Infective endocarditis prophylaxis.

Causes for neonatal seizures

Developmental milestones in a 9months old child.

List the various types of shock with examples.

Progressive primary complex

Sources of heat loss in a newborn.

Radiological features of scurvy.

Investigations for diagnosis of childhood pulmonary tuberculosis

What are the superficial infections in Newborn Baby?

Name three drugs used in the management of acute severe Asthma

Pharmacological management of acute congestive cardiac failure

Laboratory diagnosis of congenital hypothyroidism.

Measles.

Common rheumatological conditions seen in children.

Complications of Malaria

Features of Nephrotic syndrome.

APGAR score.

Plan C for dehydration.

Steps of Warm Chain

Mention any three causes of respiratory distress in neonates

Iron chelation therapy.

Hypokalemia.

Bronchodilator drugs.

Causes of Macrocephaly.

Laboratory diagnosis of Megaloblastic anaemia.

Classification of Cerebral Palsy

List the types of shock in children.

Pneumococcal vaccines.

Disease modifying agents in juvenile rheumatoid arthritis.

Complications of Tetralogy of Fallots

Composition of low osmolarity ORS

Low Osmolar WHO ORS.

Peripheral smear findings in a child with Thalassemia.

Cerebrospinal fluid findings in tubercular meningitis.

Clinical features of Hemophilia.

Glomerular causes of hematuria in children.

Difference between Physiological and Pathological Neonatal Jaundice

List the signs of Congenital Hypothyroidism.

Pseudotumour cerebri.

Clinical features of birth asphyxia.

Stages in Hepatic encephalopathy

List three causes of pathological short stature

Capillary filling time.

Pharmacological management of acute severe asthma

Reference protein.

Beneficiaries of ICDS programme.

Scorpion Sting treatment

Physiological variants of skin in newborn

Peripheral smear in Beta Thalassaemia.

CSF study in pyogenic meningitis.

Differences between Primary and Post Primary Tuberculosis

List three complications of acute watery diarrhea

Severe dengue.

Contraindications for DPT vaccine.

Oral chelation therapy.

Nocturnal enuresis.

Investigations in Immune Thrombocytopenic Purpura (ITP)

Paracetamol.

Causes of Hydrocephalous

Investigation and treatment of Kerosene poisoning.

New treatment regimens for drug sensitive TB.

Benefits of human breast milk.

Laboratory investigations for Juvenile Rheumatoid Arthritis

Large anterior fontanelle.

Prophylaxis in children with acute Rheumatic Fever.

Complications of Acute Renal Failure

Congenital rubella syndrome.

Cerebro spinal fluid findings in a child with Pyrogenic meningitis.

HIV transmission in children.

Mission Indradhanush.

Down Syndrome.

Complications of measles.

WHO criteria for diagnosis of SAM. Describe short term complications.

Etiopathogenesis and clinical features of Congestive Cardiac Failure (CCF).

Define the WHO classification of under nutrition types. Illustrate the ten steps management of SAM

Pubertal changes in a male child.

Congenital hypothyroidism.

ICDS (Integrated Child Development Services) program.

Growth charts

A 3 year old child presents with global developmental delay with poor scholastic performance a) Define Development b) List the causes of delayed development in a child

Management of status asthmaticus.

Physiological and pathological neonatal jaundice.

Infant Mortality rate.

Hydrocephalus.

2 year old female child is referred by an Anganawadi worker with complaints of not gaining weight. On examination, weight for height was less than 3 SD and mid upper arm circumference less than 11.5 cms. Discuss the steps of management in this child.

How will one treat a child with generalized convulsion in continuing in emergency?

A 10 months old unimmunized child is brought to the OPD with fever for 4 days followed by rash, cough and coryza. Baby is also tachypneic and has rales. a) What is the most probable diagnosis? b) What are the complications and preventive steps for this clinical condition?

Kerosene poisoning.

Pathologic jaundice among neonates.

What are the types of Vaccines? Discuss MMR vaccine.

A 10-year-old child is brought to the emergency with progressive weakness of the lower limbs since 3 days. a) What is acute flaccid paralysis? b) Describe any three-differential diagnosis of AFP

Neonatal resuscitation.

Complimentary feeding.

Gestational age assessment in newborn.

Complementary feeding.

Define Short Stature. Describe common causes of proportionate and disproportionate short stature

A 5 years old child with a body weight of 18 kgs is brought to the Emergency Room with loose stools, decreased urine output and lethargy. • What is your diagnosis and discuss the plan of treatment.

Strategies to reduce mother to child transmission of HIV.

Management of hepatic encephalopathy.

Clinical features and management of Idiopathic Thrombocytopenic Purpura

Briefly write the clinical features and investigations of tubercular meningitis

Investigations in a child with short stature.

Laboratory diagnosis of malaria.

Neonatal convulsions.

Vitamin A deficiency as per WHO guidelines.

Clinical features and treatment of congestive heart failure in infancy

Discuss the principles in the management of heart failure in children.

Role of Zinc in paediatrics.

Polio immunization in India.

Aetiopathogenesis, clinical features and complications of Bronchiolitis

Describe the clinical and investigation approach to confirm the diagnosis of portal hypertension?

Clinical features, investigation and treatment of Henoch Schonlein Purpura.

Investigation and treatment of Iron deficiency anaemia in a 2 years old child.

Clinical features of Down syndrome.

Clinical and radiological features of Vit-D deficiency.

Define obesity and overweight in adolescents, as per WHO guidelines.

Describe motor milestones from Birth to two year of life (Fine and Gross)

What are Neural Tube defects? Discuss the various types of Neural Tube defects.

Investigations and treatment of acute pyogenic meningitis.

Macrocytic anemia.

Clinical features and management of Attention Deficit Hyperactivity Disorder (ADHD)

Describe the clinical features of nutritional rickets. Explain using a diagram the radiological features of rickets.

Investigations and treatment of initial episode of Nephrotic Syndrome.

Types of short stature with examples.

Management of Cyanotic spells in Fallot’s Tetralogy.

A 5 day old male baby is brought with jaundice up to palms and soles. Discuss the etiology and management of this baby.

Describe clinical features of down syndrome. Discuss the risk of recurrence in siblings

Prophylactic and Therapeutic doses of Vitamin A Supplementation.

Explain with the help of a diagram the haemodynamics of PDA.

Investigations and treatment of Acute Glomerulonephritis

Define Persistant Diarrhoea. Mention dietary algorithm for treatment of Persistant Diarrhoea.

Causes of seizures in a 3-day old neonate. How will you manage the seizures in this baby?

IMNCI for a child with acute diarrhoea.

Definition of febrile seizures and describe types of febrile seizure.

IMNCI approach and classification of acute diarrhoea.

Causes of respiratory distress in a three day old neonate.

Treatment of Hyperkalemia

Management of Status Epilepticus in children.

Post resuscitative measures in Birth asphyxia.

Medical management of Tetralogy of Fallot’s cyanotic spells.

Pathophysiology and management of Status Epilepticus

Describe and interpret the investigations for a child suspected to have Beta Thalassemia Major

IYCF guidelines.

Acute bronchiolitis.

Medical management of congestive cardiac failure.

Kangaroo Mother Care (KMC).

Causes of Portal hypertension in children.

Describe the IMNCI plan B for acute diarrhoea

National Immunization Schedule.

Croup.

Status epilepticus definition and treatment.

Jones criteria for Acute Rheumatic Fever. Primary and Secondary Prevention of Rheumatic Fever

Classify anemia and write a short note on investigation of Megaloblastic anemia?

Acute viral hepatitis.

Investigations and treatment of a child with first episode of Nephrotic syndrome.

Investigations and treatment for first episode of urinary tract infection.

Hyaline membrane disease.

Clinical features and management of raised Intracranial Tension

Sexual maturity rating.

Primary complex.

Clinical features and management of Hemolytic Uremic Syndrome

Diagnosis and types of febrile seizures.

General principles in IMNCI.

Definition of febrile seizures and types of febrile seizure.

Ventricular septal defect: Clinical features, investigations and treatment.

Differential diagnosis, investigations and treatment of Croup

Ascariasis.

Clinical features and problems of Intrauterine Growth Retardation Baby

Clinical features, investigations and treatment of Diabetic Ketoacidosis.

Croup syndrome.

Investigations and oral treatment of Iron deficiency anemia.

Describe the factors influencing growth. Illustrate the composition of a balanced diet by a food pyramid.

A 2 years old female child was brought to the Emergency Room (ER) with history of fever, altered sensorium and convulsions. On examination child was drowsy, with neck stiffness. Lumbar puncture revealed plenty of pus cells (HPF), predominantly. a) Identify the most likely diagnosis and etiology. b) Describe the management for this child

Aetiology, clinical features, investigations and treatment of thalassemia major

15 yrs old adolescent female is admitted with history of fever for 2 weeks, productive cough and underweight with family history of contact with Koch’s a) List the clinical types b) Discuss the investigations and treatment of tuberculosis in paediatric age group

What are the causes of Proteinuria? Discuss clinical features, investigations and treatment of the most likely diagnosis in a 2 year old male child with gross anasarca, oliguria and massive proteinuria.

Tabulate normal essential milestones attained in all four domains of development assessed at 3, 6, 9, 12 and 18 months. Explain most likely causes for speech delay and isolated gross motor delay.

Mention the factors that affect the Growth. What are the developmental mile stones seen from birth to one year of life?

5-year-old female child presented with pain in multiple -joints, initially the knee joint followed by ankle and then the wrist for 1 week duration each. On examination child is- afebrile HR-120/min, local examination- arthritis of right wrist. CVS- Apex, left 5th ICS, Pansystolic murmur in mitral area. On probing, history of sore throat 3 weeks back given by the mother. a) What is the most probable diagnosis? b) State the criteria to diagnose the same c) How will you manage this child?

Discuss the etiopathogenesis, clinical features, investigations and treatment of a 10yrs old child with acute rheumatic fever. Add a short note on complications of acute rheumatic fever

Assessment and screening of a normal newborn after birth.

Explain how to calculate expected height and weight for a 2 year old healthy child. Explain pattern of head circumference increase. Describe the origin, purpose and how to use WHO growth charts for children.

Describe investigations, treatment and complications of Nephrotic syndrome.

A 15 years old adolescent boy is brought the Emergency room with cough, hurried breathing and difficulty in speaking. On examination he had bilateral rhonchi and a saturation of 88%. He is on long term treatment for the above condition. a) What is the probable diagnosis? b) Mention the pathogenesis and the steps in the management of the above condition.

Aetiology, clinical features, investigations and treatment of Urinary Tract Infection

One year old child is brought to the OPD with complaints of decreased activity and on and off respiratory infections since 3 months with family history of blood transfusion. On examination, child looks very pale, and has hepatosplenomegaly. a) Write the probable diagnosis. b) Describe the investigations necessary for this child c) Elaborate on management of this clinical condition.

List WHO criteria to diagnose severe acute malnutrition. Describe complications of SAM. Describe the immediate treatment of SAM in health care facility.

State the WHO criteria for severe acute malnutrition. Describe the management in the first week of SAM.

What are the advantages and problems of Breast feeding? Hazards and demerits of artificial feeding.

A 10 month old unimmunized child presents with fever, cold and cough of 5 days duration. He developed a maculopapular rash starting on day 4 of fever which started on face and progressed to involve the entire body a) List the viruses causing maculopapular rash b) Describe the clinical features of Measles c) Complications and management of measles

Define growth and development. Discuss factors affecting growth and development.

Tabulate gross motor and fine motor milestones till 5 years of age. Discuss causes of global developmental delay.

A two year old child weighs 5kg with bilateral pedal edema. What is the most likely diagnosis as per WHO classification? Describe the ten steps in the initial management of this child.

The petechiae in the retina seen in children with infective endocarditis are called A. Roth spots B. Osler nodes C. Brushhfield spots D. Epstein pearls

The antidote for methemoglobinemia is A. Naloxone B. Pralidoxime C. Methylene blue D. Flumazenil

Involvement of C5, C6, and occasionally C7 nerve roots during birth injuries leads to A. Duchene–Erb’s palsy B. Total Brachial Plexus injury C. Klumpke injury D. Cephalhematoma

The short acting bronchodilator among the following is A. Theophylline B. Budesonide C. Salbutamol D. Montelukast

The definition of the toddler is A. 6 months to 1 year B. 1-2 years C. 1 year to 36 months D. 1 year to 48 months

Erythema toxicum, a normal skin finding in a newborn, consists of which type of cells? A. Basophils B. Eosinophils C. Neutrophils D. Lymphocytes

Hyponatremia is defines as a plasma sodium level less than: A. 135mEq/L B. 140mEq/L C. 145mEq/L D. 150mEq/L

Normally, babies can sit without support and pivot to reach an object by A. 8 to 9 months B. 10 to 11 months C. 6 to 8 months D. 13 to 15 months

The following is earliest feature in ECG of hyperkalemia child? A. U waves B. Tall T waves C. ST segment elevation D. Arrhythmias

According to the IMNCI guidelines, tachypnoea in a 3 month old child is defined as: A. More than 70 breaths per minute B. More than 65 breaths per minute C. More than 60 breaths per minute D. More than 50 breaths per minute

Of the following, which is NOT a cardinal and immediate determinant of under nutrition A. Low birth weight B. Infections C. Low food intake D. Socio economic status

All the following are causes of microcephaly in children EXCEPT A. Down syndrome B. Congenital Rubella infection C. Craniosynostosis D. Untreated B thalassemia major

Which vaccine among the following is not included in the National Immunization Schedule? A. Measles vaccine B. Influenza vaccine C. Hepatitis B vaccine D. Polio vaccine

In the treatment of hyperkalemia, which drug is used to stabilise myocardial cell membrane? A. Insulin B. Sodium bicarbonate C. Calcium gluconate D. Salbutamol

The first Apgar is taken at A. Immediately after birth B. 1 minute C. 5 minutes D. 10 minutes

During neonatal resuscitation, the suction pressure should not exceed A. 120mmHg B. 100mmHg C. 110mmHg D. 115mmHg

Zika virus is primarily transmitted by the bite of A. Aedes aegypti B. Anophelles stephensi C. Culex pipiens D. Anopheles gambiae

Hyponatremia is defined as serum sodium levels less than A. 120 mEq/L B. 125 mEq/L C. 130 mEq/L D. 135 mEq/L

Radical therapy is indicated for vivax malaria to eliminate the exoerythrocytic stages in liver and reduce risk of relapse with A. Chloroquine B. Artesunate C. Primaquine D. Quinine

The following is the common cause of Unconjugated Jaundice A. Biliary atresia B. TORCH Infection C. Choledochal Cysts D. Hemolytic anemia

Which statement among the following is true regarding the hind milk? A. Gives a sense of satiety B. Quenches the baby’s thirst C. Mild secreted at the start of a feed D. Watery milk

Strabismus is A. Inward deviation of the eye B. Outward deviation of the eye C. The visual axis of the 2 eyes do not meet at the point of regard D. Subnormal vision defined as 2 lines less than normal

The commonest organisms causing acute laryngotracheobronchitis is A. Parainfluenza Virus type 1 B. Adenovirus C. Respiratory syncytial Virus D. Rhinovirus 22ii) The definition of the toddler is A. 6 months to 1 year B. 1-2 years C. 1 year to 36 months D. 1 year to 48 months

Intussusception is associated with which of the following vaccines? A. Rotavirus vaccine B. MMR vaccine C. DPT vaccine D. Polio vaccine

The Miller Fisher variant syndrome of Guillain Barre syndrome is characterized by all of the following EXCEPT A. Ophthalmological abnormalities B. Ataxia C. Areflexia D. Bladder and bowel involvement

Severe combined immunodeficiency manifests during A. First few months of life B. After 1 year C. After 2 years D. After 5 years

Which radiological investigation is done in all children with first episode of urinary tract infection? A. Chest x-ray B. Ultrasonography C. MRI D. CT scan

Triad of congenital Rubella syndrome include all EXCEPT A. Cataract B. Sensorineural deafness C. Horseshoe kidney D. Congenital Heart Disease

The Anti Mullerian Hormone (AMH) which leads to regression of the Mullerian ducts is produced by the A. Leydig cells B. Sertoli cells C. Mullerian ducts D. Wolffian ducts