Paediatrics MBBS Model Question Paper

Paediatrics

Section – A

Section –A Question paper and answer sheet should be returned at the end of 20 minutes. Do not write anything on the question paper.

I.       Choose the most correct answer.  ( ½  x 8 = 4 marks)

1. Urinary excretion of urobilinogen by a patient suffering from obstructive jaundice will be
a. below normal           b. normal         c. excessive     d. nil
2. The antibiotic of choice in acute epiglottitis pending culture sensitivity report is
a. erythromycin                       b. rolitetracycline        c. doxycycline             d. ampicillin
3. The karyotype in Turner's syndrome is
a. 46 XX                     b. 46 XY         c. 45 XO         d. 47 XXY
4. Auer rods are a morphological feature of
a. myeloblastic leukemia         b. lymphoblastic leukemia       c. monocytic leukemia
d. myelomonocytic leukemia
5. Spinal roots involved in Erb’s palsy is

a) C8, T1         b) C5-C6         c) C3, 4, 5, 6   d) C7, C8 & T1

6. The grass-root worker in ICDS Programme is:                                                                  

a)  Anganwadi worker   b) Primary health worker           c) ICDS officer        d) Village health worker

7. In ORS solution, the benefit of adding glucose is that it                                      

a)  Increases absorption of Na⁺    b) Provides calories      c) Increases absorption of K⁺         
d) Makes the solution isotonic

8. What is the age of a developmentally normal child who is just able to run, build a tower of two cubes, pretend to play with a doll, and speak in two word sentences?

A. 19 months  B. 15 months   C. 14 months   D. 24 months

 

II. Match the following          (½ x 8 = 4 marks)

1.      Renal failure                                  A)        Hypokalemia

2.      Diarrhea                                        B)        Hyperglycemia

3.      Diabetes                                        C)        Hyperkalemia

4.      Rickets                                          D)        Hyperuricemia

                                                            E)        Hypocalcemia

 

5.      Stereotype body movement          A)        Tetanus

6.      Bulging anterior fontanel              B)        Guillain Barre syndrome

7.      Tonic movements on stimulation  C)        Transverse myelitis

8.      Definite level of sensory loss        D)        Raised ICT
                                                            E)        Autism

                                   

Question No – III

Draw and Label

Path way of Direct light reflex           (2 Marks)

Question No – IV

Short answers (4 x 1 = 4 marks)

1.      Clinical signs of  tension pneumothorax Right side

2.      Ketone bodies in urine

3.      Ariboflavinosis

4.      Rectal administration of Diazepam

Question No – V

Short Notes     (3 x 2 = 6 marks)

1.      Inguinal hernia in a 2 year old child

2.      Hemodynamics in Patent ductus arteriosus

3.      Relevant investigations and the expected results in a case of Urinary tract infection

Section - B

Question No – VI

Read the paragraph and answer the questions            ( 1+2+2+3+2 =  10 marks)

      7 year old boy Sanjay is brought to casualty with history of inability to stand up for last two days. He is breathless. He was treated by ENT surgeon for throat infection a fort night ago. On examination respiratory rate is 42/min, Heart rate 124/min.BP=110/70 mm Hg. Temp – 40 deg Celsius. ENT- normal Heart sounds are muffled. Left knee is swollen and painful .Bilateral pedal edema present Liver palpable 4 cm below right costal margin.

1.      Mention the full diagnosis?          ( 1 mark)

2.      Why do you say so .Give reasons?           ( 2 marks)

3.      Enumerate the specific signs you will look for in this case apart from the signs given? 
      ( 2 marks)

4.      List the relevant investigations to confirm diagnosis and mention the anticipated results?                     ( 3 marks)

5.      How will you manage  Sanjay’s disease.(2 marks)

Question No – VII
Short answers              (4 x 1 = 4 marks)

1.      Radiological features in acute Intestinal obstruction

2.      Nebulisation in acute severe asthma

3.      List 4 most common causes of preventable mental retardation

4.      Indications and contraindications(two each) of positive pressure ventilation in a newborn
Question No – VIII

Short Notes     (3 x 2 = 6 marks)

1.      Anterior fontanel

2.      Aspirin

3.      BCG vaccine