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PG Pediatrics; Question papers
Topic Started: Jun 1 2011, 02:43 PM (3,473 Views)
sahasra
Member Avatar
Professor
Dr.NTRUHS University

MD DEGREE

Paper-I: Basic Medical Sciences

Time : 3 Hours Max. Marks:100 Note: Answer all questions.

N.R - New Regulations
O.R - Old Regulations

NOVEMBER, 2008(N.R)
Write short essays on the following:
1. Pathophysiology of body fluids and its clinical application.
2. Evaluation of a child with prolonged bleeding tendency.
3. Serological markers of viral hepatitis.
4. Peak exploratory flow rate and its use in the management of bronchial asthma.
5. Laboratory evaluation for hypertension in a child.
6. Laboratory diagnosis of HIV infection.
7. Principles of genetic counseling.
8. Classification of antiretroviral drugs.
9. Vitamin D analogues.
10. Histological types of chronic glomeulonephritis in children.

JUNE, 2008(N.R)
1. Aetiopathogenesis of acute diarrhea in children.
2. Pathology in persistent hepatitis and chronic active hepatitis.
3. Pulmonary function in restrictive lung disease and obstructive lung disease.
4. Laboratory investigations for arthritis and interpretation of results.
5. Importance of urine examination in a children.
6. Recombinant DNA technology and its application in pediatrics.
7. Antimalarial drugs and current therapy of malaria.
8. Urea cycle, disorders of urea cycle and their diagnosis.
9. Development of retina and staging of ROP.
10.Prescribing in liver diseases

MAY/JUNE, 2007(N.R)
1. Physiology of breathing in the new born and diagnostic evaluation of premature baby with apnea.
2. Pharmacotherapy of esophageal variceal bleeding.
3. Cerebral blood flow regulation in the new born.
4. Neuropathology of TBM and its clinical manifestations.
5. Diagnostic evaluation of a 1 year old child with metabolic acidosis.
6. Investigations for malabsorption in a 2 year old child with failure to thrive.
7. Development of anorectal canal, classification of anorectal malformation in a male child.
8. Interpretation of laboratory investigations of a child who has intrauterine infection.
9. Laboratory evaluation of childhood hypertension.
10.Vitamin D analogues and their use in pediatric conditions.

NOVEMBER-2006 (N.R.)
1. Foetal circulation
2. Teratogenic Cyst
3. Development in second year of life
4. Language development in 4 years old child and write about Dyslexia
5. Munchansen syndrome by proxy (MSBP)
6. Liver function tests and importance of each one of them
7. Sexual Maturity Rate (SMR) in both sexes
8. Stages of coagulation and mention diseases related to each stage
9. Development of heart and haemodynamics of total anomalous pulmonary venous drainage
10.Role of probiotics and prebiotics in paediatric practice

MAY-JUNE-2006 - N.R.
1. List the Gram positive and negative organisms and mention technique of Ziehl-Neelsen stains =10m
2. Respiratory function test and their clinical implication =10m
3. Spinal Arch and describe the clinical manifestations of lesions at various sites of spinal arch.=10m
4. Mention upper GI Anomalies and write about various types of Tracheo-oesophageal Fistula (TEF)=10M
5. Diagnostic evaluation of haematuria=10m
6. Describe various metabolic changes in seen in Diabetes Mellitus =10m
7. Describe the circulation of cerebrospinal fluid (CSF) and mention the causes for hydro cephalus in children
8. Cytogenetic in Down’s syndrome=10
9. Vasodilators in the management of Congestive cardiac failure
10.Growth factors in haematology and their therapeutic implication=10m

APR/MAY, 2005.
1. Malrotation of gut
2. Prebiotics and Probiotics
3. Laboratory tests to differentiate pre-renal and renal failure
4. Cephalosporins in Paediatric practice
5. ECG changes of chamber hypertrophy in children
6. Bone age estimation
7. Urine examination for suspected metabolic diseases in children
8. Role of imaging studies in the diagnosis of renal diseases
9. PEFR measurement in the diagnosis and management of childhood asthma
10.Intraosseous fluid therapy

SEPT./OCT., 2004. (N.R.)
1. Etiopathology of Neurocysticercosis (Each question carry Ten marks)
2. Nucleotides in pediatric nutrition
3. Interpretation of laboratory investigations in the diagnosis of TORCH infections
4. Clinical features of temporal and parietal lobe lesions of brain
5. Nutritional anthropometry
6. Haematological tests in evaluating anaemia in children
7. Liver function tests and their interpretation
8. Newer anticonvulsants
9. Pathophysiology of shock
10.Management of ATT induced hepatotoxicity

MARCH/APRIL, 2004 (N.R.)
1. Diagnostic evaluation of proteinuria =10m
2. Development of the kidney and renal developmental anomalies =10m
3. Quinolones in pediatrics practice =10m
4. Laboratory diagnosis of DIC (Disseminated Intravascular Coagulation) =10m
5. Clinical features associated with hemiplegia in relation to the level of lesion =10m
6. Transfusion reactions and their management =10m
7. Vasodilators in the management of CCF (Congestive Cardiac Failure) =10m
8. Natural course of primary complex =10m
9. Primary and secondary dentition =10m
10. Etiopathogenesis of acute dirrhoea. =10m

MARCH/APRIL,2004. (O.R.)
1. Enumerate the liver function tests. Describe the LFT abnormalities in acute and chronic liver disease.Describe the clinical features, diagnosis, prevention and management of acute viral hepatitis.
2. Enumerate the causes of shock. Describe the pathogenesis of shock and discuss in detail the management of cardiogenic shock.
3. Write short notes on:
a) Quinolones
b) Varicella Vaccine
c) Laboratory diagnosis of HIV in children
d) Hypernatremia

SEPT./OCT.2003 (N.R.)
1. Hyperkalemia =10m
2. Classification and pathophysiology of shock =10m
3. Neutropenia=10m
4. Antiviral drugs
5. Thermoregulation in a neonate and methods to prevent heat loss =10m
6. Immunization in a child with HIV infection =10m
7. Evaluation of Renal Function =10marks
8. Parenteral Nutrition in neonates. =10m
9. Monitoring a critically ill child.=10m
10. Physiologic basis of maintenance fluid requirements in children =10m

SEPT./OCT.2003. (O.R.)
1. Describe fetal circulation and discuss: a) Changes occurring at birth b) mechanism of closure of ductus
2. Discuss the physiological changes occurring in puberty and enumerate the causes of precocious puberty
3. Write short notes on:
a) Erythropoietin
b) Histopathological changes in the joints and heart in rheumatic fever
c) Physiological basis of therapy with WHO, ORS and improved ORS formulae.
d) Pharmacology of drugs used in neonatal resuscitation.

MARCH, 2003(N.R)
1. What is Anion gap? Discuss the approach to the diagnosis of a child with high anion gap metabolic acidosis.
2. Describe the physiology of lactation and discuss the following: a) Lactation failure b) Relactation
3. Write short notes on:
a) Pharmacological closure of PDA
b) Inotropic support in Pediatric Critical Car
c) Management of Drug resistance tuberculosis
d) Hemodynamics in transposition of great vessels

SEPT./OCT.2002 (N.R)
1. Clinical presentation of cerebello pontine angle space occupying lesion.
2. Serological markers of Hepatitis B Virus infection.
3. Pulmonary function tests for office practice.
4. Pharmacotherapy of Drug resistant tuberculosis in children
5. Importance of urine examination in Pediatric diagnosis.
6. Evaluation of a patient with metabolic acidosis.
7. Micronutrients in childhood nutrition
8. Immunological basis for Pediatric Immunization.
9. Importance of bone marrow examination in childhood diseases.
10.Adolescent growth spurt.

SEPT./OCT.2002 (O.R)
1. Describe fluid & electrolyte balance in the neonates. Discuss principles of fluid therapy in the newborn.
2. Describe portal circulation and discuss causes and clinical manifestations of portal hypertension in children.
3. Write short notes on:
a) Antiarrhythmic drugs
b) Histopathology of Nephrotic syndrome.
c) Pathophysiology of diarrhoeagenic E.Coli diarrhoea
d) Levels of lesion in hemiplegia.

MAY, 2000.(O.R)
1. Discuss Fetal circulation and enumerate causes, management and prevention of primary pulmonary hypertension in the new born.
2. Discuss Renal Function Tests, Causes and Management of Acute Renal Failure.
3. Write short notes on:
a) Critical analysis of composition of ORS
b) Diagnosis and prevention of Neural tube defects
c) HIV Vaccine
d) Cephalosporins

JUNE, 1999.(O.R)
1. Discuss the role of raemerging and newer infections in Indian children. Highlight the measures to be taken to prevent and tackle such a problem.
2. Draw a diagram of optic fundus and discuss the importance of optic fundus examination in the diagnosis of various paediatric diseases.
3. Write short notes on:
a) Newer antimalarial drugs
b) Polymerase chain Reaction
c) Pulse Oximetry
d) Arnold-Chiari Malformation.

AUGUST, 1998.(O.R)
1. Draw a diagram depicting the portal circulation. Discuss the types, causes, haemodynamic changes,evaluation, management and prevention of portal hypertension in children.
2. Describe the life cycle of malarial parasite in human beings. Discuss regarding the mode of action,dosage, indications, contra-indications and problems of available anti-malarial drugs in treating childhood malaria, including newer anti-malarials.
3. Write short notes on:
a) Clinical indicators and evaluation of immunodeficiency disorders in children.
b) Mantoux-test – methodology, relevance and interpretation under various clinical states.
c) Manifestations and management of leptospirosis
d) Sensitivity and specificity of a test.

FEBRUARY, 1998.(O.R)
1. Discuss Adrenal Cortical functions & give a brief account of Addison’s disease.
2. Give an account of Antiviral vaccines in Pediatric practice.
3. Write short notes on:
a) Intracranial calcifications in children.
b) 2 Dechocardiogram studies in children
c) Colored Urine syndromes in Pediatrics.
D) PAIDS

SEPTEMBER, 1997.(O.R)
1. Discuss Pancreatic function tests. How do you evaluate a newborn with ascites.
2. Give an account of newer vaccines in Paediatric practice.
3. Write short notes on:
a) Galactogagues
b) Essential fatty acids
c) Ultrasound in neonates.
d) Recent antimalarial drugs.

SEPTEMBER, 1996.(O.R)
1. Discuss bilirubin metabolism. Enumerate the causes of jaundice in paediatric age.
2. Evaluate the role of Vitamin inhalation to childhood morbidity and mortality.
3. Write short notes on:
a) Predictors of outcome of nephrotic syndrone.
b) Importance of Casoni’s test
c) Draw a man test
d) Intra-cranial space-occupying lesions
Edited by sahasra, Jun 1 2011, 06:18 PM.
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sahasra
Member Avatar
Professor
Dr.NTRUHS University

MD DEGREE

Paper-II – Diseases of New born, Preventive and Social Paediatrics, Growth & Development and Child Psychiatry

Time : 3 Hours-Max. Marks : 100-Note : Answer all questions-All questions carry equal marks

N.R - New Regulations
O.R - Old Regulations

NOVEMBER - 2008 N.R
Write short essays on the following:
1. Revised national Tuberculosis control programme.
2. Neonatal component of integrated management of childhood illnesses.
3. Aetiology investigations and management of acute renal failure in the newborn.
4. Clinical features of kernicterus and its prevention. 5. Academic underachievement in adolescents.
6. Principles of growth and factors affecting growth and development.
7. Pattern of sleep disorders in children.
8. Etiology of neonatal hypoglycemia and management of persistent hypoglycemia.
9. Management of severe Meconium aspiration syndrome.
10. Practical guidelines for achieving exclusive breastfeeding.

JUNE, 2008 N.R
1. Prevention of blindness in children.
2. Measures to reduce Infant Mortality Rate (IMR).
3. Management of persistent pulmonary hypertension in the newborn.
4. Algorithm for the anticonvulsant therapy and follow-up therapy for neonatal seizures due to hypoxic ischemic encephalopathy.
5. Diagnosis and management of depression in adolescence.
6. Pattern of Growth in preterm and small for date babies.
7. Pattern of pubertal development.
8. Recognition and control of nosocomial infections in NICU.
9. Diagnostic approach to anemia in the newborn.
10.Aims, objectives and services of ‘under five clinic’

NOVEMBER, 2007(N.R)

Write short essays on the following:
1. National Aids control programme
2. Impact of RCH programme in reduction of childhood morbidity & mortality
3. Algorithm for the management of neonatal seizures
4. Clinical manifestations of inborn errors of metabolism in the neonatal period.
5. Clinical manifestations and management of PDA in preterm infant
6. Situational disorders in children 7. Growth charts in the evaluation of short stature
8. Physical growth and sexual development in adolescene
9. Clinical manifestations and management of polycythemia in the newborn
10.Aetiology and management of neonatal meningitis.

MAY/JUNE, 2007 (N.R.)
1. Etiology and diagnostic evaluation of seizures in a 3 day old infant.
2. Prevention and management of oxygen toxicity in the newborn.
3. Management of common situational disorders in children.
4. Types of growth charts and their use in children.
5. Consequences of Vitamin-A deficiency in children, management and prevention.
6. Indications and complications of parenteral hyperalimentation in the newborn.
7. Investigations and management of prolonged jaundice in a two month old infant.
8. Long term prognosis of neonatal hypoxic-ischemic encephalopathy.
9. Definition and management of polycythemia in newborn.
10.Care of neonate in the community.

NOVEMBER-2006 (N.R.)

1. Causes for Jaundice in first week of life and investigation, management of Rh-incompatability
2. Oxygen Toxicity in preterm with special mention of fundal changes and management of ROP
3. Screening Tests in Newborn
4. Sepsis Screening in Neonate
5. RCH programme in India
6. Tetany in Neonate and their management
7. Diagnosis and management of attention deficit disorder
8. Legal aspect of adoption
9. Developmental screening tests
10.Methods of eradication of malaria

MAY-JUNE-2006(N.R)
1. Causes of Anaemia in newborn with a brief note on Physiological Anaemia in infancy=10m
2. Classification of IUGR and their long-term outcome=10m
3. Causes of Respiratory Distress syndrome in newborn and different types of ventilators used in neonatal practice
4. High Risk Pregnancy and foetal outcome =10m
5. Define growth and development. Write about the factors influencing them =10m
6. Fluid management in preterm baby =10m
7. Habit disorders in children with a special note on Gilles de la Tourette syndrome=10m
8. Psychosocial problems in adolescent
9. Steps of prevention of malaria
10.Prevention of lactation failure

APR/MAY, 2005. (N.R.)
1. Causes and management of neonatal thrombocytopenia
2. An account of newborn reflexes and early detection of cerebral palsy
3. Classification, management and outcome of intraventricular haemorrhage
4. Diagnosis and management of anorectal malformation
5. Social issues in caring HIV infection children
6. Attention deficit and hyperactivity disorder
7. School health programme
8. Juvenile delinquency
9. Kangaroo mother care
10. Principles and theories of growth

SEPT./OCT., 2004 (N.R.)
1. Causes of apnoea in newborn and management of apnoea of prematurity (Each carry Ten marks)
2. Etiology and management of late onset sepsis
3. Antenatal diagnosis and prenatal genetic counseling for Down’s syndrome
4. Prevention of further injury to the brain in babies with perinatal asphyxia
5. Erythropoietin in the treatment of anaemia of prematurity
6. Objectives and implementation of IMCI in India
7. Current status of national malaria control programme
8. Disruptive behavious in children
9. Measures to reduce neonatal mortality
10.Foetal onset of adult diseases

MARCH/APRIL, 2004 (N.R.)
1. Causes of respiratory distress in newborn and surfactant therapy of RDS =10m
2. Fluid management in neonates with RDS, PDA and NEC.
3. Long term prognosis of small for date babies
4. Effects of antenatal drug therapy on growing foetus =10m
5. Causes and management of late onset hypocalcemia =10m
6. Effects of environmental pollution on health of children =10m
7. National Nutrition Programmes.=10m
8. Diagnosis and management of childhood autism=10m
9. Psychosocial problems in adolescents=10m
10.Methods of eradication of polio =10m

MARCH/APRIL, 2004. (O.R.)
1. Enumerate the causes of neonatal jaundice. Describe the clinical approach, investigations and management of neonatal jaundice with reference to phototherapy and exchange transfusion.
2. Define cerebral palsy. Discuss the etiology, pathogenesis and classification of cerebral palsy. Describe the principles of its management.
3. Write short notes on:
a) ADHD (Attention Defecit Hyperactive Disorder)
b) Congenital Adrenal Hyperplasia
c) National Nutritional programmes
d) Child labour

SEPT./OCT.2003 (N.R.)
1. Adjuvant therapy in neonatal sepsis =10m
2. Environment and child health =10m
3. Congenital syphilis =10m
4. Management of respiratory distress syndrome in a neonate=10m
5. Discuss in detail about Polycythemia in the new born =10m
6. Child labour =10marks
7. Developmental evaluation in the first year of life
8.Attention Deficit Hyperactive disorder (ADHD)=10m
9. IUGR (Intrauterine growth restriction/retardation) classification, problems and problems and principles of management.=10m
10.Apnoea of prematurity.=10marks

SEPT./OCT.2003 (O.R.)
1. Discuss Infant mortality levels and trends in our country. Describe the strategies to bring down IMR whichhas been static for the last one decade.
2. Discuss etiology, clinical staging and management of ROP
3. Write short :
a) Risk factors for IVH
b) Brain oriented resuscitation
c) Binet-Kamat test
d) Nocturnal enuresis.

MARCH, 2003.(O.R)
1. Discuss etiology, clinical manifestations, diagnosis and management of Attention deficit hyperactivity disorder.
2. A 5 days old, 32 weeks preterm baby develops mild abdominal distension and increased gastric residues while on tube feeding. Discuss the differential diagnosis and management.
3. Write short notes on:
a) Primary newborn care.
b) Perinatal transmission of HIV
c) Pediatric component of RCH programme
d) Growth velocity.

SEPT./OCT.2002.(O.R)
1. What is IMCI? Discuss merits and demerits of IMCI.
2. 30 weeks preterm baby who had hyaline membrane disease, requiring ventilatory support for one week and oxygen support for another two weeks is being discharged from NICU after I month stay. Discuss, how would you follow-up this baby in your high risk clinic.
3. Write short notes on:
a) Anaemia in prematurity
b) Autism
c) Primary dentition.
d) High frequency ventilation.

MAY, 2000.(O.R)
1. Discuss in detail measures to prevent neonatal infection in the post natal wards. Neonatal Nursery and at home.
2. Discuss causes and management of a bleeding neonate.
3. Write short notes on:
a) Polycythemia in the newborn
b) Trauncy
c) Hepatitis B Vaccine.
d) Language development, causes and management of Language delay.

JUNE, 1999.(O.R)
1. Pallor, ecchymosis and presence of altered blood in the vomitus in a 72 hour old term neonate – Discuss the clinical and investigate approach. Outline the treatment plan of any one of the conditions.
2. Discuss the causes of Intra Uterine-growth Retardation (IUGR). What are the types of IUGR? Discuss in detail the complications of IUGR babies and their management.
3. Write short notes on:
a) SHAKIR’S Tape
b) Neonatal problems in Down’s syndrome
c) Prevention of neural tube defects
d) Attention deficit disorder.

AUGUST, 1998.(O.R)
1. Discuss the differential diagnosis, causes, investigative and management approach to a 2 week old neonate presenting with history of vomiting, constipation, abdominal distension and mild jaundice of 2 days duration.
2. Discuss in detail the developmental and growth assessment of a three-year-old child.
3. Write short notes on:
a) Etiology and prevention of Hemorrhagic disease of the newborn.
b)Essential newborn care
c)Long term growth and development of preterm children.
d)Childhood autism.

FEBRUARY, 1998.(O.R)
1. Discuss in detail common abdominal neoplasm’s in a neonate & describe their management.
2. Give an account of ‘Hermaphrodite’ and discuss the investigations and management.
3. Write short notes on:
a) Infantileutism
b) Congenital malaria
c) Anhidrotic ectodermal dysplasia
d) Scorpion stings in children

SEPTEMBER, 1997.(O.R)

1. Give an account of ‘Bleeding Diathesis’ in a neonate and discuss the strategy to investigate.
2. Discuss the proportionate dwarfs and describe recent trends in its management.
3. Write short:
a) Precocious puberty
b) Enuresis in school going children.
c) Caffey’s disease
d) Phakomatosis.

SEPTEMBER 1996.(O.R)
1. Discuss the clinical manifestations of various diseases during neonatal period.
2. Discuss the merits and demerits of various national health programmes.
3. Write short notes on:
a) Erb-Duchenne paralysis
b) Dehydration fever
c) Acyclovir
d) Bulimia.
Edited by sahasra, Jun 1 2011, 06:17 PM.
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sahasra
Member Avatar
Professor
Dr.NTRUHS University

MD DEGREE
Paper-III – Nutrition, Infant feeding, Immunology and Communicable diseases

Time : 3 Hours-Max. Marks: 100-Note : Answer all questions-All questions carry equal marks

N.R - New Regulations
O.R - Old Regulations

NOVEMBER, 2008(N.R)
Write short essays on the following:
1. Clinical spectrum of dengue virus infections.
2. Management and prevention of meningococcal infection.
3. Cold chain for vaccines.
4. Differential diagnosis of acute flaccid paralysis.
5. Issues in adolescent nutrition and their management.
6. Perinatal varicella infection and management.
7. Clinical manifestations of cow’s milk protein allergy.
8. Muco cutaneous manifestations of viral infections in children.
9. Clinical features of hydatid disease in children and management.
10. Diagnosis and management of leptospirosis.

JUNE, 2008(N.R)
1. Smart nutrients.
2. Immunization in special circumstances
3. Diagnosis and management of Rickettsial disease in children.
4. Clinical manifestations and management of pertussis encephalopathy
5. Diagnosis and management of childhood obesity.
6. Clinical features in various types of neuro tuberculosis.
7. Guidelines for complementary feeding
8. Clinical features and management of mycoplasma pneumonia infection in children
9. Rabies vaccines and post exposure prophylaxis of rabies.
10.Management of Neonatal tetanus

NOVEMBER, 2007(N.R)
Write short essays on the following:
1. Diagnosis of staphylococcal toxic shock syndrome
2. Diagnostic approach to fever of unknown origin
3. Immunocompromised child
4. Intravenous Immunoglobulin therapy in pediatrics
5. Nutritional recovery syndrome
6. Clinical types of herpes simplex infection in children and management of herpes encephalitis
7. Current concepts in the management of acute diarrhea
8. Clinical features and management of non typhoidal salmonellosis.
9. Etiology and management of neonatal pneumonia
10.Clinical features of congenital rubella syndrome and its prevention.

MAY/JUNE, 2007 (N.R.)
1. Approach to a child with delayed puberty.
2. Immunomodulators in childhood diseases.
3. Complementary feeding.
4. Nutritional problems in adolescents.
5. Diagnosis, prevention and management of Japanese encephalitis.
6. Diagnosis and management of dengue hemorrhagic fever with shock.
7. Investigations and management of a 2 year old child presenting with prolonged fever.
8. Prevention of mother to child transmission of HIV.
9. Opportunistic infections.
10.Micronutrient deficiency and immunity.

NOVEMBER-2006 (N.R.)
1. Describe clinical features, complications and management of measles
2. Write aetiology, clinical features and complications of kwashiorkor
3. Write mechanism of Breast milk secretion and advantages of breast milk
4. Write on Dengue haemorrhagic fever and management
5. Describe immune system and protein energy malnutrition
6. Discuss approach to P.U.O. (Pyrexia of Unknown Origin)
7. Mention diseases related to complement system.
8. Mention clinical characteristics of different types of Diarrhogenic Escherichia coli
9. Mention complications and management of Plasmodium falciparum malaria
10.What are the clinical features and management of Kawasaki disease

MAY-JUNE-2006(N.R)
1. Dengue fever and management =10m
2. Biochemical changes in Protein energy Malnutrition=10m
3. Graft versus host disease=10m
4. Diet prescription in Protein Energy Malnutrition=10m
5. Active Phase Reactants=10m
6. Total Parenteral Nutrition=10m
7. Management of Acute GE in a 10 kg weighing child with severe dehydration=10m
8. Approach to Resistant Rickets and their management=10m
9. ARI Programme =10m
10.Newer Drugs in the management of Tuberculosis=10m

APR/MAY, 2005. (N.R.)
1. Adolescent nutrition
2. Management of child with Dengue haemorrhage shock syndrome
3. Clinical presentations and diagnosis of Ricketsial fever
4. Nutritional management of chronic diarrhoea
5. Diagnosis and management of tuberculous in HIV infected child
6. Spectrum of H.influenza infection in children and management
7. Diagnosis and management of anaerobic infections in children
8. Clinical features and management of a child with H.Pylori infection
9. Etiology and management of non-resolving pneumonia
10.Management of Vitamin –D resistant rickets.

SEPT./OCT., 2004 (N.R.)
1. Nutritional requirements of preterm infants.
2. Management of Chloroquine resistant malaria
3. Management of an infant with perinatal HIV infection.
4. Etiology and diagnosis of management of obesity in children
5. Complications of Staphylococcal septicemia & management of methicillin resistant Staphylococcal sepsis.
6. Evaluation and management of recurrent urinary tract infection in children
7. Etiology of encephalitis in children, diagnosis and management of a child with Japanese Encephalitis.
8. Causes of lactation failure and management of retracted nipple.
9. Diagnosis and management of leprosy in children
10.Spectrum of Chlamydial infections in children and their management.

MARCH/APRIL, 2004. (N.R.)
1. Clinical features and management of cerebral malaria. =10m
2. Immunological properties of breast milk =10m
3. Classification of primary immunodeficiency disorders. Write on Burton disease =10m
4. Management of Opportunistic infections in patients with pediatric AIDS.=10m
5. Feeding low birth weight infants=10m
6. Toxic shock syndrome =10m
7. Diagnosis and management of nosocomial infections in Pediatric Intensive care units.=10m
8. Enteral nutrition in critically ill children=10m
9. Diagnosis and management of febrile neutropenia=10
10.Dermatological manifestations of infectious diseases =10m

MARCH/APRIL,2004. (O.R.)
1. Classify Anaemias of infancy and early childhood. Describe the clinical features and management of megaloblastic anemia.
2. Describe the etiopathogenesis, clinical features, diagnosis and management of cerebral malaria.
3. Write short notes on:
a) Cytomegalovirus infection
b) Feeding in LBW infant
c) Immunological status of a preterm child
d) Multi drug resistant tuberculosis.

SEPT./OCT.2003 (N.R.).
1. Iron deficiency anemia – etiology, investigations and management =10m
2. Leptospira infection – etiology, clinical features and management.=10m
3. BFHI (Baby Friendly Hospital Initiative) =10m
4. Classification and evaluation of child with primary immune deficiency =10m
5. Pathogenesis and management of Cerebral Malaria =10m
6. Bacterial pneumonia – Etiology and management =10m
7. Varicella – clinical features, prevention and management =10m
8. Newer vaccines =10marks
9. Obesity – Diagnosis, risk factors and management =10m
10. Shigella infection in children =10m

SEPT./OCT.2003 (O.R.)
1. Discuss control strategies for the prevention of nutritional anaemia in children
2. Discuss problems in the fetus and newborn of a mother who develops chicken pox during the antenatal period. Briefly mention the management of affected new born.
3. Write short notes on:
a) DTTU
b) Dietary nucleotides in paediatric nutrition
c) Immunological properties of Breast milk
d) Probiotics and Prebiotics in pediatrics

MARCH, 2003.(O.R.)
1. Discuss feeding in a critically ill child.
2. Discuss the role of immunomodulators in childhood illness.
3. Write short notes
a) Parvovirus infection
b) Non-nutritive sucking.
c) Kawasaki disease
d) AFP surveillance

SEPT./OCT.2002(O.R.)
1. Write an essay on Nutrition and Immunity in Pediatrics.
2. A 4 years old child presents with fever of 8 days duration and generalized erythematous rashes of 3 days duration. Discuss the differential diagnosis and management.
3. Write short notes on:
a) Immunological markers of hepatitis
b) Graft versus Host disease
c) Management of Dengue Hemorrhagic Shock syndrome
d) Requirements in BFHI certification.

MAY, 2000.(O.R.)
1. Discuss Obstetric and Neonatal factors favourable successful Lactation. Explain the advantages of exclusive breast feeding.
2. A 6 months old presents with fever cough and rapid breathing. Discuss differential diagnosis & management
3. Write short notes on:
a) Diet in Chronic Liver disease
b) Disacchindase Deficiency
c) An update on Pertussis Vaccine
d) Lead Poisoning in Children

JUNE, 1999.(O.R.)
1. Discuss the nutritional requirements of a preterm child (1800 gms), from birth to infancy. How will you advice the mother regarding child’s nutrition till I year of age.
2. Describe the investigative and management approach to a 3 year old child with ‘recurrent’ and ‘chronic’ respiratory infection.
3. Write short notes on:
a) ‘Not enough milk’ management
b) Impetigo
c) Pin worm infestation
d) T.Cell deficiency in children.

AUGUST, 1998.(O.R.)
1. Discuss the antenatal and postnatal measures to be taken to prevent early failure of lactation. Discuss the adverse factors prevalent in hospitals and maternity homes that are against the establishment of lactation.
2. 8 month old child on bottle feeding with commercial milk and weaning formula develops chronic diarrhoea. Discuss the clinical investigation and management of this condition.
3. Write short notes on:
a) Eating disorders of adolescents
b) Hemolytic-Uraemic syndrome
c) Prevention of Haemophilus influenza type B infection in infants.
d) Manifestations and management of acute iron toxicity (poisoning).

FEBRUARY, 1998.(O.R.)
1. Discuss mental functions in protein energy malnutrition and narrate regarding the investigations and management.
2. Describe in detail Extrathoracic tuberculosis in children and narrate investigations and management.
3. Write short notes on:
a) Abnormal Haemoglobins
b) Sound diagnosis in clinical paediatrics
c) Meckel’s diverticulum
d) Porphyrias in children.

SEPTEMBER, 1997.(O.R.)
1. Discuss in detail ‘Heredofamilial Obesity’ narrate how do you investigate and manage.
2. Discuss ‘Infantile Tremor Syndromes’ and give a note regarding the investigations and management.
3. Write short notes on:
a) Bone marrow transplants in children
b) ECMO
c) Fluorosis in children
d) Immunotherapy

SEPTEMBER, 1996.(O.R.)
1. What is the impact of national immunization on various vaccine preventable diseases in both urban and rural area.
2. Discuss the role of immunoglobulins in various disorders.
3. Write short notes on:
a) Complimentary feeding
b) Problems and management of ‘Tiny neonate’
c) Fanconi’s anaemia
d) Causes of deafness in children.
Edited by sahasra, Jun 1 2011, 06:17 PM.
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MD DEGREE
Paper-IV – Diseases of infancy and childhood

Time : 3 Hours-Max. Marks: 100-Note : Answer all questions-All questions carry equal marks

N.R - New Regulations
O.R - Old Regulations

NOVEMBER 2008 N.R
Write short essays on the following:
1. Etiology, clinical features and management of chronic renal failure.
2. Diagnostic approach to child with chronic cough.
3. Clinical features and management of salicylate poisoning.
4. Clinical presentation, diagnosis and management of helicobacter pylori infection in children.
5. Etiology, presentation and management of acute ataxia in children.
6. Clinical manifestations and management of neuroblastoma.
7. Diagnosis and management of upper airway obstruction.
8. Approach to a child with traces of blood in the stools for 6 months.
9. Management of thalassemia major.
10. Diagnosis and management of cardiogenic shock in children.

JUNE, 2008.N.R
1. Etiology, Investigations, management of syncope in children.
2. Clinical staging and management of Non Hodgkin Lymphoma.
3. Clinical manifestations and management of hemolytic uremic syndrome
4. Clinical features and management of Systemic lupus erythematosus.
5. Clinical presentation and management of gastro esophageal reflex disease.
6. Clinical feature and management of snake bite.
7. Causes of congestive cardiac failure in 2-year old child
8. Management of acute fulminant hepatitis
9. Aetiology& management of constipation in infants& children
10.Diagnosis and management of renal tubular acidosis

NOVEMBER, 2007(N.R)
1. Diagnostic approach to a child with myopathy
2. Etiology and emergency management of upper GIT bleed in children
3. Management of Iron poisoning
4. Timing of surgery in congenital heart disease
5. Diagnostic approach to a child with mental retardation
6. Diagnosis and management of wilm’s tumor
7. The current understanding of management of recurrent and chronic idiopathic thrombocytopenic purpura
8. Diagnosis and management of supraventricular tachycardia of an infant.
9. Differential diagnosis for acute pharyngitis
10.Management of refractory asthma

MAY/JUNE, 2007 (N.R.)
1. Current trends in the management of Thalassemia major.
2. Diagnosis and management of childhood Migraine.
3. Immuno modulators and their application in childhood disease states.
4. Advances in the management of multiple organ system failure.
5. Clinical features and management of supraventriculer tachycardia.
6. Clinical manifestations and management of chronic renal failure in children.
7. Etiology and approach to the diagnosis of floppy infant.
8. Clinical manifestations and management of cow’s milk allergy.
9. Causes of acute respiratory failure and management.
10.Management of Acute lymphoblastic Leukemia in children.

NOVEMBER-2006 (N.R.)
1. Diagnosis and management of congenital upper G.I.obstruction
2. Clinical feature and management of Diabetic Ketoacidosis
3. Causes and management of congestive cardiac failure in 8 years old child
4. Disseminated Intravascular Coagulation (DIC) and its management
5. Chronic Renal Failure causes and its management
6. Approach to resistant generalized seizures in older children
7. Clinical features and investigations in cases of mucopolysaccharodoses (MPS)
8. Management of outcome in acute leukaemias in children
9. Syndrome of inappropriate antidiuretic Hormone Secretion (SIADH)
10.Extra hepatic portal vein obstruction

MAY-JUNE-2006(N.R)
1. Causes of cirrhosis of liver in 6 years old child and steps of management of hepatic encephalopathy=10m
2. Causes of haemolytic anaemias in children and management of thalassaemia major =10m
3. Clinical types of Juvenile Rheumatoid Arthritis and management of polyarticular type of JRA=10m
4. Pathogenesis of Bronchial asthma and treatment of Status Asthmaticus=10m
5. Congenital Dislocaztion of hip joint =10m
6. Importance of Ophthalmic fundocscopic examination in children =10m
7. Aetiology and management of Addison’s disease in children =10m
8. Causes of anterior horn cell disease in children and clinical features of spinal muscular atrophy=10m
9. Acute stroke in children =10m
10. Botulism in children =10m

APR/MAY, 2005. (N.R.)
1. Causes, clinical features and management of renal tubular acidosis
2. Causes of chronic diarrhoea and management of a one year child with chronic diarrhoea.
3. Risk factors, clinical features and management of fulminant hepatic failure
4. Classification of arrhythmias in children and management of Supraventricular tachycardia
5. Evaluation of a child with convulsions and treatment of a child with recurrent convulsion.
6. Management of Sickle cell crisis.
7. Clinical manifestations and differential diagnosis of chorea in children & management of a child with rheumatic chorea.
8. Clinical features and management of a child with diabetic ketoacidosis.
9. Evaluation of a child with recurrent Epistaxis.
10.Classification and management of Non-Hodgkin’s lymphoma

SEPT./OCT., 2004.(N.R.)
1. Diagnostic evaluation of a three years old child with malabsorption syndrome.
2. Evaluation of a child with recurrent haematuria.
3. Diagnosis of a child with persistent cough and management of chronic persistent asthma.
4. Classification of congenital cyanotic heart diseases and management of transposition of great vessels.
5. Management of hypertension in children
6. Diagnostic evaluation of female child with precocious puberty
7. Management of a child with refractory nutritional anaemia
8. Diagnosis and management of a child with myasthenia gravis
9. Classification and prognosis of childhood leukaemia
10.Approach to a child with recurrent headache and management of migraine in children.

MARCH/APRIL, 2004. (N.R.)
1. Diagnosis and management of gastro esophageal reflux =10m
2. Clinical features and management of Juvenile rheumatoid arthritis =10m
3. Etiology and management of sub acute bacterial endocarditis=10m
4. Management of complicated Henoch-Schonlein purpura =10m
5. Differential diagnosis and management of a one year old child with fever, stridor and severe respiratory distress.
6. Management of chronic ITP =10m
7. EMG and NCV findings in a child with acute flaccid paralysis=10
8. Evaluation and management of a child with steroid resistant nephritic syndrome =10m
9. Movement disorders in children =10m
10. Diagnosis and management of Hodgkin’s disease =10m

MARCH/APRIL, 2004. (O.R.)
1. Define chronic diarrhea. Discuss the etiological factors and evaluation of a child with chronic diarrhea.Outline the management.
2. Discuss etiopathogenesis of Bronchial asthama. Discuss clinical features, classification and management of asthma in children.
3. Write short notes on:
a) Management of Acute Lymphatic Leukemia
b) Lead Poisoning
c) Evaluation of a child with acute arthritis
d) Vesico ureteral reflux.

SEPT./OCT.2003 (N.R.)
1. Management of a child with extrahepatic portal hypertension =10m
2. Celiac disease =10m
3. Principles of treatment of Acute Lymphatic Leukemia =10m
4. Spastic diplegia – clinical features, etiopathogenesis and principles of therapy =10m
5. Management of a child with snake bite
6. Principles of management of a child with chronic renal failure
7. Drowning-pathophysiology and management=10m
8. Urea cycle disorder =10m
9. Juvenile rheumatoid arthritis – classification and clinical features
10.Supraventricular tachy cardia=10m

SEPT./OCT.2003. (O.R.)
1. Write on clinical features and management of cardiopulmonary failure in children.
2. Discuss Pathophysiology and management of Diabetic ketoacidosis in children.
3. Write short notes on:
a) Differential diagnosis of stridor in infancy
b) Play therapy
c) Sjogren-Larsson syndrome
d) Cardiomyopathy

MARCH,2003(O.R.)
1. Discuss movement disorders in children.
2. Write on clinical manifestations, diagnosis & management of gastro esophageal reflux disease in children.
3. Write short notes on:
a) Ebstein’s anomaly.
b) Antenatal diagnosis of Down’s syndrome.
c) Management of Organophosphorous poisoning
d) Helicobacter pylori infection in children.

SEPT./OCT.2002(O.R.)
1. Discuss diagnosis and management of a 2months old infant with history of jaundice from the age of 7days.
2. Discuss current concepts in the management of nephrotic syndrome
3. Write:
a) Cardiogenic shock
b) Management of snake bite
c) Growth hormone
d) Fragile X-syndrome

MAY, 2000.(O.R.)
1. A 6 years old female presents with Hematemesis and abdominal distension on examination there is Pallor, jaundice, tense ascitis and hepatosplenomegaly. Discuss differential diagnosis and management.
2. An 8 years old presents with Quaduparesis of gradual onset over a period of 3 days. Discuss differential diagnosis and management.
3. Write short notes on:
a) Cyanosis in the newborn
b) Innocent Murmurs
c) Urine Examination in the side lab
d) Inhalation Therapy in Bronchial Asthma.

JUNE, 1999.(O.R.)
1. Discuss the diagnosis and management of beta thalassemia in a 3 year old child.
2. A 6 years old girl brought with arthralgia palpitation and breathlessness. On Examination, a systolic murmur is heard in the mitral area. How will you manage the child.
3. Write short notes on:
a) Paroxysmal atrial tachycardia
b) Neurocysticercosis
c) Management of Dengue Haemorrhagic fever with shock syndrome
d) Ambiguous genitalia

AUGUST, 1998.(O.R.)
1. An eight year old boy presents with 6months history of jaundice and abdominal distension. On examination, the boy has jaundice, mild pallor and hard palpable liver and spleen – Discuss the differential diagnosis and management.
2. A 4 year old child presents with failure to thrive, fast breathing and general weakness. On examination, child has no abdominal lung and heart findings. Mild ricketis changes are present. Discuss the differential diagnosis and management.
3. Write short notes on:
a) Typhoid vaccines
b) Status epilepticus
c) Congenital lobar emphysema
d) Cyanotic spell in tetrology of fallot.

FEBRUARY, 1998.(O.R.)
1. Discuss in detail intractable infections in newborn nurseries and describe the preventive strategies.
2. Give an account of preventable blindness in children in developing countries.
3. Write short notes on:
a) Procedures of legal adoptions of children
b) Antiviral drugs.
c) Ulcerative colitis in neonates and children
d) Spectrum & rabies problem in children

SEPTEMBER, 1997.(O.R.)
1. Discuss in detail ‘Perinatal care’ and compare perinatal mortality in Southern Indian states and narrate future strategy.
2. Give an account of ‘Coagulation’ factors and evaluation of liver function tests in children.
3. Write short notes on:
a) Prostaglandins
b) CHILD to child programme in India
c) Recent anticonvulsions used in pre-schoold & school children
d) ANOXIC spells

SEPTEMBER, 1996.(O.R.)
1. What are the recent views about urinary tract infections. Mention the treatment briefly.
2. Discuss ‘Hepatic coma’ including its etio-pathogenesis, clinical features and management.
3. Write short notes on:
a) Furazolidone
b) Plan ‘C’ treatment of gastro-enteritis
c) Immuno-therapy of Asthma
d) Chemo-porphylaxis of malaria.
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Remaining papers will be updated soon.... stay tuned.....
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sahasra
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Professor
Dr.NTRUHS University

PG DIPLOMA

PAPER-I : Basic Sciences

Time : 3 Hours-Max. Marks : 100

APRIL/MAY 2011
1.What are the natural sources of iron in the diet? Discuss briefly iron metabolism and outline lab investigations in IDA
2.What are the biochemical types of dehydration? Mention the C/F and add a note on Mx of severe dehydration and prevention of diarrhoeas in children
3.What are the principles of growth and development? How do you assess the development of 3yr old child
4.Causes of perinatal mortality rate
Write short notes on:
5.Genetic counselling in a down syndrome
6.Laboratory invigationsest in a child with thalassemia
7.Human papilloma virus
8.Intra uterine diagnosis of fetal disorders

APRIL/MAY 2010
2.Thyroid function tests
Write short notes on:
5.Neuronal migration disorders
8.Campylobacter jejuni

APRIL 2009
1.a) write in detail abt bilirubin metabolism b) give 3 examples for unconjugated hyperbilirubinemia
2.a) name common anticonvulsants b)dose, indications and side effects of anticonvulsants
3.a)development of face b)management of cleft lip and cleft palate
4.etiology, c/f, treatment of hypokalemia in a child
Write short notes on:
5.albendazole
6.normal ABG
7.GFR
8.CSF circulation

NOVEMBER, 2008
1. Liver function tests in Paediatric practice and how will you interpret?=15m
2. Vitamin ‘D’ Metabolism=15m
3. a) Classify Fat Soluble Vitamins. b) Functions of Vitamin K. c) Causes of Vit. K deficiency=3 x =15m
4. Mention in detail the common neural tube defects in a child=15m
WRITE SHORT NOTES ON:= 4x10=40
5. Circle of Willis. 6. Classification of Functional Respiratory Disability (dysponea).
7. Urine examinations in a case of Post Streptococcal Glomerular Nephritis and Nephrotic Syndrome.
8. Name the coagulation factors in order.

JUNE, 2008
1. Discuss the role of Iron in health and diseases=15
2. Describe the events in sexual development in relation to physical growth. Name the important regulatory factor.=15
3. Discuss various biochemical changes and pharmacotherapy of diabetic ketoacidosis.=15
4. Write about liver function tests and clinical implication of each one of them=15
Write short notes on: = 4x10=40
5. Age independent indices of nutritional assessment
6. Draw a man test
7. Acute Phase reactants
8.Vitamin E in pediatrics

NOVEMBER, 2007
1. Describe synthesis, metabolism and action of Vitamin D. Discuss histopathology and chemical pathology of Vitamin D deficiency rickets=15m
2. Discuss the role of Copper in health and disease=15m
3. What is Karyotaping? Describe the various Cytogenetics in Downs Syndrome =15m
4. Give an account of total parenteral Nutrition
5. Write short notes on: 4 x 10=40m;
a) Classification of paraplegia depending on site of lesion
b) Metabolic changes in congenital hypertrophic pyloric stenosis
c) Antioxidants
d) Ig A Immunoglobulin

MAY/JUNE, 2007
1. Describe the fetal circulation and discuss the changes occurring soon after birth=15
2. Mechanism and genetics of anti microbial resistance.15
3. Discuss the various imaging studies used for the diagnosis of disorders of urinary tract in children.15
4. Clinical manifestation and diagnosis of malrotation of gut=15
5. WRITE SHORT NOTES ON: 4x10=40
a) 1, 25 dehydroxy cholecalciferol (calcitriol)
b) Enterobiasis
c) Glycosylated hemoglobin
d) Blood transfusion in thalassemia

NOVEMBER-2006
1. Write the normal physiological functions of the liver & discuss the interpretation of abnormal liver function tests
2. What are the functions of platelets? List the clinical conditions in which platelet abnormalities occur. How do you investigate a child with platelet disorder=15m
3. Discuss the interaction between Micronutrients. How do you prevent Iron and Vit.A deficiency during weaning period=15m
4. Describe the anatomy of glomerus. Discuss the pathological changes occurring in various types of glomerulonephritis=15m
5. Write short notes on:
a) National programmes aimed at reducing IMR
b) Genetic counseling in Down syndrome and hemophilia
c) Peripheral nerve injuries in the new born
d) Pneumococcal vaccine

MAY/JUN-2006
1. What are the effects of O2 and CO2 in cerebral blood flow? Discuss the management of increased intracranial pressure in children=12marks;
2. Discuss the relevance, role and requirement of fats in infant nutrition=15m
3. Write etiology and clinical manifestation of childhood stroke=15m
4. Define peak expiratory flow rate. Discuss its use in the diagnosis& management of bronchial asthma in children
5. Write short notes on: 4 x 10=40m;
a) Immunomodulating diet
b) Osteopenia of prematurity
c) Drug therapy of CCF
d) Circulatory changes at birth

NOV, 2005.
1. Discuss the changes in pH, Pco2 and Hco3 in metabolic acidosis, respiratory acidosis and metabolic and respiratory alkalosis.=15m
2. What are free radicals and how are they produced? Discuss the disorders in preterm babies due to O2free radicals
3. Describe the mechanism of fever. Discuss the pharmacokinetics of antipyretics in common use for children with fever=15m
4. Discuss pharmacotherapy of status epilepticus=15m
5. Write short notes: 4 x 10=40m;
a) Classification of Neuropathic bladder
b) Biochemical changes in refractory rickets
c) Micronutrient deficiency during weaning and preventive strategies.
d) Fluids and electrolyte management in critically ill children with respiratory infection

APR/MAY, 2005
1. Describe the clinical indicators of immuno deficiency states in children; mention the clinical features of the congenital immuno deficiency disorder for which gene therapy is carried out =15marks
2. Mention the various National Nutrtitional Programmes in India; Describe in detail Blindness prevention programme
3. Describe the various tests available for evaluation of pulmonary function in children =15marks
4. Describe the etiopathogenesis and clinical features of chronic renal insufficiency in children =15marks
5. Write short notes on: 4 x 10= 40
a) “Not enough milk”
b) Antibioticv prophylaxis
c) Landau reflex
d) Sensitivity and specificity of a diagnostic test

SEPT./OCT., 2004
1. Describe the metabolism of Bilirubin in neonates; discuss the causes, investigative work-up and management of ‘conjugated hyperbilirubinemia’ in neonates =15m
2. How will you evaluate the absorptive functions of the small intestine. Discuss the etiology and management of malabsorptive states in a child =15m
3. Describe the circulation of cerebrospinal fluid (C.S.F.) . Discuss the causes, prognosis and management of obstructive hydrocephalus in a 2 years old child =15m
4. Discuss the methods of assessment of Renal functions. Discuss the etiology, clinical features and management of Renal Tubular Acidosis =15marks
5. Write short notes on: 4 x 10=40m;
a) Landau Reflex
b) Midazolam
c) Umbilical Hernia
d) Rumination Syndrome.

MAR/APR.2004
1. Describe the various modes of genetic inheritance with reference to Heredofamilial disorders. Describe the prenatal diagnosis of Down’s syndrome (Trisomy 21) 15m
2. Describe the components of RCH programme with reference to child health care; what measures are to be undertaken on a priority basis to bring down neonatal mortality in India.
3. Mention the functions of important trace elements in childhood nutrition. Describe the manifestations of iodine deficiency in children and the steps to be taken to control endemic goiter.
4. Describe the etiopathogenesis of Haemolytic Uraemic Syndrome (HUS); what are the diagnostic procedures tobe undertaken to confirm the diagnosis of HUS; Describe the poor prognostic indications in HUS.
5. Write short notes on: 4 x 10=40marks -
a) Antistaphylococcal antimicrobial agents
b) Craniosynostosis
c) Macroglossia
d) Bilaterally constricted pupils

SEPT./OCT.2003
1. Describe the development of neural tube. Discuss the etiopathogenesis, types, clinical features and prevention of neural tube disorders. =15m
2. Describe the components of “Primary Health Care.” Discuss the strategies to bring down the Infant Mortality Rate (I.M.R.) to less than 25 per thousand live births. =15m
3. Describe the metabolism of Thyroid hormones. Discuss the causes, clinical features, neonatal screening and management of congenital hypothyroidism. =15m
4. “Baby Friendly Hospital Initiative’ – What are the essential steps to promote and sustain Human Lactation.=15m
5. Write short notes on: 4 x 10=40m;
a) Asymmetric Tonic Neck Reflex
b) Prevention of Haemophilus influenza Type B infections in children
c) Causes of Meganencephaly
d) Complications in an infant born of Diabetic Mothers.

MARCH, 2003.
1. Describe the methods of assessment of various respiratory functions in a child=15marks
2. Discuss causes, pathophysiology, investigative work up and management of Chronic Renal Failure in a 5 years old child =15marks
3. Discuss the etiopathogenesis of ketoacidosis in a 12 years old diabetic child with its varied clinical manifestations, its investigative work up and management =15marks
4. Discuss physiology of onset of puberty in children and the method of assessment of pubertal growth =15marks
5. Write short notes on: 4 x 10=40marks
a) Objectives and components of “ARI control programme”
b) Bone Age Assessment and its utility
c) Dexamethasone Suppression Test
d) Drug therapy for childhood hypertensive emergency

SEPT./OCT.2002.
1. Discuss important renal function tests in Pediatrics practice =15marks
2. Discuss etiology, investigations and management of important Respiratory infections in a School child =15m
3. Describe etiology, investigations and management of ‘Goitre’ in Pediatrics practice =15marks
4. Discuss antitumour antibiotics in Pediatrics practice =15marks
5. Write short notes on:
a) Cutaneous fungal infections in pre-school age
b) Anticoagulants in Pediatrics practice
c) Diagnostic kits used in Pediatric practice
d) Principles of Disaster management in Pediatrics

FEB./MAR.2002
1. Discuss pancreatic function tests in pediatrics practice =15m
2. Describe Haemoglobulinurias in Pediatric practice and discuss investigations and management =15m
3. Discuss etiology, investigations and management of bacterial infections of CNS in infants.
4. Discuss antimalarial drugs commonly used in pediatric practice =15m
5. Write short notes on:
a) Anti-fungal antibiotics used in pediatrics
b) Anti-viral drugs
c) Essential Aminoacids in pediatric practice
d) Radio-isotopes in Pediatrics =40m

OCTOBER, 2001.
1. Discuss important lung function tests in Pediatric practice =15m
2. Discuss etiology, investigations and management of common skin infections in children =15m
3. Discuss the causes of recurrent abdominal pain in a school going child =15m
4. Discuss diuretics used in Pediatric practice =15m
5.Write short notes on:
a) Broadspectrum antheliminitcs
b) Home made weaning foods
c) Chelating agents
d) Hypothermia =40m

MAY, 2000.
1. Discuss the aetiopathogencis, respiratory functional and biochemical changes in acute severe bronchial asthma in children =15marks
2. Discuss the blood circulation in the foetus. Describe the haemodynamic changes and clinical problems that will occur in a pre-term and full-term new borns after birth =15marks
3. Discuss the role of nutritional and hormonal factors involved in the normal growth of children. Ennumerate the causes and diagnostic work up of children with tall stature=15m
4. Discuss Vitamin-D metabolism in children. Define the biochemical and radiological changes in a child with renal osteodystrophy =15marks
5. Write short notes: 4 x 10 =40marks
a) Intensified Pulse Polio Programme
b) Serological Tests for diagnosis of Dengue Haemorrhagic fever
c) Pre-disposing factors for Neural Tube Defects
d) Role of Newer Macrolides in Paediatric practice

JUNE, 1999.
1. Describe the hospital and community practices that are4 not helpful in the establishment by normal lactation and breast feeding practices. How will you help to avoid such wrong practices-15marks
2. Describe the buffers that help in maintain normal Acid base equilibrium status in children. How will you manage a child with Diabetic ketoacidosis =15marks
3. Describe the patho-physiologic mechanisms of congestive heart failure in infants. How will you manage a one year old child with early and persistant failure (C.H.P.) secondary to ventricular septal defect =15marks
4. Describe the adolescent growth in a boy. Enumerate the causes, evaluation and management of precocious puberty in a 4 year old boy =15marks
5. Write short notes:
a) Antistaphylococcal antimicrobial agents
b) Role of Ciprofloxacin in paediatric infections
c) Growth monitoring of children in community
d) Human Immunoglobulin therapy. 4x10=40marks

JANUARY,1999.
1. Discuss liver function tests used in Paediatrics practice=15marks
2. Discuss the etiology, investigations and management of recurrent respiratory tract infections in children =15m
3. Describe the nutritional Dwarfiam and discuss their management =15marks
4. Discuss Anti-hypertensive drugs used in Paediatrics practice =15marks
5. Write : 4 x 10 =40m
a) Steroids in Paediatrics
b) Use of Immunoglobulins
c) Phototherapy
d) Prostaglandins

AUGUST, 1998.
1. Discuss growth and development principles in paediatric
2. Discuss recurrent diarrhoeas in infancy & childhood
3. Discuss the role of Trace elements in paediatrics
4. Discuss diuretics used in paediatric practice =15m
5. Write short notes: 4 x 10 = 40marks
a) Importance of CSF Examination in Paediatrics practice
b) Brown fat
c) Phakomatosis
d) Haemoglobinopathies in India

SEPTEMBER, 1997.
1. Discuss Etio-pathogenesis of liver. Briefly mention long term management of Febrile convulsions =15marks
2. Discuss fetal and neonatal circulation, and management of patient ductus arteriosis in a premature baby=15m
3. Discuss Iron Metabolism and treatment of iron deficiency anaemia in children =15marks
4. What are the causes of Recurrent abdominal pain in children. Discuss about investigations and management of these children =15marks
5. Write short notes: 4 x 10=40m
a) Shake test
b) Mitochondrial Genoma
c) Hypervitominosis-D
d) Cyclosporine

SEPTEMBER, 1996.
1. Describe the hemostatic mechanism and discuss the management of haemophilia =15marks
2. Describe the foetal circulation and changes occuring after birth =15marks
3. Describe the antimalarial drugs =15marks
4. Describe the C.S.F.pathway and causes of Hydrocephalus =15marks
5. Write short: 4 x 10=40m
a) Tetany
b) Enterohepatic circulation
c) Lactose Intolerance
d) Bronchial breathing
Edited by sahasra, Jun 3 2011, 01:50 AM.
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sahasra
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Professor
Dr.NTRUHS University

PG DIPLOMA

PAPER-II : Diseases of children

Time : 3 Hours-Max. Marks : 100

1st 4 Questions carry 15 marks each
short notes carry 10 marks each

APRIL/MAY 2011
1.What is acute renal failure? How do you investigate and manage.
2.What is febrile encephalopathy? What are the causes?how do u investigate and manage?
3.What are the causes of acute liver cell failure in children?how do u manage?
4.Discuss the causes, laboratory findings and Mx of DKA
Write short notes on:
5.Respiratory distress in newborn – causes and Mx
6.Late onset hemorrhagic disease of newborn.causes, C/F and Mx
7.Management of chronic juvenile arthritis
8.Clinical features of mycoplasma infections in children

APRIL 2009
1.discuss diagnosis, management of JRA
2.etiology, C/F, Diag, Mx, Cx of Dengue hemorrhagic fever
3.feeding recommendations for a 6months to 12 months healthy child
4.Autosomal dominant inheritance and 3 diseases
Write short notes on:
5.GERD
6.Cong. Hypothyroidism
7.Vit A prophylaxis programme
8.Bone marrow aspiration and its indications in a child

NOVEMBER, 2008
1. Mention the interventions to reduce the diarroheal morbidity and mortality in a two year old child=15m
2. Haemorrhagic disease of New Born=15m
3. Developmental mile stones in a child with age group of 0-12 months=15m
4. a) Classify various types of anemia. b) Packed cell Transfusion.=15m
Write short notes on: =4x10=40
5. Infective endocarditis prophylaxis.
6. Sexual Maturity Rate in Boys.
7. Phenyl Ketonuria (PKV).
8. As per the IMNCI Programme – mention five points you look for in the management of sick young infants upto two months.

JUNE, 2008
1. What is sepsis screening? How do you manage neonatal septicemia.
2. Discuss etiopathogenesis and management of Birth Asphyxia
3. Define Nephrotic syndrome. Write the clinical features and management of significant change Nephrotic syndrome.
4. Write the clinical features, investigation and management of AIDS in children.
5. Write short notes on: 4 x 10=40m
a) Widal Test
b) Cerebral Malaria
c) Classification cerebral palsy
d) Management of bite by rabid dog

NOVEMBER, 2007
1. Discuss clinical features, causes and management of convulsions in newborn baby=15m
2. Discuss the differential diagnosis of jaundice in new born within 1 week of birth. Write the management of Rh incompatibility=15m
3. Classify Hemolytic anemias. Write clinical features, investigation and management of the thalassemia major=15m
4. What are the causes of ascites? Write the clinical features and management of portal hypertension in children=15m
5. Write short notes on: 4 x 10=40m;
a) Rota virus vaccine
b) Treatment of Neurocysticercosis
c) Toxic shock syndrome
d) IMNCI

MAY/JUNE, 2007
1. Describe the Neurological assessment of 6 month infant who suffered from hypoxic ischemic encephalopathy=15
2. Discuss the clinical manifestation and management of acute lymphoblastic leukemia=15
3. Principles behind the process of weaning and the choice of weaning food=15
4. Briefly describe the epidemiology of plasmodium falciparum infection, discuss the diagnosis and management of a case of falciparum malaria.=15
5. WRITE SHORT NOTES ON: 4x10=40
a) Rotavirus vaccine
b) Pneumocystis carini pneumonia
c) Principles of dietary management of type I diabetics
d) Juvenile hypothyroidism

NOVEMBER-2006.
1. What are the causes of hematuria in children? Discuss the approach to manage a child presenting with recurrent hematuria=15m
2. Discuss the clinical features, laboratory diagnosis and management of multi-drug resistant tuberculosis in children=15m
3. Discuss the differential diagnosis of microcytic hypochromic anemia in children. Discuss the clinical features and prevention of lead poisoning in children =15m
4. Discuss non-organic causes of failure to thrive. How do you manage them?=15m
5. Write short notes on:4x10=40;
a) Clinical and radiological manifestations of congenital syphilis
b) Developmental milestones upto one year
c) Varicella zoster virus fetopathy
d) Serologic pattern of response to hepatitis B virus

MAY/JUN-2006.
1. Discuss the approach to an young infant (2 months old), presenting with cyanosis and respiratory distress=15m
2. Discuss the diagnosis and the management of juvenile rheumatoid arthritis=15m
3. Describe the process of assessment and classification of the illness in a 6 month old infant as per IMNCI (Integrated Management of Neonatal and Childhood Illness)=15m
4. Discuss the management and complications of hepatitis and coma in a 3 years old child =15m
5. Write short notes on: 4 x 10=40marks;
a) Laboratory investigations of HIV infection
b)Kangaroo mother care
c) Management of Thalassaemia Major
d) Anti infective properties of breast milk

NOV, 2005.
1. Discuss the diagnostic approach and management of 5 day old neonate with seizures =15m
2. Discuss the nutritional management of critically ill child =15m
3. What are the emergencies associated with malignant conditions in children? Describe any TWO such emergencies=15m
4. Classify the severity of asthma. Discuss the stepwise management of asthma in a 6 year old child =15m
5. Write short notes on: 4 x 10=40marks;
a) Near drowning
b) Classification of Hansen disease
c) Prevention of vertically transmitted diseases
d) Complicated malaria

APR/MAY, 2005.
1. Describe the causes, investigations and treatment of convulsions in a 2 day old preterm neonate. =15marks
2. Describe the measures to be taken to ensure exclusive breast milk feeding till 6 months of age =15marks
3. A 2 years old healthy, actively playing child is brought with sudden onset of breathlessness. Discuss the differential diagnosis and management =15marks
4. Sudden onset of first attack of partial seizures and hemiplegia involving the left side of the body in a 5 year old boy. Discuss the various possible courses and management =15marks
5. Write short notes on: 4 x 10=40marks
a) Pneumococcal Vaccine
b) Examination of umbilical region in a neonate
c) Pseudo tumour cerebri
d) Prader Will Syndrome

SEPT./OCT. 2004.
1. Discuss the clinical and diagnostic approach to a 8 year old child coming with a recent onset of recurrent attacks of partial seizures, tonic-clonic involving the left side of the body =15marks
2. ‘Snake Envenomation’. Discuss the management protocol for a child brought with history of snake bite, swollen lower limb and passage of blood in the urine =15m
3. ‘Cerebral Palsy’ – Discuss the definition, types, etiopathogenesis, investigations and management of this condition in a 3 years old child =15m
4. Discuss the so called ‘adaptation and dysadaptation states’ of protein energy malnutrition, complications and management of these 2 syndromes =15m
5. Write short notes on: 4 x 10=40
a) Tourniquet Test
b) Prevention of Bacterial Endocarditis
c) Undescended Testes
d) MetyraponeTest

Mar/Apr.2004.
1. Describe the clinical features and management of Hypematremic dehydration in a child. =15m
2. Describe the clinical, diagnostic and investigate approach to 18 months old child with “chronic diarrhoea”=15m
3. Causes and management of Hypertensive emergencies in children =15m
4. Write short notes on: 4x10=40marks;
a) FAB classification
b) 21-Hydroxylase deficiency
c) Congenital cataract of both eyes
d) Rumination syndrome

SEPT./OCT. 2003.
1. “Short Stature - Define and discuss the clinical and diagnostic approach in a year child with a height of 79cms.
2. A 5 years old boy was brought with excessive salivation, twitching of muscles, pinpoint pupils, colicky pain abdomen and shallow respiration of sudden onset. Discuss the differential diagnosis and management
3. Discuss the clinical and investigative approach to a 9 month old child brought with neck flop and generalized hypotonia and paucity of movements since birth
4. Discuss certain well known trace element deficiency states and excess states in children (Each question.15marks)
5. Write short notes on: 4 x 10=40m
a) Prevention of Japanese B Encephalitis
b) Caries teeth
c) Hypervitaminosis A
d) Endemic cretinism.

MARCH, 2003.
1. Discuss the investigative and management plan in a child with“Status Asthmaticus’ or “Acute Severe Asthma’
2. “Chronic Diarrhoea” in a 2 year old child. Discuss the causes, predisposing factors, clinical features, prognosis and management.
3. “Acute heart failure” in a 3 month old child – Discuss the causes, predisposing factors, clinical features, prognosis and management
4. Acute onset of neonatal convulsions in 2 days old preterm neonate. Discuss the causes, investigations and treatment of this condition.
5. Write short notes on: 4 x 10=40m
a) Prevention of Rheumatic Heart Disease
b) Congenital Lobar Emphysema
c) Prenatal Diagnosis of Down’s syndrome
d) Sweat Chloride Test.

SEPT./OCT.2002.
1. Discuss the etiology, pathogenesis, clinical features and management of “Haematemesis” in a School age child =15m
2. Give an account of Pre-school child mortality in developing countries. =15marks
3. Discuss etiology, clinical features, diagnosis and management of common cyanotic heart diseases in a 3 years old child =15marks
4. Discuss the importance of examination of eyes in Pediatric practice =15marks
5. Write short notes on: 4 x 10=40m
a) Pseudoparalysis
b) Lead poisoning in Children
c) Cancrum Oris
d) “Rome” programme

OCTOBER, 2001.
1. Discuss the etiology, pathogenesis, investigations, management of a case of ‘Refractory Anemia’ 5 years old child.=15m
2. Discuss the importance of Examination of the Head in pediatric practice =15m
3. Discuss the etiology, clinical features, investigations and management of ‘Wheeze’ in children =15m
4. Discuss the etiology, clinical features, differential diagnosis and investigations and management of ritis in a preschool child =15m
5. Write short notes on: 4 x 10=40m
a) Phakomatoses
b) Trace elements
c) MRI
d) Coloured urine syndromes

MAY, 2000.
1. Empyema Thoracis in a one year child – causes, investigations and management=15marks
2. “Chronic Diarrhoea in an infant” –causes, diagnostic work up and management =15marks
3. “Retarded Bone Age” in a 4 year old child – causes, and management=15marks
4. “Urinary Tract Infections in a 4 year old female”-causes, investigations work up, prognosis and treatment =15m
5.Write short notes on:
a) Breath Hydrogen test
b) Cryptorchidism
c) Rectal bleeding
d) Rose Bengal Excretion Test

JUNE,1999.
1. Discuss the differential diagnosis, clinical and laboratory evaluation and management of Bleeding from umbilicus in a 3 week old neonatic=15marks
2. Enlarging head circumference and progressive development retardation in a 3 year old boy =15marks
3. Inspiratory stridor of acute onset in a one year old infant =15m
4. Status epilepticus in a 4 year old child =15m
5. Write short notes: 4 x 10=40marks
a) Cryptorchidism
b) Lead poisoning in children
c) Neonatal myasthenia gravis
d) Polymerase chain reaction

JANUARY, 1999.
1. Discuss etiology, pathogenesis, clinical features and investigations and management of obstructive pulmonarydiseases in children =15marks
2. Discuss Etiology, pathogenesis,clinical profile, investigations and management of Lactose intolerance in children
3. Describe and give an account of three common malignancies in children =15marks
4. Critically evaluate infant mortality in developing countries, high light the preventive measures =15marks
5. Write short notes on: 4 x 10=40marks
a) Shape abnormalities of the skull
b) Anoxicapells
c) Rectal bleeds in children
d) Breast milk Bank

AUGUST, 1998.
1. Describe the etiology, pathogenesis, investigations and management of Pneumonias in children
2. Give an account of the etiology, pathogenesis, investigations and management of common causes of Malabsorption in children =15marks
3. Discuss and give a detailed account of common Non bacterial meningitis in children =15marks
4. Describe the etiology, pathogenesis, investigations and management of cystic fibrosis in paediatrics=15marks
5. Write short notes on: 4 x 10 =40m
a) Importance of examination of Hands in children
b) ‘Cry’ in paediatrics
c) Japanese Encephalities
d) Laevamisole in paediatrics

SEPTEMBER, 1997.
1. Discuss the management of pyogenic meningitis =15marks
2. Discuss the conditions producing wheezing in children and their management =15marks
3. Describe the causes of congestive cardiac failure and principles of management =15marks
4. Discuss the differential diagnosis of ascitis in children =15marks
5. Write short notes on: 4 x 10=40m
a) Lissencephaly
b) Acroderimatitis enteropethica
c) Duchenne muscular dystrophy
d) Hurler syndrome

SEPTEMBER, 1996.
1. What are the causes of Dysentery? Discuss about management of paracytic causes of Dysentery=15m
2. Discuss Neuro-tuberculosis in children and its management =15marks
3. Discuss etiology and management of Rheumatic fever in children =15marks
4. Discuss causes of Haematuria and investigations, management of Haematuria in children
5. Write short notes on: 4 x 10 =40marks
a) Dental carries
b) The thered cord syndrome
c) Encopresis
d) Bone marrow transplantation
Edited by sahasra, Jun 3 2011, 01:34 AM.
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sahasra
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Professor
Dr.NTRUHS University

PG DIPLOMA

PAPER-III

Time : 3 Hours-Max. Marks : 100

1st 4 Questions carry 15 marks each
short notes carry 10 marks each

APRIL/MAY 2011
1.1yr old child with hepatosplenomagaly and failure to thrive
2.2yr old child with persistent diarrhea
3.6months old infant with enlarged head
4.4yr old child with persistent cough
Write short notes on:
5.Meconium aspiration syndrome
6.Neonatal seizures – causes and Management
7.Anaphylaxis
8.Prophylaxis of Rheumatic fever

APRIL/MAY 2010
1.Lead poisoning

APRIL 2009
1.Differential diagnosis of microcytic hypochromic anemia and Management of IDA
2.a) Differential diagnosis of AFP b) pulse polio immunisation
3.4yr child with H/o early morning puffiness of face,hematuria,HTN,and passage of scanty urine. Urine shows albumin+,RBC casts+ what is ur diagnosis? Name the complications. How will you manage this case?
4.Expand GOBIFFF.write in detail
Write short notes on:
5.Loefflers syndrome
6.Rights of children
7.Treatment protocol for ALL in children
8.Scabies

NOVEMBER, 2008
1. a) Discuss D/D of Large Head. b) Management of Hydrocephalus.
2. 3 year old boy with clinical features of puffiness of face, generalized pitting oedema ascites with scrotal oedema and oliguria BP is normal. Urine shows proteinuria (+++). Serum albumin <2gm/dl. Bl urea and Sr. creatinine are normal. What is your diagnosis and how will you manage this case?
3. a) Write in detail about the advantages of Breast milk? b) Write in detail about the differences between cows milk and human milk.
4. a) Glass cow Coma Scale. b) Examinations of Eye in a 2 year old child.
Write short notes on:= 4X10=40
5. Universal Immunization Pogramme (UIP).
6. Indication of CPAP.
7. Anaemia prophylaxis programme in a mother and child.
8. Febrile seizures.

JUNE, 2008
1. A 3 years old child presenting with loose motion, vomiting and distension of abdomen.
2. A 6-year child admitted with involvement of large and small joints.
3. A 3 years male child admitted with epistaxis and Rt Knee joint swelling.
4. A just born baby is brought with convulsions
5. Write short notes on:=4X10=40m
a) Hepatitis ‘A’ Vaccine
b) Status asthmaticus management
c) Status epilepticus management
d) Kerosene poisoning

NOVEMBER, 2007
1. A three-year old girl with 3 days fever, petechial rashes and circulatory collapse was admitted to the hospital. Discuss the diagnostic workup and management of this child=15m
2. 6 months child admitted with cough and rapid breathing. Discuss the differential diagnosis&management=15m
3. A 6 year old child is brought with haematuria & facial puffiness. Discuss the differential diagnosis & management=15m
4. 8 years old child is brought with complaints fever and convulsions of 3 days duration. Discuss the approach and management of this case
5. Write short notes on: 4 x 10=40m;
a) Management of organosphosphorous poisoning
b) Newborn to HIV positive mother-Write the management
c) Pre-operative preparation of congenital hypertrophi9c pyloric stenosis
d) Haemophilus influenza vaccine

MAY/JUNE, 2007
Discuss the differential diagnosis and management of the following 4 clinical cases:
1. 9 months old infant brought for high fever and convulsions of two days duration and on examination the anterior fontanelle was tense and he had restriction of the movement of the right lower limb.
2. 5 year old child was seen in the out patient department for fever of one-month duration and swelling and tenderness of both knee joints for 2 days. He was sick looking and had moderate pallor.
3. One year old was seen for chronic constipation. Clinical examination revealed mild distension of abdomen and the child weighed 5 kg.
4. 6 months old infant presented with cough of 1 week duration and altered consciousness of 2 days duration. On examination infant was having opisthotonos.
5. Write short notes on: 4x10=40
a) Growth hormone therapy
b) Datura poisoning
c) IgA nephropathy
d) Transport of sick neonate

NOVEMBER-2006.
1. Failure to thrive in 1 year old infant=15m
2. Rectal bleeding and vomiting in a 9 day old infant=15m
3. Three year old child admitted with cough breathlessness and generalized anasarca of 3 days duration=15m
4. Recurrent headache in a 6 year old child=15m
5. Write short notes on: 4 x 10=40;
a) Diagnosis of Intraventricular hemorrhage
b) Management of organophosphorous poisoning
c) Helicobacter Jejuni
d) Mid parental Height

MAY/JUN-2006.
Discuss the differential diagnosis and management of the following 4 clinical cases.
1. A 2 years old child is brought with high-grade fever of one-day duration and two episodes of convulsions=15m
2. A 7 months old infant is brought with fever, rash and hepatosplenomegaly. The platelet count is 42000/cumm=15
3. A 1 and ½ years old un-immunized child weighing 6kg is brought with complaints of fever and cough of 1 week duration. The child had fever with rashes 10 days before the onset of current symptoms=15m
4. A 6 year old child presented with high-grade continuous fever of 6 days duration and jaundice of one day duration. Examination showed liver 3.5cm and spleen 1cm enlarged.=15m
5. Write short notes on: 4 x 10=40m;
a) A child with tuberculosis of Rifampicin, INH and pyrazinamide developed jaundice. How do you manage?
b) Hashimoto’s disease
c) Rheumatic Chorea
d) Management of nocturnal enuresis

NOV, 2005.
Describe the causes, clinical features, differential diagnosis, investigative work up and treatment of the following
4 diseases:
1. A 3 year old child is presenting with loose stool with blood and mucosa of two days duration, convulsions and altered consciousness of one day duration. The child has passed urine 12 hrs. before admission =15m
2. A 12 years old boy is brought with swelling of large joints with fever and breathlessness =15m
3. A 3 years old child presented with epistaxis and rashes over the body. She had similar episode one month ago. Clinical examination did not reveal organomegaly-15marks
4. A 5 year old child is brought with nocturnal cough of one month duration. Examination of the chest did not reveal any positive findings
5. Write short notes on: 4 x 10=40marks;
a) Combination vaccine
b) Preparing the child for spleenectomy
c) Management of scorpion sting
d) Management of an infant born to mother with Hepatitis B

APR/MAY, 2005.
1. Painful, swollen metacarpo and inter-pharyngeal joints of 4 weeks duration in a 8 years old girl. =15marks
2. Bleeding gums in a 3 year old boy with pallor and hepatosplenomegaly=15marks
3. Sudden onset of fever with purpuric type of rashes all over the body of a 4 years old child =15marks
4. Sudden onset (Over 24 hours) of weakness of both lower limbs in a 3 years old boy.=15marks
5. Write short notes on: 4 x 10=40marks;
a) Vesico-ureteric reflex
b) Retrolental fibroplasias
c) Diagnosis of Wilson’s hepatolenticular degeneration.
d) Oral thrush.

SEPT./OCT., 2004.
Discuss in detail the different diagnosis and management of a the following 4 clinical cases:
1. 2 years old child with fever, purpuric rash, hematemesis and signs of peripheral circulatory failure=15m
2. 3 years old child with 2 days history of puffiness of both eyelids, mild pitting swelling of feet, scanty urination, headache and vomiting =15m
3. A 28 weeks born preterm weighing 1400 grams is brought on second day with progressively increasing respiratory rate, chest retractions and cyanosis =15marks
4. 6 years old girl brought for emotional disturbances due to breast engorgement and passing blood per vagina.15m
5. Write short notes on: 4 x 10=40marks;
a) Lactose intolerance
b) Craniosynostosis
c) Cataracts of the lens in neonates
d) Hypertelorism

MAR/APR.2004.
Discuss the causes, clinical features, differential diagnosis, investigative work up and treatment of the following 4
pediatric conditions:
1. Cyanosis in a 2 year old boy =15m
2. Stridor and respiratory distress associated with high fever in a 15 month old infant. =15m
3. Recurrent abdominal pain in a 7 years old girl =15m
4. Visible jaundice in a three-week-old neonate. =15m
5. Write short notes:
a) Pin worm infestation
b) Scabies
c) Autism
d) Neonatal tetanus =40m

SEPT./OCT.2003
Discuss the differential diagnosis and management of the following 4 clinical cases:
1. 5 years old male child with history of rapid onset of pallor, bleeding gums,lymphadenopathy and abdominal distension and signs of purpura, severe anaemia and hepatosplenomegaly.
2. 4 years old child with a second episode of generalized body swelling, pufiiness of face and eyelids, abdominal distension and decreased urination =15m
3. 4 day old full term neonate is brought for having not passed urine since birth =15m
4. 2 years old child with a weight of 6 kgs.,head circumference of 38cms.body length 60cms. And findings of abdominal distension and hepatosplenomegaly.=15m
5. Write short notes on:
a) Prevention of Mother to child transmission of HIV
b) Typhoid vaccines
c) Neonatal Tetany
d) E.C.G.changes indicative of Hyperkalemia =40marks

MARCH, 2003.
Discuss in detail the differential diagnosis and management of the following 4 clinical cases:
1. 1 and half years old male child with sudden onset of high grade fever of 1 day duration, recurrent vomiting markedirritability with refusal of feeds and an attack of right sided tonic clonic convulsions.
2. 2 years old child with significant pallor, moderate degree of hepatosplenomegaly and presence of hypochromic, mcrocytic RBCs in peripheral blood smear.=15marks
3. 3 days old preterm (birth weight of 1200 grams) having indirect hyperbilirubinemia (Serum bilirubin – 15mg per dl)
4. 8 years old girl with a massive attack of haematemesis has marked splenic enlargement without ascites.=15m
5. Write short notes on: 4 x 10=40marks
a) Management of Nocturnal Enuresis
b) Prenatal teeth
c)Radiological signs of Congenital syphilis
d) Biochemistry of Nutritional and Renal Rickets.

SEPT./OCT.2002.
1. Give an account of CCF in a neonate and discuss the investigations and management =15marks
2. Discuss in detail “Protracted Jaundice” in the newborn, describe the protocol to investigate & manage such cases
3. A term baby has not passed urine for 72 hours. Discuss the differential diagnosis, investigations & management
4. Discuss the common infections in the neonatal nurseries and describe the preventive measures =15marks
5. Write short; 4 x 10=40m
a) Wet nursing
b) Pemphigus neonatorum
c)Surfactant therapy
d)Infantile autism

FEB./MAR.2002
1. Discuss etiology, investigations, management and complications in ‘Small for Date Babies’
2. Discuss incidence, etiology, preventable measures and management of major Congenital Malformations.
3. Discuss the etiology, clinical features, investigations and management of a case of ‘Failure to Thrive’
4. Discuss in detail the causes of preventable blindness and narrate the effective measures to prevent them in children
5. Write short notes:
a) Modified Apgar Score
b) Play therapy
c) Transitional diarrhoeas
d) Craniotabes=40m

MAY, 2000.
1. Management of a 5 day old pre-term weighing 1750 grams having serum indirect bilirubin level of mgm./dl.=15
2. The clinical relevance of examination of hands and feet in paediatric practice =15marks
3. Appropriate Infant feeding practice =15marks
4. Differential diagnosis and management of an infant with chronic diarrhoea =15marks
5. Write short notes: 4 x 10 =40marks
a) Prognosis and management of Kwashiorker
b) Neonatal Hypothermia
c) Oral Candidiasis
d) Prevention of Haemophilus influenza type-B infections in children

JUNE, 1999.
1. Describe the causes, differential diagnosis, clinical and laboratory evaluation and management of Hypertensive emergencies in a 5 year old child =15marks
2. Acute exanthematous febrile episode with gastrointestinal bleeding in a 5 year old girl=15marks
3. Recurrent jaundice and progressive pallor in a 3 year old male child =15marks
4. Acute tender joint swelling of the ankle joint in a 6 year old girl of 3 days duration=15marks
5. Write short notes on: 4 x 10 =40marks
a) Bulimea
b) Child labour
c) Enuresis
d) Age independent anthropometry

JANUARY, 1999.
1. Describe and give an account of Etiology, pathogenesis, clinical profile and management of convulsions in children =15marks
2. Discuss the newer vaccines used in paediatrics =15marks
3. Discuss the etiology, pathology, investigations and management of ‘umbilical cord’ bleeding in a newborn=15m
4. Describe the importance of the examination of the skin in paediatrics and highlight the role of investigations=15
5. Write short notes on: 4 x 10=40marks
a) Child abuse
b) Galactogogues
c) PAIDS
d) CT Scan in paediatrics

AUGUST, 1998.
1. Give an account of etiology, profile, investigations & management of ‘Cyanoticspells’ in children
2. Discuss etiology, pathogenesis, investigations and management of common conditions of acute abdominal pain infancy and childhood
3. Describe the role of Haematological investigations in the diagnosis of common conditions in paediatric practice
4. Discuss the pathogenesis, investigations and management of common paediatric problems caused by environmental pollution
5. Write short notes: 4 x 10=40m
a) Babies Bloom on mother’s milk
b) Management of scorpion stings
c) Intersex
d) Child to Child programmes

SEPTEMBER, 1997.
1. Discuss pathogenesis of Hypoxic ischaemic encephalopathy and management
2. Discuss impact of Television of children
3. Discuss what are the common causes of perinatal mortality in India. What are the measures you will suggest to reduce the same
4. Discuss about Nutritional Programme and write in brief about Vitamin-A prophylaxis
5. Write short : 4 x 10=40m
a) Relactation
b) Polycythemia in newborn
c) Colic in neonate
d) Temper tantrum

SEPTEMBER, 1996.
1. Discuss the diagnosis and management of Asphyxia neonatorum =15marks
2. Discuss the management of neonatal cardiac emergencies =15m
3. Discuss the I.C.D.S.Programme =15m
4. Discuss the accidental injury prevention strategies in children =15marks
5. Write short notes on: 4 x 10=40m
a) Stammering
b) Sibling rivally
c) Hirschsprungs disease
d) Congenital hypertrophic pyeloric stenosis
Edited by sahasra, Jun 3 2011, 01:46 AM.
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