Paediatrics Paper (Main), 2020 MBBS Batch ABVMU Lucknow

ATAL BIHARI VAJPAYEE MEDICAL UNIVERSITY, LUCKNOW
MBBS DEGREE EXAMINATION - III rd PROFESSIONAL - PART-II - FEB 2025

PAEDIATRICS

SECTION A - Multiple Choice Questions (MCQs)

PAPER CODE : 2511130014
SET : A

Note: Choose one correct answer in the OMR sheet provided. No overwriting should be done.

Time: 20 Minutes (20 x 1 = 20 MARKS)

• 1. Commonest type of seizure in newborn is
  a) Clonic
  b) Tonic
  c) Subtle
  d) Myoclonic

• 2. The term neonate measures a length of at birth
  a) 60 cms
  b) 65 cms
  c) 50 cms
  d) 55 cms

• 3. The hormone responsible for milk secretion in mother is
  a) Oxytocin
  b) Estrogen
  c) Prolactin
  d) Progesterone

• 4. Bag and mask ventilation is contraindicated in
  a) Cleft lip
  b) Diaphragmatic hernia
  c) Choanal atresia
  d) Bronchogenic cyst

• 5. Increased nuchal fold thickness is a feature of
  a) Cri-du-chat syndrome
  b) Paul Bunnel syndrome
  c) Down syndrome
  d) Ataxia telangiectasia

• 6. Hand and foot syndrome is seen in
  a) Sickle cell anemia
  b) G6PD deficiency
  c) Thalassemia
  d) Hereditary spherocytosis

• 7. In girls, the earliest sign of puberty is
  a) Appearance of pubic hair
  b) Menarche
  c) Breast development
  d) Increase in uterus size

• 8. The classical triad of Pellagra include all except
  a) Diarrhea
  b) Diabetes
  c) Dermatitis
  d) Dementia

• 9. As per WHO classification of xerophthalmia, corneal xerosis is
  a) XIA
  b) XIB
  c) X2
  d) X3A

• 10. Steeple sign on neck X-ray is seen in
  a) Acute laryngotracheobronchitis
  b) Acute epiglottitis
  c) Acute pharyngitis
  d) Abscess

• 11. The most common cause of Down’s syndrome
  a) Meiotic non-disjunction
  b) Translocation
  c) Mosaicism
  d) Mutation

• 12. Which of these is a sign of dengue with warning signs?
  a) Nausea
  b) Rash
  c) Body aches and pains
  d) Mucosal bleed

• 13. Bone age is delayed in which type of short stature
  a) Familial short stature
  b) Constitutional short stature
  c) Achondroplasia
  d) Chronic disease

• 14. Which is NOT a sign of hydrocephalus?
  a) Prominent scalp veins
  b) Macewen sign
  c) Overriding of sutures
  d) Setting sun sign

• 15. Which of the following is a live vaccine?
  a) Hepatitis B vaccine
  b) Pneumococcal conjugate vaccine
  c) Pentavalent vaccine
  d) BCG vaccine

• 16. A 2 year old child presents with two weeks history of fever, vomiting and alteration of sensorium. CT scan of brain reveals basal exudates and hydrocephalus. The most likely etiological agent is
  a) Mycobacterium tuberculosis
  b) Cryptococcus neoformans
  c) Listeria monocytogens
  d) Streptococcus pneumonia

• 17. Abnormal Prothrombin time (PT) with normal activated partial thromboplastin time suggests
  a) Haemophilia
  b) DIC
  c) Vit. K deficiency
  d) Factor VII deficiency

• 18. Treatment options in idiopathic thrombocytopenic purpura include all except
  a) Intravenous immunoglobulin
  b) Fresh frozen plasma
  c) Anti-D globulin
  d) Corticosteroids

• 19. Which one forms major criteria in Nada’s criteria for clinical diagnosis of congenital Heart disease?
  a) Abnormal ECG
  b) Abnormal X-ray
  c) Abnormal BP
  d) Diastolic murmur

• 20. Which condition associated with vitamin deficiency presents with signs of congestive cardiac failure?
  a) Dry beriberi
  b) Wet beriberi
  c) Pellagra
  d) Scurvy

ATAL BIHARI VAJPAYEE MEDICAL UNIVERSITY, LUCKNOW
MBBS DEGREE EXAMINATION - III rd PROFESSIONAL - PART-II FEB 2025

PAEDIATRICS

TIME: 3 Hrs
Max. Marks: 100 Marks (80 Theory + 20 MCQs)

NOTE:

• Attempt all questions.

• This question paper consists of two sections: Section A- Multiple Choice Questions and Section B- Theory Questions.

• Both the sections have different paper codes. Write the correct paper code on the respective sheet.

• Write the correct MCQ paper set on the OMR sheet.

• Answer MCQs on the provided OMR sheet and theory questions on the provided answer booklet.

SECTION B - THEORY QUESTIONS

PAPER CODE: 2511230014

Q.1 Long Answer Question (15 MARKS)

i) When will you suspect pathological jaundice in newborn? (2 marks)
ii) List out the causes for pathological jaundice. (3 marks)
iii) What is Kramer rule? (2 marks)
iv) Discuss the different modalities of treatment of neonatal jaundice. (5 marks)
v) How will you prevent Rh incompatibility? (3 marks)

Q.2 Clinical Case Scenario-based Structured Question (15 MARKS)

A 4-year-old unimmunized boy is brought with history of fever, sore throat, and drooling of saliva for past 5 days. On examination he is sick looking, has dirty white patches over both tonsils extending to uvula and bilaterally enlarged upper cervical nodes.

i) What is the most probable diagnosis? Enumerate four points to substantiate your diagnosis. (3 marks)
ii) List four causes of patch in the throat. (2 marks)
iii) Enumerate six complications of this condition. (3 marks)
iv) Describe the management of this child. (4 marks)
v) Enumerate the steps taken to prevent this disease in other children at home. (3 marks)

Q.3 Short Note Question (Approx. 500 Words) (5 x 6 = 30 MARKS)

i) Describe the clinical features, investigations, findings and management of acute Bronchiolitis.
ii) Write the modified Jones criteria for high prevalent and low prevalent countries.
iii) Describe the hemodynamics, clinical features, and complications of Tetralogy of Fallot.
iv) Neonatal resuscitation flowchart.
v) Describe the differentiating features between simple and complex febrile seizure.

Q.4 Short Answer Questions (Within 100 Words) (5 x 4 = 20 Marks)

i) CSF analysis findings in tuberculous meningitis and pyogenic meningitis.
ii) Enumerate the baby-friendly hospital initiative.
iii) Name four Neurocutaneous markers.
iv) Aetiopathogenesis of Dengue fever and classification.
v) Management of the first episode of Nephrotic syndrome.

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