Paediatrics


PEDIATRICS  1 A 5yr old boy is admitted with fever, cough and edema. He had oen episode of edema earlier also and was on some medication. What is the probable diagnosis? What investigations will you order? What treatment will you give? What are the likely complications?  JUN-2005 2 A 5•year old child is brought with bleeding gums. She also has irregular fever, tiredness and body pain for the last 3 months. What is the probable diagnosis? What physical examination findings will you look for? What investigations will you order? What are the differential diagnosis ?  DEC-2004 3 Anterior Fontanelle  FEB-2001 4 Juvenile Delinquency  JUN-2006 5 Kernig Sign  FEB-2002 6 Clinical features of Kernicterus  FEB-2002 7 Danger Sings in the New born  FEB-2002 8 NORMAL GROWTH   9 Define Growth net increase in size or mass of tissues 1  10 Define Development maturation of functions 1  11 Factors affecting Growth and Development  MAY-2002 JUL-2008 12 Laws of Growth 3  13 Perinatal Period 22wks to 7 days after birth 3  14 Toddlers 1-3 yrs 3  15 Primary Dentition 4 JUN-2006 MAR-2003 16 Lean Body Mass fat free components like muscle tissue, internal organs and skeleton 4  17 Head Circumference  occipital protuberance to supra-orbital ridges  crossed tape method 5 AUG-2002 FEB-2002 18 Midarm Circumference midway between tip of acromion process of scapula to olecranon of ulna 5 64 AUG-2001 19 Z Score   20 DISORDERS OF GROWTH   21 SHORT STATURE   22 Define Short Stature ht below 3rd centile or more than 2 SD below the median height for that age and sex according to the population standard 17  23 Causes of Short Stature  undernutrition  chronic systemic illness  GH deficiency  Hypothyroidism… 18 FEB-2008 24 MPH Mid-Parental Height 18  25 SMR Sexual maturity rating 18  26 Management of Short Stature  counseling  dietary advice  renal tubular acidosis/celiac disease  limb lengthening procedures  levethyroxine in hypothyroidism  subcut GH in GHDeficiency   27 Define Failure to Thrive (FTT) physical growth is significantly less than theit peers of same age and sex infants and children upto 5 yrs 21 DEC-2005 28 A 1 ½ year old child is brought with failure to thrive, difficulty in breast feeding and recurrent respiratory infections.O/E there is a pansystolic murmer in the lower left sternal border. What is the probable diagnosis? How will you investigate the child? How will you treat this child? What are the complications of this condition?  FEB-2008 29 NORMAL DEVELOPMENT   30 Define Development maturation of functions 1  31 Developmental Milestones of a 4 month old baby GROSS MOTOR  neck holding – 3 months FINE MOTOR  reaching out for abjects with both hands (bidectrous reach) – 4 months SOCIAL  social smile – 2 months  recognizes mother – 3 months LANGUAGE  alerts to sound – 1 month  coos – 3 months  JUN-2005 32 Developmental Milestones of 7 month old infant GROSS MOTOR  neck holding – 3 months  sitting with support – 6 months FINE MOTOR  reaching out for abjects with both hands (bidectrous reach) – 4 months  unidextrous reach – 6 months SOCIAL  social smile – 2 months  recognizes mother – 3 months LANGUAGE  alerts to sound – 1 month  coos – 3 months 27 28  33 Developmental Milestones of 10 month old baby  JUN-2006 34 Developmental Milestones of 1 year old 27 28 DEC-2004 35 Developmental Milestones of 2 year old 27 28 DEC-2005 36 Developmental Milestones of 3 year old 27 28  37 Pincer Grasp 28 AUG-2002 38 Four Causes of Global Developmental Delay 31 JUL-2007 39 Developmental Quotient 32  40 DEVELOPMENTAL DISORDERS   41 Enuresus  urinary incontinence   after 4yr daytime  after 6yr nighttime  after 3 months of dryness  wetting twice a wk for 3 consecutive months  Normal Bladder Control – 5yr CLASSIFICATION  Primary  Secondary  Nocturnal  Diurnal 35 DEC-2004 42 Breath Holding Spells  anger  crying  apnoea & cyanosis  highly pampered children  - Iron Supplementation, 3mg/kg/day 37 AUG-2002 DEC-2005 43 Attention Deficit Hyperactivity Disorder 38 JUN-2005 44 Dyslexia  poor word decoding abilty ETIOLOGY  genetic – 50% MANAGEMENT  remediation approach  taught in small groups 39  45 Stuttering Spasmodic repetition of some syllables with pauses MANAGEMENT  reassure that it resolves on its own,if  2-5yr  speech therapist 39  46 Autism  commonest of PDD’s  impairment in verbal and non-verbal communication  imaginative activity  social interactions ETIOLOGY  genetic CLINICAL FEATURES  poor eye contact  delayed speech  stereotypical body movements  seizures DIAGNOSIS  by 18 months MANAGEMENT  intensive behavioral therapy 40 DEC-2005 47 Munchausen Syndrome 40  48 ADOLESCENT HEALTH AND DEVELOPMENT   49  Adolescent – 10 – 19 yr  Youth – 15 – 24 yr   50 AFHS 46  51 Complications of Prematurity  JUL-2007 FEB-2001 52 FLUID AND ELECTROLYTE DISTURBANCES   53 Hyperkalemia CAUSES  renal failure… MANAGEMENT  moderate – glucose-insulin infusion  severe – calcium gluconate i.v 53 JUL-2007 54 NUTRITION   55 Essential Amino Acids  LILMPTTV  Histidine and Arginine are essential during infancy. 57  56 Reference Proteins 57  57 Biological Value of Proteins 57 DEC-2004 58 Digestibility Quotient of Proteins 57 JUN-2005 59 Net Protein Utilisation (NPU) 57 JUN-2006 60 Chemical Score of Protein ? DEC-2005 61 Complimentary action of Protein   62 PUFA   63 Phrynoderma ?  64 Omega 3 Fatty Acids 59  65 Dietary Fibre 60  66 Balanced Diet 60 DEC-2005 67 IAP Grading of Nutritional status in <5yr   68 Difference between Stunting and Wasting 62  69 Wellcome classification in PEM   70 WHO Classification of Malnutrition  wt, ht & edema  moderate -  -2 to -3  severe - < -3 63  71 IAP Classification of Malnutrition  50th percentile of Harvard standards  weight for age 63 FEB-2008 72 Grading of Marasmus   73 Constant features of Kwashiorkar 67 MAR-2003 MAY-2002 FEB-2001 74 SEVERE MALNUTRITION   75 Complications of Severe Malnutrition 68 JUL-2007 76 National Nutritional Policy  ICDS  anganwadi  six services  Mid-day Meals Prog  National Nutritional Anemia Control Prog   77 Weaning  AUG-2001 78 Weaning food in PEM   79 MICRONUTRIENTS IN HEALTH AND DISEASE   80 Antioxidants 78 DEC-2004 AUG-2002 81 Sources of Vitamin A Shark & Cod Liver Oil, Carrots, Dark green leafy vegetables, squash, oranges, tomatoes. 79  82 Functions of Vitamin A  Vision  Maintainence of epithelial tissues 79  83 WHO Classification of Xerophthalmia 79 JUN-2006 84 Draw & Label : Bitot’s Spots - MAR-2003 85 Koplik’s Spots - FEB-2002 86 Hypervitaminosis A  > 50,000 IU/day  fatigue, malaise, anorexia, vomiting, headache and diplopia 79  87 Carotenemia 80  88 Treatment of Vitamin A deficiency  ORAL  <6m – 50,000 IU  6-12m – 1 lakh  >1yr – 2 lakh  repeated next day and 4 wks later  PARENTRAL  <6m – 3/4th dose  6-12m – ½ dose 80  89 Vitamin A Prophylaxis  less than 3 yrs only  9m – 1 lakh (with measles)  15m – 2 lakh (with DPT booster) 80 AUG-2002 90 Metabolism of Vitamin D 81  91 Draw & Label : Active Rickets 82 AUG-2002 92 Clinical features of Rickets 82  93 Rachitic Rosary  82  94 Radiological changes in Rickets 82  95 Treatment of Rickets  oral, single dose, 6 lakh IU OR   60,000 IU for 10 days  400 IU / day 83  96 Causes of Rickets  Familial Rickets  Nutritinal Rickets  Renal Tubular Acidosis  Chronic Kidney Disease  ONcogenous Rickets  Metaphyseal Dysplasia  Fluorosis 83 DEC-2005 97 Classification of Rickets  Familial Rickets  Nutritional Rickets 83  98 Vitamin D resistant Rickets 83  99 Role of Vitamin E  co-factor in … glutamic acid  glutamate 85 DEC-2004 100 Hemorrhagic disease of New Born  GI bleeding in the 1st week  seen in breast fed infants  - 0.5 – 1.0 mg im at birth  1 mg every week 86  101 Beriberi  def of Vitamin B1  cardiomegaly, cyanosis, dysnoea, aphonia  three forms – dry, wet, acute  breast fed infants of thiamine deficient mothers 87  102 Riboflavin Deficiency/Ariboflavinosis  photophobia, glossitis, angular stomatitis, seborrhoec dermatitis, corneal vascularisation, cataracts 87  103 Pellagra  3 d’s  Dermatitis, Diarhoea, Dementia  - Oral ‘Nicotinamide’ 88  104 Infantile Scurvy/Barlow’s Disease 91  105 Scorbutic Rosary 91  106 Role of Zinc 92 DEC-2005 107 Role of Selenium  constituent of glutathione peroxidase  scavenges free radicals  prevents cell damage by free radicals 93 JUN-2006 108 Keshan Disease  cardiomyopathy in young children   109 Role of Iodine 93 JUN-2005 110 Iodine Deficiency Goitre 94  111 Cretinism 94 MAY-2002 112 NEWBORN INFANTS   113 LBW   114 VLBW   115 ELBW   116 Secondary Apnea 96  117 Neonatal Resuscitation  Apgar  TABC 96  118 Apgar Score  Heart Rate  Respiration  Tone  Reflex  Color 97 107 MAR-2003 119 TABC of Resuscitation 98 MAR-2003 120 Five Cleans  clean hands  clean delivery surface  clean cord cut  clean cord tie  clean cord stump 103  121 Omphalitis 105  122 Physiological Jaundice  > 5mg/dl  subsides within 7-10 days  seen in 60% of newborn 105 147 JUL-2007 123 Ponderal Index 109  124 Craniotabes  skull feels like a ping pong ball  delayed ossification & resorption 112  125 Cephalhematoma 112 AUG-2002 JUL-2008 126 Developmental Dysplasia of Hip  Barlow’s Test  Ortolani’s Test 114  127 Warm Chain  TEN steps 116  128 Advantages of Breast Feeding 122 JUL-2008 SEP-2000 129 Reflexes in Breast Feeding 124  130 Draw & Label : Oxytocin Reflex 124 JUL-2007 131 Nipple Confusion  seen in bottle fed infants  finds it difficult and confusing 125  132 Colostrum  milk secreted in the initial 3-4 days Composition of Colostrum  antibodies  Vit ADEK 125 JUL-2007 FEB-2002 133 Problems of Pre-Term Babies 129  134 Problems of LBW Babies 129  135 Neonatal Sepsis 136  136 Respiratory Distress Syndrome 143  137 Meconium Aspiration Syndrome 144 100  138 A 15 days old baby is brought with yellowish discolouration of eyes and skin. Is it physiological or pathological? What are the probable causes? What investigations will you order? What history will you specifically ask for?  JUN-2006 139 Prolonged Physiological Jaundice 147  140 Breast Milk Jaundice 147  141 Clinical Estimation of Jaundice 147  142 Causes of Jaundice in the new born 148 JUL-2008 143 Phototherapy 149 AUG-2002 MAY-2002 144 BFHI  JUN-2005 145 Significance of Moro Reflex  MAR-2003 FEB-2008 146 X-Ray findings in Congenital Diaphragmatic Hernia 153  147 IMMUNITY AND IMMUNISATION   148 Vaccine Failure 164  149 Live Vaccines 165  150 Vaccine Storage 166  151 Cold Chain  JUN-2005 152 National Immunisation Schedule   153 Vaccine preventable Diseases   154 Ring Immunisation   155 BCG Vaccine 166  156 Preservation of BCG Vaccine  MAR-2003 157 OPV 167 MAR-2003 158 IPV 168  159 Vaccine Vial Monitor  DEC-2004 160 Complications of DPT Vaccine 168 FEB-2008 JUL-2007 161 Contraindications of Pertusis Vaccine 169  162 Acellular Pertusis Vaccine 169  163 Measles Vaccine 171 JUL-2008 164 MMR Vaccine 171 SEP-2000 165 Congenital Rubella Syndrome  JUL-2007 166 Hepatitis B Vaccine 171  167 Management of Dogbite on Face 172 JUL-2007 168 Typhoral Vaccine 174  169 HIB Vaccine 175 DEC-2005 170 INFECTIONS AND INFESTATIONS   171 Normal Body temperature in children 36.1 – 37.8   172 PUO 183 DEC-2004 173 Causes of PUO in Children  183  174 Measles 185  175 Complications of Measles 185 FEB-2008 AUG-2001 176 Atypical Measles -  177 Modfiied Measles -  178 Infectious Mononucleosis 187  179 Complications of Mumps 188  180 Poliomyelitis 188  181 What are the causes of Acute Flaccid paralysis in a five year old boy? Poliomyelitis Guillen Barre Syndrome Transverse Myelitis Traumatic Neuritis Meningitis / Encephalitis Describe the clinical features of poliomyelitis.  Enumerate the likely complications.  Write about the management of poliomyelitis and strategies adopted towards its eradication. 190 SEP-2000 182 Three Causes of AFP  Poliomyelitis  Guillen Barre Syndrome  Transverse Myelitis  Traumatic Neuritis  Meningitis / Encephalitis 190  183 Define AFP  sudden onset of weakness and floppiness in any part of the body in a child < 15yr OR  paralysis in a person of any age in whom polio is suspected 191 JUN-2006 FEB-2002 184 Oral Polio Vaccine  FEB-2001 185 Pulse Polio Immunisation 190 AUG-2001 186 AFP Surveillance  notify AFP cases  District Immunisation officer (DIO) investigates for 60 days  Two stool samples to be collected 191 555 JUL-2008 187 Non-Polio AFP 191  188 Extrahepatic manifestations of Hepatitis B   189 Hepatitis C Virus 194 FEB-2002 190 Dengue Hemorrhagic Fever 196 JUN-2005 191 Draw & Label : Human Immunodeficiency Virus - DEC-2005 192 Diagnosis of HIV in Children  HIV PCR   HIV Culture 207 DEC-2004 193 AIDS Prophylaxis in Children  Cotrimoxazole   194 Prevention of parent to child transmission of HIV  MTCT 207 208 FEB-2008 195 Miliary Tuberculosis 210  196 Primary Complex 210  197 Mantoux Test 216 JUL-2008 198 Management of Tuberculosis 217  199 Rifampicin  AUG-2002 200 Advere effects of Rifampicin   201 Adverse effects of INH   202 Complications of Diphtheria 220 MAY-2002 203 Clinical features of Enteric Fever  222 AUG-2002 204 Investigations in Enteric Fever  JUL-2008 205 Complications of Enteric Fever   206 Draw & Label : Peripheral Smear showing falciparum  JUN-2005 207 Treatment of P vivax Malaria 233 JUL-2008 208 Drug of choice in Cerebral Malaria 233  209 Draw & Label : Roundworm Ova  FEB-2008 210 Draw & Label : Hookworm Ova  JUL-2008 211 Treatment of Hookworm Infestation 246 MAR-2003 212 Draw & Label : Whipworm Ovum  JUN-2006 213 Treatment of Scabies   214 DISEASES OF GASTROINTESTINAL SYSTEM AND LIVER   215 Inguinal Hernia in a Child   216 Vaccines to be given before Splenectomy   217 Two surgical causes for persistant vomiting in a 1yr old child   218 Hypertrophic Pyloric Stenosis  253  219 Common causes of constipation in an infant 255 JUL-2008 220 Define Acute Watery Diarrhoea  passage of watery stools  starts suddenly and persists for hours / days 260  221 A 9month old infant is brought  with watery diarrhea and vomitting. On examination child is thirsty, irritable and oral mucous membrane dry. What is the diagnosis? What treatment will you advice? What are the criteria for discharge from hospital? What instructions will you give to the mother on discharge?  AUG-2002 222 A 1yr old weighing 8kg presents to the hospital with a one day history of vomiting and watery diarrhea, following an URTI. On examinationhe was found to be moderately dehydrated. What are the signs of dehydration you are ikely to find in this child? What are the important investigations you order and what are the likely results? What organisms are likely the causative agents?  MAY-2002 223 Define Dysentry 260  224 Persistent Diarrhoea  14 days or longer 260  225 Rotavirus 261  226 Treatment of Acute Bacillary Dysentry in a child   227 Key Signs of Dehydration 261 FEB-2002 228 Causes of Malnutrition in Diarrhea 261  229 Oral Rehydration Therapy 263  230 Composition of WHO ORS 263 MAY-2002 FEB-2008 231 Improved ORS 263  232 Management of Diarrhea 264  233 Treatment of Severe Dehydration 265 FEB-2008 234 Indications for Antibiotics in ADD 267  235 Four Clinical manoevers to diagnose Cholera 267  236 Seizures in Diarrhea 268  237 Lactose intolerance 273 JUN-2005 238 Milk protein intolerance 273  239 Four causes of Splenomegaly in children 279 JUL-2007 240 Fatty Liver in Children 281  241 Neonatal Hepatitis 281  242 Clinical signs of liver cell failure 286 JUL-2007 243 Management of Acute Fulminant Liver cell failure 287 FEB-2008 244 Hepatic Encephalopathy 288 DEC-2004 245 Portal Hypertension in Children 289  246 Causes of Liver Cirrhosis  MAY-2002 247 HEMATOLOGICAL DISORDERS   248 A 4yr old girl is brought with purpura and gum bleeding. On examination there  is no lymphadenopath, bone tenderness or hepatosplenomgaly. What is the  clinical diagnosis? Mention three important 'investigations to confirm diagnosis? What are the differential diagnosis? What are the drugs used for treatment?  FEB-2002 249 Draw & Label : Myeloblast   250 Draw & Label : Lymphoblast   251 Define Anemia in a 2yr old? What is Severe Anemia?   252 Lab findings of Iron Deficiency Anemia 300 JUN-2005 253 Treatment of Iron deficiency Anemia 301 FEB-2001 254 Iron requirement in Pediatric age Group   255 Iron rich foods   256 Causes of failure of Iron therapy in a child   257 Deferiprone   258 Types of Hemolytic Anemias 303 JUN-2006 259 Nutritional Anemia – Management and Prevention  SEP-2000 260 Most common Thalassemia? Defect in common secondary immunodeficiencies in children?   261 Draw & Label : Peripheral Smear in beta thalassemia major 308 JUL-2008 262 Investigations in a child with recurrent bleeding 318 JUL-2007 263 Lab Diagnosis of ITP 320 AUG-2002 264 Drugs used in ITP with dosage   265 Clinical features of ALL  MAY-2002 266 Bone Marrow Aspiration  MAY-2002 267 Draw & Label : Target Cell  AUG-2002 268 DISEASES OF EAR, NOSE AND THROAT   269 Management of Acute Epiglottitis  FEB-2002 270 DISORDERS OF RESPIRATORY SYSTEM   271 Draw & Label : Bronchial Breathing  FEB-2002 272 Draw & Label : Vesicular Breathing   273 Respiratory Noises 346  274 Causes of Wheezing 347  275 Staphylococcal Pneumonia 353  276 Clinical Signs of Severe Pneumonia  FEB-2002 277 Signs of very Severe Pneumonia   278 Oxygen therapy in Pneumonia   279 Indications of chest X Ray in Pneumonia   280 Treatment of Mycoplasma Pneumonia 352 DEC-2005 281 Define ARI 356 JUN-2005 282 ARI Control Programme   283 Management of a six month olf under ARI control programme  SEP-2000 284 A 4 month old baby is brought with a history of cold. cough a nd difficulty in breathin g. On examination his respiratory rate is 66/min. He has inte'costal and subcostal recession. His chest looks prominent and hyper•resonant to percussion. Auscultation reveals a scattered rhonchi. What is the probable diagnosis? What is the organism which causes this condition? What are the differential diagnosis? What are the Chest X-ray findings in this child? How will you manage this child?  JUL-2007 285 1 year old child is brought with pyoderma, fever and cough. On examination he is cyanosed, respiratory rate is 62/minute, grunting and chest retractions are present. What is the diagnosis? What treatment will you advise? What investigations will you order? What complication will you expect? What is the duration of antibiotic therapy?  MAR-2003 286 Bronchiolitis 356  287 Two common complications of Bronchiolitis   288 Triggering Factors of Bronchial Asthma  358  289 Prophylaxis of Bronchial Asthma   290 Classification of Asthma Intermittent Mild Persistent Moderate Persistant Sever Persistant 363  291 Treatment of Acute Severe Asthma 366 JUL-2008 JUN-2006 292 Treatment of Status Asthmaticus Status asthmaticus is an acute exacerbation of asthma that does not respond to standard treatments of bronchodilators and corticosteroids. Symptoms include chest tightness, rapidly progressive dyspnea (shortness of breath), dry cough, use of accessory muscles, labored breathing and extreme wheezing. It is a life-threatening episode of airway obstruction considered a medical emergency. Complications include cardiac and/or respiratory arrest. The lung failure means that oxygen can no longer be provided, carbon dioxide can no longer be eliminated, which leads to acidosis. It is characterized histologically by smooth muscle hypertrophy and basement membrane thickening. Interventions include initiating and maintaining IV access, bronchodilators as prescribed, telemetry monitoring in the PCU, usually arterial blood gas tests sometimes arterial lines are inserted and preparing for emergency intubation. Intravenous treatments such as Aminophylline, Theophylline and Salbutamol are typically given. Many patients eventually respond avoiding more aggressive measures. Status Asthmaticus does not respond adequately to nebulised treatment alone therefore the intravenous treatments such as those above sometimes in addition to Intravenous Magnesium Sulphate are also given. 366 MAY-2002 293 Salbutamol  MAR-2003 294 Tachypnea   295 Genetic causes of Bronchiectasis 368  296 DISORDERS OF CARDIOVASCULAR SYSTEM   297 Normal BP in a newborn?   298 Draw & Label : JVP   299 Causes of Collapsing Pulse  JUL-2008 300 Draw & Label : Pansystolic Murmer  FEB-2002 301 Causes of CCF 372  302 Treatment of CCF  DEC-2005 FEB-2002 303 Classification of Congenital Heart Diseases 372  304 Common Congenital Heart Diseases  AUG-2002 305 Features of CCF 375  306 Treatment of CCF 376 JUL-2007 307 Jones Criteria 380 AUG-2002 308 Rheumatic fever Prophylaxis 383 MAY-2002 309 Rheumatic MR   310 Treatment of Rheumatic Carditis  DEC-2004 311 What is the Serum therapeutic level of Aspirin in RF?   312 Draw & Label : Mitral Regurgitation Murmer 384 DEC-2005 313 Carey Coomb Murmer   314 Infective Endocarditis – C/F 391  315 Prophylaxis in Infective Endocarditis 393 JUN-2006 316 Fetal Circulation 394  317 NADAS Criteria 399  318 ASD – Types 401  319 Complications of ASD  MAR-2003 320 Draw & Label : Development of Interatrial Septum  MAY-2002 321 Draw & Label : ASD Murmer 402 DEC-2004 322 VSD – Types 403  323 Draw & Label : VSD Murmer 404 JUN-2005 324 VSD – Small v/s Large 403  325 Complications of VSD 403  326 Draw & Label : PDA Murmer 405 JUN-2006 327 Diagnostic features of PDA 405 FEB-2002 328 Components of TOF 408 AUG-2002 329 Complications of TOF 408 FEB-2001 330 Management of TOF 408  331 Chest X Ray in TOF 408  332 Fallots Physioogy 412  333 Cyanotic Spells  FEB-2008 334 Treatment of Hyper Cyanotic Spells 415 JUN-2005 MAR-2003 335 Causes of Hypertension In children 431  336 Draw & Label : Murmer of AR  MAR-2003 337 Hills Sign in aortic insufficiency, greater systolic blood pressure in the legs than in the arms; normal arterial systolic pressure in the leg is 10–20 mm of Hg above that in the arm, whereas in aortic insufficiency the difference may be 60–100 mm of Hg. Syn: Hill phenomenon.  MAR-2003 338 DISORDERS OF KIDNEY AND URINARY TRACT   339 Draw and Label : Nephron 440 MAY-2002 340 Heat and Acetic Acid Test 443  341 Significant Bacteruria 443  342 Asymptomatic Bacteruria 443  343 Causes of Hematuria 445  344 IgA Nephropathy 446  345 Proteinuris Define Proteinuria 447 FEB-2002 346 Define Massive Proteinuria 447  347 Complications of AGN 447  348 Draw & Label : PS in Hemolytic Uremic Syndrome   349 Draw & Label : Urinary findings in Acute Glomerulonephritis  FEB-2008 350 Treatment of Acute Glomerulonephritis  JUN-2006 351 Diagnostic criteria of Nephritic Syndrome  AUG-2002 352 Management of Nephrotic Syndrome 450  353 Complications of Nephrotic Syndrome 450  354 UTI in Children  JUN-2006 355 Management of UTI 456  356 Vesicourethral Reflex 457  357 Posterior Urethral Valves  MAY-2002 358 ENDOCRINE AND METABOLIC DISORDERS   359 Clinical features of Congenital Hypothyroidism 481 FEB-2008 360 Common causes of Acquired Hypothyroidism   361 Drug therapy in Hyperthyroidism  MAR-2003 362 Panhypopituitarism   363 CENTRAL NERVOUS SYSTEM   364 Management of Status Epilepticus ina 2yr old child   365 Causes of Convulsions in Children 523 DEC-2004 FEB-2008 366 Febrile Convulsions 528 JUL-2008 SEP-2000 367 A 6 month old baby is brought with history of fever of 2 days duration, refused to feed, extreme irritability and convulsions. What is the probable diagnosis? Name one important clinical sign you will elicit for diagnosis? How will you investigate? Name two complications? How will you prevent this condition?  JUL-2008 368 Petit Mal Seizures 530 MAY-2002 369 Treatment of Neonatal Seizures 531 DEC-2004 370 Infantile Myoclonic Seizures 531 JUL-2007 371 Organisms causing Pyogenic Meningitis 536  372 Complications of Pyogenic Meningitis 536  373 Management of Bacterial Meningitis in a 1yr old 536  374 Organisms causing Acute Bacterial Meningitis in a 18 month old baby  FEB-2008 375 CSF findings in Normal child  SEP-2000 376 CSF findings in Pyogenic Meningitis 539 SEP-2000 377 CSF findings in TB Meningitis  SEP-2000 378 CSF findings in Viral Meningitis   379 Clinical features of TB Meningitis 539  380 CSF findings in TB Meningitis 540 MAR-2003 381 Bilirubin Encephalopathy 542 JUN-2006 382 Reye’s Syndrome 543  383 Hydrocephalous - Types   384 Guillain Barre Syndrome 554  385 Define Acute Flaccid Paralysis 555  386 Causes of Acute Flaccid Paralysis 555  387 DD of AFP 556 DEC-2004 388 Define Cerebral Palsy   389 Cerebral Palsy – Types 559  390 Neurocutaneous Markers 564  391 Autism   392 Myelodysplasia   393 Typical v/s Atypical seizures   394 NEUROMUSCULAR DISORDERS   395 Duchenne Muscular Dystrophy 566  396 DD of Floppy Infant 573 JUN-2005 397 CHILDHOOD MALIGNANCIES   398 Draw & Label : PS in Acute Lymphoblastic Leukemia 580 JUL-2007 399 Classification of ALL 580 DEC-2005 400 RHEUMATOLOGICAL DISORDERS   401 Juvenile Idiopathic Arthritis 599  402 A 5 year old child is brought with joint pain, abdominal pain, high coloured urine. She has sore throat 10 days back. OlE skin rash present in the lower limbs. What is the probable diagnosis? What investigations will you order? What treatment will you give? What are the differential diagnosis?  DEC-2005 403 GENETIC DISORDERS   404 Kawasaki Disease 609  405 Behcet’s Disease   406 Clinical features of Down’s Syndrome 613 DEC-2005 407 Two chromosomal pattern seen in Down’s Syndrome   408 Kleinfelter’s Syndorme 615  409 Chromosomal anomaly in Turner Syndrome 616 AUG-2002 410 Features of Autosomal Dominant Inheritance 617 MAY-2002 411 Marfans Syndrome   412 Craniosynostosis   413 INBORN ERRORS OF METABOLISM   414 Phenylketonurias 628  415 Gauchers Disease 638  416 Wilsons Disease 640  417 Alpha 1 Antitrypsin Deficiency 640  418 EYE DISORDERS   419 SKIN DISORDERS   420 Causes of Purpura in Children  JUN-2005 421 Treatment of Scabies 665 DEC-2005 422 POISONINGS, INJURIES AND ACCIDENTS   423 Keroscene Poisoning  JUL-2008 424 PEDIATRIC CRITICAL CARE   425 COMMON MEDICAL PROCEDURES   426 Contraindications for Lumbar Puncture 717 520 JUL-2007 427 RATIONAL DRUG THERAPY   428 INTEGRATED MANAGEMENT OF NEONATAL AND CHILDHOOD ILLNESSES   429 Define Infant Mortality Rate 753 FEB-2008 430 RIGHTS OF CHILDREN   431 UNALLOCATED QUESTIONS   432 Age Independent Anthropometric Measurement  JUN-2005 433 Draw & Label : LE Cell  DEC-2004 434 Treatment of Methicillin Resistant Staphylococcal Infection  DEC-2004