Paeds Short Answer Questions
Paeds Short Answer Questions
Paeds Short Answer Questions
Max. Marks 50
1.
2.
3.
4.
5.
A 10-years old boy presents with bilateral painless neck swelling for last 3
months. On examination there is bilateral cervical and axillary lymph
node enlargement. These lymph nodes are 2-3 cm in size, discrete,
non- tender and rubbery. Chest X-ray shows mediastinal mass.
a) What is the most likely diagnosis?
b) How will you investigate?
2
3
2
1.5
1.5
A two year old child is brought to ER with Cyanosis and dyspnoea of one
hour duration.He had recurrent such episodes for the last six months. On
examination he is deeply cyanosed, extremely irritable and tachypnoeiac
with finger-clubbing. There is an ejection systolic murmur at the
pulmonary area.
a) What is the most likely diagnosis?
b) Give emergency management.
c) Give steps of long term management.
1
2
2
A six months old child presents to emergency room with fever, cough and
dyspnoea of 3 days duration. On examination he is febrile, pulse is
110/min and respiratory rate 60/min with no chest indrawings.
a) How will you classify his disease according to (WHO) ARI
classification?
b) Give steps of management.
A 2-years old girl is brought to you with complaints of diarrhea and failing
to thrive since 8 months of age. She was weaned from breast feeding and
started on solid at 7th month of life. She passes 8 10 stools daily which
are bulky, offensive and sticky. On examination weight is 8 kg
(<3 rd centile). She is pale and irritable with abdominal distension and
wasting of buttocks.
a) What is the diagnosis?
b) How will you confirm the diagnosis?
c) How will you manage her?
1
4
1
2
2
6.
7.
8.
9.
10.
1
1.5
1.5
1
2,2
A 3 years old, unvaccinated boy presents with low grade fever and
lethargy for last 15 days. Last night he had an episode of tonic clonic
seizure followed by right sided weakness. His grandfather is suffering
from chronic cough for last 2 years. On examination he is having upper
motor neuron paralysis on right side of the body.
a) What is the most likely diagnosis?
b) How will you investigate him?
c) Briefly outline management of this child.
1
2
2
A 5 years old girl presents with generalized body swelling starting first
from periorbital region. On examination there is generalized edema,
BP = 110/60 mm of Hg. Urine analysis reveals + 4 proteinuria.
a) How will you further investigate her?
b) Describe steps of management.
2
3
3.5
1.5