[Sanju]

PEDIATRICS
Vth semester
Date: 13th December, 2006
Time: 2 hours
Each question carries 10 marks

1. Human milk is superior to other milk. Comment on this statement.
2. Short notes on:
a. Clinical examination finding in a 7 year old child with massive unilateral pleural effusion.
b. Clinical features of severe diarrhea in an infant.
3. Write about the etiology of protein-energy malnutrition (PEM) in children. What are the age independent indices for the diagnosis of PEM?
4. Short notes on:
a. Mantoux test
b. Vitamin A deficiency
5. What are the vaccine preventable diseases? Discuss briefly about one with its prevention strategy.
6. Short notes on:
a. Croup
b. Prevention therapy in bronchial asthma
7. Write important causes of pyrexia of unknown origin. What would be your approach to diagnosis?

Vth semester
Date: June, 2003
Time: 2 hours
Each question carries 10 marks

1. Define the following vital statistics. Describe their significance and give the latest national figures.
a. Neonatal mortality rate
b. Infant mortality rate
2. Short notes on:
a. Signs of severe dehydration
b. National immunization schedule
3. Enumerate three common causes of malnutrition in Nepal. What are the parameters used to assess the malnutrition in children?
4. Short notes on:
a. Hypothermia in newborn
b. Complications of measles
5. List four advantages of breast feeding. What steps are required to make a hospital baby friendly?
6. Short answer on:
a. Essential equipments for neonatal resuscitation
b. Basic care of newborn at birth
7. Describe the clinical features and management of pneumonia.

Vth semester
Date: 14th June, 2005
Time: 3 hours
Each carries 10 marks

1. What is immunization? Write the immunization schedule of Nepal.
2. Short notes on:
a. Signs of severe dehydration
b. Complications of measles
3. Enumerate 3 common causes of malnutrition in Nepal. What are the parameters used to assess malnutrition in children?
4. Short notes on:
a. Hypoglycemia in newborn
b. Care of newborn at birth
5. List 4 advantages of breast feeding. What steps are required to make a hospital baby friendly?
6. Short notes on:
a. Clinical features of kerosene poisoning
b. Mode of presentation of Vitamin A deficiency in children
7. Write down 4 classical features of severe pnuemonia in 2 years old child. Describe briefly its management.

Vth semester
Date: June 2004
Time: 2 hours
1. Describe the management of baby with birth asphyxia.
2. Describe the advantages of breast feeding. Name some breast feeding problems.
3. Name some common causes of malnutrition in Nepal. Describe the clinical features of kwahiorkar and maramus.
4. Short notes on:
a. Nutritional assessment in children
b. Immunization in Nepal
5. Write down the major and minor criteria of acute rheumatic fever and state its management.
6. Short notes on:
a. Care of newborn at birth
b. ARI
7. Describe the clinical features of tuberculosis in children.