23

P.G. Curriculum
Diploma in Pediatrics (DCH)
Index

1. Goals

2. Objectives

3. Syllabus

4. Teaching Program

5. Posting

6. Assessment

7. Job Responsibilities

8. Suggested Books and Journals

9. Model Test Papers

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PG Curriculum
Diploma in Pediatrics (DCH)

The infrastructure and faculty of the department of Pediatrics will be as per MCI
regulation.

1. Goals
The goal of Post graduate (DCh) course in Pediatrics is to produce a competent
pediatrician who:

Recognizes the health needs of neonates, infants, children and adolescents and
carries out professional obligations in keeping with principles of National Health
Policy and professional ethics;

Has acquired the competencies pertaining to pediatrics that are required to be
practiced in the community and at all levels of health care system;

Has acquired skills in effectively communicating with the child, family and the
community;

Is aware of the contemporary advances and developments in medical sciences
as related to child health;

Is oriented to principles of research methodology; and

Has acquired skills in educating medical and paramedical professionals.

2. Objectives
At the end of the DCh course in Pediatrics, the student should be able to :

Recognize the key importance of child health in the context of the health priority
of the country;

Practice the specialty of Pediatrics in keeping with the principles of professional
ethics;

Identify social, economic, environmental, biological and emotional determinants
of child and adolescent health, and institute diagnostic, therapeutic,
rehabilitative, preventive and promotive measures to provide holistic care to
children;

Recognize the importance of growth, nutrition and development as the
foundation of Pediatrics; and help each child realize her/his optimal potential in
this regard;

Take detailed history, perform complete physical examination including neuro-
development and behavioral assessment and anthropometric measurements of
the child and make clinical diagnosis;

Perform relevant investigative and therapeutic procedures for the pediatric
patient;

Interpret important imaging and laboratory results;

Diagnose illness in children based on the analysis of history, physical
examination and investigative work up;

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Plan and deliver comprehensive treatment for illness in children using principles
of rational drug therapy;

Plan and advise measures for the prevention of childhood disease and disability.

Plan rehabilitation of children suffering from chronic illness and handicap, and
those with special needs;

Manage childhood emergencies efficiently;

Provide comprehensive care to normal, ‘at risk’ and sick neonates;

Demonstrate skills in documentation of case details, and of morbidity and
mortality data relevant to the assigned situation;

Recognize the emotional and behavioral characteristics of children, and keep
these fundamental attributes in focus while dealing with them;

Demonstrate empathy and humane approach towards patients and their families
and respect cultural needs.

Demonstrate communication skills of a high order in explaining management and
prognosis, providing counseling and giving health education messages to
patients, families and communities;

Develop skills as a self-directed learner, recognize continuing educational needs;
use appropriate learning resources, and critically analyze relevant published
literature in order to practice evidence-based pediatrics;

Demonstrate competence in basic concepts of research methodology and
epidemiology;

Facilitate learning of medical/nursing students, practicing physicians, para-
medical health workers and other providers as a teacher-trainer;

Play the assigned role in the implementation of national health programs,
effectively and responsibly;

Organize and supervise the desired managerial and leadership skills;

Function as a productive member of a team engaged in health care, research
and education.

3. Syllabus

3.1 Theory

Approach to important clinical problems

 Growth and development.
Short stature, obesity, precocious and delayed puberty, developmental
delay,impaired learning.
 Neonatology.
Normal newborn, low birth weight newborn, sick newborn.
 Nutrition.
Lactation management and complementary feeding, protein energy
malnutrition (underweight, wasting, stunting) and micronutrient and vitamin
deficiency, failure to thrive.
 Cardiovascular.

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Murmur, cyanosis, congestive heart failure, systemic hypertension,

arrhythmia, shock.
 GIT and liver.
Acute, persistent and chronic diarrhea, abdominal pain and distension, ascites,
vomiting, constipation, gastrointestinal bleeding, jaundice, hepatosplenomegaly
and chronic liver disease, hepatic failure and encephalopathy.
 Respiratory
Cough/chronic cough, noisy breathing, wheezy child, respiratory distress,
hemoptysis.
 Infections.
Acute onset, pyrexia with and without localizing sign, recurrent infections,
nosocomial infections.
 Renal
Hematuria/dysuria, bladder/bowel incontinence, voiding dys-functions,
inguinoscrotal swelling, renal failure (acute and chronic).
 Hematooncology.
Lymphadeno-pathy, anemia, bleeding.
 Neurology.
Limping child, convulsions, abnormality of gait, intracranial space occupying
lesion, paraplegia, quadriplegia, large head, small head, floppy infant, acute
flaccid paralysis, cerebral palsy and other neuromotor disability, headache.
 Endocrine.
Thyroid swelling, ambi-guous genitalia,obesity, short stature.
 Skin/Eye/ENT.
Skin rash, pigmentary lesions, pain/discharge from ear, hearing loss,
epistaxis, refractory errors, blindness, cataract, eye discharge, redness,
squint, proptosis.
 Miscellaneous.
Habit disorders, hyperactivity and attention deficit syndrome, arthralgia,
arthritis, multiple congenital anomalies. speech disorders.

Disorders
Definition, epidemiology, etiopathogenesis, presentation, complications,
differential diagnosis, and treatment
 Growth and development.
Principles of growth and development, normal growth and development in
childhood and adolescence, deviations in growth and development, sexual
maturation and its disturbances.
 Neonatology.
Perinatal care, normal newborn, care in the labor room and resuscitation, low
birth weight, prematurity, newborn feeding, respiratory distress, apnea,
infections, jaundice, anemia and bleeding disorders, neurologic disorders,
gastrointestinal disorders, renal disorders, malformations, thermoregulation
and its disorders, understanding of perinatal medicine.
 Nutrition.
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Maternal nutritional disorders: impact on fetal outcome, nutrition for the low
birth weight, breast feeding, infant feeding including complementary feeding,
protein energy malnutrition, vitamin and mineral deficiencies, trace elements
of nutritional importance, obesity, adolescent nutrition, nutritional
management in diarrhea, nutritional management of systemic illnesses (celiac
disease, hepatobiliary disorders, nephrotic syndrome), parenteral and enteral
nutrition in neonates and children.
 Cardiovascular.
Congenital heart diseases (cyanotic and acyanotic), rheumatic fever and
rheumatic heart disease, infective endocarditis, arrhythmia, diseases of
myocardium (cardiomyopathy, myocarditis), diseases of pericardium,
systemic hypertension, hyperlipidemia in children.
 Respiratory.
Congenital and acquired disorders of nose, infections of upper respiratory
tract, tonsils and adenoids, obstructive sleep apnea, congenital anomalies of
lower respiratory tract, acute inflammatory upper airway obstruction, foreign
body in larynx, trachea and bronchi, subglottic stenosis (acute and chronic),
trauma to larynx, neoplasm of larynx and trachea, bronchitis, bronchiolitis,
aspiration pneumonia, GER, acute pneumonia, recurrent and interstitial
pneumonia, suppurative lung disease, atelectasis, lung cysts, emphysema
and hyperinflation bronchial asthma, pulmonary edema, bronchiectasis,
pleural effusion, pulmonary leaks, mediastinal mass.
 Gastrointestinal and liver diseases.
Diseases of mouth, oral cavity and tongue, disorders of deglutition and
esophagus, peptic ulcer disease, H. pylori infection, foreign body, congenital
pyloric stenosis, intestinal obstruction, malabsorption syndrome, acute and
chronic diarrhea, irritable bowel syndrome, ulcerative colitis, Hirschsprung’s
disease, anorectal malformations, liver disorders: hepatitis, hepatic failure,
chronic liver disease, Wilson’s disease, Budd-Chiari syndrome, metabolic
diseases of liver, cirrhosis and portal hypertension.
 Nephrologic disorders.
Acute and chronic glomerulonephritis, nephrotic syndrome, hemolytic uremic
syndrome, urinary tract infection, VUR and renal scarring, renal involvement
in systemic diseases, renal tubular disorders, congenital and hereditary renal
disorders, renal and bladder stones, posterior ure-thral valves,
hydronephrosis, voiding dysfunction, enuresis, undescended testis, Wilm’s
tumor, fluid-electrolyte disturbances.
 Neurologic disorders.
Seizure and non seizure paroxysmal events, epilepsy and epileptic
syndromes of childhood, meningitis (pyogenic and TBM), brain abscess,
coma, acute encephalitis and febrile encephalopathies, Guillain-Barre
syndrome, neurocysticercosis and other neuro-infestations, HIV
encephalopathy, SSPE, cerebral palsy, neurometabolic disorders, mental
retardation, learning disabilities, muscular dystrophies, acute flaccid paralysis
and AFP surveillance, ataxia, movement disorders of childhood, CNS tumors,
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malformations, Neurocutaneous syndrome, Neurodegenerative disorders,

head injury
 Hematology and oncology.
Deficiency anemia, hemolytic anemia, aplastic anemia, pancytopenia,
disorders of hemostasis, thrombocytopenia, blood component therapy,
transfusion related infections, bone marrow transplant/ stem cell transplant,
acute and chronic leukemia, myelodysplastic syndrome, Hodgkin disease,
non-Hodgkin’s lymphoma, neuroblastoma, hypercoagulable states,
transfusion related problems.

Endocrinology.
Hypopituitarism/hyperpituitarism, Diabetes insipidus, pubertal disorders, hypo
and hyperthyroidism, hypo- and hyperparathyroidism, adrenal insufficiency,
Cushing’s syndrome, adrenogenital syndromes, diabetes mellitus,
hypoglycemia, short stature, failure to thrive, gonadal dysfunction and
intersexuality, pubertal changes and gynecological disorders.
 Infections.
Bacterial, viral, fungal, parasitic, rickettssial, mycoplasma, Pneumocystis
carinii infections, chlamydia, protozoal and parasitic, tuberculosis, HIV,
nosocomial infections, control of epidemics and infection prevention.
 Emergency and critical care.
Emergency care of shock, cardiorespiratory arrest, respiratory failure,
congestive cardiac failure, acute renal failure, status epilepticus, fluid and
electrolyte disturbances and its therapy, acid-base disturbances, poisoning,
accidents, scorpion and snake bites. Management of arrythmia, ARDS,
Hepatic encephalopathy, CRF, DKA, poisoning (including OPC) near
drowning, status asthmaticus .
 Immunology and rheumatology.
Arthritis (acute and chronic), connective tissue disorders, disorders of
immunoglobulins, T and B cell disorders, immunodeficiency syndromes,
 ENT.
Acute and chronic otitis media, conductive/sensorineural hearing loss, post-
diphtheritic palatal palsy, acute/chronic tonsillitis/adenoids, allergic
rhinitis/sinusitis, foreign body.
 Skin diseases
Exanthematous illnesses, vascular lesions, pigment disorders, vesicobullous
disorders, infections: pyogenic, fungal and parasitic; Steven-Johnson
syndrome, eczema, seborrheic dermatitis, drug rash, urticaria, alopecia,
icthyosis.
 Eye problems.
Refraction and accommodation, partial/total loss of vision, cataract, night
blindness, chorio-retinitis, strabismus, conjunctival and corneal disorders,
retinopathy of prematurity, retinoblastoma, optic atrophy, papilledema.
 Behavioral and psychological disorders

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Rumination, pica, enuresis, encopresis, sleep disorders, habit disorders,

breath holding spells, anxiety disorders, mood disorders, temper tantrums,
attention deficit hyperactivity disorder, autism.
 Social pediatrics.
National health programs related to child health, child abuse and neglect,
child labor, adoption, disability and rehabilitation, rights of the child, national
policy of child health and population, juvenile delinquency.
 Genetics.
Chromosomal disorders, single gene disorders, multifactorial/polygenic
disorders, genetic diagnosis, and prenatal diagnosis, gene therapy and
genetic counselling.
 Orthopedics.
Major congenital orthopedic deformities, bone and joint infections: pyogenic,
tubercular, and common bone tumors.
 Vaccine preventable diseases/all vaccines including newer vaccines.
 Miscellaneous
Inborn errors of metabolism, allergic disorders.
 Clinical

3.2 Practical

History and examination.
History taking including psychosocial history, environmental immunization
history, physical examination including fundus examination, newborn
examination, including gestation assessment; thermal protection of young
infants, nutritional anthropometry and its assessment, assessment of growth,
use of growth chart, SMR rating, developmental evaluation, communication
with children, parents, health functionaries and social support groups; and
genetic counseling.

Bedside procedures
 Monitoring skills: Temperature recording, capillary blood sampling, arterial
blood sampling.
 Therapeutic skills: Hydrotherapy, nasogastric feeding, endotracheal
intubation, cardiopulmonary resuscitation (pediatric and neonatal),
administration of oxygen, venepuncture and establishment of vascular
access, administration of fluids, blood, blood components, parenteral nutrition,
intraosseous fluid administration, intrathecal administration of drugs, common
dressings, abscess drainage and basic principles of rehabilitation.
 Investigative skills: Lumbar puncture, ventricular tap, bone marrow aspiration
and biopsy, pleural, peritoneal, pericardial and subdural tap, biopsy of liver
and kidney, collection of urine for culture, urethral catheterization, suprapubic
aspiration.
 Bedside investigations.
Hemoglobin, TLC, ESR, peripheral smear staining and examination, urine:
routine and microscopic examination, stool microscopy including hanging drop
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preparation, examination of CSF and other body fluids, Gram stain, ZN stain,
shake test on gastric aspirate.
 Interpretation of
X-rays of chest, abdomen, bone and head; ECG; ABG findings; CT/MRI scan
and other investigation relevant to Pediatrics.
 Understanding of
common EEG patterns, audiograms, ultrasonographic abnormalities and
isotope studies.

Basic Sciences
Embryogenesis of different organ systems especially heart, genitourinary
system, gastrointestinal tract, applied anatomy of different organs, functions of
kidney, liver, lungs, heart and endocrinal glands. Physiology of micturition and
defecation, placental physiology, fetal and neonatal circulation, regulation of
temperature (especially newborn), blood pressure, acid base balance, fluid
electrolyte balance, calcium metabolism, vitamins and their functions,
hematopoiesis, hemostasis, bilirubin metabolism. Growth and development at
different ages, puberty and its regulation, nutrition, normal requirements of
various nutrients. Basic immunology, biostatistics, clinical epidemiology,
ethical and medicolegal issues, teaching methodology and managerial skills,
pharmacokinetics of commonly used drugs, microbial agents and their
epidemiology.

Community and Social Pediatrics
National health nutrition programs, nutrition screening of community,
prevention of blindness, school health programs, prevention of sexually
transmitted diseases, contraception, health legislation, national policy on
children, adolescence, adoption, child labor, juvenile delinquency, government
and non-government support services for children, investigation of adverse
events following immunization in the community, general principles of
prevention and control of infections including food borne, waterborne, soil
borne and vector borne diseases, investigation of an outbreak in a
community.

4. Teaching Program
4.1. General Principles
Acquisition of practical competencies being the keystone of
postgraduate medical education, postgraduate training should be skill
oriented.
Learning in postgraduate program is essentially self-directed and
primarily emanating from clinical and academic work. The formal sessions are
meant to supplement this core effort.

4.2. Teaching Sessions

Clinical case discussions :
 PG bed side
 Teaching rounds
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 Mock Examination

Seminars/Journal club

Statistical meetings : weekly/monthly, clinico pathological meet

Mortality meetings

Perinatal meetings

Interdepartmental Meetings : Pediatric Surgery, Obstetrics, Skin, pathology,
SPM, Pharmacology, Radiology

Others – Guest lectures/vertical seminars/Central Stat meets.

4.3. Teaching Schedule:

In addition to bedside teaching rounds in the department, there should be
daily hourly sessions of formal teaching. The suggested teaching schedule is as
follows:

Journal club/Seminar alternate week Once a fortnight

Seminar Once a fortnight
Bed side case discussion Once a week
Statistics and mortality meet (detailed discussion of all the Once a week
deaths occurring in previous week)
Statistics (including OPD, ward, nursery and PICU) Once a month
Intradepartment meet to monitor progress by DCh residents Once a month
for administrative training.
Interdepartmental meet (cardiology, neurology, radiology, Once a month
pharmacology, microbiology, statistics etc)
Perinatology meet with department of Obstetrics and Once a month
Gynae including statistics discussing any neonatal
death/topic
Mock exam (bed side case is allotted 1 hour prior to Once a week
presentation) on the pattern of University examination.
Central session (CPC, guest lectures, integrated student Once monthly
seminars, grand round, sessions on basic sciences,
biostatistics, research methodology, teaching methodology,
health economics, medical ethics and legal issues).
Note:

All sessions should be attended by the faculty members

All teaching sessions should be assessed by the consultants at the end of
session and marks are considered for internal assessment.

5. Postings
The postgraduate student should rotate through all the clinical units in the
department.

Neonatology (including perinatology): 6 months

Intensive Care: 6 months
Emergency: 4 months
Pediatric ward (including outpatient dept): 8 months with rotation in various
units.

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6. Assessment
All the PG residents will be assessed daily for their academic activities and
also periodically.

6.1. General Principles

The assessment is valid, objective, and reliable.

It covers cognitive, psychomotor and affective domains.

Formative, continuing and summative (final) assessment is also conducted in
theory as well as practicals/clinicals. In addition, thesis is also assessed
separately.

6.2. Formative Assessment

The formative assessment is continuous as well as end-of-term. The former is
be based on the feedback from the senior residents and the consultants concerned.
End-of-term assessment is held at the end of each semester (upto the 5th
semester). Formative assessment will not count towards pass/fail at the end of the
program, but will provide feedback to the candidate.

6.3. Internal Assessment

The performance of the Postgraduate student during the training period
should be monitored throughout the course and duly recorded in the log books as
evidence of the ability and daily work of the student. Marks should be allotted out of
100 as followed.

Sr. No. Items Marks

1. Personal Attributes 20
2. Clinical Work 20
3. Academic activities 20
4. End of term theory examination 20
5. End of term practical examination 20

1. Personal attributes

Behavior and Emotional Stability: Dependable, disciplined, dedicated, stable
in emergency situations shows positive approach.

Motivation and Initiative: Takes on responsibility, innovative, enterprising, does
not shirk duties or leave any work pending.

Honesty and Integrity: Truthful, admits mistakes, does not cook up information,
has ethical conduct, exhibits good moral values, loyal to the institution.

Interpersonal Skills and Leadership Quality: Has compassionate attitude
towards patients and attendants, gets on well with colleagues and paramedical
staff, is respectful to seniors, has good communication skills.

2. Clinical Work:

Availability: Punctual, available continuously on duty, responds promptly on
calls and takes proper permission for leave.

Diligence: Dedicated, hardworking, does not shirk duties, leaves no work
pending, does not sit idle, competent in clinical case work up and management.
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Academic ability: Intelligent, shows sound knowledge and skills, participates

adequately in academic activities, and performs well in oral presentation and
departmental tests.

Clinical Performance: Proficient in clinical presentations and case discussion
during rounds and OPD work up. Preparing Documents of the case
history/examination and progress notes in the file (daily notes, round discussion,
investigations and management) Skill of performing bed side procedures and
handling emergencies.

3. Academic Activity: Performance during presentation at Journal club/ Seminar/

Case discussion/ Stat meeting and other academic sessions.
Proficiency in skills as mentioned in job responsibilities.

4. End of term theory examination conducted at end of 1st year and after 9
months.

5. End of term practical/oral examinations after 1 year 9 months.

Marks for personal attributes and clinical work should be given annually by
all the consultants under whom the resident was posted during the year. Average of
the two years should be put as the final marks out of 20.

Marks for academic activity should be given by the all consultants who have
attended the session presented by the student.

The Internal assessment should be presented to the Board of examiners for

due consideration at the time of Final Examinations.

6.4. Summative Assessment

Ratio of marks in theory and practicals will be equal.

The pass percentage will be 50%.

Candidate will have to pass theory and practical examinations separately.

A. Theory examination

Title Marks
Paper Basic sciences as related to pediatrics 100
Paper II Principles and Practice of Pediatrics 100
Paper III Preventive & Social aspects of Pediatrics and Diseases of
100
Neonates & Infants
Total 300
B. Practical examination
1. Long Case (1) 100
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2. Short Cases(2) 50 marks each 100

3. Viva Voce 100

Total 300

7. Job Responsibilities

OPD : History and work up of all cases and presentation to the consultants
 This includes all the special clinics also
 Documentation. OPD card and register completion and maintenance

Indoors :
 PICU/NSCU & NICU/Emergency : Sending investigations and filling
investigation forms

Ward : History and work up of all cases
 Starting initial management – Oxygen, IV antibiotics, fluids
 Transport of sick patients
 Preporation of weekly, monthly & annual stat
Sending AFP reports.

Performing procedures :
 I/V cannulation
 Lumbar puncture
 Bone marrow examination
 Plural tap, peritoneal tap, pericardial tap, central line insertion, renal
biopsy, liver biopsy

Examination of all patients and documentation in the files.

Completion of files

Preparation of typed discharge summary

8. Suggested Books and Journals

8.1. Books

Nelson Text book of Pediatrics

Avery Text book of Neonatology

Care of Newborn Meharban Singh

Cloherty – Mannual of Neonatal Care

IAP Text book of Pediatrics

8.2. Journals

Indian J Pediatrics

Indian Pediatrics

Journal of Pediatrics

Pediatric Clinics of North America

Archives of Diseases of Childhood

9. Model Test Papers

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MODEL QUESTION PAPER

Diploma in Pediatrics (DCH)
Paper-I
Basic Sciences in relation to Pediatrics

Max. Marks:100 Time: 3 hrs

• Attempt ALL questions

• Answer each question & its parts in SEQUENTIAL ORDER
• ALL questions carry equal marks
• Illustrate your answer with SUITABLE DIAGRAMS

1. Give various steps of thyroid hormone synthesis. Describe types of thyroid

dysgeneis.

2. Describe the mechanism of thermogenesis in newborns.

3. Enumerate the 4 signs of good attachment of a baby at the breast. Discuss the
advantages of breast milk over bovine milk.

4. Discuss the pathogenesis of typhoid fever. Explain the interpretation of the

widal test.

5. Draw and describe structure of a renal tubule. Enumerate its functions.

6. Outline the mechanism of CSF formation and its circulation. Mention the
various lesions involved in obstructive hydrocephalus.

7. What is the embryological basis of Tracheo - Esophageal Fistula? Enumerate

the various types of Tracheo – Esophageal Fistula.

8. Discuss the pathogenesis of bronchial asthma.

9. Enumerate the causes of generalized oedema in a child and give the basic
etiopathogenesis of each.

10. Mention the embryological basis of VSD. Describe the hemodynamics

Involved.

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MODEL QUESTION PAPER

Diploma in Pediatrics (DCH)
Paper-II
Principles and Practice of Pediatrics

Max. Marks:100 Time: 3 hrs

• Attempt ALL questions

• Answer each question & its parts in SEQUENTIAL ORDER
• ALL questions carry equal marks
• Illustrate your answer with SUITABLE DIAGRAMS

1. Enumerate causes of Recurrent Abdominal Pain (RAP) in Children. How will

you screen and Diagnose a case of Celiac Disease ?

2. Describe etiology, diagnosis & treatment protocol of a case of Aplastic Anemia

in a child.

3. Give the International League of Association of Rheumatology (ILAR)

classification of Juvenile Idiopathic Arthritis (JIA). Tabulate the differences
between rheumatic and Rheumatoid Arthritis.

4. Enumerate the various neurocutaneous syndromes in children. Discuss the

neuro imaging findings in each of them.

5. Discuss the differential diagnosis of an 8 year old child with sudden onset
hemiplegia.

6. How would you investigate a child with failure to thrive?

7. Describe about the general principles of genetic counselling

8. Discuss the management of frequent relapsing Nephrotic Syndrome.

9. Describe the complications of enteric fever.

10. Discuss the management of a cyanotic spell.

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MODEL QUESTION PAPER

Diploma in Pediatrics (DCH)
Paper-III
Preventive & Social aspects of Pediatrics and Diseases of
Neonates & Infants

Max. Marks:100 Time: 3 hrs

• Attempt ALL questions

• Answer each question & its parts in SEQUENTIAL ORDER
• ALL questions carry equal marks
• Illustrate your answer with SUITABLE DIAGRAMS

1. Describe various components of bio-physical profile

2. Enumerate the four questions to be asked to self while receiving a baby at

birth. How would you manage in case there is “NO” to any of these?

3. Give the composition of surfactant. Describe the various preventive strategies

for Hyaline Membrane Disease (HMD).

4. Describe the timings and dosages of various nutritional supplements in LBW

babies.

5. Give the treatment protocol for a neonate with Patent Ductus Arteriosus (PDA).

6. Mention the modified Bell’s staging for necrotizing enterocolitis (NEC). Give
the treatment guidelines of each of them.

7. Give the algorithm for diagnosis of neonatal cholestasis. Tabulate the

differences between Extrahepatic Biliary Atresia (EHBA) and Neonatal
Hepatits.

8. Mention the definition and types of apnea in new born. How will you treat a
baby with apnea of prematurity?

9. Enumerate the goals of Reproductive and Child Health (RCH) and the
package of services offered by this for children and mothers.

10. Give Acute Flaccid Paralysis (AFP) case classification flow chart. How will you
Collect, store & transfer stool sample in a case of AFP?

PG Curriculum Diploma in Paediatrics (DCH)