Pedi Box Q Final [DCIMC-09]

1. A 3 days old male neonate is born by LUCS at 30 weeks of gestation. His weight is
1.2 kg. After birth he developed respiratory distress.
a. What is the most probable diagnosis?
b. What are the complications of this baby?
c. Management
2. A 20 hour old female neonate, weight 2.5 kg, 2nd issue has developed yellow
discolouration of skin extending upto palms and soles. Her mother blood group is A
negative and her blood group is B +ve.
a. What is the most likely diagnosis?
b. What investigation you will do?
c. Treatment
3. A 5 days old female neonate, weight 2.5 kg presented with reluctant to feed and
lethargy for 2 days and abdominal distension for 1 day. Mother had a history of
Premature rupture of membrane.
a. What is the most likely diagnosis ?
b. What investigation you will do ?
4. A baby is delivered by LUCS at 33weeks of gestation because of eclampsia of the
mother. Birth weight of the baby is 1.2 kg.
a. What is your diagnosis ? Mention common problems that can occur in this
baby
b. How will you manage this problem?
5. A 3 days old, female neonate, weight 3 kg delivered by Vaginal delivery at home
presented to NICU with H/O delayed cry, developed seizure 4 hour after birth.
a. What is your likely diagnosis?
b. Management of seizure
c. APGAR score
6. A 2 days old term, male neonate, weight 2.2 kg presented with reluctant to feed and
less movement for 1 day. O/E baby is lethargic, poor reflex and activity. Mother had
H/O premature rupture of membrane.
a. What is the most likely diagnosis ?
b. How would you investigate and treat the baby?
7. A 3 year old boy presented with scanty micturition and generalized oedema for 7
days. His bed side urine albumin test is 3 +.
a. What is your provisional diagnosis ?
b. What are the cardinal features ?
c. Investigations with expected finding to confirm the diagnosis
d. Treatment and complications
8. A 7 year old boy admitted in hospital with high coloured scanty urine. He had H/O
skin infection 3 weeks back. He has puffy face and BP is 140/100 mmhg.
a. What is the most likely diagnosis ?
b. Investigations with expected finding
c. Treatment and complications
9. A 6 year old girl presented with increase frequency of micturition, urgency and
burning sensation during micturition along with lower abdominal pain.
a. What is your diagnosis ?
b. How will you investigate and treat the child?
10. A 10 month old female infant, weight 8 kg presented with high grade fever and cough
for 7 days. On examination she had chest indrawing and respiratory rate 60
breaths/min.
a. What is your diagnosis?
b. Treatment
11. A 6 month old male infant, weight 7 kg presented with low grade fever, cough, runny
nose for 5 days. He was playful, afebrile, respiratory rate 55 breaths/min, on
auscultation ronchi present.
a. What is your diagnosis ?
b. What investigation you will do ?
c. How will you treat?
12. A 5 year old boy, weight 13 kg presented with low grade fever and cough for 2
month. He has evening rise of temperature and loss of weight.
a. What is the most probable diagnosis?
b. What investigation you will do to reach the diagnosis ?
13. A 16 month old boy, weight 10 kg presented with recurrent respiratory tract infection
since early infancy. He is not growing well and become tired during exertion. He has
pansystolic murmur at lower left sternal border on auscultation.
a. What is the most likely diagnosis?
b. How will you confirm?
c. Classify congenital heart disease
14. A 3 month old baby presented with constipation since birth. He had history of prolong
neonatal jaundice. O/E he has protruded tongue, eye lid oedema and umbilical hernia.
a. What is your most probable diagnosis?
b. Mention important investigation
c. How will you treat the child?
15. A 10 years old boy present with high grade fever for 4 days and rash for 1 day along
with headache and nausea. Now he is afebrile, blood pressure 85/50 mmhg.
a. What is your diagnosis ?
b. Investigations
c. Treatment
16. A 7 year old boy, weight 24 kg came with fever and pallor for the last one and half
month along with lymphadenopathy, bony tendernesss and hepatosplenomegaly.
a. What is your diagnosis ?
b. How will you investigate the boy ?
17. A 3 year old girl presented with pallor, Jaundice and hepatosplenomegaly. Her elder
brother needs frequent blood transfusion since infancy.
a. What is the most possible diagnosis?
b. Mention important investigations with expected finding
c. Complication
18. A 15 month old boy presented with fever for 18 hours and single episode of seizure
lasted for 5 minutes. On examination the baby is conscious and well alert. His elder
brother had same history in childhood.
a. What is the most possible diagnosis?
b. Treatment
19. A 2 year old boy, weight 12 kg presented with loose water stool for 2 days also very
sunken eyes and inability to drink. His skin pinch goes back very slowly.
a. Classify the condition of the child according to IMCI
b. What treatment plan will you follow?
20. A 6 year old girl presented with high grade fever for 5 days and repeated seizure for 1
day. On examination you have found neck rigidity and positive kernigs sign.
a. What may the possible diagnosis?
b. Causative organism
c. What CSF finding will you expect?
21. A 4 year old boy has recurrent respiratory distress since 2 years of his age. Suddenly
he developed severe breathlessness persisting for last one hour. On auscultation of
chest ronchi present throughtout the whole lung fields.
a. What is the likely diagnosis ?
b. Immidiate treatment of these condition
c. Classification
22. A 3 years old boy presented with swelling of knee joint following trauma. Parents
gave history of easy bruising on different parts of the body. On query his maternal
uncle has died due to same problem.
a. What is your diagnosis ?
b. How will you investigate the child?
c. What treatment will you give ?
23. A 3 year old boy, weight 14kg presented with severe respiratory distress and cyanosis.
On query there is H/O failure to thrive and easy fatigability. There is clubbing of
fingers and systolic murmur in the upper left 2nd Intercostal space just lateral to the
sternum.
a. What is the most possible diagnosis ?
b. What are the complications?
24. (This question from "[Link]" is not present in "[Link]")
25. (This question from "[Link]" is not present in "[Link]")
26. A 6 year old girl, weight 25kg presented with fever, anorexia and vomiting for 6 days.
On examination, he has tender hepatomegaly and jaundice.
a. What is the most likely diagnosis ?
b. Outline the investigation plan with expected finding
27. A 6 years old girl presented with multiple purpuric spots on different parts of the body
for 2 days. She is healthy, afebrile and mildly pale. She has no lymphadenopathy or
organomegaly.
a. What is the most likely diagnosis?
b. What investigation you will do ?
c. How will you treat ?
28. A 2 year old boy, weight 12kg presented with acute watery diarrhoea for 2 days. He
was irritable and had shunken eyes.
a. What are the 2 other features you have to look for classifying his dehydration
?
b. How will you rehydrate this patient ?
29. A 10 month old boy presented with constipation and hoarse cry since his early
infancy. Moreover he had history of jaundice during his first 25 days of life.
a. What is the most likely diagnosis ?
b. Treatment:
c. Complication
30. A 9 month old female child, weight 4 kg presented with bipedal edema. She had
history of recurrent loose motion and faulty feeding.
a. What is the most probable diagnosis ?
b. Management
31. A 2 year old girl, presented with poor feeding, irritability, not gaining weight. On
examination she was moderately pale and no organomegaly.
a. What is the most probable diagnosis ?
b. How will you investigate this child?

32. Obesity
1) Define obesity and overweight according to BMI.
2) Mention important causes and complications of obesity.
33. IYCF
1) Define IYCF and components of IYCF.
2) Advantage of breast feeding.
3) Proper position and attachment of breast feeding.
4) What is complimentary feeding? Properties of a good CF.
34. IMCI
1) What is IMCI and its objectives?
2) Name important causes of under 5 mortality.
3) Current IMR, NMR, under 5 mortality rate in Bangladesh. (This
question is not present in "[Link]")
4) General danger signs in children (Aged 2 month to 5 years)
5) What are the emergency sign and priority sign
6) What are the conditions require for urgent referral?
35. EPI
1) Current EPI schedule in Bangladesh
2) What are the vaccines given in children other than EPI schedule
3) (The remaining EPI questions from "previous question" are not
present in "[Link]")
36. Growth & Development
1) Define growth and development
2) How can we assess growth? (This question is not present in
"[Link]")
3) Principles of development
4) What are the domains of development.
5) Development of a child at 9 months, 12 months and 15 months