Paedia

Question 1

Main hormone controlling INTRAUTERINE GROWTH…….

Answer 1

⭐Insuline .

Thyroxine is also req. for normal dev. of fetus

Question 2

Responses to HypOthermia in newborns……

Answer 2

1 Switch to Anaerobic metabolism
⬇️
Lactic Acidosis

2. Hypothermia induced peripheral vasoconstriction
   ⬇️
   Increased metabolism
   ⬇️
   HypoGlycemia
3. Bradycardia

Question 3

FLAG SIGN 🇮🇩 seen in…..

Answer 3

Kwashiorker.

_ alternate hyper and hypopigmented hair

Question 4

Treatment plan for UNCOMPLICATED SAM…

Answer 4

4 A’s:-

Amoxycillin 5 days
A vitamin
Albendazole single dose
Age appropriate vaccination

Question 5

Calory required for SAM Children..

Answer 5

175 kcal/kg from Home based food / RUTF

*RUTF =Ready To Eat Food

Question 6

Mng of dehydration in children with SAM

Answer 6

⭐ORS in SOME or SEVERE dehydration without shock…
in HALF STRENGTH ( 1 sachet of ors in 2 L water).

⭐IV only IN SHOCK ..
RL with 5%Dextrose
or
.45%NS with 5%Dextrose
at 15ml /kg over 1 hr
⬇️
If improvement
Repeat another round
⬇️
Start ORS with NG tube

Question 7

Dose of Vit K for SAM

Answer 7

2.5mg IM single dose on admission.

Question 8

Sequence of puberty in FEMALE

Answer 8

Thelarche
⬇️
Pubarche
⬇️
GROWTH SPURT
⬇️
Menarche

Question 9

Initial marker of puberty

Answer 9

⭐LH
( not FSH )

Question 10

Sequence of puberty in MALE……

Answer 10

Testicular enlargement
⬇️
Pubic hair
⬇️
GROWTH SPURT
⬇️
Facial hair

Question 11

Suction pressure for Neonatal Resuscitation…

Answer 11

80-100 mmHg

Question 12

Breast milk jaundice occurs due to..,…..

Answer 12

3alpha 20beta pregnanediol

Question 13

Best method to assess jaundice in Neonate….

Answer 13

Total and Direct S. Bilirubin

Question 14

Part of Brain affected in KERNICTERUS…..

Answer 14

Basal ganglia & Brainstem nuclei

Question 15

Adward syndrome

Answer 15

Trisomy 18

Elongated occiput
Overlapping fingers
Rocker bottom feet
CHD ( mc VSD)
Renal anomaly

Apnea ( respiratory Failure) mcc Death