Exam question

1. Faculty of Pediatrics
Institute of Child and Mother Health
First Assessment test for DCH students
Session: 2021 to 2023
Total marks: 100
Time: 3 hours
30th July, 2022
(All questions carry equal marks. Use separate script for each section)
Section A: 5x20-100
A Define growth and development. Write down the developmental parameter of a 10-month-
old child.
How will you differentiate CROUP and acute epiglottitis clinically and radiologically?
A 8- year- old boy presented with puffy face with unconsciousness. On examination he was
in shock. How will you manage the case? AM
4. A 10-month-old child admitted with breathing difficulty. His R/R 70/min, H/R 160/min.
What is the provisional diagnosis? Mention two physical findings we can get in favour of
your diagnosis. Outline the treatment plan.
5. A 10-year-old boy admitted with high grade fever for 10days. Mention 3 diferential
diagnoses. What are the important points to be obtained in history?
Section B:
A. A 2-month-old baby weighing 1.8kg with bipedal edema. He is non breast feed baby. Outline
the immediate treatment.
2 Write down the natural history of VSD (ventricular septal defect).
A 2-day-old newborn weighing 3 kg admitted in NICU with history of delayed crying. On
examination, baby was convulsive How will you manage the case?
A. How will you treat a child with Fulminant Hepatic Failure?
How will you manage a baby of Rh negative mother?
Section C:
AS- year-old child weighing 15kg presented with convulsion for 1 hour. How will you treat
the case?
A5- days- old baby presented with vomiting. How ill you evaluate the baby?
A 2-year-old child presented with anemia PBF shows microcytic hypochromic anemia. What
further investigation you want to do to reach the diagnosis? Mention the expected findings.
How will you prepare a child for renal biopsy and what are the indications ofrenal biopsy?
5. How will you treat a 9-month-old child with diarrhea who's serum Nat level is 164mmol/L?
Section D
Write short notes on
Hand foot mouth disease
2. Club foot
3. Cholera vaccination campaign
AOPCpoisoning
5. Breath holding attack
- 6 Pa4
ale 3
-9

2. Dh amm
Faculty of Pediatrics
Institute of Child and Mother Health
First Assessment test for DCH students
Session: 2020 to 2022
Total marks:100
Time: 3 hours
31 July, 2021
(All questions carry equal marks. Use separate script for each section)
5x20=100
Section A:
1. Define growth and development. Write down the developmental parameters of a 9 months old
child A20
2 A 2- year- old child presented with acute watery diarrhea with serum sodium level 165mmol/L.
How will you correct this abnormality?F+lo6
3. What are the differences between bronchiolitis and bronchopneumonia clinically and
radiologically? F R-19
4. A 3- year- old boy presented with convulsion for one hour in emergency department. How will you
manage the case?
Write down the complication ofenteric fever. F Gi-0f
PN 15
Section B:
Briefly discuss the outline ofmanagement of a patient of SAM with dehydration. -*-lz
Mlention the components of IYCF. What are the feeding recpmmendationsfor a 9- month -old child
according to IYCF? H- 00
A 5-year-old boy presented iwith swelling of face with seanty micturition for 8 days. He had same
type of attack 2 times before and treated accordingly. How will you manage the case? a9
4. How will you differentiate VSD and PatentDuctus Arteriosus (PDA) clinically? 19319- FC
5. A 2-year-old child weighing 10kg presented with moderate anemia hemoglobin 6.5mg/dl with
history offaulty feeding. How will you treat the case? -PHa7
Section C:
A. How will you treat achild admitted with severe acute asthma 0F
. A 2- day-old preterm newborn admitted .in NICU, suddenly devcloped apnca. IHow will you
manage thecase? EN-13|
3 A 3- year-old child presented with history of fever and body ache for 5 days with rash over the
whole body. On examination, cool extremities, BP not recordable, CRT 5 sec. Write down the
treatmentalgorithm of the child?- F a- 222
A 10-yr-old boy admitted with pain and swelling of both knee joints. Mention the important points
should be obtained from history.
6 Mention the diagnostic work up ofa child with suspected case of COVID-19.- At 124
Section D:
Write short notes on
1. Treatment and prevention of Scabies.
Manaoement nfa child onma
itl n
3. Management ofa baby weighing 3.8kg of diabetic mother - A 73,FN 4TI
A. Preventivemeasures ofdeath due to drowning among children a 220
5. Cleft lip and cleftpalate A--94
mobi le
B-/-FR/TFA
- Mainalney
Cale
4e 3
fene

3. Faculty of Pediatrics
Institute of Child and Mother Health
First Assessment test for DCH students
Session: 2019 to 2021
Total marks:100
Time: 3 hours
26th August, 2020
(All questions carry equal marks. Use separate script for each section)
Section A:
5x20 100
Define growth and development. Write down Developmental parameter of a 9 monthsod
child
2Outline ofmanagementofachild of SAM with shock. F-JR9
3.Write down the investigation plan ofachild with suspected thalassemia major. F Has -It
What are the difference between bronchiolitis and bronchopneumonia clinically and
radiologically? FRQ4- 19
How willyou manage a child of 10, month (weight 8 kg) presented with VSD with heart
failure? A57 n
Section B:
1. What should be the feeding recommendations of a 9 months old child according to IYCF
Protocol? F.1P- DH0,
What are the differences betweenneonatal hepatitis syndrome and billiary atresia?.f-15
3. Outline the management ofachild with steroid dependent nephrotic syndrome. ( E lb
) How will you counsel the parents ofa 6- month-old childdiagnosed as hypothyroidism? fh o
5. How will you treat a child of 11 months weighing 9 kg admitted with diarrhoea having
severe dehydration. serum Potassium level was 2.7 mmol/l. A-130 t104
Section C:
How willyou treat a child admitted with severe acute asthma?
F
2. Write in short about Kangaroo Mother Care KMC)? -601 &ui
3. A 3- year- old boy presented with convulsion for I hr in emergency department. How will
youmanagethecase? FN 15
4. Write down the pathogenesis ofentericfever?- F 7 P-y
6 How will you manage a child with historyofCOVID-19positivepatient in family? -A IR5
Section D
Write short notes on-
-161
1. Kerosene poisoning
Scabies-I||2
Bowing oflegs in children
Use of steroids in Pediatrie nrnotinn
4
Congenital diaphragmatichernia -FN- 10
.
Se- () Sl T wiR naael Hi, sanky mie, H/ (sDNsDeR)
5 Place.e thAn
H/. ($DNs Dek)

4. Faculty of Pediatrics
Institute of Child and Mother Health
First Assessment test for DCH students
Session: 2018 to 2020
29h June. 2019
Total marks: 100
Time: 3 hours
All questions carry equal marks. Use separate script for each section)
Section A:
5x20 100
1. Define growth and development. Write down the principles of development. A- |A9
Outline of management ofa child of SAM with dehydration.
3. Mention the CSF finding ofacuteviral andtubercularmeningitis?-F.N|
XWhat are the difference between bronchiolitis and bronchopneumonia clinically and
radiologically?
Write down the treatment of a 9 month old child (weight 8 kg) admitted with VSD with heart
failure. What is the natural history of VSD? A 0tEA6
Section B:
1. What should be the feeding
recommendations of a child 10 months according to TYCF
Protocol? F -3BO
A 8-year-old girl present with swelling of right knee joint. How will you proceed to
diagnose the case?.
3. Outline the management ofachild with cerebral palsy with global developmental delay.F-93
XHow will you manage an infant ofdiabeticmother?
Write down the findings of CBC with Red cell indices and peripheral blood film of a case of
iron deficiency anemia andthalassemia. F-Hat-
Section C:
How will youtreat a child admitted with severe acute asthma?
Write down the treatment of frequent relapse nephrotic syndrome?
A 2 year old boy presented with convulsion for 2 hr in emergency department. How will you
manage the case?
X A 2-day-old preterm newborn admitted in NICU, suddenly developed apnea. How will you
manage the baby?
5. Write the investigation plan of a case ofneonatal cholestesis with expected findings.F- 12
Section DD
Write short notes on
1. Breath holdingattack -MR l4
2 Infantile Hypertrophic PyloricStenosis F N-(dY
& Kangaroo mother care (KMC)
4. Seborrhoic dermatitis
umutE Sehudu. EZA, Abjd -2/PAG05

5. Faculty of Pediatrics
Institute of Child and Mother Health
First Assessment test for DCH students
Session: 2017 to 2019
30h June, 2018
Total marks: 100
Time: 3 hours
(All questions carry equal marks. Use separate script for each section)
15
Section A: Answer in short-
How will you assess nutritional status ofunderfive children,Abid-(9t,z
Management of convulsion ofa 3days old newborn weighing 3 kg. FN O0
3. Outline the management of treatment relapse nephrotic syndrome. What will be the follow up
plan? -150.
A 2 years old child presented with acute watery diarrhea with serum sodium level
165mmol/L. How will you correct this abnormality?
How will you treat a child admitted with severe acute asthma?
Section B: Answer in short-
Outline ofmanagement ofa child ofSAM with dehydration.
2. Management of AGN with hypertension having heart failure of a child of 7yrs weighing
20kg.
Mention the treatment of kerosene poisoning.
4. Classity congenital heart diseases. Mention the natural history of Ventricular Septal Defect
(VSD) Ca-2+ 16
XWhat are the difference between bronchiolitis and bronchopneumonia clinically and
radiologically?
F-I491 190
Section C: Answer in short-
1. Instigation for the diagnosis of Dengue fever. Outline the treatment of dengue shock
syndrome.
2. Differentiate the CSF findings of acute pyogenic, viral and tubercular meningitis. What are
the acute complications of pyogenic meningitis?
3. Mention the three important causes of stridor in children. Write down the management of
COURP. Abjd-l2o
4. Investigation plan of acute viral hepatitis. - - I
5. Investigation and treatment protocol of neonatal sepsis.
3
FNeu9) + 9
FN 59
Section DD
Write short notes on-
I.Floppv
infant FN 1
2. Giasgow coma scale
Kangaroo mother care (KMC)
4
-F.N- Bi3
StevenJohnsonsyndrome -MRm-10fFG 92
5. Digitalizationinchildren-F-44

6. Faculty of Pediatrics
Institute of Child and Mother Health
First Assessment test for DCH students
Session: 2016 to 2018
6th March, 2017
Total marks:100
Time: 3 hours
(All questions carry equal marks. Use separate script for each section))
Section A
X Define development and growth. What are the developmental parameters of a 9 months
old child in different domains.
XManagement of convulsion of a 3days old newborn weighing 3 kg.
3. Mention diagnosis ofRheumaticfever on the basis ofJone'scriteria- EGI5
A2 years old child presented with acute watery diarrhea with serum sodium was
165mmol/L. How will you correct this abnormality?
5y Write short note on Gastro-oesophageal reflux. A N 3 A
.
Section B
Briefly discuss the outline of management ofa patient of SAM with dehydration.
X Management of AGNwith hypertention ofachild of 7yrs weighing 20kg.
Write short note on Managemeit of kerosene poisoning.
Natural history of Ventricular Septal Defect (VSD)
What are the difference between bronchiolitis and bronchopneumonia?
Section C
Instigation for the diagnosis of Dengue fever. Outline the treatment of dengue shock
syndrome.
How will you treat a child of 10kg body veight with heart failure?
Write down the management of COURP.
14. How will you treat a case othepaticencephalopathy.- F- 5
Section D
15. Discuss the dietary advice ofa mother ofl year old boy according to IYCF. -F 1- 8)
6 Write short note on Acrodermatites enteropathica,- S S
What are the indications lor Imber puncture in children. Mention the CSF findings of
acute hacterial meninojlj ' moninaitio
18. Write down ofthe maar19C , a baby of HbsAg positive mother. fN-54+Al%o F-97
19. Write in short about digoxn tow:ity. EAn-UK (vaee tik

7. Faculty of Pediatrics
nstitute of Child and Mother Health
First Assessment test for DCH students
Session: 2015 to 2017
24 February, 2016
Total marks:100
Time: 3 hours
(All questions carry equal marks. Use separate script for each section)
Section A.
A newborn baby having history of prolonged labour and delayed cry presented withh
seizure on 3 day of life. What are the possible causes of seizure in this baby? Outline the
management of this baby (in short).
A new born baby is not breathing just after birth. How will you resuscitate the baby?
A 10 days old neonate presented with lethargy, fever for 2 days and convulsion for 1 day.
What is the most probable diagnosis? How will you investigate the case and mention
possible findings of your investigationsiN 55
What are the possible causes of jaundice in 1st 24 hrs of newborn baby and how will
you investigate the baby withpossible findings? 4-tN95
5. Short note onTTN.-23 FiN
Section B
Briefly discuss the outline ofmanagementof a patient of SAM with dehydration.
A 10years old boy presented with pufly face, seanty high coloured urine and convulsion.
What is the probable diagnosis? How will you investigate and treatthecase (in short)y-F 191
8. AS years old girl presented with generalized purpuric rash and gum bleeding. The girl is
mildly anemic with no organomegaly. What is the probable diagnosis? How will you
investigate and treat the case (in short)? - E {{a-HL
A2 years old girl presented with severe re_piratory distress withstridor.He had history
of runny nose andhigh grade fever. Whaarelthe probable differential diagnosis at this
case? How will you investigate this case? A120, 2, 2
10. Write a short note on ante-natal diagnosis of genetic disease.
Section C
11.Howtoinvestigate recurrent abdominal pain in a 10 years oldboy?-F 115- |40
. Write down the investigation for the diagnosis of Dengue fever. Outline the treatment of
dengue shock syndrome.
Write short note on Gastro-oesophageal reflux.
4. Mention diagnosis of Rheumatic fever on the basis of Jon'es criteria.
15. Outline the treatment ofmeningococcalsepticemia with shock.
Section D
Write short note onGlasgow Coma Scale (GCS).
Discuss thedietaryadviceof a mother of 1year old boy according to IYCF
/18. Define Growth and development. Write down,normal developmental milestones of a 02
years oldchildindifferent domains.-MK M~ )
19. WIle slhort nole o P'ica, ~FHa-
20. How will you counsel the parents of a child with Down's syndrome?
99
A-Ed&Lo ?
74 Meonwls}n.19)sehl/m

8. Faculty of Pediatrics
Institute of Child and Mother Health
First Assessment test for DCH students
Session: July, 2014 to June, 2016
8 December, 2015
Paper-II
Total marks:100
Time: 3 hours
(All questions carry equal marks. Use separate script for each section)
Group A
1. A8 hours old neonate weighing 1.3kg, delivered at 30 weeks ofgestation admitted with
the complaints of respiratory distress since one hour ofage. On examination cyanosis and
grunting was noticed.
a) What is the most likely diagnosis?
b) How will you manage the baby [mention specific investigation and treatment]? 5+5
c) Can you prevent the illness?
d) Mention 2 long term complications that you expect in this baby and how will you
diagnose these complications ?
0- FN 2
5
4+4
5x5-25
Answer in short -
(a))Mention 5 causes of limping in a 6 years old child and how to differentiate them.
b) Persistent pulmonary hypertention in newborn
A 4 years old boy presented loose stole mixed with blood for 3 days and suddenly
developed anuria. How will you treat this case.
Define development and growth. What are the developmental parameters ofa 9
months old child in different domain
e) Treatment of Rheumatic carditis.
Group B
. A 13 years old male child presented with recurrent cough and respiratory distress for last
6 years. On examination he has edema and clubbing-
a) What is the provisional diagnosis?
b) What are the differential diagnosis?
c) What are the important history and clinical findings you will search?
d) What are the investigations you will do?
e) How will you treat the case?
(2+4+5+9+5)=25
4. Write short notes on-
5x5-25
Treatment algorithm of status epelepticus.
b) Constipation in children
Acrodermntitec onternnnthinn
'd) Pseudotumor cerebri
Pica

9. Faculty of Pediatrics
Institute of Child and Mother Health
First Assessment test for DCH students
Session: 2013 to 2015
16th April, 2014
Total marks:100
Time: 3 hours
(All questions carry equal marks. Use separate script for each section)
Section A
A term newborn baby is not breathing. How will you resuscitate the baby?
A 24 hrs old baby having serum bilirubin 20mg/dl. What are the probable causes and
what investigation will you send with possible findings?
A 22 days old neonate presented with lethargy, fever, for 2 days and convulsion for 1
day. What is the most probable diagnosis. How will you investigate the case and mention
possible findings of your investigation?
A newborn baby presented to you 2 hrs after birth 3 hrs after birth with history of
prolonged labour, delayed cry and seizure. How do you proceed to control seizure?
Short note on RDS.
Section B
A 4 yrs old boy presented with lose blood mixed stool for 3 days and suddenly developed
anuria and severe anemia. What is the probable diagnosis. How will you investigate and
treat the case (In short)
7. A 8 months old boy fed with formula milk presented to you with gum bleeding and
painful limbs.The baby is mildly anaemic but has no organomegaly. What is the probabie
diagnosis. Mention Investigation and treatment of the case (in short)
8. A known case of Nephrotic syndrome on steroid therapy suddenly develop abdominal
pain. How will you manage the case. F~6G
A1 year old child presented with severe respiratory distress with stridor. He had history
of running nose and high grade fever. What are the probable differential diagnosis of this
case. How will you investigate the case.
0 Write a short note on genetic counseling.
Section C
Write down management of constipation in children
Write down management and complication of gastro-esophageal reflux.
13. How do you approach to a child with persistent diarrhoea.
14. Write down the management of Rheumatic fever with Heart failure due to carditis.
15. Write down the investigation for the diagnosis of malaria .Outline the treatment cerebral
malaria (in short)
Section D
6 Write short note on Glasgo Coma Scale (GCS).
17. Write in short about the resent IYCF situation in Bangladesh.
18, What is variable. Classifv variable with examnle.
Define Growth and development. What are the
developmental milestones of a 9 months
old child in different domains.
20. Discuss the steps of our
government to achieve the health situation of under 5 children in
MDG.