4. • What is the lesion ?
• Give two management modalities.
• What complication can occur
during management & how can it
be prevented?
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5. Q1:
• NCC 1
Q2:
• Anticonvulsants 1
• Albendazole
• Increase in Cerebral Edema 1
• Use steroid cover
Total 3 marks
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6. • Describe the lesion.
• What are the management modalities of
such lesions especially if they are leading
to complications ? www.dnbpediatrics.com
7. • Haemangioma scalp 1
• Conservative 2
• Oral steroids
• Local steroids
• PDL: pulse dyed laser
• IFN alfa interferon (in case of
haemangiomas causing pressure effects or
erosion leading to significant morbidity)
Total 3 markswww.dnbpediatrics.com
8. • What are two imp radiological abnormalities?
• What is the diagnosis ?
• What are the three imp investigations ?
• What are the metabolic abnormalities expected?
• What is the management ?
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9. • Q1Distension of stomach
• No gas in the intestines
• Q2Pyloric Stenosis
• Q3USS abdomen: pyloric thickness >4mm/
pyloric length >14 mm
S electrolytes
Ba studies
• Q4Hypochloremic, hypokalemic, metabolic
alkalosis
• Q5Management of the fluid & electrolytes
Ramstedt’s pyloromyotomy 0.5 each
Total 5 markswww.dnbpediatrics.com
10. • What is the diagnosis ?
• What is the management ? www.dnbpediatrics.com
22. • Describe the X –ray
• Diagnosis
• Give three recent advances in management
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23. • Hyper inflated lung fields with areas of
atelectasis interspersed with areas of
overinflation 1
• MAS 1
• Lung lavage
surfactant instillation
HFOV
NO
liquid ventilation 2
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42. • What is the X ray suggestive of ?
• What is the likely organism?
• What are the complications?
• What is the drug of choice?
• What is the duration of therapy? www.dnbpediatrics.com
43. • Lobar Pneumonia
• Pnemococous/Staphylococcus
• Synpneumonic effusion, empyema,
• Penicillin for susceptible org and
cefotaxime / vancomycin for penicillin
resistant org
• 10-14 d
5 marks
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45. Questions
1. What is the anatomical structure in which
coin is lodged?
2. What is the location of carina with
respect to thoracic vertebrae?
3. What are the anatomical areas of
esophageal narrowing?
4. How can this foreign body be removed?
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46. Answers
• Esophagus
When foreign bodies lodge in the esophagus, the flat
surface of the object is seen in the AP view *
• T 4
• Anatomic areas of esophageal narrowing
– Cricoid
– Tracheal bifurcation
– Gastro-esophageal junction
• Endoscopy
*
1
1
3
1
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48. Question
1. What is the diagnosis?
2. Fill in the blanks
In an exudative pleural fluid
a. Proteins >
b. Pleural Fluid LDH > ………….
c. Fluid to serum LDH ratio > ………..
d. Cell count ………
3. What does VATS stand for?
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49. Answers
1. Pleural Effusion (Right)
2. Fill in the blanks
In an exudative pleural fluid
a. Proteins > 3.0 g/dL
b. Pleural Fluid LDH > 200 IU/L
c. Fluid to serum LDH ratio > 0.6
d. Cell count > 1000
3. Video Assisted Thoracoscopic Surgery
2
0.5
0.5
0.5
0.5
1
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