2. What are the first two steps in treatment of
3. In a cyanotic newborn, how can you
distinguish pulmonary disease from cyanotic
congenital heart disease?
4. Which cardiac conditions are associated with
a. Egg Shaped Heart
b. Snowman silhouette
c. Rib notching
1. Cyanotic Congenital Heart Disese
– The heart size is normal
– Pulmonary vascular markings are decreased
– A hypoplastic main pulmonary artery
segment contributes to the formation of the
Myung K Park 5th ed
2. Knee Chest Position
3. Hyperoxia Test
4. X-ray appearances
a. Egg Shaped Heart Transposition of great arteries
b. Snowman silhouette Total anomalous pulmonary
venous return (supracardiac)
c. Rib notching Co-arctation of aorta (long
3 day neonate with
• Feed refusal
1. What stage of NEC is depicted in the
2. What is the radiological feature of Bell
stage III NEC?
3. Name two more conditions associated
with pneumatosis intestinalis?
1. NEC Stage II
3. Any two of following
enterocolitis, Neonatal ulcerative colitis,
Ischemic bowel disease
• 6 weeks infant
• Case of Cholestatic
• c/o swelling left thigh
1. What is the likely cause of fracture femur
in this case?
2. How can this complication be prevented?
3. How do you manage pruritus in these
4. An infant with cholestasis, triangular
facies, and a pulmonic stenosis murmur
is likely to have what syndrome?
1. Metabolic Bone disease (secondary to
Vitamin D deficiency due to
malabsorption of fat soluble vitamins)
2. Replace 5,000-8,000 U /d of D2,or
3 -5 µg/kq/d of 25-hydroxycholecalciferol
3. Ursodeoxycholic acid l5-20 mg/kg/day
4. Alagille syndrome
• Previously healthy 7
years girl c/o
• Sudden onset
weakness right upper
and lower limb
• Facial palsy right
• Normal sensorium
• No fever/ trauma/
1. What is the level of lesion on MRI?
2. What are the structures marked
3. Which hemoglobinopathy can be
associated with this kind of presentation?
4. A dilated and unreactive pupil indicates
the compression of what structure?
1. Infarct in the left basal ganglia, the
posterior limb of internal capsule, and the
head of the caudate
2. C Caudate
G Globus pallidus
White arrows indicate
the ant and post limbs
of internal capsule
• 5 years girl c/o
• Right focal seizureL
1. Describe the CT finding specifically the
location of lesion.
2. What is the most probable diagnosis?
3. Name one infectious etiology D/D.
4. What is the treatment?
1. Intraparenchymal ring-enhancing lesion
in the left parietal lobe
4. Corticosteroids starting 2-3 days before
and continuing 2-3 days after
2. What are the
events that lead to
3. What are three
in a baby born with
1. Congenital Diagphragmatic Hernia
2. The posterolateral portion of the diaphragm
has remained open between the ninth and
tenth weeks of gestation as a result the viscera
will pass into the chest, and a CDH will result.
3. a) Mechanical compression of the lungs from
the herniated viscera
b) Pulmonary hypoplasia from compression of
the developing lungs in utero
c) Pulmonary hypertension
1. Describe the X-ray appearance
2. Pathogenesis of the appearance
3. Possible Diagnosis
4. Which disorder is most commonly
associated with an elevated MCHC?
5. How is the corrected reticulocyte count
1. What is the diagnosis?
2. Describe three features seen on the X-
ray of the disease?
3. What biochemical test would help clinch
4. What is the treatment of the condition?
2. a) Cupping
3. Calcium, Phosphorus, Alkaline
4. Injection Vitamin D 6 lac unit IM stat
2. By what gestational age would this
3. This can be prevented in subsequent
pregnancies by intake of Folic acid. Folic
acid should be taken in what dose and
1. Occipital Encephalocele
2. 26 days post conception
3. Folic acid
2. What is the clinical
3. What is the
requirement of echo
1. Tracheo-esophageal fistula
2. Excessive drooling
3. To rule out associated
Congenital heart diseases
Right sided aorta
• If patient presents with fever and
toxaemia, give three differential diagnosis
• Give three modalities of management
1. What grade of VUR
is shown in MCU?
2. How is VUR
3. What is normal
4. Surgery is the initial
treatment in which
grades of VUR?
1. Grade V
2. Grade I: Ureter only
Grade II: Ureter, pelvis, and calices; no dilation, normal
Grade III: Mild dilation and/or tortuosity of the ureter
and mild dilation of the renal pelvis; minor blunting
of the fornices
Grade IV: Moderate dilation and/or tortuosity of the
ureter and moderate dilation of the renal
Grade V: Significant blunting of most fornices; papillary
impressions are no longer visible in most of the
calices; gross dilation and tortuosity of the ureter;
gross dilation of the renal pelvis and calices
3. Volume (in ounces) = Patient's age (in
years) + 2.
4. Grade III/IV bilateral reflux
Grade V reflux