BHUTH
PAEDIATRICS ESSAY GUIDE (Past Questions)
[Batch K academic board]
SHIVERING AND NON-SHIVERING THERMOGENESIS/INCUBATOR
CARE/KMC
Write short notes on Kangaroo mother care
List 5 complications that may arise from the use of incubator in neonatal care
[Write short notes]
NEONATAL JAUNDICE/JAUNDICE IN CHILDREN
List 5 investigations in the diagnosis of unconjugated hyperbilirubinaemia. **
List 5 causes of conjugated hyperbilirubinaemia in infancy. **
List 4 complications of phototherapy
List 4 signs of hyperbilirubin toxicity (Define or explain)
List 4 causes of persistent jaundice in infancy (Define or explain)
Baby B, 48 hours old, was admitted with a day history of refusal of feeds. The
baby was delievered to a 15 year old primiparous woman in a taxi on her way to
the hospital. Pregnancy was un-supervised and complicated by chorioamnionitis.
Mothers LMP was 25th May 2015. The infant weighs 900gms and had jaundice
reaching the palms and the soles.
a) What is your diagnosis?
b) Outline the treatment of this child.
c) List 2 most important public health issues that need to be addressed in this
presentation.
A 5 day old baby was brought to the outborn SCBU with history of yellowish
discolouration of the eyes, noticed 2 days prior to presentation, there was no
history of fever. He was delivered at 37 completed weeks gestation to a 27 year
old para 3+0 mother. Baby and father both have blood group B+. There is history
of jaundice in older brothers during their neonatal period.
a) State 3 questions you would want to ask to make a diagnosis
b) List 3 examination findings
c) List the 2 most likely differential diagnosis
d) List 3 investigations
, e) State 1 treatment modality
f) State 2 complications of any of the treatment modalities stated above
Write short notes on Birth injuries
HAEMORRHAGIC DISEASE OF THE NEWBORN
RESPIRATORY PROBLEMS IN NEWBORN
Respiratory distress syndrome in the newborn
Causes of poor abdominal wall movement in respiration in the newborn.
A 30 minute old baby girl delivered at 32 weeks gestation was admitted into the
outborn section of the SCBU. The delivery was at home, via SVD to a 30 year old
para 2+1 (1 alive) mother. Baby did not cry immediately after delivery until after
10 minutes. The pregnancy history revealed that the mother booked at 30
weeks gestation and she had features suggestive of urinary tract infection (UTI)
1 week prior to delivery. Weight of the baby on admission was 1.2kg and
admitting PCV was 34%.
a) What is your diagnosis?
b) Mention 5 findings you hope to elicit in the general physical examination of the
baby.
c) List 5 problems/complications you anticipate in the baby
d) Outline your treatment plan for the baby
e) Outline the content of your counseling to the mother on prevention of
recurrence.
NEONATAL RESUSCITATION
Like 5 equipments necessary in neonatal resuscitation [Write short notes]
NEONATAL SEPSIS/NEONATAL TETANUS
A 9 day old term baby was presented to you following home delivery to a 16
year old mother, with the complaints of refusal of feed and low grade fever. The
pregnancy was not booked. Major findings on physical examination were foul
smelling umbilical cord, opisthotonus posturing, respiratory distress and
temperature of 380C.
a) What is the most likely diagnosis?
b) What are the 2 likely differential diagnosis?
c) Enumerate 5 aims of management of a) above.
d) List 2 preventive strategies of this clinical condition.
e) List 3 poor prognosis factors for this clinical condition.
An 8 day old term baby was presented to you following home delivery to a 17
year old, with the complaints of refusal of feed and low grade fever. The
pregnancy was not booked. Major findings on physical examination were foul
smelling umbilical cord, opistotonus, respiratory distress and temperature of
38⁰c.
PAEDIATRICS ESSAY GUIDE (Past Questions)
[Batch K academic board]
SHIVERING AND NON-SHIVERING THERMOGENESIS/INCUBATOR
CARE/KMC
Write short notes on Kangaroo mother care
List 5 complications that may arise from the use of incubator in neonatal care
[Write short notes]
NEONATAL JAUNDICE/JAUNDICE IN CHILDREN
List 5 investigations in the diagnosis of unconjugated hyperbilirubinaemia. **
List 5 causes of conjugated hyperbilirubinaemia in infancy. **
List 4 complications of phototherapy
List 4 signs of hyperbilirubin toxicity (Define or explain)
List 4 causes of persistent jaundice in infancy (Define or explain)
Baby B, 48 hours old, was admitted with a day history of refusal of feeds. The
baby was delievered to a 15 year old primiparous woman in a taxi on her way to
the hospital. Pregnancy was un-supervised and complicated by chorioamnionitis.
Mothers LMP was 25th May 2015. The infant weighs 900gms and had jaundice
reaching the palms and the soles.
a) What is your diagnosis?
b) Outline the treatment of this child.
c) List 2 most important public health issues that need to be addressed in this
presentation.
A 5 day old baby was brought to the outborn SCBU with history of yellowish
discolouration of the eyes, noticed 2 days prior to presentation, there was no
history of fever. He was delivered at 37 completed weeks gestation to a 27 year
old para 3+0 mother. Baby and father both have blood group B+. There is history
of jaundice in older brothers during their neonatal period.
a) State 3 questions you would want to ask to make a diagnosis
b) List 3 examination findings
c) List the 2 most likely differential diagnosis
d) List 3 investigations
, e) State 1 treatment modality
f) State 2 complications of any of the treatment modalities stated above
Write short notes on Birth injuries
HAEMORRHAGIC DISEASE OF THE NEWBORN
RESPIRATORY PROBLEMS IN NEWBORN
Respiratory distress syndrome in the newborn
Causes of poor abdominal wall movement in respiration in the newborn.
A 30 minute old baby girl delivered at 32 weeks gestation was admitted into the
outborn section of the SCBU. The delivery was at home, via SVD to a 30 year old
para 2+1 (1 alive) mother. Baby did not cry immediately after delivery until after
10 minutes. The pregnancy history revealed that the mother booked at 30
weeks gestation and she had features suggestive of urinary tract infection (UTI)
1 week prior to delivery. Weight of the baby on admission was 1.2kg and
admitting PCV was 34%.
a) What is your diagnosis?
b) Mention 5 findings you hope to elicit in the general physical examination of the
baby.
c) List 5 problems/complications you anticipate in the baby
d) Outline your treatment plan for the baby
e) Outline the content of your counseling to the mother on prevention of
recurrence.
NEONATAL RESUSCITATION
Like 5 equipments necessary in neonatal resuscitation [Write short notes]
NEONATAL SEPSIS/NEONATAL TETANUS
A 9 day old term baby was presented to you following home delivery to a 16
year old mother, with the complaints of refusal of feed and low grade fever. The
pregnancy was not booked. Major findings on physical examination were foul
smelling umbilical cord, opisthotonus posturing, respiratory distress and
temperature of 380C.
a) What is the most likely diagnosis?
b) What are the 2 likely differential diagnosis?
c) Enumerate 5 aims of management of a) above.
d) List 2 preventive strategies of this clinical condition.
e) List 3 poor prognosis factors for this clinical condition.
An 8 day old term baby was presented to you following home delivery to a 17
year old, with the complaints of refusal of feed and low grade fever. The
pregnancy was not booked. Major findings on physical examination were foul
smelling umbilical cord, opistotonus, respiratory distress and temperature of
38⁰c.
