MNJ15-001
A 11-year-old girl Ritu weighing 75 kg is brought with frequent spells of episodic overeating and then becomes bedridden with feeling of nausea. She does not like to discuss the issue with anyone, is known to be tearful and tries to avoid school. She denies any regular dieting and vomiting. She feels that she is ugly and nobody likes her:

1. Whats the likely diagnosis of this girl?
2. Which is the commonest co-morbidity 1n this case?
3. Name 2 other common psychological disorders mn these children in adolescence
4. Name 1 expected oral cavity finding.

Answer

MNJ15-002
A 15-year-old boy Sanju recently noted to be irritable by his teachers and friends, has difficulty concentrating in his studies, does not eat well and no longer enjoys rock music, his passion. His father had died of carcinoma lung 6 weeks back:

1. Whatis the likely problem of Sanju?
2. If his symptoms persist beyond 6 months, what is the likely diagnosis?
3. Name 2 co-morbidites you will find.
4. Which 1s the class of drug of choice for his condition?

Answer

MNJ15-003
Concerning ADHD (attention deficit hyperactivity disorder) which are True and False:

• 4, Is associated with a higher rate of tic disorders?

1. Impulsive behaviour 1s a feature.
2. Is associated with a higher rate of expulsion from school?
3. Is associated with a higher rate of teenage pregnancy?
4. May respond to treatment with stimulants such as amphetamines.

Answer

MNJ15-004
A 5-year-old Adarsh was diagnosed to have ALL-L,. He has just completed the induction phase of treatment. He complains of burning pain over his toes for the last one week and even the movement of the bed sheets over the toes leads to excruciating pain:

1. Whatis the most probable diagnosis?
2. What 1s the most likely cause?
3. What type of pain is he suffering from?
4. What 1s the phenomenon described?
5. Name two classes of drugs likely to be effective for pain relief in this child.
6. Name the tool shown to assess severity of pain.
7. Name two drugs each that are included in step 1, 2, and 3 of the WHO analgesic ladder.

Answer

MNJ15-005
Mention commonly used drugs for the following condition:

1. Schizophrenia
2. Attention deficit
3. Autism
4. Depression
5. Enuresis

Answer

MNJ15-006
Parents of 2-year-old male child Pramod came to you with complaints of not making eye to eye complain to other relatives, does not speak many words, repeat similar words from last 6 months:

1. Diagnosis the condition and its DDs 1n this group.
2. What are gold standard diagnosis tools and write down early diagnosis tools?
3. What ts most consistent physical finding in this problem?
4. What are drugs useful in this condition?

Answer

MNJ15-007
A7-year-old child Rajender presents with complaints of eye blinking, shouldershrugging, ecolalia from last 2 years. Physical examination is normal:

1. Whats dx of this condition?
2. What is PANDAS mean and its component?
3. Treatment of this condition.

Answer

MNJ15-008
Parents of a 6-year-old male child Karzan presents with complaints of that child does not sit on seat formore than a few minute and his relation with peer are very bad, usually not follow the instruction and break rules in game from last 10 month, on examination, soft neurological signs are present otherwise examination is normal:

1. Diagnosis this condition and wnte its main component.
2. Write down 4 DDs.
3. What are behavior scale for diagnosis?
4. What are drugs to treat this condition and what history you will take from parent before staring these drugs?
5. What is prognosis you explain to parents

Answer

MNJ15-009
A 6-year-old boy Dinesh is brought for bed-wetting. His frequency in daytime is normal. He is dry in the day. He is never been dry in the night.

1. Define this problem. What type is it?
2. Is it comphcated or uncomplicated? Enumerate 4 differences between complicated and uncomplicated
3. Name 3 drugs and dosage for the pharmacological therapy of this condition Name 3 non-pharmacological measures for the management of this condition.

Answer

MNJ15-010
A15-month-old boy Tarun is brought with loss of language skills, abnormal eye contact, failure to respond to name and lack of interactive play:

1. Name 2 chromosomes implicated 1m this disorder Mode of inheritance
2. Name 3 pathological conditons linked to this problem
3. What are the typical neuro-anatomucal findings that are reported in this condition?
4. Name 2 screening tools, used for early detection of this disorder
5. Name 3 drugs useful in this condition.

Answer

MNJ15-011
Regarding Rett disorder: True or False:

1. X-linked recessive disorder
2. Affects predominantly girls
3. Microcephaly noted at birth
4. EEG normal in most children
5. Hand wringing movements are typical

Answer

MNJ15-012
Regarding social anxiety disorder (social fobia) in children: True or False:

1. Child avoids social situations with intense fear.
2. Fear, armaety and avoidance typically last for six months.
3. 70 to 80% patents have at least one comorbid psychiatric disorder.
4. Around 40% patients do not pass graduate exam

Answer

MNJ15-013
A couple came to you with a two-year-old child and want to discuss you about the child health related issues because the couple adopts this child two days back by fully legal procedure:

1. What investigation will you advise for this child (any six)?
2. What will you advise the patents about language development of adopted child?
3. What will you advise parents about screening of infectious diseases (any s1x)?

Answer