MNJ23-001

1. Site for primary focus in congenital tuberculosis
2. Management plan for a child born to a mother (diagnosed in 3rd trimester) as per IAP.

Answer

MNJ23-002
A 6-year-old child Ravi, resident of Bihar, is admitted with the fever of 10 days, loss of appetite 10 days and hepatosplenomegaly. His peripheral smear is shown below:

1. See the PBF and give the finding with form of parasite.
2. Name of the culture media use for diagnosis
3. Drugs used to treat resistant cases of this disease.

Answer

MNJ23-003
Name direct and indirect evidences for lab diagnosis of kala-azar (2 each).

Answer

MNJ23-004
Study this picture of a 7 month infant who developed a rash during the declining phase of fever starting with the cheeks (image):

1. What is the most probable diagnosis?
2. What is the causative organism?
3. Name two situations where infection with this organism may be life-threatening.

Answer

MNJ23-005

• Define treatment failure as per RNTCP

1. Define contact and give its treatment.
2. Treatment for BCG adenitis

Answer

MNJ23-006

1. Define malarial resistance.
2. What 1s premunition?

Answer

MNJ23-007

1. Name the drugs used for chronic Hep B infection.
2. Favorable predictors for treatment of chrome HBV.
3. What are the end points for therapy?

Answer

MNJ23-008

1. Management plan for acute HBV contact (intimate contacts only) in children.
2. Management plan for Hep B prophylaxis ina patient of nephrotic syndrome on hemodialysis.

Answer

MNJ23-009

• 4, What is the minimal age after which IPV can be given and why?

1. Give criteria to define polio eradication in an area.
2. Whatis the incidence of VAPP after 1st dose?
3. Whatis the effectiveness of IPV vaccine after 3 doses (8 weeks apart)?

Answer

MNJ23-010

• OQ. 11. A 12-year-old male child presented with complaints of worsening school performances, altered behavior and sleep pattern with some brief abnormal movements. Physical examination is normal. No past history of any medical illness except a febrile rash at the age of 7-8 months:

• 4, Available specific treatment, if any.

1. Give the WHO definition of a confirmed case of Japanese encephalitis
2. Name of the agent who transmits disease in India (MC agent/agents).
3. Name of the sign which if present on MRI clinches the diagnosis.
4. What 1s the most probable diagnosis?
5. Give its stages.
6. Diagnostic modalities.

Answer

MNJ23-011
A 2-year-old male child presented to emergency department with complaints of low grade fever for last 2-3 weeks, headache and vomiting for last 2 weeks, spillage of milk while drinking for the last 1 week and altered sensorium with focal seizures of left half of body at the time of admission. The only past history that is found is a follow-up case of cyanotic CHD (operated at 3 months of age), rest everything is normal:

• QO. 13. A pregnant woman 26 weeks' gestation does not have varicella immunization status. Her 5-year-old son has been diagnosed with varicella a day prior. What will you advice the mother?

1. What is the most probable diagnosis?
2. What is the etiological agent expected?
3. Diagnostic modalities.
4. Imtal treatment
5. Indications for surgical interventions

Answer

MNJ23-012
Plan antiretroviral therapy regimen for a 3-year-old child who has recently been diagnosed with HIV infection with complaints of failure to thrive, hepatomegaly, thrombocytopenia, CD4 <25% and viral load 10° copies/ml:

1. Write the drug regimen, dosage.
2. What are the tests to be ordered prior to initiation and after 15-30 days of treatment?

Answer

MNJ23-013
Mark True/False regarding osteomyelitis statements:

1. Staph aureus is the most common organism
2. The ESR and CRP are usually elevated
3. Blood cultures are positive in over 75% of all cases of osteomyelitis
4. Plain films of bone may be normal in the first 1-2 weeks of the course
5. Treatment usually requires a total tme of antibiotics (IV and PO) is 4-6 weeks.

Answer

MNJ23-014
A 15-year-old female presents with fever for past 24 hours. Feveris high grade associated with sweating. For past 2 hours patient is complaining of ghabrahat, chakkar, headache, vomiting. On examination—toxic looking, drowsy with Glasgow Coma Scale of 10. Blood pressure systolic: 70 mm Hg, pulse rate: 140 min, capillary refill time: 4 seconds, RR: 30/min. There is rash (petechial) over abdomen, limbs:

• 4, What drug you would like to give in dopamine refractory shock?

1. Probable diagnosis of this given condition.
2. First step in management other than airway and breathing.
3. What class of antibiotic you would like to give to this patient?

Answer

MNJ23-015
A9-day-old male child Raju was brought to your clinic with complaints of difficulty in feeding, crying excessively, and seizure. Parents of baby were labourers by occupation. Mother had not received any ANC care. Baby was born at home, had moderate cry, was well till day 8. AF—at level, sutures—normal. Tone—increased in all 4 limbs with neck retraction, intermittent seizures, worsened with stimulus:

1. Whats the diagnosis of this baby?
2. Whats the treatment?
3. Whats the usual cause of death in this condition?
4. What are the various types?

Answer

MNJ23-016
A10-year-old child Rohan came to you with complaints of fever for 5 days and bodyache and decrease oral intake. Mother notice small water filled lesion on trunk and back:

1. Whats the diagnosis of this given condition?
2. Name three complications can be occur in this child.
3. What is the penod of infectivity?

Answer

MNJ23-017
A 2-year-girl Neha presents with severe pruritus especially during night and after taking bath with warm water. Pruritus is most significant in web spaces of hands and toes. Her family member also complaining:

1. Diagnosis of this given condition
2. What is causative organism?
3. What is topical treatment?
4. Whats oral treatment?

Answer

MNJ23-018
A health care worker is reported with percutaneous scratch with a solid needle contaminated with blood of a patient with primary HIV infection and a low CD4 count:

1. Whatis the recommended regimen of post-exposure prophylaxis? Drugs, dose and duration of treatment.
2. Which 1s the test at which HIV testing and counseling are done?

Answer

MNJ23-019
A 4-year-old boy Amir came with fever 10 days, cough, pain at lower back and this clinical finding of lesion in armpit area:

1. Describe the lesion given in this image.
2. What is the diagnosis of this condition?
3. What is causative organism?
4. This disease is transmitted by
5. Write down any 3 complications.
6. Write down two treatment available.

Answer

MNJ23-020
A 10-year-old boy Karzan Khan who has presented with fatigue, fever, and malaise of 8 days in duration. On examination, he has generalized lymphadenopathy, splenomegaly and hepatomegaly. His throat examination and PBF shown below:

1. Describe the main features in each image.
2. What is the diagnosis this condition?
3. Write 3 complications that may occur in future.
4. What medication is contraindicated in this disease?
5. What is the treatment available?

Answer

MNJ23-021
A12-year-old boy Dharmender, developed throat pain two days back. He returned with his elder sister from his boarding school in Tripura to Kolkata. His temperature was 36°C. Heart rate and blood pressure was normal. He had also developed a rash and his swab grew the following:

1. Diagnosis of this condition.
2. Drug treatment and dose.
3. What treatment you will advise for his sister?
4. How to protect against this condition?

Answer

MNJ23-022

• 2, Name the condition in which it is seen.

1. Identify the rash seen in image of a 10-year-old child

Answer

MNJ23-023
Two children A and B came to your clinic complaints of rash over perianal area, child A is 20 days old and always wear diper but mother of child B uses diper only in night time. Give diagnosis of A and B:

See the papule

Answer

MNJ23-024
A 9-year-girl Kareena Sharma on long-term steroids and mycophenolate mofetil presents with acute onset cough, breathlessness and tremulousness. Evaluation reveals normal temp, 5pO,: 90% on room air; no rales or rhonchi on auscultation:

1. Whats the most likely diagnosis?
2. Whatis the likely finding in chest X-ray?
3. Which 1s best for diagnosis?
4. Name 2 stains for confirming the etiology.

Answer

MNJ23-025
A 9-year-old child Akshay came to you with these lesion over face, eyes, lips that was progressed in last 3 days, before that he was on antibiotic treatment for cough and cold and suddenly he developed these lesions:

1. Diagnosis of this condition.
2. Describe the lesion shown 1n the figure.
3. Causes: Two infections /two drugs.
4. Management plan of this condition.
5. Name two complications.

Answer

MNJ23-026
A 4-year-old child came to you with complaints of fever with rash on face with:

1. What 1s the diagnosis?
2. What is the causative orgarism?
3. Name one serious hematological complication in this disease
4. Name one orthopedic complication.
5. Name one cause for intrauterme fetal demuse.
6. What treatment is recommended for severe hematological complications?

Answer

MNJ23-027
A 6-year-old female child Rani came to your clinic with her mother to concern about the red lesions on her shin area and mother told that these lesions are tender:

1. What 1s the diagnosis?
2. What 2 common infections and drugs can trigger this?
3. What 2 non-infectious systemic disorders can trigger this?

Answer

MNJ23-028

1. Identify this.
2. What 1s the route of entry of this organism?
3. Name 2 conditions that are high-risk for this infection.
4. What hematological clue will occur?
5. Drug of chaice.
6. One complication

Answer

MNJ23-029
A17-month-old irritable child had high grade fever for 6 days and redness over palm and sole. She also has redness over eyes:

1. Whats the most probable diagnosis of this condition?
2. What are the predictors of severity of this disease?

Answer

MNJ23-030
Match the organism with the condition associated:

• Legionella micdadet —

1. Mehodosis a HHV-8
2. Oroya fever c Corona virus
3. Pontiac fever b Coxsackievirus
4. Swimmung pool granuloma d_ Bartonella bacillifomis
5. Ecthyma gangrenosum f Aspergillus fumigatus
6. Kaposi sarcoma
7. Bornholm disease e Treponema pallidum
8. Condyloma lata g Mycobacterium marinum
9. Malt workers lung h. Pseudomonas aeruginosa
10. SARS 1. Burkholderia pseudomallei

Answer

MNJ23-031
HIV infection in newborn:

• 1, Mother has HIV infection and if baby is PCR positive within 48 hrs. What does it imply?

• 4, When do you label a newborn as HIV infected?

2. Another baby born of HIV +ve mother tests negative for PCR at 48 hrs but PCR turned positive within 7-90 days What does it imply?
3. How early can P24 antigen test be done?
4. After what age 1s HIV ELISA considered the best test for diagnosis and what is its sensitivity and specificity.

Answer

MNJ23-032

• ii. used injection needle

• in. amikacin injection with expiry

• iv. blood soaked cotton swab

• vi. incinerated ash

  • i. What is treatment?

1. blood agar media
   v. LV set
2. 1. Identify the organism.
      i. What is treatment?

Answer

MNJ23-033

1. Diagnose the condition in a¥ days old child.
2. What are complications of this (write any 4 systems)

Answer

MNJ23-034
Three-year-old boy sachin presented to you with complaints of with fever, drooling, stridor, respiratory distress. Child look toxic on examination.

1. Whats X-ray finding?
2. Whats possible diagnosis?
3. What 1s treatment?

Answer

MNJ23-035
An 18-month-old kid presented to OPD with complaints of high fever, cough and intense irritation. On examination you found red throat along. When you examine the ear with otoscope you observe this picture.

1. What are the finding in ear picture with otoscope? (any 2)
2. What 1s the diagnosis on the basis of history and otoscope findings?
3. What 1s pathogenesis behind this?
4. What are risk factors for this in babies 6 years or younger?

Answer

MNJ23-036
A female neonate after normal delivery developed respiratory distress after birth and final diagnosis of PPHN (persistent pulmonary hypertension of neonates) was made after ECHO and treated with iNo and HFO ventilator. He was extubated at day 4 and commenced on oral feeds. She developed progressive jaundice at day 10 of life. Other examination include broad forehead, pointed nose, deep set eyes and soft systolic murmur and hepatospenomegaly.

1. Whats the possible diagnosis?
2. What are differential diagnoses?
3. What test you will process in this child?
4. At what deficiency is this child at risk and how will you prevent that.

Answer