DCH 1st Assessment Question Paper Collection.pdf

Exam question

1. Faculty of Pediatrics
Institute of Child and Mother Health
First Assessment test for DCH students
Session: 2021 to 2023
Total marks: 100
Time: 3 hours
30th July, 2022
(All questions carry equal marks. Use separate script for each section)
Section A: 5x20-100
A Define growth and development. Write down the developmental parameter of a 10-month-
old child.
How will you differentiate CROUP and acute epiglottitis clinically and radiologically?
A 8-year-old boy presented with puffy face with unconsciousness. On examination he was
in shock. How will you manage the case? AM
4. A 10-month-old child admitted with breathing difficulty. His R/R 70/min, H/R 160/min.
What is the provisional diagnosis? Mention two physical findings we can get in favour of
your diagnosis. Outline the treatment plan.
5. A 10-year-old boy admitted with high grade fever for 10days. Mention 3 diferential
diagnoses. What are the important points to be obtained in history?
Section B:
A. A 2-month-old baby weighing 1.8kg with bipedal edema. He is non breast feed baby. Outline
the immediate treatment.
2 Write down the natural history of VSD (ventricular septal defect).
A 2-day-old newborn weighing 3 kg admitted in NICU with history of delayed crying. On
examination, baby was convulsive How will you manage the case?
A. How will you treat a child with Fulminant Hepatic Failure?
How will you manage a baby of Rh negative mother?
Section C:
AS-year-old child weighing 15kg presented with convulsion for 1 hour. How will you treat
the case?
A
5-days-old baby presented with vomiting. How ill
you evaluate the baby?
A 2-year-old child presented with anemia PBF shows
microcytic hypochromic anemia. What
further investigation you want to do to reach the
diagnosis? Mention the
expected findings. How will
you prepare
a child for renal biopsy and what are the indications of renal biopsy? 5. How will
you treat a 9-month-old child with diarrhea who's serum Nat level is 164mmol/L?
Section D
Write short notes on
Hand foot mouth disease
2. Club foot
3. Cholera vaccination
campaign
AOPC poisoning
5. Breath holding attack
-6 Pa4
ale 3
-9

2. Dh amm
Faculty of Pediatrics
Institute of Child and Mother Health
First Assessment test for DCH students
Session: 2020 to 2022
Total marks:100
Time: 3 hours
31 July, 2021
(All questions carry equal
marks. Use separate script
for each section)
5x20=100
Section A:
1. Define growth and development. Write down the developmental parameters of a 9 months old
child A 20
2
A 2-
year-
old child presented with acute watery
diarrhea with serum sodium level 165mmol/L.
How will you correct this abnormality?F+lo6
3. What are the differences between bronchiolitis and bronchopneumonia clinically and
radiologically? F R-19
4. A 3-year-old boy presented with convulsion for one hour in emergency department. How will you
manage the case?
Write down the complication of enteric fever. F Gi-0f
PN 15
Section B:
Briefly discuss the outline of management of a patient of SAM with dehydration. -*-lz
Mlention the components of IYCF. What are the feeding recpmmendationsfor a 9-month -old child
according to IYCF? H-00
A 5-year-old boy presented iwith swelling of face with seanty micturition for 8 days. He had same
type of attack 2 times before and treated accordingly. How will you manage the case? a9
4. How will you differentiate VSD and Patent Ductus Arteriosus (PDA) clinically? 19319-FC
5. A 2-year-old child weighing 10kg presented with moderate anemia hemoglobin 6.5mg/dl with
history of faulty feeding. How will you treat the case? -PHa7
Section C:
A. How will you treat a child admitted with severe acute asthma 0F
. A 2-day-old preterm newborn admitted .in NICU, suddenly devcloped apnca. IHow will you
manage the case? EN-13|
3 A 3-year-old child presented with history of fever and body ache for 5 days with rash over the
whole body. On examination, cool extremities, BP not recordable, CRT 5 sec. Write down the
treatment algorithm of the child?-F a-222
A 10-yr-old boy admitted with pain and swelling of both knee joints. Mention the important points
should be obtained from history.
6 Mention the diagnostic work up ofa child with suspected case of COVID-19.-At 124
Section D:
Write short notes
on
1. Treatment and prevention of Scabies.
Manaoement nf a
child onma
itl
n
3. Management ofa baby weighing 3.8kg of diabetic mother -A 73,FN 4TI
A. Preventive measures of death due to drowning among children a 220
5. Cleft lip and
cleft palate A--94
mobi le
B-/-FR/TFA
- Mainalney
Cale
4e 3
fene

3. Faculty of Pediatrics
Institute of Child and Mother Health
First Assessment test for DCH students
Session: 2019 to 2021
Total marks:100
Time: 3 hours
26th August, 2020
(All questions carry equal
marks. Use separate script
for each section)
Section A:
5x20 100
Define growth
and development.
Write down Developmental parameter of a
9 monthsod
child
2Outline of management of a
child of SAM with shock. F-JR9
3.Write down the investigation plan of a
child with suspected
thalassemia major. F Has -It
What
are the difference between bronchiolitis and bronchopneumonia
clinically
and
radiologically? FRQ4-19
How will you manage
a child of 10,
month (weight
8 kg) presented
with VSD with heart
failure? A57 n
Section B:
1. What should be the feeding
recommendations of a 9 months old child according
to IYCF
Protocol? F.1P-DH0,
What are
the differences between neonatal hepatitis syndrome
and billiary atresia?.f-15
3.
Outline the management of a
child with steroid dependent nephrotic syndrome. ( E lb
)
How will you
counsel the parents
ofa 6-month-old childdiagnosed
as hypothyroidism? fh o
5.
How will you
treat a child of 11 months weighing
9 kg
admitted with diarrhoea having
severe dehydration.
serum Potassium level was 2.7 mmol/l. A-130 t104
Section C:
How will you
treat a child
admitted with severe acute asthma?
F
2. Write in short about Kangaroo
Mother Care KMC)?
-601 &ui
3. A 3-year-
old boy presented with convulsion
for I hr in emergency department. How will
you manage the case?
FN 15
4.
Write down the pathogenesis of enteric
fever?-F 7 P-y
6
How will you manage
a child with history of COVID-19 positive patient
in family? -A IR5
Section D
Write short notes on-
-161 1. Kerosene poisoning
Scabies-I||2
Bowing
of legs
in children
Use of steroids in
Pediatrie
nrnotinn
4
Congenital diaphragmatic hernia
-FN-10
.
Se-()
Sl T wiR
naael Hi, sanky mie, H/
(sDNs DeR)
5 Place.e thAn
H/. ($DNs Dek)

4. Faculty of Pediatrics
Institute of Child and Mother Health
First
Assessment test for DCH students
Session: 2018 to 2020
29h June. 2019
Total marks: 100
Time: 3 hours
All questions carry equal
marks. Use separate script
for each section)
Section A:
5x20 100
1. Define growth
and development.
Write down the principles of development. A-|A9
Outline of management of a
child of SAM with dehydration.
3. Mention the CSF finding of acute
viral and tubercular
meningitis?-F.N |
XWhat
are the difference between
bronchiolitis and bronchopneumonia clinically
and
radiologically?
Write down the
treatment of a 9 month old child (weight
8 kg) admitted
with VSD with heart
failure. What is the natural history of VSD? A
0tEA6
Section B:
1. What should be the feeding
recommendations of a child 10
months according
to TYCF
Protocol? F -3BO
A 8-year-old girl present with swelling
of right
knee joint.
How will you proceed to
diagnose the case?.
3.
Outline the management of a
child with cerebral palsy
with global
developmental
delay.F-93
XHow
will you manage
an infant of diabetic
mother?
Write down the findings
of CBC with Red cell
indices and peripheral
blood film of a case of
iron deficiency
anemia and thalassemia.
F-Hat-
Section C:
How
will you treat
a child admitted with severe acute asthma?
Write down the
treatment of frequent relapse nephrotic syndrome?
A 2 year
old boy presented
with
convulsion for 2 hr in emergency department.
How will you
manage the case?
X
A 2-day-old preterm
newborn admitted in NICU, suddenly developed apnea.
How will you
manage the baby?
5. Write the investigation plan
of a case of neonatal
cholestesis with expected findings.F-12
Section DD
Write short notes on
1. Breath holding
attack
-MR l4
2 Infantile Hypertrophic Pyloric Stenosis
F N-(dY
& Kangaroo
mother care (KMC)
4. Seborrhoic dermatitis
umut E Sehudu.
EZA, Abjd -
2/PAG05

5. Faculty of Pediatrics
Institute of Child and Mother Health
First Assessment test for DCH students
Session: 2017 to 2019
30h June, 2018
Total marks: 100
Time: 3 hours
(All questions carry equal
marks. Use separate script
for each section)
15
Section A: Answer in short-
How
will you
assess nutritional status of under five children,
Abid-(9t,z
Management
of convulsion of a 3days
old newborn weighing
3 kg.
FN
O0
3. Outline the management
of treatment relapse nephrotic syndrome.
What will be the follow up
plan? -150.
A 2 years
old child presented
with acute watery
diarrhea with serum
sodium level
165mmol/L. How will you
correct this abnormality?
How
will you
treat a child admitted with severe acute asthma?
Section B: Answer in short-
Outline of management
ofa child ofSAM with dehydration.
2. Management of AGN
with hypertension having
heart failure of a child of 7yrs weighing
20kg.
Mention the treatment of kerosene poisoning.
4. Classity congenital heart
diseases. Mention the natural history
of Ventricular Septal
Defect
(VSD) Ca-2+ 16
XWhat
are the difference between
bronchiolitis and bronchopneumonia clinically
and
radiologically?
F-I 491 190
Section C: Answer in short-
1. Instigation
for the diagnosis of Dengue
fever. Outline the treatment of dengue
shock
syndrome.
2. Differentiate the CSF findings
of acute pyogenic, viral and tubercular meningitis.
What are
the acute complications of pyogenic meningitis?
3. Mention the three important
causes of stridor in children. Write down the management of
COURP. Abjd-l2o
4. Investigation plan of acute viral hepatitis. - -I
5. Investigation and treatment protocol of neonatal sepsis.
3
FNeu9) + 9
FN 59
Section DD
Write short notes on-
I.Floppv infant
FN 1
2. Giasgow coma scale
Kangaroo mother care (KMC)
4
-F.N-Bi3
Steven Johnson syndrome -
MRm-10 fFG 92
5. Digitalization in children-F-44

6. Faculty of Pediatrics
Institute of Child and Mother Health
First Assessment test for DCH students
Session: 2016 to 2018
6th March, 2017
Total marks:100
Time: 3 hours
(All questions carry equal marks. Use separate script for each section))
Section A
X
Define development
and growth.
What are the developmental parameters of a 9 months
old child in different domains.
XManagement
of convulsion of a 3days old newborn weighing
3 kg.
3. Mention diagnosis of Rheumatic
fever on the basis of Jone's
criteria-EGI5
A2 years old child presented with acute watery diarrhea with serum sodium was
165mmol/L. How will you correct this abnormality?
5y
Write short note on Gastro-oesophageal
reflux. A N 3 A
.
Section B
Briefly
discuss the outline of management of a patient of SAM with dehydration.
X Management of AGN
with hypertention of a
child of 7yrs weighing 20kg.
Write short note on Managemeit of kerosene poisoning.
Natural history of Ventricular Septal Defect (VSD)
What are the
difference between bronchiolitis and bronchopneumonia?
Section C
Instigation for the diagnosis of Dengue fever. Outline the treatment of dengue shock
syndrome.
How
will you
treat a child of 10kg body veight
with heart failure?
Write down the management
of COURP.
14. How will you treat a case ot hepatic encephalopathy.-F-5
Section D
15. Discuss the dietary advice of a mother ofl year old boy according to IYCF. -F 1-8)
6 Write short note on Acrodermatites enteropathica,-S S
What are the indications lor Imber puncture in children. Mention the CSF findings of
acute hacterial meninojlj ' moninaitio
18. Write down of the maar19C , a baby of HbsAg positive mother. fN-54+Al%o F-97
19. Write in short about digoxn tow: ity. EAn-UK (vaee tik

7. Faculty of Pediatrics
nstitute of Child and Mother Health
First Assessment test for DCH students
Session: 2015 to 2017
24 February, 2016
Total marks:100
Time: 3 hours
(All questions carry equal marks. Use separate script for each section)
Section A.
A newborn baby having history of prolonged labour and delayed cry presented withh
seizure on 3 day of life. What are the possible causes of seizure in this baby? Outline the
management of this baby (in short).
A new born baby is not breathing just after birth. How will you resuscitate the baby?
A 10 days old neonate presented with lethargy, fever for 2 days and convulsion for 1 day.
What is the most probable diagnosis? How will you investigate the case and mention
possible findings of your investigationsiN 55
What are the possible causes of jaundice in 1st 24 hrs of newborn baby and how will
you investigate the baby with possible findings? 4-tN95
5. Short note on TTN.-23 FiN
Section B
Briefly discuss the outline of management of a patient of SAM with dehydration.
A 10years old boy presented with pufly face, seanty high coloured urine and convulsion.
What is the probable diagnosis? How will you investigate and treat the case (in short)y-F 191
8. AS years old girl presented with generalized purpuric rash and gum bleeding. The girl is
mildly anemic with no organomegaly. What is the probable diagnosis? How will you
investigate and treat the case (in short)? -E {{a-HL
A2 years old girl presented with severe re_piratory distress with stridor. He had history
of runny nose and high grade fever. Whaarelthe probable differential diagnosis at this
case? How will you investigate this case? A 120, 2, 2
10. Write a short note on ante-natal diagnosis of genetic disease.
Section C
11. How to investigate
recurrent abdominal pain in a 10 years old boy?-F 115-|40
. Write down the investigation for the diagnosis of Dengue fever. Outline the treatment of
dengue shock syndrome.
Write
short note on Gastro-oesophageal reflux.
4. Mention diagnosis of Rheumatic fever on the basis of Jon'es criteria.
15. Outline the treatment of meningococcal septicemia with shock.
Section D
Write short note on Glasgow Coma Scale (GCS).
Discuss the dietary advice of a mother of 1 year old boy according to IYCF
/18. Define Growth and development. Write
down, normal developmental milestones of a 02
years old child in different domains.-MK M~ )
19. WIle slhort nole o P'ica, ~FHa-
20. How will you counsel the parents of a child with Down's syndrome?
99 A-Ed &Lo ?
74 Meonwls}n. 19) sehl/m

8. Faculty of Pediatrics
Institute of Child and Mother Health
First
Assessment test for DCH students
Session: July,
2014 to June,
2016
8 December, 2015
Paper-II
Total marks:100
Time: 3 hours
(All questions carry equal
marks. Use separate script
for each section)
Group A
1. A8 hours old neonate weighing 1.3kg,
delivered at 30 weeks of gestation
admitted with
the complaints
of respiratory
distress since one hour of age.
On
examination cyanosis
and
grunting was noticed.
a)
What is the most likely diagnosis?
b)
How will you manage
the baby [mention specific
investigation
and treatment]?
5+5
c)
Can you prevent
the illness?
d)
Mention 2 long
term complications
that you expect
in this baby
and how will you
diagnose
these complications
?
0-FN 2
5
4+4
5x5-25
Answer
in short
-
(a))Mention
5
causes of limping
in a 6 years
old child and how to
differentiate them.
b)
Persistent pulmonary
hypertention
in
newborn
A
4 years
old boy
presented
loose stole mixed with blood for 3 days
and suddenly
developed
anuria. How will you
treat this case.
Define
development
and growth.
What are the developmental parameters of a
9
months old child in
different
domain
e)
Treatment of
Rheumatic carditis.
Group B
.
A 13 years
old male child presented
with recurrent cough
and respiratory
distress for last
6 years.
On
examination he has edema and clubbing-
a)
What is the provisional
diagnosis?
b)
What are the
differential diagnosis?
c)
What are the important history
and clinical findings you
will search?
d)
What are the investigations you
will do?
e)
How will you
treat the case?
(2+4+5+9+5)=25
4. Write short notes on-
5x5-25
Treatment algorithm
of status epelepticus.
b) Constipation
in children
Acrodermntitec onternnnthinn
'd) Pseudotumor cerebri
Pica

9. Faculty of Pediatrics
Institute of Child and Mother Health
First Assessment test for DCH students
Session: 2013 to 2015
16th April, 2014
Total marks:100
Time: 3 hours
(All questions carry equal marks. Use separate script for each section)
Section A
A term newborn baby is not breathing. How will you resuscitate the baby?
A 24 hrs old baby having serum bilirubin 20mg/dl. What are the probable causes and
what investigation will you send with possible findings?
A 22 days old neonate presented with lethargy, fever, for 2 days and convulsion for 1
day. What is the most probable diagnosis. How will you investigate the case and mention
possible findings of your investigation?
A newborn baby presented to you 2 hrs after birth 3 hrs after birth with history of
prolonged labour, delayed cry and seizure. How do you proceed to control seizure?
Short note on RDS.
Section B
A 4 yrs old boy presented with lose blood mixed stool for 3 days and suddenly developed
anuria and severe anemia. What is the probable diagnosis. How will you investigate and
treat the case (In short)
7. A 8 months old boy fed with formula milk presented to you with gum bleeding and
painful limbs. The baby is mildly anaemic but has no organomegaly. What is the probabie
diagnosis. Mention Investigation and treatment of the case (in short)
8. A known case of Nephrotic syndrome on steroid therapy suddenly develop abdominal
pain. How will you manage the case. F~6G
A1 year old child presented with severe respiratory distress with stridor. He had history
of running nose and high grade fever. What are the probable differential diagnosis of this
case. How will you investigate the case.
0 Write a short note on genetic counseling.
Section C
Write down management of constipation in children
Write down management and complication of gastro-esophageal reflux.
13. How do
you approach
to a child with persistent diarrhoea.
14. Write down the
management of Rheumatic fever with Heart failure due to carditis.
15. Write down the investigation for the diagnosis of malaria .Outline the treatment cerebral malaria (in short)
Section D
6 Write short note on Glasgo Coma Scale (GCS).
17. Write in short about the resent IYCF situation in
Bangladesh.
18, What is variable. Classifv variable with examnle.
Define Growth and development. What are the
developmental milestones of a 9
months old child in different domains.
20. Discuss the steps of our
government
to achieve the health situation of under 5
children in
MDG.