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Long questions (1 out of 2) - 10 marks Q-1. 2-year-old child presents with acute diarrhoea and vomiting. On examination, the child is restless, has sunken eyes, drinks eagerly and has a skin pinch that goes back slowly. a) Assess and classify the degree of dehydration. - 2 marks b) Write down composition of ORS-2 marks c) Describe the management of this child. - 3 marks d) Mention the signs used to assess dehydration in children. -2 marks e) Mention two complications of severe dehydration. - 1 mark Q-2. Write down following: Or 1. Diagnostic criteria for severe acute malnutrition 2 marks 2. Explain appctite test & use of it-2 marks 3. Full form of RUTF 4. Complications of SAM-2 marks 5. Management guidelines for SAM-3 marks Short questions (3 out of 4) 5x315 marks Q-1. With respect to Pentavalent vaccine, answer the following: 1) What are the components of the pentavalent vaccine? (1 mark) 2) At what age and how many doses are given under the National Immunization Schedule? (2 marks) 3) What is the route and site of administration? (1 mark) 4) Mention two common adverse events following vaccination. (1 mark) Q-2. Define rickets. Describe its causes, clinical features, investigations and treatment. Q-3. Write difference between Physiological vs Pathological neonatal jaundice. Q-4. Write down short note on down's syndrome

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