You are answering pediatrics exam questions from Section 1 of an MBBS internal exam. Answer EVERY sub-question listed below concisely and accurately, calibrated to the mark weightage. Use the medical library (query_library_db) to look up content where needed. SECTION 1: **Q1 (10 marks - write ANY ONE in detail)** 1a. Enumerate causes of Respiratory Distress in New-born and write aetiology, pathophysiology and management of RDS in Preterm. 1b. Enumerate causes of Neonatal Jaundice. Write Pathophysiology of physiological jaundice. Describe treatment Modalities of Neonatal Jaundice. --- **Q2 (12 marks - write ANY TWO short notes, ~6 marks each)** 2.1. A 3-year-old girl with bowing of legs and wrist widening: - What radiological features on X-ray? - How will you treat this child? 2.2. A 10-year-old boy with fever, anorexia, vomiting, jaundice for 5 days: - Most likely diagnosis? - Investigations and management. 2.3. WHO Staging of Vitamin A Deficiency and describe application of National Control Programme against Nutritional Blindness for 11-month-old child. --- **Q3 (18 marks - write ANY THREE short notes, ~6 marks each)** 3.1. Neonatal hypoglycemia – causes and management 3.2. Counselling of Mother regarding Breastfeeding during Antenatal and Post-Natal Period 3.3. Define Adolescence and discuss general health problems in Adolescence 3.4. Tanner staging in females --- **Q4 (10 marks - write ANY FIVE in 2-3 sentences, ~2 marks each)** 4.1. Define microcephaly and write causes of Microcephaly. 4.2. Components of Moro's reflex 4.3. Write 4 Red flag signs in child development 4.4. Rotavirus vaccine 4.5. Age independent Anthropometric Parameters 4.6. Write 4 causes of high anion gap metabolic acidosis --- INSTRUCTIONS: - Answer EVERY sub-question (all options, not just the ones to be attempted, since this is an answer key) - Calibrate depth to marks: 10-mark = detailed; 6-mark = medium; 2-mark = 2-3 sentences - Be concise and accurate; avoid padding - Use numbered/bulleted lists for clarity - For clinical scenarios, give diagnosis, investigations, management clearly - Return the complete formatted answer ready for the user to read

You are answering pediatrics exam questions from Section 2 of an MBBS internal exam. Answer EVERY sub-question listed below concisely and accurately, calibrated to the mark weightage. Use the medical library (query_library_db) to look up content where needed. SECTION 2: **Q5 (10 marks - write ANY ONE in detail)** 5.1. Discuss principles of development and milestones achieved up to two years of age. 5.2. Define Severe Acute Malnutrition (SAM). Describe clinical features and classification of PEM. Outline management of SAM according to WHO principles and mention preventive measures. --- **Q6 (12 marks - write ANY TWO short notes, ~6 marks each)** 6.1. A 1-year-old child with profuse diarrhea is lethargic and unable to drink: - Classify the dehydration. - Describe fluid management according to WHO guidelines. 6.2. A child presents with fever with chills and splenomegaly: - List differential diagnoses. - Describe investigations and treatment of Malaria. 6.3. A 9-month-old infant has missed vaccinations scheduled at 6 and 10 weeks: - Write a catch-up immunization schedule. - Write in brief about AEFI. --- **Q7 (18 marks - write ANY THREE short notes, ~6 marks each)** 7.1. Clinical features and complications of Measles in children. 7.2. Enumerate clinical phases of dengue infection. Describe warning signs and severe dengue. Write management of DSS (Dengue Shock Syndrome). 7.3. Enumerate Behavioural Problems encountered in Toddler Age Group and Describe PICA. 7.4. Enumerate clinical features and diagnostic approach of childhood tuberculosis. --- **Q8 (10 marks - write ANY FIVE in 2-3 sentences, ~2 marks each)** 8.1. Clinical Features of Zinc Deficiency 8.2. Difference between Caput succedaneum and Cephalohematoma 8.3. Enumerate entitlements under JSSK 8.4. Define Hyperkalaemia and Write ECG changes 8.5. BMI (body mass index) 8.6. Neonatal Mortality Rate --- INSTRUCTIONS: - Answer EVERY sub-question (all options, not just the ones to be attempted, since this is an answer key) - Calibrate depth to marks: 10-mark = detailed; 6-mark = medium; 2-mark = 2-3 sentences - Be concise and accurate; avoid padding - Use numbered/bulleted lists for clarity - For clinical scenarios, give diagnosis, investigations, management clearly - Return the complete formatted answer ready for the user to read