S1

2 year old / M

What is your diagnosis?

Ddx?
Pathogen?
Future Complications?
2 drugs used for
Treatment?

S2
8 yrs with a 6 mon
Hx of itchy red
lesions on both
hands.

Diagnosis?
Differentials
Etiology
Treatment

S2

S3
13/M
Diagnosis.
Treatment ?

S3

S4
A newborn with syndromic features
1. State 3 features of the patient
2. State your diagnosis
3. State 3 other system that can be involved

in the disease you stated above

S5
A 2 days old neonate was born with
respiratory distress syndrome. Examination
reveals a fasciculation at upper limbs and
tongue
1. State 3 features of the patient
2. State the most possible diagnosis
3. State 1 blood investigation for diagnosis

and its expected findings

4. State the prognosis for this child

S5

S6
An 8 years old patient with known case of
thalassaemia came for blood transfusion.
His current haemoglobin was 10 g/dL and
he was currently on desferoxamine
1. State 2 abnormalities in this patient skull

radiograph
2. 3 long term complications

S6

S7
A 16 years old female with underlying
diabetes mellitus came to see you in opd
1. Describe 3 characteristics of the lesion
2. State the most likely diagnosis
3. Name 4 other skin lesions seen in diabetic

patient
4. Outline your treatment

S7

S8
An 18 years old male with visual
disturbance and deafness came to see you
for follow up
1. State 4 findings in the above picture
2. State 1 provisional diagnosis
3. State 3 visual disturbances experienced by

the patient
4. State 1 pharmacological treatment in this

patient

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1)

4 yrs old, boy , FTND, Normal motor,

mental and language milestones.
Complaints from school aggressive,
cant sit in one place, restless,
forgetful and impatient, problems
with friends, fights
Diagnosis?
3 cardinal features of this condition
2 treatment options

S10
2)This child has epilepsy,
MR, ataxia, unprovoked
laughter, severe
speech delay

Diagnosis?
Chromosome involved
Inheritance
Name a syndrome with the
same chromosomal
abnormality

S11
4.A full term ,male child
develops jaundice on day 3
of life, (S. bilirubin 34 mg
%)and undergoes an
exchange transfusion .

What is the immediate

complication likely to occur?
Where is the anatomical
abnormality?
What are the long term
complications?
Name 1 investigations you
would insist on after discharge?

S12
5.

A child with apparently

normal birth history
:MS- social smile at 3
mths, Sitting at 8
months, rt hand
preference at 9 mths,
walking independently
at 1.6 yrs.

What is your diagnosis?

What relevant maternal
history will you ask for?

S13

S13
Diagnosis
3 Differential diagnosis
3 differentiating features

S14

S14
Name 2 other skin lesions
Inheritance
Other systems you would examine
Name 3 lesions seen in the brain

S15

S15
This 5 yr old comes with unsteadiness of gait with
recurrent respiratory infections.

Diagnose the condition

Inheritance
2 labs
3 salient features

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S16
. 8 yr old boy with headache, vomiting,
ataxia, diplopia.
Clinical diagnosis?
.Name 2 supra and infra tentorial SOLs
For this SOL what other abnormalities will
you expect

S17
CSF picture
Protein 1640mg% ,
sugar 45/92 ,
cells 150

P40 L60

Identify the condition

3 pathological etiologies
3 features on CT scan
Treatment options

S18
Child with fever, headache , vomiting and altered
sensorium.
CSF picture :proteins 130,
sugar 40/90,
cells 240

P40 L

Give 3 differentials
Give 2 other investigations
Treatment options

60

S19
Child with fever , convulsions, altered
sensorium
CSF picture : protein 62,
cells 95 P10 L90,
sugars 45/80,
RBCs 80/ hpf
Additional 2 investigations of choice
Treatment with dose

S20
1.5 yrs old child with fever and convulsions.
CSF picture : proteins 80,
sugar 20 /60,
cells 500 , P 90 L 10.

Diagnose / 3 common organisms

Child develops tense AF with focal convulsions on
day 8. Probable causes?
3 Long term sequelae