a) Differentiate between marasmus and kwashiorkor.

Place a tick mark () against the most appropriate answer given under each statement
a)   Non-bilious projectile vomiting is characteristic feature of:
i)    Hirschprung’s disease.
ii)   Congenital hypertrophy pyloric stenosis
iii)  Intussuception
iv)  Anorectal malformation.

b) Hypospadias is the most common congenital anomaly of the penis in which:
i.   Urethral opening is situated on the dorsal portion of the urethera
ii.   Water filled cyst is found in front of the testis
iii.  Urethral opening is situated on the ventral side of the shaft of the penis
iv.  Abnormal urinary stream and dribbling

c) Whooping cough is highly contagious and present with following clinical feature:-
i.   Koplik spots
ii.  Formation of membrane and severe toxemia
iii.  Lock jaw
iv.  Severe cough at night, chocking and vomiting makes the child red and tired

d) Diabetes insipidus is
i.   Failure of the body to conserve water
ii.  Disorder of glucose intolerance caused by deficiency in insulin production and action.
iii. Autosomal - dominant disorder in which there is formation of abnormal insulin having decreased biologicalactivity.
iv. Failure of body to Excrete water

e) Galactosemia is characterized by:
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i)   Presence of hepatic enzyme galactose –I phosphate
ii)   Absence of uridine transferase and galactose
iii)   Presence of galactose and uridine transferase
iv)   Absence of hepatic enzyme galactose-I phosphate, uridine transferase

b) List the conditions which demand resuscitation alert.

d) Explain the initial steps of resuscitation

Fill in the blanks:
a. Sudden cessation of breathing accompanied by cyanosis and bradycardia is called.................................................................................................................
b. The number of deaths in a year under 28 days of age is called …………………
c. National Sample Survey (NSS) is one of the sources of ……………..
d. White cheesy protective substance present on the skin and skin folds of the newborn is named
as…………………………………………………………………………………
e. A disease of skin produced by burrwing action of parasite mite in the
epidermis is ……………….

a) Define Nephrotic syndrome.

b) List the conditions which demand resuscitation alert.

a) Differentiate between marasmus and kwashiorkor.