If you’ve reached Pediatrics and Child Health III, you know the stakes have shifted. You aren’t just memorizing the milestones of a rolling infant anymore; you’re navigating complex clinical scenarios where a child’s physiology changes by the hour. This stage of your medical or nursing journey demands a transition from “what is the disease?” to “how do I manage this in a resource-limited setting?”
Below is the exam paper download link
Past Paper On Pediatrics And Child Health III For Revision
Above is the exam paper download link
The secret to conquering this block isn’t reading the textbook for the tenth time—it’s active recall. By using a structured past paper, you force your brain to retrieve information under pressure. Our latest upload covers the nuances of acute respiratory infections, electrolyte imbalances, and neonatal emergencies.
[Download the Pediatrics and Child Health III Past Paper Here]
High-Yield Revision Q&A: Thinking Like a Pediatrician
Question 1: The Dehydrated Child and Fluid Resuscitation
Q: A 2-year-old is brought to the ED with severe diarrhea and lethargy. Skin pinch is very slow, and eyes are sunken. What is the immediate fluid management plan according to WHO/IMCI guidelines?
A: This child has Severe Dehydration. The priority is Plan C. Start IV fluids immediately (Ringer’s Lactate or Normal Saline). Give 100 ml/kg divided into two stages: 30 ml/kg in the first 30 minutes, then 70 ml/kg over the next 2.5 hours. Always reassess the child every 15–30 minutes to check for signs of fluid overload or if the pulse is improving.
Question 2: Neonatal Resuscitation – The Golden Minute
Q: You are attending a delivery where the newborn is limp and not breathing. What are your first three steps within the “Golden Minute”?
A: 1. Dry and Warm: Provide warmth under a radiant warmer and dry the baby thoroughly to prevent hypothermia. 2. Position and Clear: Open the airway by sniffing position and suction only if the airway is obstructed. 3. Stimulate: Provide tactile stimulation. If the baby remains apneic or has a heart rate below 100 bpm, initiate Positive Pressure Ventilation (PPV) immediately.
Question 3: Identifying Severe Acute Malnutrition (SAM)
Q: A 3-year-old presents with bilateral pitting edema, “flaky paint” dermatitis, and thinning hair. What is the diagnosis, and what is the most dangerous complication during the first 48 hours of treatment?
A: This is Kwashiorkor (a form of SAM). The most dangerous risk during early treatment is Refeeding Syndrome. Rapidly introducing electrolytes and calories can cause shifts in potassium, magnesium, and phosphate, leading to heart failure. You must also be hyper-vigilant about hypoglycemia and hypothermia in these patients.
Question 4: Respiratory Distress in Infants
Q: How do you clinically differentiate between Bronchiolitis and Bacterial Pneumonia in a 7-month-old?
A: Look for the “prodrome.” Bronchiolitis usually starts with clear rhinorrhea (runny nose) and is characterized by widespread wheezing and a hyper-inflated chest. Bacterial pneumonia is more likely to present with a high fever, localized crepitations (crackles), and “grunting” on expiration.
Pro-Tips for the Pediatrics III Exam
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The Rule of “ABC”: In pediatrics, the answer is almost always Airway, Breathing, or Circulation. If a child is blue or retracting, don’t check their weight first—fix the oxygen.
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Master the Milestones: Even in advanced papers, examiners love to throw in a “regression” question. Know when a child should walk, speak 2-word sentences, and exhibit social smiles.
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Drug Calculations: Pediatrics is the only exam where a misplaced decimal point can be fatal. Practice your mg/kg/dose calculations until they are second nature.
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Ready to Level Up Your Study Sessions?
Don’t wait until the night before the exam to find out you don’t understand the APGAR score or the nuances of meningitis treatment. Download the paper, grab a coffee, and time yourself.
