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173 Pediatrics

A 2 months old child was brought to the subcenter by his mother with complaints of fever for two days. Weight of the child is 2 kg. On examination, the child is restless and irritable, skin pinch went back in 2 seconds, oral mucosa is dry and eyes were sunken. There were ten pustules on his forehead. What should be done at the subcenter?

ARefer to higher center with mother giving frequent sips of ORS.
BImmediately admit the child, give IV fluids and then refer to higher center.
CGive first dose of antibiotic and refer to higher center in an ambulance with sips of ORS along the way.
DSend child home with few packets of ORS and call after 3 days.
Pediatrics
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178 Pediatrics

A five year old male child presents with complaints of fever and abdominal distension. IIe is having vomiting for the last five days. On examination there are 6–8 Pus Cell/hpf in urine. WBC count shows 78% neutrophils. What is the best line of management –

ASend urine for culture and sensitivity and wait for results
BSend urine for culture and sensitivity and start I.V. antibiotics immediately
CSend urine for culture, do an USG and start chloroquine
DRadio nucleotide studies
Pediatrics
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