Theory question paper: April 2016

Friday, April 29, 2016  at 6:09 PM
Dr Amit Ghawade
Read the questions carefully and answer to the point neatly and legibly.
Do not leave any blank pages between two answers
Indicate the question number correctly for the answer in the margin space.
Answer the parts of a Single question together.
Start the answer to a question on a fresh page or leave adequate space  between two answers.
Draw table/diagrams/flowcharts wherever appropriate.
                 
                        Paper – I

Write short notes on:
1.
a) Adrenal steroid hormone synthesis                              5+(2+3)
b) Outline the biochemical consequences of defects in the classical 21-hydroxylase deficiency and its management.

2.
a) Structure of glomerulus with diagrammatic representation. (6+4)
b) What are the glomerular changes in rapidly progressive glomerulonephritis.

3. Enumerate the five high impact activities under RMNCH+A programme. 2+2+2+2+2

4. How is plasma osmolality calculated? Discuss its determinants. What are the diagnostic criteria of SIADH (Syndrome of inappropriate ADH secretion) (3+4)+3

Cracking code of theory: ARDS

Monday, April 4, 2016  at 4:51 PM
About Ranjith kumar CS
"Currently persuing DM in medic oncology from JIMER, completed DNB from Kanchi Kamakoti Child Trust Hospital with a gold medal, has great academic interests, contributed about 9 chapters  in scott pediatriks clinical methods and is one of the co-author at dnbpediatrics.com"
1. Definition:

AECC(American European Consensus Criteria) criteria for diagnosis of ALI/ARDS which comprises of :

a) Acute onset.
b) Severe arterial hypoxemia resistant to oxygen therapy alone (PaO2/FIO2  ratio ≤200 for ARDS and ≤300 for ALI).
c) Diffuse pulmonary inflammation (bilateral infiltrates on chest radiograph)
d) No evidence of left atrial hypertension.
The Murray Lung Injury Score for ARDS utilizes lung compliance, PaO2/FiO2 ratio, degree of alveolar consolidation and level of positive end-expiratory pressure for defining ARDS.

(For those who are interested, please note that a new improved definition has been introduced for ARDS (Berlins definition) published in JAMA. Also read about Pediatric ARDS (PARDS) consenus published in PCCM June 2015)

2. Etiology:

A. Direct

Usual :
Pneumonia
Aspiration pneumonia

DNB Pediatrics FAQ - ASOM

Friday, March 18, 2016  at 12:34 AM
shailesh-crop_thumb2
About Shailesh Gophane
DCH from J.J. Hospital, Mumbai and DNB from Port Trust Hospital Mumbai.
 This is a series of Notes for dnb pediatrics theory exams. Definitely they are not the alternative to reading Nelson's thoroughly, but these notes will prove helpful during final days of revision and may be helpful to overcome any loopholes if you are not having enough time to cover whole system. " December 2015 had 6 repeat questions from these notes.
FAQ: 3
Outline the etiopathogenesis of acute suppurative otitis media. Discuss in brief the treatment and complications of acute suppurative otitis media (asom) in children.

Etiology:

1.Pre pneumococcal vaccine era

Streptococcus pneumoniae,
Nontypable Haemophilus influenza
Moraxella catarrhalis.

2.Post conjugate pneumococcal vaccine era

Nontypable H. influenzae (40-50% of cases )

3.Other pathogens

Group A streptococcus, Staphylococcus aureus, and gram-negative organisms.