DNB Pediatrics Theory Paper: June 2016

 Dr Kishor Giri

PAPER 1

1.
a) Outline the steps involved in the synthesis of steroid hormones.
b) Clinical features and management of classical congenital adrenal hyperplasia.

2. Classification, etiopathogenesis and management of hemolytic uremic syndrome.

3.
a) Munchausen syndrome by proxy.
b) Meta-analysis.
c) Forest Plot graph.

4. Mechanism of action, therapeutic usage, dosages and adverse effects In children of:

a) Low molecular weight heparins
b) Magnesium sulphate.

5.
a) Pathophysiology of regulation of plasma osmolality.
b) Diagnosis and management of distal renal tubular acidosis.

6.
a) Pathophysiology of thrombophilia.
b) Outline the management of polycythemia.
c) Outline the oncologic emergencies occurring in leukemia/lymphomas.

7.
a) Biology and role of cytokines in newborn infants.
b) Oxygenation index.
c) ASHA.

8.
a) Define fulminant hepatic failure.
b) Stages of hepatic encepbatopathy.
c) Management of fulminant hepatic failure.

9.
a) Development of diaphragm, trachea and esophagus.
b) Diagrammatically depict various types of tracheo-esophageal fistulae.

10
a) Give graphical picture and explanation of elastic volume- pressure relationship of lung and chest wall in children.
b) How would you distinguish restrictive vs obstructive lung lung disease based on PFT?

PAPER 2

1. 12-year-old female child presents with short stature and delayed puberty.
a) Enumerate various possible causes.
b) Approach to diagnosis and their management.

2.
a) MDR and XDR tuberculosis: treatment strategies.
b) AVNRT (AV Nodal Re-entrant Tachycardia)

3. A child with suspected diabetes insipidus is brought to hospital. How will you approach, investigate and manage this patient?

4.
a) Outline the physiology of Vitamin D.
b) Diagnosis and treatment of Vitamin 0 dependent rickets.

5. Management of:
a) Post Traumatic Stress Disorder
b) Tourette's disorder
c) PANDAS

6.
a) Management of steroid resistant & steroid dependent nephrotic syndrome.
b) Metabolic syndrome: diagnosis & complications.

7.
a) Etiological classification of neonatal hypoglycemia.
b) Clinical features and management of neonatal hypoglycemia.

8.
a) Management of infantile tremor syndrome.
b) Clinical features of hypervitaminosis A.
c) Clinical features of hypervitaminosis D.

9. A 2 year old child presents with history of regression of milestones for past 6 months and hepatomegaly. Discuss the differential diagnosis and diagnostic approach.

10.
a) Macrophage activation syndrome.
b) Causes and investigations in a child with stroke.

PAPER 3

1.
a) Define near drowning
b) Pathophysiology and management of near drowning.

2. Outline the diagnosis, differential diagnosis and treatment of:
a) Familial dysautonomia
b) Autonomic neuropathies

3.
a) How will you classify childhood histiocytosis?
b) Diagnostic criteria, clinical features and treatment for phagocytic lymphohistiocytosis.

4.
a) Obstructive sleep apnea: Diagnosis and management.
b) Clinical features and management of Hashimoto's thyroiditis.

5.
a) How do you classify and treat lupus nephritis?
b) Enumerate causes and management of adrenal crisis.

6.
a) Hypematraemic dehydration.
b) Hyperosmolar non ketotic diabetic coma.

7. Diagnosis and management of:
a) Lead poisoning.
b) Kerosene oil ingestion.

8.
a) Neonatal pain.
b) Fetal therapy.

9. Primary and secondary prevention of genetic disorders.

10.
a) What are the biochemical criteria for the diagnosis of diabetic ketoacidosis?
b) What are the goals of therapy?
c) How will you manage a child with DKA?

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