DNB PEDIATRICS QUESTION BANK 2018 PART 2

dnb pediatrics question papers 2018


THEORY QUESTION PAPER JUNE 2015 - 2018 Part 2


PART 2: All questions 2018 AND 2017

For question papers bank till 2016 here
Part 1: Here

DECEMBER 2018

PAPER 1

1) A. Neonatal mortality rate- indian current status.
   B. Physical and metabolic properties, food sources of vitamin D.

2) A. Sources of health information for research.
   B. Tests of statistical significance.

3) A. Causes of metabolic acidosis and role of anion gap.
   B. Mechanism of phototheraphy in neonatal hyperbilirubinemia.

4) A. Approach to a child with suspected inborn error of metabolism.
   B. Hepatobiliary morphogenesis.

5) A. Components of facility based newborn care.
   B. Triage of sick new born in SNCU.

6) A. Anatomy and function of nephron.
   B. Disorders of neuronal migration.

7) A. Safe injection practices.
   B. Principles of stem cell theraphy.

8) A. Bronchogenic cyst.
   B. Steroidogenic pathway.

9) A. Components of Nutritional rehabilitation centre.
   B. ASHA.

10) A. HPV vaccine current status .
   B. Patterns of genetic inheritance.

PAPER 2


1) A. causes and treatment of epistaxis. 5
   B. Differentials for microcytic hypochromic anemia. 5

2) A. Temperature regulation in newborn. 5
   B. Syndromes assoc with obesity. 5

3) A. Diamond blackfan anemia, clinical features and treatment. 5
   B. Management of chronic ITP. 5

4) A. Classifc of VUR. 5
   B. Renal osteodystrophy. 5

5) A. Diagnosis and treatment of ADHD. 5
   B. components and benefits of KMC ( Kangaroo mother care) 5

6) A. Investigations and treatment of neonatal seizures. 7
   B. Trichotillomania. 3

7) A. Neuroblastoma- clinical features and diagnosis. 5
   B. List of micronutrients and methods of prevention of their deficiency. 5

8) A. Complications and management of neonate born to mother with diabetes.
   B. Medical management of PDA.

9) A. Complications of diphtheria. 6
   B. Causes and treatment of Vit D resistant rickets. 4

10) A. Recent RNTCP guidelines for pediatric TB.
   B. Management of fulminant hepatic failure.


PAPER 3


1) A. X linked agamaglobulinemia.
   B. H1N1-Clinical features and management.

2) A. SLE- diagnostic criteria.
   B. HSP- clinical features and diagnosis.

3) A. Clinical features of juvenile dermatomyositis.
   B. Clinical features of acrodermatitis enteropathica.

4) A. Pathogenesis of eisenmengerization
   B. Diagnosis of cystic fibrosis

5) A. Management of acute myocarditis.
   B. Causes of recurrent wheeze in children.

6) A. Infective endocarditis prophylaxis.
   B. Clinical features an diagnosis of portal hypertension.

7) A. Management of hyperkalemia.
   B. Treatment of Organophosphorus poisoning.

8) A. Diagnosis and management of Kawasaki disease.
   B. Adolescent immunization.

9) A. Snake bite envenomation- clinical festures.
   B. Laboratory diagnosis of ricketsial infections.

10) A. Clinical features of tyrosinemiatype1.
   B. Pediatric cochlear implant.

PAPER 4


1) A. Role of imunophenotyping in diagnosis of Acute leukemia.
   B. Indication for splenectomy in thalassemia.

2) A. Calcium regulation in humans.
   B. Anti cytokine drugs and their indications.

3) A. Recent advances in diagnosis of tuberculosis.
   B. Management of DKA.

4) A. Treatmrent of steroid resistant Nephrotic syndrome.
   B. Hematopoiteic growth factors.

5) A. Therapies for Spinal Muscular Atrophy.
   B. Diagnostic approach to precocious puberty in girls.

6) A. Renal Scans.
   B. Counselling in downs syndrome.

7) A. Recent advances in treatment of bronchiolitis.
   B. Treatment guidelines of neonate born to HIV+ mother.

8) A. Investigation and treatment of childhood vertigo.
   B. Approach to suspected immunodeficiency. Investigate.

9) A. Causes and pathophysiology of pancreatic enzyme insufficiency.
   B. Serological tests for celiac disesase.

10) A. Plasmapheresis.
    B. Evaluation and treatment of congenital hypothyroidism.

JUNE 2018 THEORY QUESTION PAPER

PAPER 1


1) A. Mechanism of action of valproate as an anti-epileptic drug.
   B. Mechanisms of supraventricular tachycardia and mode of action of adenosine in supraventricular tachycardia. (4+6)

2) A. What are the usual patterns in haemoglobin electrophoresis in beta thalassemia syndromes?
   B. Describe oxygen dissociation curve and factors affecting it. (4+6)

3) A. Neural tube defects.
   B. What is the pathogenesis of oedema in nephrotic syndrome? (5+5)

4) A. Fetal circulation and changes at birth. 4
   B. Pulmonary function tests in childhood asthma. 6

5) A. Draw pedigree chart for autosomal dominant inheritance pattern of non-consanguineous parents. 5
   B. Describe briefly various types of renal nuclear scans. 5

6) A. Measures of central tendency.
   B. Ethical principles when doing research on human. (5+5)

7) A. Mission Indradhanush.
   B. WHO Classification of community acquired pneumonia in children less than 5 years of age. (5+5)

8) A. Sustainable development goals relevant to children. 4
   B. Newborn screening is useful in which conditions and how it can be done. 6

9) A. Prevention of iron deficiency anaemia in children under 5 years of age. 5
   B. Magnesium and phosphate in treatment of acute severe malnutrition. 5

10) A. Components of structured abstract. 4
   B. Study designs 6

PAPER 2


1) A. Refeeding syndrome. 5
   B. Management of hypoglycaemia in newborn. 5

2) A. Immunization in immunosuppressed children 5
   B. Sexual maturation staging in girls and boys. 5

3) A. Describe various types of febrile seizures.
   B. Diagnostic criteria for autism. (4+6)

4) A. Clinical features and diagnosis of posterior fossa tumours. 5
   B. Treatment of raised intracranial tension in acute encephalitic syndrome. 5

5) A. Indication of kidney biopsy in a child with massive proteinuria. 4
   B. Diagnosis and treatment of nocturnal enuresis in an eightyear- old. 6

6) A. Treatment of standard risk acute lymphoblastic leukemia.(5)
   B. Management of hypovolemic Hyponatremia.(5)

7) A. Surfactant in HMD.(5)
   B. Specific treatment of mild to moderate bleeding in Hemophilia A.(5)

8) A. Causes and management of secondary VUR.(5)
   B. Treatment of tumour lysis syndrome(5)

9) A. Treatment of hypertensive emergency. (5)
   B. Epilepsy syndrome with focal seizures (5).

10) A. Diagnosis of Myasthenia gravis (5)
    B. Treatment of steroid resistant nephrotic syndrome.(5)

PAPER 3


1) A. Diagnostic tests for dengue fever.(4)
   B. Diagnosis and treatment of scrub typhus (6)

2) A. Treatment of cerebral malaria (5)
   B. Investigations for confirmatory diagnosis of tubercular meningitis.(5)

3) A. Cutaneous manifestations of SLE.(5)
   B. Approach to a case of exanthematous fever in a 14 months child.(5)

4) A. Treatment of JIA. (4)
   B. Screening and prevention of ROP. (6)

5) A. Management of tachycardia with pulse but with poor perfusion(6)
   B. Management of corrosive ingestion in children(4)

6) A. Management of fluid refractory septic shock (5)
   B. Hyper IGE syndromes(5)

7) A. Diagnositic evaluation of biliary atresia(5)
   B. Pathophysiology and treatment of cyanotic spell (5)

8) A. Premature thelarche (4)
   B. Screening and treatment of congenital hypothyroidism (6)

9) A. Causes and investigation of persistent pneumonia (5)
   B. Diagnosis and treatment of bronchopulmonary aspergillosis(5)

10) A. When to suspect and how to investigate for carbohydrate malabsorption(6)
   B. Treatment of variceal haemorrhage.(4)

DECEMBER 2017 

PAPER 1


1) A. Biological changes during adolescence 5
B. Comorbidities associated with childhood obesity. 5
2) A. Determinants of plasma osmolality. 6
B. Diagnostic criteria for Syndrome of Inappropriate Antidiuretic Hormone Secretion
(SIADH) 4
3) A. Characteristics of a good research question 4
B. Need and methods of blinding for research 6
4) A. Testing for single gene disorders. 6
C. Antenatal screening for Down syndrome. 4
5) A. Rashtriya Bal Swasthya Karyakram (RBSK) 6
B. POCSO Act, 2012 4
6) A. Infant Mortality Rate in India-current status. (5) B. Principles of rational antibiotic theraphy. (5)
7) A. Steroid biosynthesis pathway. (4)
B. Clinical features of classical CAH. (6)
8) A. Diagnosi and management of Moderate acute malnutrition (6) B. Reductive adaptation in severe acute malnutrition(4)
9) A. Causes of blue spell in neonates(6)
B. Differences between SVT and sinus tachycardia.(4)
10) A. Pneumococcal vaccines.(5)
B. Approach to a child with metabolic alkalosis.(5)

PAPER 2

1) A. Major causes of neonatal mortality and morbidity in India.(4) B. Assessment of fetal well being in pregnancy.(6)
2) A. Diagramatic depiction of layers of scalp and their relationship to various hemorrhages in newborn scalp. (6)
B. Management of hemorhagic disease of newborn during first month of life. (4)
3) A. Maternal factors affecting fetal growth.(4) B. Definition and causes of failure to thrive.(6)
4) A. Acute clinical complications of sickle cell disease.(6) B. Diagnosis and management of methemoglobinemia.(4)
5) A. Etiopathogenesis of RPGN.(6) B. Management of HUS.(4)
6) A. List the key problems during breast feeding and their management. (6) B. Screening guidelines for ROP. (4)
7) A. Treatment of chronic myeloid leukemia(5) B. Management of tumour lysis syndrome.(5)
8) A. Physical differences between IUGR and preterm babies.(4)
B. Interventions to improve neurodevelopmental outcome of LBW Infants at 1 year of age. (6)
9) A. Treatment and prevention of Vitamin D deficiency rickets(6) B. Diagnosis of acurvy(4)
10) A. Classification of headache in children(4)
B. Diagnostic criteria for pseudotumour cerebrii(3) C. List common movement disorders in children(3)

PAPER 3

1) A. Diagnosis and management of staphylococcal toxic shock syndrome 5
B. Diagnosis and treatment of leptospirosis. 5
2) A. Approach to a child with joint pains 6
B. Treatment of Kawasaki disease 4
3) A. Cutaneous manifestations of nutritional deficiencies 6
B. Drug treatment for urticaria 4
4) A. Primary ciliary dyskinesia – diagnosis 6
B. Management of acute laryngotracheobronchitis 4
5) A. Management of hypernatremic dehydration 6
B. Management of dysentery 4
6) A. Diagnosis and prevention of congenital rubella syndrome. 5
B. Current therapy of Kala-azar. 5
7) A. Clinical manifestations of scorpion sting envenomation. 5
B. Management of a child with acid ingestion. 5
8) A. Management of congestive heart failure. 5
B. Complications of Tetralogy of Fallot. 5
9) A. Approach to an adolescent with delayed puberty 5
B. Commonly used insulin regimens for long-term treatment of diabetes mellitus type 1. (5)
10) A. Diagnosis and management of severe combined immunodeficiency disease
(SCID) 5
B. Newer anti-epileptic drugs –write the name, dosage and salient adverse effects in a tabular form. 5 

JUNE 2017 THEORY QUESTION PAPER

PAPER 1

1) A. Physiological function of Zinc in human body with special reference to immunity.
B. Role of Zinc in treatment of pediatric diarrhea.
C. Clinical features of acrodermatitis enteropathica. (5+2+3)
2) A. Observational studies.
B. Meta analysis.
C. Assessing the validity of a diagnostic test. (3+4+3)
3) A. Rota virus vaccines: dosage, schedule & side effects. 5
B. Mechanisms of antibiotic resistance. 5
4) A. Physiology of acid base homeostasis.
B. Enumerate the causes of metabolic acidosis on the basis of anion gap. (6+4)
5) A. Setting up of Special Care Newborn Unit in a district hospital.
B. Tools used for developmental screening. (5+5)
6) A. Strategies to prevent mother to child transmission of HIV infection. 5
B. Capsule based Nucleic Acid Amplification test (Gene Xpert) for tuberculosis. 5
7) A. Draw a diagrammatic representation of the coagulation cascade. 5
B. What is the etiopathogenesis of Vitamin K deficiency in infancy? 5
8) A. Surfactant replacement therapy. 5
B. Iron chelation therapy. 5
9) Indications, mode of action and side effects of intravenous immunoglobulins (IVIgG)
in pediatric practice. (4+4+2)
10) A. Circulation of CSF.
B. Enumerate various causes of hydrocephalus in children. (5+5)

PAPER 2


1) A. Differential diagnosis of respiratory distress in a 6 hour old newborn infant.
B. Pathophysiology and recent advances in the management of Respiratory Distress
Syndrome. (4+(3+3)
2) A. Treatment modalities for retinopathy of prematurity.
B. Human milk banking: Criteria for donors, collection & storage. C. Developmental dysplasia of the hip: Diagnosis. (4+3+3)
3) A. Complications of pediatric obesity. 5
B. Management of severe acute malnutrition. 5
4) A. Define and enumerate causes of Global Developmental Delay. 5
B. Outline the investigative approach of Global Developmental Delay. 5
5) A. Causes of recurrent hematuria. 5
B. Management of steroid resistant nephrotic syndrome. 5
6) A. Transfusion associated hepatitis – Diagnosis & management.
B. Management of worm infestation in children. (6+4)
7) A. Utility of immunophenotyping in the diagnosis of Acute Lymphoblastic Leukemia
(ALL) in children.
B. Outline management of ALL in children. (5+5)
8) A. Indications of growth hormone therapy in Pediatrics. 6
B. Breath Holding Spells 4
9) A. Adolescent vaccination. 5
B. Approach to common psychological problems of adolescents. 5
10) A. Steps in management of status epilepticus in children.
B. Current status of newer antiepileptic drugs. (6+4)

PAPER 3


1) Clinical features, diagnostic tests and management of severe malaria in children. (3+3+4)

2) A. Management of Immune Thrombocytopenic Purpura (ITP) in children. 5
   B. Treatment of childhood autism. 5

3) A. Congenital cataract - Diagnosis & management. 5
   B. Treatment of acute otitis media. 5

4) Pathophysiology, causes, clinical features and management of acute renal failure in children. (3+3+2+2)
5) A. Assessment and management of a child with suspected poisoning. 5
B. Management of congenital adrenal hyperplasia. 5
6) Outline pain pathway. Pharmacologic and non-pharmacologic methods of pain relief in children. 3+(4+3)
11
7) A. Measures to reduce intracranial tension. 4
B. Management of scabies in children. 6
8) A. Factor replacement therapy in Hemophilia. 5
B. Systemic Inflammatory Response Syndrome. 5
9) A. Aerosol therapy for respiratory disorders. 5
B. Current guidelines for management of H1N1 infection. 5
10) A. Treatment of gastro-esophageal reflux disease. 5
B. Causes of cardiomyopathy in children. 5

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