DNB Pediatrics Theory Question Paper Dec 2015
Theory question paper for DNB final exam held by National Board of Examination in .
Paper – 1
- Give a diagrammatic representation of urea cycle. Indicate and name related disorders of urea cycle metabolism at each step. 10
- (a) Clinical signs and symptoms of refeeding syndrome. 7+3
(b) How will you manage such a case?
- (a) Mention the anatomical and functional factors responsible for obstructive sleep apnoea in children. 5+2+3
(b) Mention the anatomical and functional factors responsible for obstructive sleep apnoea in children. 5+2+3
- Characteristic hematological features, laboratory findings and treatment of congenital hypoplastic anaemia. (Dlamond Blackfan anaemia). 3+3+4
- Pathophysiology clinical manifestations and management of carbon monoxide poisoning. 3+3+4
- (a) What is bias in medical research? 2+(4+4)
(b) Common types of bias and the methods to minimize bias inanalytical studies.
- Define child abuse and child neglect. Outline the steps involved in management of a suspected child of sexual abuse. (2+2)+6
- (a) Attention-Deficit Hyperactivity Disorder (ADH
(b) Gastroesophageal Reflux Disease (GER
d) in paediatric population. 5+5
- (a) What is relative risk (RR) and discuss its implications? 1+3
(b) What is the usefulness of confidence interval? 3
(c) Implications of sensitivity and specificity. 3
- Safe injection practices at level III care with respect toburden/deficiencies, risks, technique, handling and disposal. 2x5
Paper – II
- What is Anion gap? Discuss the acid-base disturbance in metabolic acidosis. Enumerate the causes of increased anion gap and normal anion gap metabolic acidosis. 1+5+(2+2)
- Utility of newer Neuro-imaging modalities in paediatric age group and their cost-effective- benefits. 5+5
- Pathophysiology and management of
a) Refractory shock.
b) Intraventricular hemorrhage. 5+5
- What is 'Developmental delay'? Describe different tools used for screening and for diagnosis of developmental delay. 2+(4+4)
- a) Serologic course of acute hepatitis
b) Treatment strategies for acute and chronic hepatitis B. 4+(3+3)
- a) Anaemia of Prematurity.
b) Treatment options for a 3 month old preterm who has Hb of 6 gm% 5+5
- a) Neuroprotective strategies in CNS injuries in neonates.
b) Complications of unconjugated hyperbilirubinemia in a neonate. 5+5
- (a) Algorithmic approach to a neonate with suspected I.E.M.
b) Silverman Anderson Scoring system. 5+5
- Tabulate the mechanism of action, dosage, indications and side effects of the following. 2*5
- What are the defining criteria of Systemic Inflammatory Response Syndrome (SIRS) Name the mediators involved and their mode of action.
Paper – III
- Pathophysiology, clinical manifestations, and management of salicylate poisoning. 3+3+4 2.
- a) Classification of Spinal Muscular Atrophies (SMA). 5+5
b) Major distinguishing features amongst various forms of SMA.
- (a) Free Radicals. 5
(b) Febrile neutropenia - Definition & management. 1+4
- (a) What is Developmentally Supportive Care?
(b) Components of Developmentally Supportive Care in neonates.
- Algorithmic approach to a suspected case of Kawasaki disease. 3+7. Enumerate its complications and outline the management. 5+(2+3)
- Pathophysiology, clinical manifestations and management of Gluten sensitive enteropathy. 3+4+3
- A 2 month old baby presents with history of failure to gain weight, tachypnea, tachycardia, difficulty in taking feed and excessive perspiration. On examination - no cyanosis, hepatomegaly and a systolic murmur is noted. Discuss differential diagnosis, investigations and management. 4+3+3
- What is the pathogenesis of graft Vs host disease? What are its clinical manifestations? What measures can be taken to prevent it in case of stem-cell transplantation? 4+3+3
- Outline management of a) Steroid resistant nephrotic syndrome.
b) Child with pulmonary involvernent with cystic fibrosis. 5+5
- a) Congenital varicella.
b) Complications of Pertussis.
c) Roseola Infantum. 4+3+3