DNB Pediatrics Theory Question Paper June 2015

DNB theory question paper for final exam held by National Board of Examination in June 2015.

Links to relevant answers are given where available.


Paper 1

Write short notes on:

PART A

  1. Grading, classification, and natural history of vesicoureteric reflux. 3+3+4
  2. Utility of blood gas studies (ABG) in localization of pathology and severity of disease in respiratory problems. 5+5
  3. a) Enumerate the hormones secreted by the anterior pituitary.
    b) Factors stimulating and inhibiting the secretion of growth hormone. 3+7
  4. a) Define disorders of sex development (DSD) in newborn.
    b) Nursery evaluation of a newborn with suspected DSD by history, physical examination and diagnostic tests. c) Issues in the management of DSD. 2+6+2
  5. a) Millennium Development Goals – 4 and 5 (Sustainable Development Goals )
    b) Swachh Bharat Abhiyan.
    c) Mission Indradhanush. 4+3+3

PART B

  1. a) Embryology and anatomy of the pancreas.
    b) Physiology of exocrine pancreas.
    c) How would you assess the pancreatic functions? 3+3+4
  2. a) Components of the immune system.
    b) Difference between innate and acquired immunity.
    c) Role of T and B lymphocytes and the killer cells. 4+3+3
  3. a) Fetal circulation.
    b) What are the changes after birth in fetal circulation?
    c) Pathophysiology of persistent fetal circulation. 4+3+3
  4. a) Classification of childhood histiocytosis.
    b) Clinical features and management of a case of Langerhans cell histiocytosis. 3+(3+4)
  5. a) Components of ethics in biomedical research.
    b) ‘P’- value and level of significance. (Medical Statistics)
    c) Allocation concealment. 4+3+3

Paper 2

Write short notes on:

PART A

  1. a) Define DOTS, DOT agent, and DOTS Plus.
    b) List at least four important components of DOTS.
    c) Give the categorization of treatment strategy in DOTS. 3+2+5
  2. a) (i) Definition of polio eradication.
    (ii) Polio eradication in India.
    (iii) Immunization issues following polio eradication.
    b) Near drowning. 1+2+3 4
  3. a) Rotavirus vaccine.
    b) Conjugate vaccines.
    c) HPV vaccine 3+3+4
  4. a) Newer antimalarial drugs.
    b) Failure to thrive. 4+6
  5. a) What are the demyelinating disorders of the CNS?
    b) Etiopathogenesis, clinical features, investigations and management of ADEM (Acute Demyelinating Encephalomyelitis). 2+(2+2+2+2)

PART B

  1. a) Diagnosis and management of autoimmune hemolytic anemia.
    b) Developmentally supportive care in NICU.
    c) Diagnosis and management of lead poisoning. 3+3+4
  2. a) High-frequency oscillatory ventilation (HFOV).
    b) Pulmonary graphics. 5+5
  3. a) CPAP for neonatal RDS.
    b) Surfactant replacement therapy. 5+5
  4. a) Feeding of low birth weight babies.
    b) Probiotics in neonates. 5+5
  5. a) Newer diagnostic tests for neonatal sepsis.
    b) Neonatal hemochromatosis. 5+5

Paper 3

Write short notes on:

PART A

  1. Epidemiology, clinical features, prognosis and prevention of Japanese encephalitis. 2+3+2+3
  2. a) ILAR Classification of juvenile idiopathic arthritis.
    b) Clinical features of systemic onset disease and give the differential diagnosis thereof. 4+(4+2)
  3. a) Aetiology of depression in adolescents.
    b) Co-morbidities, clinical features and treatment of depression in adolescents. 2+(3+3+2)
  4. Causes, clinical presentation, investigations and management of diabetes inspidus. 1+2+3+4
  5. a) Maculopapular rash.
    b) Liver Function Tests. 5+5

PART B

  1. a) Pathogenesis of toxic shock syndrome (TSS).
    b) Diagnostic criteria for TSS.
    c) Differential diagnosis and management of TSS. 3+2+(2+3)
  2. a) What is short-stature?
    b) What are common causes of short stature?
    c) Algorithmic approach to manage a 5-year-old child with short stature. 1+3+6
  3. a) Enlist the acquired eye diseases in children.
    b) Common causes, clinical features, and management of acquired eye diseases in children. 2+(2+3+3)
  4. a) Define chronic liver disease.
    b) Causes, clinical approach, and management of a case of chronic liver disease. 1+(2+3+4)
  5. a) Pulse oximetry
    b) Newer anti-epileptics
    c) Iron plus initiative 2+4+4

Paper 4

Write short notes on:

PART A

  1. a) Advances in the treatment of hemophilia.
    b) Role of prebiotics and probiotics in pediatric practice. 5+5
  2. a) Intra-uterine fetal therapy.
    b) Dry blood PCR for HIV/AIDS testing. 5+5
  3. a) Technique of bone marrow aspiration and its indications.
    b) Liver transplantation: Indications and procedure. 5+5
  4. a) Role of CB-NAAT (Cartridge-based nucleic acid amplification test) in the diagnosis of pediatric tuberculosis.
    b) Nitric oxide therapy for persistent pulmonary hypertension. 5+5
  5. a) What is the Human milk bank and enumerate its indications?
    b) Indications of Nasal high flow oxygen in neonates. 5+5

PART B

  1. a) Management of a two-year-old child coming to Emergency room with severe respiratory distress.
    b) Management of an eight-month-old baby with diarrhea without dehydration. 5+5
  2. a) Immuno-modulator therapy in nephrotic syndrome.
    b) Combined vaccines. 5+5
  3. a) Recent Neonatal Resuscitation (NRP) Guideline.
    b) Enumerate management in cerebral palsy. 5+5
  4. a) Therapy and follow-up of Kawasaki disease.
    b) Selective hypothermia for management of Hypoxic Ischemic Encephalopathy (HIE) in newborns. 5+5
  5. a) Enumerate the indications of platelet transfusion in pediatric practice.
    b) Simulation: Newer medical teaching training technology. .5+5