DNB Pediatrics Theory Question Paper June 2015

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

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