DNB Theory question bank 2022 | Respiratory system

This is a 2022 update on previously asked questions in the DNB pediatrics theory exam. The questions are arranged topic-wise.

How to use the question bank?

  1. Questions are arranged in chronological order, latest first
  2. Each question is followed by a Numbers.
  3. Numbers in bracket are Year followed by session, 1 is June session, 2 is December session eg. (2022/1) is a question from June 2022 question paper
  4. The number after the bracket is Marks allotted for eg. 5+5 is 5 marks for each subquestion.

Topics such as ARDS and ventilation are covered in emergency medicine and asthma is covered in allergic disorders. The 2016 update has all these resp topics combined. Link here

Section 1. Development and function

Chapter 400. Diagnostic Approach to Respiratory Disease

  1. NIRS (2022/June) 5
  2. PFT in childhood asthma (2022/June) 5
  3. Development of diaphragm, trachea and esophagus and types of TOF with diagrams. (2020/Dec) 4
  4. Calculation of alveolar-arterial oxygen gradient and its role in the diagnosis of lung diseases (2019/1) 5
  5. How would you distinguish restrictive vs obstructive lung disease based on PFT? (2016/1) 4
  6. Give a graphical picture and explanation of the elastic volume-pressure relationship of lung and chest wall in children. (2016/1) 6
  7. Discuss Pulmonary Function Tests and their clinical utility. (2013/2) 7+3
  8. Outline the pulmonary function testing in children with an emphasis on performance and interpretation of spirometry. (2008/1) 10

Section 2. Disorders of the Respiratory tract

Chapter 405. Acquired Disorders of the Nose

  1. Causes and treatment of epistaxis (2018/2) 5

Chapter 408. Sinusitis

  1. Diagnosis and management of acute sinusitis (2019/2)4

Chapter 409. Acute Pharyngitis

  1. Indications to use antibiotics in children with Upper Respiratory Infections (1997/1)10

Chapter 411. Tonsils and Adenoids

  1. Discuss the treatment of Nasal polyps in children (2014/1) 3
  2. Management of Acute Tonsillitis in children (1998/1)15

Chapter 412. Acute Inflammatory Upper Airway Obstruction (Croup, Epiglottitis, Laryngitis, and Bacterial Tracheitis

  1. Approach to a child with upper airway obstruction. (2020/Dec) 5
  2. Management of ALTB (2017/2) 4
  3. A 2-year-old boy presents with fever, change of voice, and stridor for 2 days. Outline the differential diagnosis and management options. (2012/1)6+4
  4. Differential diagnosis and management of acute stridor in a 2 years old child. (2010/1)3+7
  5. Discuss the differential diagnosis and management of a 3-year-old girl with a history of cough and cold, presenting with the onset of noisy breathing, barking cough, hoarse voice,, and respiratory distress. (2008/1)10
  6. A 1-year-old child is brought with a history of sudden onset of respiratory distress and stridor of 2 days’ duration. What is the differential diagnosis? Discuss the steps in the management of Viral Croup (2006/2 )10
  7. Clinical Evaluation and management of a child with stridor (2006/1)10
  8. List the common causes of stridor in children. How will you diagnose and manage a case of stridor? (2004/2)3+4+3
  9. A 2-year-old child presents to the hospital with a fever and Stridor of 12-hour duration. Discuss the diagnosis (1997/1)10
  10. Management of Acute Stridor in a Preschool child (1993/1)15

Chapter 413. Congenital Anomalies of the Larynx, Trachea, and Bronchi

  1. Bronchogenic cysts (2018/2)5

Chapter 414. Foreign Bodies in the Airway

  1. Diagnosis of Bronchial Foreign Body (1993/2)10

Chapter 418. Wheezing, Bronchiolitis, and Bronchitis

  1. Approach to a child with recurrent wheezing. (2020/Dec) 5
  2. Management of Bronchiolitis (2019/1) 5
  3. Management of recurrent/persistent wheezing in children (2018/2)5
  4. Recent advances in the treatment of bronchiolitis (2018/2) 5
  5. Define acute bronchiolitis. Describe its etiopathogenesis and characteristics features. Outline the essential steps in the management of bronchiolitis. (2010/2) 2+2+2+4
  6. Course and prognosis of Acute Bronchiolitis (1998/2)10

Chapter 423. Congenital Disorders of the Lung

  1. Detail the causes for localized emphysema of the lung. Describe the presentation and
    management of congenital lobar emphysema. (2008/1)10
  2. Describe the congenital malformations of the lungs. Discuss the diagnosis and management of these malformations (1996/2)25

Chapter 426. Chronic Recurrent Aspiration

  1. List conditions predisposing children to Aspiration Lung injury. Mention clinical features and principles of management of Chronic Aspiration. Conditions predisposing children to aspiration lung injury (2007/2)10

Chapter 427. Immune and Inflammatory Lung Disease

  1. Diagnosis and treatment of Bronchopulmonary aspergillosis (2018/1) 5

Chapter 428. Community-Acquired Pneumonia

  1. Causes and investigations of persistent pneumonia (2019/2)
  2. Causes and investigations for persistent pneumonia. (2018/1)5
  3. WHO Classification of community-acquired pneumonia in children less than 5 years of age (2018/1) 5
  4. Discuss differential diagnosis and management of a child with recurrent pneumonia. (2011/2)4+6
  5. Discuss Briefly the Differential diagnosis and management of a case of Persistent Pneumonia in a 3-month-old infant (1999/2)15
  6. Treatment of Staphylococcal pneumonia (1993/1)10

Chapter 429. Pleurisy, Pleural Effusions, and Empyema

  1. Empyema diagnosis and management (2021/June) 5
  2. Describe the etiology, stages of evolution, clinical manifestations, diagnostic investigations, and management of empyema thoracic (2011/1)1+2+2+2+3

Chapter 432. Cystic Fibrosis

  1. Advances in the management of cystic fibrosis (2022/June) 5
  2. Diagnosis and treatment of cystic fibrosis in children (2019/1) 5
  3. Diagnosis of cystic fibrosis (2018/2)5
  4. Outline management of pulmonary involvement with cystic fibrosis. 5(2015/2)
  5. Diagnostic workup of a child with cystic fibrosis(CF). Describe the management of a child with CF. (2014/2) 4+6
  6. Pathophysiology and clinical features of Cystic Fibrosis (2006)10

Chapter 433. Primary Ciliary Dyskinesia (Immotile Cilia Syndrome, Kartagener Syndrome)

  1. Primary ciliary dyskinesia – Diagnosis (2017/2) 6
  2. Describe the location, structure, and function of cilia in the respiratory tract. Discuss the clinical presentation and management of primary ciliary dyskinesia? (2011/2)3+7

Chapter 434. Diffuse Lung Diseases in Childhood

  1. Define interstitial lung disease (ILD). Enlist pediatric ILDs. Write a brief description of lymphocytic interstitial pneumonitis (LIP). Outline the treatment options for ILD in children. (2008/1)10

Chapter 446. Chronic Respiratory Insufficiency

  1. Discuss the etiology, pathogenesis, clinical presentation, and management of a two-month-old child with chronic lung disease. (2014/1) 2+2+2+4
  2. Central hypoventilation syndrome. (2013/2) 5


  1. Volume-targeted ventilation (2022/June) 5
  2. EtCO2, Measurement, and interpretations. (2021/Dec) 5
  3. High flow nasal cannula oxygen delivery in children (2021/June) 5
Check out   Capnography - Basics

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