DNB Pediatrics Theory question paper June 2013

DNB theory question paper for the final exam held by the National Board of Examination in June 2013.

Links to model answers are given where available. Download link at the bottom.

Paper 1

PART A

1. Enlist the clinical and anthropometric criteria for diagnosis of Severe Acute
   Malnutrition (SAM). Discuss the principles of management of SAM in an 18
   months old baby who also has watery diarrhea. 3+7
2. Briefly discuss the pulmonary disorders seen in children with HIV/AIDs. 10
3. Define Juvenile Idiopathic Arthritis (JIA). Outline the classification of JIA.
   Discuss the mimickers of rheumatic diseases in children. 2+4+4
4. Discuss the recent guidelines for diagnosis and management of childhood
   tuberculosis. 10
5. Outline and discuss the diagnosis and management of organophosphorus
   poisoning. 4+6

Part B

6. List the WHO criteria to diagnose severe malaria. Discuss the
   management of a child with cerebral malaria. 4+6
7. Discuss the pathogenesis, clinical presentations, diagnosis and treatment
   of Wilson's disease. 2+3+3+2
8. Define short stature. Outline the approach to clinical evaluation and
   management of a child with short stature. 2+8
9. Write brief notes on: 5+5
   a. Newer antiepileptic drugs
   b. Acute demyelinating encephalomyelitis
10. Outline the etiology of Iron deficiency in children. Describe the clinical
    features and approach to diagnosis of a child suspected to be having
    nutritional anemia. 3+(2+5)

Paper 2

Part A

1. Outline the goals of Baby Friendly Hospital Initiative (BFHI). Enumerate ten
   steps to successful breast feeding. Mention contraindications to breast feeding. 2+5+3
2. Write brief notes on: 5+5
   a. Management of neonatal apnea
   b. Trophic feeding
3. Outline and discuss the strategies to prevent lung injury and
   bronchopulmonary dysplasia in a preterm baby. 10
4. Describe the advantages and methods of giving Kangaroo Mother Care
   (KMC). Enlist metabolic consequences of hypothermia. (4+4)+2
5. Write short notes on: 5+5
   a. Antenatal screening for Down syndrome
   b. Immediate and late problems due to low birth weight

Part B

6. Write short notes on: 5+5
   a. Role of pediatrician in adoption of a child.
   b. Principles of sleep hygiene in children.
7. Discuss attributes, complications, and monitoring of total parenteral nutrition in a newborn. 10
8. Briefly outline the following: 5+5
   a. Tips on parental guidance for computer and internet usage by children.
   b. Salient differences between the National and IAP Immunization schedule.
9. Outline and discuss various strategies to manage hyperbilirubinemia in
   newborns. 10
10. Define developmental delay and developmental dissociation. Outline the screening and definitive tests for diagnosis of developmental delay. 5+5 

Paper 3

Part A

1. Discuss the modes of transmission of hepatotrophic viral infections.
   Outline the clinical features, diagnosis and treatment of hepatitis B
   infection in children. 2+(3+3+2)
2. Outline the clinical approach to the diagnosis of a child with 5+5
   a. Short duration/ acute pain abdomen; and
   b. Long duration / recurrent pain abdomen
3. Describe the hemodynamics and clinical features of tricuspid atresia in a neonate. Outline the expected findings on ECG and chest X-ray. (3+3)+(2+2)
4. A 3-year-old child is brought with a history of acute dysentery around 10
   days back. Now the child developed pallor with oliguria. Discuss the
   differential diagnosis, investigative approach, and treatment of this child. 3+4+3
5. Discuss the treatment options for acute ITP in a 14 year old girl child. 10

Part B

6. Discuss differential diagnosis of a floppy infant. Write a short note on
   clinical and laboratory characteristics of Werdnig-Hoffman disease. 4+(3+3)
7. Outline the long term complications of thalassemia major. How will you
   monitor for such complications in a child with thalassemia major? 5+5
8. Describe the pathogenesis, clinical features and management of scorpion
   sting. 3+3+4
9. Discuss in brief etiopathogenesis, clinical features and treatment of
   seborrheic dermatitis in a neonate. 3+4+3
10. Define hypocalcemia. Enumerate hormones affecting calcium balance in
    the body. Describe their respective roles in calcium homeostasis. 2+3+5

Paper 4

Part 1

1. Enumerate the factors associated with prematurity and low birth weight.
   Discuss the potential pathways by which infection plays a role in premature
   delivery. 4+6
2. Discuss the recent changes in guidelines for resuscitation of new born and
   older children with the rationale for the change. 10
3. Discuss the pathophysiology of septic shock. Describe the International
   consensus definition for pediatric sepsis. 5+5
4. Outline the Duke criteria for diagnosis of bacterial endocarditis. Discuss its
   application in clinical setting. 6+4
5. Enumerate classic and non-classic forms of genetic inheritance. Discuss in
   brief the characteristics of autosomal recessive inheritance. Illustrate with a
   pedigree chart. 5+3+2

Part B

6. Write short notes on: 5+5
   a. Paediatric RIFLE criteria for acute kidney injury.
   b. Urinary indices in acute renal failure.
7. What are the fluid, metabolic and biochemical changes in a child with severe dengue? Discuss the underlying pathophysiology. 10
8. Discuss the principles of safe and stable transport of a sick newborn. 10
9. Classify respiratory failure in children. List the modes of assisted ventilation
   and its indications. 6+4
10. Define the following: 2 x 5
    a. Herd immunity
    b. Herd effect
    c. Vaccine immunogenecity
    d. Vaccine efficacy; and
    e. Vaccine effectiveness