DNB Pediatrics Theory Question Paper December 2014

DNB theory question paper for the final exam held by the National Board of Examination in Dec 2014.

Links to model answers are given where available.

Paper 1

Part A

1. Name the steps of morphogenesis of respiratory system. Enumerate congenital lung malformations. Describe natural course of congenital cystic adenomatoid malformation. 3+3+4
2. a) Female infanticide 5
   b) Cold chain 5
3. Define osmolarity. Discuss the mechanism of regulation of plasma osmolarity in the human body. 2+8
4. a) Karyotyping 5
   b) Child abuse 5
5. Why children are vulnerable to chemical pollutants? What are chemical pollutants in environment and their effects? What are hazards of environmental tobacco smoke in children? 3+4+3

Part B

6. a) Disease modifying agents used for JIA. 5
   b) Biologic anti-TNF agents for JIA. 5
7. Discuss pathophysiology and types of cerebral edema. Write the medical management of raised ICT. 4+6
8. Describe physiological basis of gastroesophageal reflux. Discuss clinical features and management of gastroesophageal reflux disease. 3+(2+5)·
9. Define hyperkalemia. Discuss management of hyperkalemia. 2+8
10. a) Define sensitivity,specificity & positive predictive value. 2+2+2 (Biomedical statistics)
    b) Types of error in a research study. 4

Paper 2

Part A

1. Etiology & management of persistent pulmonary hypertension. 3+7
2. a) Side effects of phototherapy. 5
   b) Issues related to transport of a sick newborn. 5
3. Describe WHO classifications of eye manifestation of vitamin A deficiency. Discuss prevention & management of Vitamin A deficiency in children. 4+6
4. What is Inactivated Polio Vaccine (IPV)? What are the advantages & disadvantages of IPV over OPV? What is the schedule of IPV as recommended by lAP? 3+5
5. a) Stem cell therapy. 5
   b) Recent advances in the management of thalassemia major. 5

Part B

6. Enumerate causes for Steroid Resistant Nephrotic Syndrome and discuss its management. 4+6
7. a) Define dyslexia. Briefly discuss its management 5
   b) Define 'precocious puberty' in boys Enumerate causes of precocious puberty in boys. 5
8. Enumerate common types of neural tube defects. Discuss prevention and management of neural tube defects. 4+(2+4)
9. a) Classification of childhood leukemias. 5
   b) Management of tumour lysis syndrome. 5
10. Types, clinical presentation and management of spinal muscular atrophies. 2+4+4

Paper 3

Part A

1. Clinical presentation, investigations and treatment of Multi Drug Resistant TB. 3+2+5
2. Etiology, clinical presentation and management of Stevens Johnson Syndrome. 3+2+5
3. a) Recurrent abdominal pain in children.
   b) Chronic pancreatitis in children. 5+5
   
4. a) Management of acute otitis media.
   b) Evaluation of obstructive sleep apnoea 5+5
5. Define Fulminant Hepatic Failure. Discuss factors precipitating hepatic encephalopathy and management of hepatic encephalopathy. 2+(3+5)

Part B

6. Pathogenesis, clinical features and diagnostic criteria of autoimmune lymphoproliferative syndrome. 4+3+3
7. What is Rapid Sequence Intubation (RSI)? Outline the steps involved. Discuss the indications and advantages of RSI. 2+5+3
8. Pathophysiology, clinical presentation and management of carbon monoxide poisoning. 3+3+4
9. Diagnostic work up of a child with cystic fibrosis (CF). Describe management of a child with CF. 4+6
10. Etiology and management of cardiogenic shock 3+7

Posted by - Dr Amit Rai