DNB Pediatrics Theory Question Paper April 2016

Theory question paper for DNB final exam held by National Board of Examination in April 2016 session.

Paper I

1.
a) Adrenal steroid hormone synthesis 5+(2+3)
b) Outline the biochemical consequences of defects in the classical 21-hydroxylase deficiency and its management.

2.
a) Structure of glomerulus with diagrammatic representation. (6+4)
b) What are the glomerular changes in rapidly progressive glomerulonephritis.

3. Enumerate the five high impact activities under RMNCH+A programme. 2+2+2+2+2

4. How is plasma osmolality calculated? Discuss its determinants. What are the diagnostic criteria of SIADH (Syndrome of inappropriate ADH secretion) (3+4)+3

5.
a) Steps to curb female infanticide. (5+5)
b) Role of micronutrients in pediatric health and disease.

6.
a) Virology and epidemiology of Swine-flu. (1+2)+3+(2+2)
b) How is the disease categorized according to Govt. of India guidelines.
c) Mention which children need to be immunized and who need to be given medication for the disease.

7.
a) EVidence based medlcine. (6+4)
b) Forest plot in meta-analysis.

8.
a) Clinical trials - Phase I, Phase II, Phase III & Phase IV. (5+5)
b) Ethics in biomedical research.

9.
a) Laws of adoption in India Define translocation. Write the Inheritance pattern for translocations. Describe clinical features of anyone translocation disorder. (4+6)
b) Enumerate 4 common neuronal migration disorders and their clinical features in brief.

10. Millennium Development Goals (MDG). (6+4)

Paper – II

1.
(a) Causes of neonatal anaemia. 5+5
(b) Cyanosis in newborn.

2.Aetiology, pathogenesis, linical features and management of hypophosphataemia. 2+3+2+3

3.
(a) What is Severe Acute Malnutrition (SAM)? 2+2+6
(b) What are the clinical signs of SAM?
(c) Management of SAM in an one year old child weighing 5kg.

4.An 8 year old child is brought with history of convulsions and altered diagnosis, laboratory investigations and management of this patient.3+3+4

5.
(a) Apnoea of prematurity5+5
(b) Retinopathy of prematurity.

6.Management of steroid resistant and steroid dependent nephritic syndrome.5+5

7.Management of 5+5
(a) Acute myeloid leukaemia
(b) Aplastic anaemia.

8.
(a) Diagnosis and management of pertussis5+5
(b) VAPP (Vaccine Associated Paralytic PoliomyelitiS).

9.
(a) Fluoride and disease 2+4+4
(b) Hypervitaminosis A
(c) Hypervitaminosis D

10.
(a) CSF formation and CSF circulation.4+(3+3)
(b) Enumarate the causes and management of
1. Communicating hydrocephalus
2. Non-communicating hydrocephalus

Paper – III

1.Pathcphysioloqy and management of 5+5
(a) Organophosphorus poisoning.
(b) Scorpion bite.

2.What are the biochemical criteria for the diagnosis of Diabetic Ketacidosis (DKA)? What are the goals of therapy? How will you manage a 7 year child with DKA? 3+3+4

3.Etiology, pathogenesis, clinical features and management of cardigenic shock?2+3+2+3

4.Describe the symbols used in pedigree chart. Draw pedigree charts over four generation depicting.4+(3+3)
(a) X-linked dominant disease
(b) X linked recessive disease.

5.Define severe dengue Describe the WHO guidelines for Its management.Enumerate the complications of severe dengue.2+4+4

6.
(a) Bioterrorism 3+3+4
(b) Radiation sickness
(c) Congenital cataract

7.
(a) Modified Glasgow Coma Scale for children and Infants. 5+2+3
(b) Its advantages and disadvantages.
(c) What is AVPU Pediatric Response Scale?

8.Define fulminantHepatic failure. Write stagesHepatic Encephalopathy.Outline steps of Its management. 2+3+5

9.
(a) Autistic spectrum disorders3+3+4
(b) Wiskott-Aldrich syndrome .
(c) Graft versus host disease

10.
(a) Hypernatrerma.3+3+4
(b) Hyperkalemia.
(c) Non-pharmacoglogic strategies for pain management.