DNB theory question paper - Dec 2016

DNB theory question paper for final exam held by National Board of Examination in Dec 2016 .

Links to model answers are given where available.

Paper - 1 Part A

1. Question 3+(3+2+2)
   1. a) Outline the steps involved in the synthesis of Vitamin D.
   2. b) A seven-year-old boy presents with deformities suggestive of rickets. What are the possible causes? Enumerate the investigations for resistant rickets and treatment of hypophosphataemic rickets.
2. Etiopathogenesis and management of septic shock. 5+5
3. Question 3+2+5
   1. a) Measures of central tendency.
   2. b) Odds Ratio.
   3. c) Management of raised intracranial tension.
4. Mechanism of action, therapeutic usage with dosages, and adverse effects in children on 3+4+3
   a) Infliximab.
   b) Gamma globulins.
   c) Pegylated interferons.
5. Management of status epilepticus in children. 10

Paper - 1 Part B

1. Question 3+4+3
   1. a) Mission Indradhanush: Its targets and strategy
   2. b) Child Health Screening and Early Intervention Services in Rashtriya Bal Swasthya Karyakram (RBSK).
   3. Objectives and components of the National Iodine Deficiency disorders Control Programme.
2. Question 2+3+(2+3)
   1. a) First Referral Unit.
   2. b) Management of neurocysticercosis
   3. Enumerate causes of "Failure to Thrive" and a schematic evaluation plan for the same.
3. Question 5+(2+3)
   1. a) Embryology of heart development.
   2. b) Clinical features and management of hypoplastic left heart syndrome.
4. Question 5+5
   1. a) Early Biomarkers of sepsis.
   2. b) Management of moderate persistent asthma.
5. Clinical features and management of snakebite by a viper. 5+5

Paper 2 Part A

1. Clinical features and management of hypoxic-ischemic encephalopathy in newborns. 6+4
2. Question 2+3+5
   1. a) Grading of vesicoureteric reflux.
   2. b) Outline the evaluation plan for an Infant presenting With UTI.
   3. c) Treatment of Bowel Bladder Disorder.
3. Management of 5+5
   1. a) Hypothermia In newborns.
   2. b) Apnea in preterms.
4. Question 2+(3+5)
   1. a) Define obesity
   2. b) Enumerate causes and management of childhood obesity.
5. Question 5+5
   1. a) Enumerate advances in the treatment of thalassemia major.
   2. b) Risk stratisfaction of acute lymphatic leukemia

Paper - 2 Part B

1. Question 4+6
   1. a) Management of childhood autism.
   2. b) Treatment and outcome of neonatal and congenital varicella.
2. Question
   1. a) Definition and treatment of dengue haemorrhagic fever. 3+4+3
   2. b) Clinical presentation and diagnosis of Mycoplasma pneumoniae infection.
   3. c) Clinical features and treatment of Chikungunya fever.
3. Question
   1. a) Clinical presentation of Vitamin K deficiency in newborns and infants. 5+(2+3)
   2. b) Its prevention and management.
4. Question
   1. a) Differentiate a bleeding disorder from a clotting disorder. 3+(2+5)
   2. b) Investigation and treatment of a 2 year old boy presenting with spontaneous hemarthrosis.
5. Question
   1. a) Causes of prolonged hyperbilirubinemia (beyond 14 days) in newborns. 3+(4+3)
   2. b) Outline steps of investigation and management of prolonged hyperbilirubinemia in newborns.

Paper 3 Part A

1. Causes, investigations and treatment of a child with suspected intestinal malabsorption. 3+3+4
2. Question
   1. a) Cognitive behavior therapy in pediatrics. 5+(3+2)
   2. b) Causes and treatment of congenital cataract.
3. Question
   1. a) Enumerate various causes of childhood deafness. 3+(3+4)
   2. b) Investigations and management algOrithm of childhood deafness.
4. Clinical presentations, investigations and treatment of Wilson's disease. 4+3+3
5. Clinical features, investigations and treatment of congenital hypothyroidism. 3+3+4

Paper 3 Part B

1. Management of - 5+5
   1. a) Hepatic encephalopathy.
   2. b) Acne in adolescents.
2. Outline the hospital management of severe acute malnutrition (SAM). 10
3. Causes, clinical features and management of the following electrolyte abnormalities in children. 5+5
   1. a) Hyperkalaemia.
   2. b) Hypernatraemia.
4. Question 5+5
   1. a) AIDS defining illnesses in children.
   2. b) Drugs for procedural sedation In children.
5. Question 5+5
   1. a) Pentavalent vaccine. 5+5
   2. b) Microarray and DNA sequencing for diaqnosis.