DNB Pediatrics Theory Question Paper December 2019

DNB theory question paper for final exam held by National Board of Examination in december 2019.

Links to relevant answers are given where available.

Paper1

Write short notes on:

PART A

1. a) Fetal hematopoiesis. 5
   b) How will u approach a 2 days old neonate with anemia? 5
2. a) Different immunization campaigns in India and their role in improving health coverage. 5
   b) Home-based newborn care. 5
3. a) Comment critically on “Evaluation of diagnostic test study”. 6
   b) Positive Predictive Value. 2 Medical statistics here
   c) Negative Predictive Value. 2
4. a) Role of pediatrician in management of 6 yrs old girl brought with sexual abuse to Emergency Department. 5
   b) Approach to a child with seizure in day 2 of life. 5
5. a) Human Milk Banking. 5
   b) OP screening. 5

PART B

6. a) Fluid management in child with Dengue Shock Syndrome and its complications. 5
   b) Immunotherapy.5
7. a) Diagrammatically illustrate principles of mode of inheritance of genetic
   disorders. 6
   b) Counselling of antenatal mother who already has a thalassemia major child. 4
8. a) Draw the diagram of nephron. 3
   b) Investigations and management of AKI. 7
9. a) Future Vaccine. 5
   b) Emerging infections. 5
10. a) Antenatal screening. 5
    b) Chorionic villus sampling-method, indications and complications. 5

Paper2

Write short notes on:

PART A

1. a) Anti-rabies vaccine-Different schedules, Advantage of each schedule. 5
   b) Newborn Screening test in relation to endocrinology. 5
2. a) Noninvasive ventilation(NIV) in neonates. 5
   b) Role of USG in NICU. 5
3. a) Discuss Anemia Mukt Bharat with specific reference to children and adolescents. 5
   b) Management of Refractory Status Epilepticus.5
4. a) Tumor Lysis Syndrome. 5
   b) Neurocutaneous syndrome. 5
5. a) Approach to child with gross recurrent Hematuria.5
   b) How will you approach a child with Talipes Equinovarus at different ages. 5

PART B

6. a) Hidden hunger in children. 5.
   b)Rickettsial infection-when to suspect. 5.
7. a) Neonatal mortality rate. 5.
   b)Primary pulmonary hypertension(PPHN). 5.
8. a) Intracranial hypertension- Causes, diagnosis and management. (2+2+2)
   b)Hematopoietic Stem Cell Transplant(HSCT). 4
9. a) Nightmares and nocturnal emissions. 5.
   b)Approach to arrythmias in children. 5.
10. a) Non-nutritive sucking and early infant stimulation.5.
    b)Management of first episode of ITP. 5.

Paper3

Write short notes on:

PART A

1. a) Lying in school age child. 5
   b)Stuttering. 5
2. a) Scorpion sting. 3
   b) Paracetamol poisoning. 4
   c) Bee and wasp sting. 3
3. a) Adolescent Friendly Health Services. 5
   b)Severity scoring systems in PICU. 5
4. a) Systemic onset juvenile idiopathic arthritis.6
   b)Cytogenetic analysis- illustrate with examples. 4
5. a) Discuss the role of CBC and ESR in evaluation of child with suspected immunodeficiency. 6
   b)Macrophage Activation syndrome. 4

PART B

6. a) Diagnosis and management of fulminant hepatic failure. 5
   b)Causes and investigations of persistent pneumonia. 5
7. a) Diptheritic myocarditis. 5
   b)Investigations and management of Delayed puberty. 5
8. a) Pediculosis. 5
   b)Niphah infection : symptoms and prevention. 5
9. a) Diagnosis and management of acute sinusitis. 4
   b)Progeria. 6
10. a) Growth hormone in Pediatric Practice. 5
    b)Interpretation of Thyroid Function Test. 5

Paper4

Write short notes on:

PART A

1. a) Discuss the approach to a neonate with thrombocytopenia with specific reference to causes and investigations. 6
   b) Prophylaxis program in hemophilia. 4
2. a)Precautions to be taken while transfusing in hemolytic child. 4
   b) Liver biopsy- Indications, complications and management of complications. 6
3. INAP(Indian Newborn Action Plan).5
   b) Management of a child in emergency room with peripheral circulatory failure. 5
4. a)PET scan- indications and risks. 4
   b) Management of bronchial asthma with current evidence based recommendation. 6
5. a) Rational Oxygen Therapy. 5
   b) Diagnostic cardiac catheterization. 5

PART B

6. a) District Early Intervention Center (DEIC). 5
   b)Management of a child with following kerosene ingestion. 5
7. a) Rituximab- mode of action ,Indication and Adverse effect. 2+2+2
   b)Palliative care in terminally ill children. 4
8. a) Predicting neonatal mortality -scoring systems. 6
   b)Screening for birth defects at delivery point. 4
9. a) High Frequency ventilator.5
   b)FOAD (Fetal origin of adult diseases). 5
10. a) Describe principles of prevention of nosocomial infection in NICU/PICU. 5
    b)Diagnosis and management of Poly cystic Ovary Syndrome. 5