DNB Pediatrics Theory Question Paper June 2015

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

Links to relevant answers are given where available.

PART A

1. Grading, classification, and natural history of vesicoureteric reflux.3+3+4
2. Utility of blood gas studies (ABG) in localization of pathology and severity of disease in respiratory problems. 5+5
3. a) Enumerate the hormones secreted by the anterior pituitary.
   b) Factors stimulating and inhibiting the secretion of growth hormone. 3+7
4. a) Define disorders of sex development (DSD) in newborn.
   b) Nursery evaluation of a newborn with suspected DSD by history, physical examination and diagnostic tests. c) Issues in the management of DSD. 2+6+2
5. a) Millennium Development Goals – 4 and 5 (Sustainable Development Goals )
   b) Swachh Bharat Abhiyan.
   c) Mission Indradhanush. 4+3+3

PART B

6. a) Embryology and anatomy of the pancreas.
   b) Physiology of exocrine pancreas.
   c) How would you assess the pancreatic functions? 3+3+4
7. a) Components of the immune system.
   b) Difference between innate and acquired immunity.
   c) Role of T and B lymphocytes and the killer cells. 4+3+3
8. a) Fetal circulation.
   b) What are the changes after birth in fetal circulation?
   c) Pathophysiology of persistent fetal circulation. 4+3+3
9. a) Classification of childhood histiocytosis.
   b) Clinical features and management of a case of Langerhans cell histiocytosis. 3+(3+4)
10. a) Components of ethics in biomedical research.
    b) ‘P’- value and level of significance. (Medical Statistics)
    c) Allocation concealment. 4+3+3

PART A

1. a) Define DOTS, DOT agent, and DOTS Plus.
   b) List at least four important components of DOTS.
   c) Give the categorization of treatment strategy in DOTS. 3+2+5
2. a) (i) Definition of polio eradication.
   (ii) Polio eradication in India.
   (iii) Immunization issues following polio eradication.
   b) Near drowning. 1+2+3 4
3. a) Rotavirus vaccine.
   b) Conjugate vaccines.
   c) HPV vaccine 3+3+4
4. a) Newer antimalarial drugs.
   b) Failure to thrive. 4+6
5. a) What are the demyelinating disorders of the CNS?
   b) Etiopathogenesis, clinical features, investigations and management of ADEM (Acute Demyelinating Encephalomyelitis). 2+(2+2+2+2)

PART B

6. a) Diagnosis and management of autoimmune hemolytic anemia.
   b) Developmentally supportive care in NICU.
   c) Diagnosis and management of lead poisoning. 3+3+4
7. a) High-frequency oscillatory ventilation (HFOV).
   b) Pulmonary graphics. 5+5
8. a) CPAP for neonatal RDS
   b) Surfactant replacement therapy. 5+5
9. a) Feeding of low birth weight babies
   b) Probiotics in neonates. 5+5
10. a) Newer diagnostic tests for neonatal sepsis.
    b) Neonatal hemochromatosis. 5+5

PART A

1. Epidemiology, clinical features, prognosis and prevention of Japanese encephalitis. 2+3+2+3
2. a) ILAR Classification of juvenile idiopathic arthritis.
   b) Clinical features of systemic onset disease and give the differential diagnosis thereof. 4+(4+2)
3. a) Aetiology of depression in adolescents.
   b) Co-morbidities, clinical features and treatment of depression in adolescents. 2+(3+3+2)
4. Causes, clinical presentation, investigations and management of diabetes inspidus. 1+2+3+4
5. a) Maculopapular rash.
   b) Liver Function Tests. 5+5

PART B

6. a) Pathogenesis of toxic shock syndrome (TSS).
   b) Diagnostic criteria for TSS.
   c) Differential diagnosis and management of TSS. 3+2+(2+3)
7. a) What is short-stature?
   b) What are common causes of short stature?
   c) Algorithmic approach to manage a 5-year-old child with short stature. 1+3+6
8. a) Enlist the acquired eye diseases in children.
   b) Common causes, clinical features, and management of acquired eye diseases in children. 2+(2+3+3)
9. a) Define chronic liver disease.
   b) Causes, clinical approach, and management of a case of chronic liver disease. 1+(2+3+4)
10. a) Pulse oximetry
    b) Newer anti-epileptics
    c) Iron plus initiative 2+4+4

PART A

1. a) Advances in the treatment of hemophilia.
   b) Role of prebiotics and probiotics in pediatric practice. 5+5
2. a) Intra-uterine fetal therapy.
   b) Dry blood PCR for HIV/AIDS testing. 5+5
3. a) Technique of bone marrow aspiration and its indications.
   b) Liver transplantation: Indications and procedure. 5+5
4. a) Role of CB-NAAT (Cartridge-based nucleic acid amplification test) in the diagnosis of pediatric tuberculosis.
   b) Nitric oxide therapy for persistent pulmonary hypertension. 5+5
5. a) What is the Human milk bank and enumerate its indications?
   b) Indications of Nasal high flow oxygen in neonates. 5+5

PART B

6. a) Management of a two-year-old child coming to Emergency room with severe respiratory distress.
   b) Management of an eight-month-old baby with diarrhea without dehydration. 5+5
7. a) Immuno-modulator therapy in nephrotic syndrome.
   b) Combined vaccines. 5+5
8. a) Recent Neonatal Resuscitation (NRP) Guideline.
   b) Enumerate management in cerebral palsy. 5+5
9. a) Therapy and follow-up of Kawasaki disease.
   b) Selective hypothermia for management of Hypoxic Ischemic Encephalopathy (HIE) in newborns. 5+5
10. a) Enumerate the indications of platelet transfusion in pediatric practice.
    b) Simulation: Newer medical teaching training technology. 5+5