DNB Pediatrics Question paper June 2018

PAPER 1

Part A

1. A. Mechanism of action of valproate as an anti-epileptic drug.
   B. Mechanisms of supraventricular tachycardia and mode of action of adenosine in supraventricular tachycardia. (4+6)
2. A. What are the usual patterns in hemoglobin electrophoresis in beta-thalassemia syndromes?
   B. Describe the oxygen dissociation curve and the factors affecting it. (4+6)
3. A. Neural tube defects.
   B. What is the pathogenesis of edema in nephrotic syndrome? (5+5)
4. A. Fetal circulation and changes at birth. 4
   B. Pulmonary function tests in childhood asthma. 6
5. A. Draw pedigree chart for autosomal dominant inheritance pattern of non-consanguineous parents. 5
   B. Describe briefly various types of renal nuclear scans. 5

Part B

1. A. Measures of central tendency.
   B. Ethical principles when doing research on humans. (5+5)
2. A. Mission Indradhanush.
   B. WHO Classification of community-acquired pneumonia in children less than 5 years of age. (5+5)
3. A. Sustainable development goals relevant to children. 4
   B. Newborn screening is useful in which conditions and how it can be done. 6
4. A. Prevention of iron deficiency anemia in children under 5 years of age. 5
   B. Magnesium and phosphate in the treatment of acute severe malnutrition. 5
5. A. Components of structured abstract. 4
   B. Study designs 6

PAPER 2

Part A

1. A. Refeeding syndrome. 5
   B. Management of hypoglycemia in newborn. 5
2. A. Immunization in immunosuppressed children 5
   B. Sexual maturation staging in girls and boys. 5
3. A. Describe various types of febrile seizures.
   B. Diagnostic criteria for autism. (4+6)
4. A. Clinical features and diagnosis of posterior fossa tumors. 5
   B. Treatment of raised intracranial tension in acute encephalitic syndrome. 5
5. A. Indication of kidney biopsy in a child with massive proteinuria. 4
   B. Diagnosis and treatment of nocturnal enuresis in an eight-year-old. 6

Part B

1. A. Treatment of standard-risk acute lymphoblastic leukemia. (5)
   B. Management of hypovolemic Hyponatremia.(5)
2. A. Surfactant in HMD.(5)
   B. Specific treatment of mild to moderate bleeding in Hemophilia A.(5)
3. A. Causes and management of secondary VUR.(5)
   B. Treatment of tumor lysis syndrome(5)
4. A. Treatment of hypertensive emergency. (5)
   B. epilepsy syndrome with focal seizures (5).
5. A. Diagnosis of Myasthenia gravis (5)
   B. Treatment of steroid-resistant nephrotic syndrome. (5)

PAPER 3

Part A

1. A. Diagnostic tests for dengue fever. (4)
   B. Diagnosis and treatment of scrub typhus (6)
2. A. Treatment of cerebral malaria (5)
   B. Investigations for confirmatory diagnosis of tubercular meningitis. (5)
3. A. Cutaneous manifestations of SLE.(5)
   B. Approach to a case of exanthematous fever in a 14 months child. (5)
4. A. Treatment of JIA. (4)
   B. Screening and prevention of ROP. (6)
5. A. Management of tachycardia with a pulse but with poor perfusion(6)
   B. Management of corrosive ingestion in children(4)

Part B

1. A. Management of fluid refractory septic shock (5)
   B. Hyper IGE syndromes(5)
2. A. Diagnostic evaluation of biliary atresia(5)
   B. Pathophysiology and treatment of cyanotic spell (5)
3. A. Premature thelarche (4)
   B. Screening and treatment of congenital hypothyroidism (6)
4. A. Causes and investigation of persistent pneumonia (5)
   B. Diagnosis and treatment of bronchopulmonary aspergillosis(5)
5. A. When to suspect and how to investigate for carbohydrate malabsorption(6)
   B. Treatment of variceal hemorrhage.(4)