DNB Pediatrics Theory Question Paper Dec 2022

DNB theory question paper for the final exam held by the National Board of Examination in Dec 2022.

Links to model answers are given where available.

Paper 1

1. a) Life cycle of Ascaris lumbricoides. [5]
   b) Treatment of Hydatid cyst in children. [5]
2. a) Classification of dengue fever. [5]
   b) Management of Dengue shock Syndrome. [5]
3. a) Clinical features suggestive of T-cell defect. [5]
   b) Laboratory evaluation of suspected T-cell defect. [5]
4. a) Definition and epidemiology of double burden of malnutrition. [5]
   b) Prevention and treatment of hypoglycemia in severe acute malnutrition. [5]
5. a) Measles surveillance. [5]
   b) Interpretation of Mantoux test. [5]
6. Injury prevention strategies in children. [5]
   b) Clinical and radiological features of abusive head trauma. [5]
7. a) Factors determining the regulation of plasma osmolality. [5]
   b) Management of hypernatremic dehydration. [5]
8. a) Human milk banking. [5]
   b. 10-steps of Baby Friendly Hospital Initiative (BFHI). [5]
9. a) Assent in Research involving Children. [5]
   b) Types of bias in research and their implications. [5]
10. a) GRADE for certainty of evidence. [5]
    b) Gift authorship and Ghost authorship. [5]

Paper 2

1. a) Late preterm neonates and their problems. [5]
   b) Antenatal monitoring of fetal well being. [5]
2. a) Haemorragic disease of newborn. [4]
   b) Clinical features of thiamine deficiency in infants. [3]
   c) Treatment of Vitamin B12 deficiency in children. [3]
3. a) Components of nurturing care for early childhood development. [5]
   b) Tools for language and autism screening. [5]
4. a) Management of jaundice associated with breastfeeding. [5]
   b) Delivery room management of a term baby born through meconium stained
   liquor. [5]
5. a) Delayed cord clamping in neonates. [4]
   b) Cord care in term neonates. [3]
   c) Management of a neonate with watering of eyes. [3]
6. a) Vaccine hesitancy. [5]
   b) Pneumococcal vaccines. [5]
7. a) Management of relapse of nephrotic syndrome. [5]
   b) Current guidelines for management of vesicoureteral reflux (VUR) in children. [5]
8. a) Differential diagnosis and laboratory evaluation of iron-refractory iron deficiency anemia. [5]
   b) Diagnosis and management of acute mediastinal syndrome. [5]
9. a) Management of a child with Herpex simplex virus (HSV) encephalitis. [5]
   b) Guillain-Barre syndrome. [5]
10. a) Indications of neuroimaging in a child with headache. [5]
    b) Causes of hydrocephalus according to the level of obstruction in CSF flow. [5]

Paper 3

1. a) Criteria for diagnosis of Rheumatic fever. [5]
   b) Prophylaxis of Rhematic fever. [5]
2. a) Macrophage activation syndrome. [5]
   b) Tabulate the differences in clinical and laboratory features of Kawasaki disease and MIS-C.
3. a) Clinical Exome sequencing. [5]
   b) Disorders of Genetic imprinting. [5]
4. a) Risk factors and clinical features of Hand-Foot-Mouth disease. [5]
   b) Clinical features and management of Atopic dermatitis. [5]
5. a) Clinical evaluation of severity of acute exacerbation of bronchial asthma in children [5]
   b) Management of acute bronchiolitis. [5]
6. a) Management of functional constipation in children. [5]
   b) Define Malabsorption and enumerate its causes. [5]
7. a) Causes of renovascular hypertension. [5]
   b) Management of a child with acute severe hypertension. [5]
8. a) Management of an adolescent girl with polycystic ovarian syndrome. [5]
   b) Diagnosis of delayed puberty in males. [5]
9. a) Assessment of an adolescent with suicidal ideation. [5]
   b) Management of an adolescent girl with dysmenorrhoea. [5]
10. a) Congenital Hypothyroidism. [5]
    b) Growth hormone therapy. [5]

Paper 4

1. a) Polysomnography and its role in children. [5] b) Management of obstructive sleep apnea in a 10 year old child. [5]
2. a) Therapeutic hypothermia for hypoxic ischemic encephalopathy for neonates born in low and middle-income settings. [5]
   b) Strategies for minimizing antibiotic abuse in hospitalized children. [5]
3. a) ECG changes in hyperkalemia. [5]
   b) Management of ventricular tachycardia. [5]
4. a) Minimally invasive surfactant therapy. [5]
   b) Strategies of weaning from mechanical ventilation in a preterm neonate with respiratory distress syndrome. [5]
5. a) Pediatric cardiac arrest algorithm for single rescuer. [5]
   b) Advantages and complications of Peripherally inserted central catheter (PICC) line. [5]
6. a) Diagnostic algorithm for suspected mitochondrial disease. [5]
   b) Diagnosis and management of hyper-insulinemic hypoglycemia beyond neonatal period.
7. a) Early diagnosis and intervention in cerebral palsy. [5]
   b) Ketogenic diet in management of Refractory seizures. [5]
8. a) Genetic counselling and antenatal diagnosis of thalassemia. [5]
   b) Monitoring and management of iron overload in transfusion dependent thalassemia [5]
9. a) Pathogenesis and management of hemolytic uremic syndrome. [5]
   b) Role of platelet in hemostasis. [5]
10. a) Direct acting antivirals for Hepatitis C in children. [5]
    b) Cytogenetics in acute leukemia. [5]

Varun S | DNB (Pediatrics) Trainee

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