DNB Final examination (Paediatrics) December 2010 Question Papers

FINAL EXAM
DECEMBER 201O
Time : 3 hours
Max. Marks : 100
Attempt all questions in^order'
iactl iluestion carries 10 marks'
PEDIATRICS
PAPER _ I
NATIONAL BOARD OF EXAMINATIONS
PED/D/10/31/l
1 Write the common causes and differential diagnosis of gross 2+2+6
symptomatic hematuria Provide an algorithm for its laboratory and
radiological evaluation'
2 Write the characteristic features of febrile seizures in children' 2+2+3+3
Enumerate the differentiating points for atypicar febrire seizure. outline
the indications ano regime for continuous prophylaxis in febrile selzures'
3 Define acute oronchiolitis Describe its etiopathogenesis and 2+2+2+4
characteristic features' Outline the essential steps in management of
bronchiolitis.
Tabulate the classification of Juvenile ldiopathic Arthritis and state 4+6
princiPles of its treatment'
Enumerate sources of lead poisoning' Outline the mechanism of toxicity 3+3+4
and clinical features of lead poisoning'
Outline the management of dog bite in a four year old child '
10
7 Describe the types of hearing loss in children' Enumerate the causes of 4+6
hearing loss in children'
8 Define hyponatremia' Enumerate the etiology of hyponatremia 2+3+5
I
Describethemanagementofhypovolemichyponatremia.
Outline the '10 steps of management of severe malnutrition' as per WHO 10
guidelines, in appropriate sequence
l0Discussthemanagementofacutediarrheawithparticu|arreferenceto3+2
low osmolarity ORS, zinc, probiotics and antibiotics'
possEss,oN / usE o F CELL PHoNEs oR Ay';irlxfi5f,',if:!.c GADGETS 's Nor P ERM|TTED INSiDE rHE

FINAL EXAM
DECEMBER 201O
NATIONAL BOARD OF EXAMINATIONS
Time
Max. Marks
: 3 hours
: 100
PAPER - II
PED/D/10/31/tl
Attempt all questions in order.
Each question carries 10 marks.
10
outline the fine motor milestones along with their normal age of achievement
In sequence aftained between birth and 5 years of age.
Define failure to thrive and tabulate its causes. oufline the approach to
manage a child with failure to thrive.
Discuss the approach to diagnosis of persistent purmonary Hypertensiqn of
Newborn (PPHN). oufline the avairabre modarities of management,
highlighting their key features, in a tabular format.
Enumerate functions of vitamin A in human body. Taburate the wHo
classification of vitamin A deficiency. ou ine the treatment schedule for
managing Xerophthalmia in children.
outline the risk factors, pathophysiology and principles of management of
intraventricular hemorrhage in preterm neonates.
Discuss the principles of care of the skin in neonates. oufline the role of
touch and massage therapy in newborn infants.
Define Under-S mortarity rate. comment on its current status and etiorogy in
India. outline important strategies /programs undertaken by Govt. of India to
improve Under-S child survival.
Provide algorithms for case-detection and treatment for a child with fever,
suspected to have malaria, as per National Vector-borne Disease control
Program:
a ln an area where microscopy resurts are avairabre within 24 hours; and
b. In an area where microscopy results are not available within 24 hours.
Define complementary feeding. Oufline the attributes of complementary
foods. Enumerate the recommendations on complementary feeding, as per
the Nationat Guidetines on Infant and young Child Feeding (lyCF).
Discuss the pathophysiology, classification and diagnostic features of
necrotizing enterocolitis.
possEss/or,, / usE o F ?ELL pHoNEs oR ArJ];rr?ffi;ir,xryc GADGETS 's wor pER l4 rrED tNstDE rHE
z't-J+c
10
4+6
2+3+5
3+3+4
4+3+3
2+2+2+4
5+5
z+ z+o
4+3+3

FINAL EXAM
DECEMBER 20IO
NATIONAL BOARD OF EXAMINATIONS
Time : 3 hours
Max, Marks : 100
PEDIATRICS
PAPER - III
PED|Dt10t31iltl
Aftempt all questions in order.
Each question carries 10 marks.
10
tsnumerate the complications of acute post_streptococcal 3+7
gtomerulonephritis. Describe their management in brief.
Outline the diagnosticriteria of diabetes insipidus. Discuss the 4+6
management of nephrogenic diabetes insipidus.
Enumerate the causes and oufline the characteristics and treatment 3+3+4
of Supraventricular Tachycardia (SW) in an infant.
Define myoclonic epilepsy. Discuss in brief the characteristic
z'f o
features of differentypes of myoclonic epilepsies, with onset in
infancy.
Outline the clinical features, radiological changes, diagnosis and
treatment of nutritional vitamin D deficiency rickets.
Dlscuss the clinical features, diagnosis and management of
Developmental Dysplasia of Hip (DDH).
Discuss evaluation and management of an g year old male with
primary nocturnal enuresis.
Describe the characteristic changes observed in fundus examination
of a child with
i. Chronic hypertension;
ii. Acute lymphoblastic Ieukemia;
iii. Longstanding diabetesmellitus
Outline the characteristic clinlcal features of ,efihema multiforme,
and 'Stevens-Johnson Syndrome,. Enumerate the principles of
management of Stevens _ Johnson syndrome.
Outline the management of an g-year old child with acute liver cell
failure and hepatic encephalopathy.
2+2+2+4
3+4+3
4+6
4+3+3
4+3+3
10
PossEss/orv ,/ usE o F )ELL pHoNEs oR ArJr2lr?x^ir:irrnyc GADGETS ,s Nor PERM' rrED tNstDE rHE

FINAL EXAM
NATIONAL BOARD OF EXAMINATIONS
PEDIATRICS
PAPER _ IV
Time : 3 hours
Max. Marks :100
PED/D/10/31/lV
, Attempt all questions in order.
" li Each question carries 10 marks
1 Enumerate the hormonesecreted by anterior pituitary and list ihe 3+7
factors stimulating and inhibiting secretion of growth hormone.
2 Discuss the etiology, pathogenesis and diagnostic workup of acute 3+3+4
autoimmune hemolytic anemia.
3 Define and explain sensitivity, specificity, positive predictive value and 2.5X4
negative predictive value of a diagnostic test.
4 Outline the normal bilirubin metabolism. Outline the principle of 4+3+3
phototherapy for treatment of neonatal jaundice. List factors that
influence the efiicacy of phototherapy.
5 Discuss the lung function abnormalities in severe asthma. What is the 6+4
role of lung function evaluation in management of asthma in children?
6 Describe the etiology, pathogenesis, diagnosis and treatment of 1+2+3+4
antibiotic associatediarrhea;
7 Enlisthe functions of pancieas. Outline the pancreatic function tests 4+6
I
I
and their implications in pediatric practice.
Discuss the pathophysiology of hyaline membrane disease in 10
premature newborns.
Write short notes on the following:
a. Grading of vesico-ureteric reflux and indications of surgical 3+2
intervention
children with vesico-ureteric reflux.
b. Peripheral smear findings
iron deficiency and 812 deficiency 2.5+2.5
anemta.
10 Describe in brief the diseases in which lVlG is used for treatment. 5+2+1+2
Write the dosage, administration and side effects of lVlG.
POSSESSTO'V,/ USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.