NATIONAL BOARD OF EXAMINATIONS

FINAL EXAMDECEMBER 201O

PEDIATRICS

PAPER _ I

PED/D/10/31/lTime : 3 hoursMax. Marks : 100

Attempt all questions in^order'

iactl iluestion carries 10 marks'

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

7

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 ' 1 0

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

Describethemanagementofhypovolemichyponatremia.

I Outline the '10 steps of management of severe malnutrition' as per WHO 10

guidelines, in appropriate sequence

l0D i scuss themanagemen to facu ted ia r r heaw i t hpa r t i cu |a r r e fe rence to3+2+3+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

PAPER - II

FINAL EXAMDECEMBER 201O

NATIONAL BOARD OF EXAMINATIONS

PED/D/10/31/tlTimeMax. Marks

: 3 hours: 100

Attempt all questions in order.Each question carries 10 marks.

outline the fine motor milestones along with their normal age of achievementIn sequence aftained between birth and 5 years of age.Define failure to thrive and tabulate its causes. oufline the approach tomanage a child with failure to thrive.

Discuss the approach to diagnosis of persistent purmonary Hypertensiqn ofNewborn (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 wHoclassification of vitamin A deficiency. ou ine the treatment schedule formanaging Xerophthalmia in children.

outline the risk factors, pathophysiology and principles of management ofintraventricular hemorrhage in preterm neonates.Discuss the principles of care of the skin in neonates. oufline the role oftouch and massage therapy in newborn infants.Define Under-S mortarity rate. comment on its current status and etiorogy inIndia. outline important strategies /programs undertaken by Govt. of India toimprove 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 controlProgram:

a ln an area where microscopy resurts are avairabre within 24 hours; andb. In an area where microscopy results are not available within 24 hours.

Define complementary feeding. Oufline the attributes of complementaryfoods. Enumerate the recommendations on complementary feeding, as perthe Nationat Guidetines on Infant and young Child Feeding (lyCF).Discuss the pathophysiology, classification and diagnostic features ofnecrotizing enterocolitis.

possEss/or,, / usE o F ?ELL pHoNEs oR ArJ];rr?ffi;ir,xryc GADGETS 's wor pER l4 rrED tNstDE rHE

1 0

z't-J+c

4+6

2+3+5

3+3+4

4+3+3

2+2+2+4

5+5

z+ z+o

1 04+3+3

FINAL EXAMDECEMBER 20IO

Time : 3 hoursMax, Marks : 100

Aftempt all questions in order.Each question carries 10 marks.

NATIONAL BOARD OF EXAMINATIONS

PED|Dt10t31iltl

3+7

4+6

3+3+4

z' f o

2+2+2+4

3+4+3

4+6

4+3+3

4+3+3

PEDIATRICSPAPER - III

tsnumerate the complications of acute post_streptococcalgtomerulonephritis. Describe their management in brief.Outline the diagnostic criteria of diabetes insipidus. Discuss themanagement of nephrogenic diabetes insipidus.Enumerate the causes and oufline the characteristics and treatmentof Supraventricular Tachycardia (SW) in an infant.Define myoclonic epilepsy. Discuss in brief the characteristicfeatures of different types of myoclonic epilepsies, with onset ininfancy.

Outline the clinical features, radiological changes, diagnosis andtreatment of nutritional vitamin D deficiency rickets.Dlscuss the clinical features, diagnosis and management ofDevelopmental Dysplasia of Hip (DDH).Discuss evaluation and management of an g year old male withprimary nocturnal enuresis.Describe the characteristic changes observed in fundus examinationof a child with

i. Chronic hypertension;ii. Acute lymphoblastic Ieukemia;i i i . Longstanding diabetesmell i tusOutline the characteristic clinlcal features of ,efihema

multiforme,and 'Stevens-Johnson

Syndrome,. Enumerate the principles ofmanagement of Stevens _ Johnson syndrome.Outline the management of an g-year old child with acute liver cellfailure and hepatic encephalopathy.

PossEss/orv ,/ usE o F )ELL pHoNEs oR ArJr2lr?x^ir:irrnyc GADGETS ,s Nor PERM' rrED tNstDE rHE

1 01 0

FINAL EXAM NATIONAL BOARD OF EXAMINATIONS

PED/D/10/31/lV

PEDIATRICS

PAPER _ IV

Time : 3 hoursMax. Marks :100

, Attempt all questions in order." li Each question carries 10 marks

1 Enumerate the hormones secreted 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 Outl ine the normal bil irubin metabolism. Outl ine 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 associated diarrhea;

7 Enlist the functions of pancieas. Outline the pancreatic function tests 4+6

and their implications in pediatric practice.

I Discuss the pathophysiology of hyaline membrane disease in 10

premature newborns.

I Write short notes on the following:

a. Grading of vesico-ureteric reflux and indications of surgical 3+2

intervention in children with vesico-ureteric reflux.

b. Peripheral smear f indings in 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 THEEXAMINATION HALL.