Download DNB 2019 June PAEDIATRIC SURGERY (DIRECT 6 YEARS COURSE) PART-I PAEDIATRIC SURGERY (DIRECT 6 YEARS COURSE) PART I PAPER II Question Paper

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FINAL EXAM JUNE 2019

PAEDIATRIC SURGERY (DIRECT 6 YEARS COURSE) PART-I

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PAPER-II

Time: 3 hours PED SURG 1 /J/19/30/11 Max. Marks:100

Important Instructions:

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

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• Read the question carefully and answer to the point neatly and legibly.
• Do not leave any blank pages between two answers.
• Indicate the question number correctly for the answer in the margin space.
• Answer all the parts of a single question together.
• Start the answer to a question on a fresh page or leave adequate space between two answers.

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• Draw table/diagrams/flowcharts wherever appropriate.

Write short notes on:

1. Describe fetal circulation. What are its changes at birth? What are the causes of persistent fetal circulation? (3+3+4)
2. What are the causes of delayed passage of meconium? How do you investigate such a patient? Briefly describe the medical management of meconium ileus. (3+4+3)
3. What are the causes of fetal hydronephrosis? How do you plan the management in an antenatally detected hydronephrosis? (4+6)

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4. Enumerate the causes of neonatal jaundice. How do you proceed with the management of a neonate with cholestatic jaundice? Outline in brief the surgical procedure in a patient with biliary atresia. (3+3+4)
5. Enlist the renal tumours in children: Describe the pathology of Wilms’ tumour. How is it different from congenital mesoblastic nephroma? (3+5+2)
6. Describe the surgical anatomy of the right lung. What is congenital lobar emphysema? Which lobe of lung does it commonly affect? (3+4+3)
7. What is FAST in the management of abdominal trauma? How do you manage a child with splenic injury? (2+8)
8. Discuss the current concepts in the etiology, genetics and pathology of Hirschsprung’s disease. Name the different operation for Hirschsprung’s disease. (6+4)

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9. Enumerate briefly the various syndromes associated with intestinal polyps in children. Discuss with help of an algorithm the approach to the management of a child with bleeding per rectum. (5+5)
10. What are the causes of hydrocephalus in pediatric patients? Discuss in brief the medical and surgical management of hydrocephalus in children. (4+(2+4))