Download DNB 2019 Dec 2019 Dec PEDIATRIC SURGERY DIRECT SIX YEARS PAPER II Question Paper

Download Diplomate in National Board (DNB) 2019 Dec 2019 Dec PEDIATRIC SURGERY DIRECT SIX YEARS PAPER II Previous Question Papers

FINAL EXAM NATIONAL BO
DECEMBER 2019
PAEDIATRIC SURGERY (DIRECT 6 YEARS COURS
PAPER-ll
Time: 3 hours PED SURG 1/D/19/30/II
Max. Marks:100
Important Instructions:
Attempt all questions in order.
Each question carries 10 marks.
Read the question carefully and answer to the point neatly and legib/y.
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.
Draw table/diagrams/?owcharts wherever appropriate.
Write short notes on:
1. 3) Describe various stages in the development of the lung. 4+3+3
b) What is the current role of surfactant?
0) How are ventilatory parameters adjusted based on arterial blood gas
readings?
2. a) What is the energy and protein requirement in a neonate? 2+6+2
b) Discuss the metabolic changes in a stressed surgical neonate.
c) What are the recent advances in lipid replacement?
3. a) What are the current nil per oral instruction guidelines for 2+3+5
preoperative patients?
b) What are the side effects of anesthesia in preterm newborns?
c) Discuss various pain relief techniques currently in use for children
after major surgery.
4. a) What is oxygenation index? 2+3+5
b) Draw a diagram of ECMO circuit.
c) What are the possible complications with the use of ECMO?
5. a) What is tidal volume? 2+2+2+4
b) How are initial ventilator parameters set?
c) What is the role of PEEP? Discuss the principles of weaning from
ventilator support.
6. Discuss incidence, risk factors and management of nosocomial 2+3+5
infections.
7. a) Discussradiographic changes after an inhaled foreign body. 3+3+4
b) What factors make young children more prone to aspiration?
0) Discuss causes of unsuccessful endoscopic airway foreign body
removal and its management.
P.T.O.
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POSSESS/ON/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMI?ITED INSIDE THE
EXA MINA TION 1?1/1 LL.

FINAL EXAM
DECEMBER 2019
10.
a)
b)
C)
d)
a)
PAEDIATRIC SURGERY (DIRECT 6 YEARS COURSE) PART- I
PAPER-Il
Describe the anatomy of splenic artery with diagram(s).
Discuss briefly the role of partial splenectomy.
Enumerate the sites of accessory spleen and its importance.
Factors influencing post splenectomy sepsis.
Describe the differences in embryology and presentation of
gastroschisis and exomphalos major.
Describe the principles of surgical management of both these
conditions.
Discuss the pathophysiology of antenatal hydronephrosis.
Describe pre-operative investigations in pelvi?ureteric junction
obstruction and their interpretation.
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EXA MINA TION HA LL.
NATIONAL BOARD OF EXAMINATIONS
2+2+2+4
5+5
5+5
POSSESSION/USE OF CELL PHONES 0R ANYSUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE