Download DNB 2014 June PAEDIATRICS P II PART A JUNE14 Question Paper

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FINAL EXAM NATIONAL BOARD OF EXAMINATIONS

PAEDIATRICS

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PAPER - II

PED/J/14/31/1

Time : 3 hours

Max. Marks : 100

IMPORTANT INSTRUCTIONS

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This question paper consists of 10 questions divided into Part ‘A’ and Part ‘B’, each part containing 5 questions.

• Answers to questions of Part ‘A’ and Part ‘B’ are to be strictly attempted in separate answer sheet(s) and the main + supplementary answer sheet(s) used for each part must be tagged separately.
• Answers to questions of Part ‘A’ attempted in answer sheet(s) of Part ‘B’ or vice versa shall not be evaluated.
• Answer sheet(s) of Part ‘A’ and Part ‘B’ are not to be tagged together.
• Part ‘A’ and Part ‘B’ should be mentioned only on the covering page of the respective answer sheet(s).

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

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• 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/flowcharts wherever appropriate.

PART A

1. Describe the development of the ductus arteriosus. 3+(2+5)
   

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   Enumerate the duct dependent lesions in the newborn and outline their management.
2. A three days old neonate is brought to the Emergency with 4+6
   history of not accepting feeds for one day. He is found to be lethargic with a HR of 180/min, and capillary filling time of 4secs and cold extremities. Outline your approach to this neonate along with management of the case.
3. How is urinary tract infection diagnosed? Draw an algorithm 2+5+3
   for evaluation of a child after the first episode of UTI. Describe the utility of a DMSA scan.

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4. Discuss the aetiology, pathogenesis, clinical presentation and 2+2+2+4
   management of a two months old child with chronic lung disease.
5. Write short notes on: 4+3+3
   a) Human milk fortifiers
   b) Vitamin-D Supplementation in neonates
   

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   c) Medium chain triglycerides in neonatal nutrition

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