Download DNB 2015 Dec PED. SURG P I Question Paper

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FINAL EXAM NATIONAL BOARD OF EXAMINATIONS

DECEMBER 2015

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PAEDIATRIC SURGERY

PAPER - I

PED.SURG/D/15/29/

Time : 3 hours

Max. Marks : 100

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Important instructions:

1. Attempt all questions in order.
2. Each question carries 10 marks.
3. Read the question carefully and answer to the point neatly and legibly.
4. Do not leave any blank pages between two answers.

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5. Indicate the question number correctly for the answer in the margin space.
6. Answer all the parts of a single question together.
7. Start the answer to a question on a fresh page or leave adequate space between two answers.
8. Draw table/diagrams/flowcharts wherever appropriate.

1. Write short notes on:

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   a) Define shock and enumerate the different types of shock. 2

   b) Cold shock and warm shock. (3+3)

   c) When is shock termed “fluid refractory”? 2

2. What are the various components of APGAR score and how is it scored? Enumerate the neonatal pediatric surgical conditions demanding resuscitation alert. 6+4

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3. a) Principle of SPECT (Single Photon Emission Computerized Tomography). 5+5

   b) Enlist the clinical situations where it can provide specific information.

4. What is the Battered Child syndrome? What are the injuries seen in children with this syndrome? 5+5

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5. a) Metabolic complications in an infant with infantile hypertrophic pyloric stenosis. 4

   b) What is paradoxical aciduria? 2

   c) Preoperative resuscitation of a patient with infantile hypertrophic pyloric stenosis. 4

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6. a) Extracorporeal Membrane Oxygenation (ECMO). 4

   b) Indications and contraindications for use of ECMO in a patient of congenital diaphragmatic hernia. 6

7. a) Classification of hepatoblastoma. 5

   b) PRETEXT staging of hepatoblastoma. 5

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8. a) Enumerate the various types of stem cells. 4

   b) Fundamental principles in stem cell transplantation with particular reference to neurodysplasia of the spinal cord. 6

9. a) What is a Randomized Control Trial (RCT)? 4

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   b) Advantages and disadvantages of RCTs over other commonly employed research methodologies. 6

10. Role of SRY, SOX-9 and the DAX-1 gene in sexual differentiation. 10

POSSESSION / USE OF CELL PHONES IS NOT PERMITTED INSIDE THE EXAMINATION HALL.

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