Download DNB 2015 Dec NEONATOLOGY P II Question Paper

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FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2015
NEONATOLOGY
PAPER — 1
NEONAT/D/15/19/11

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Time : 3 hours
Max. Marks : 100

Important instructions:

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

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3. Read the question carefully and answer to the point neatly and legibly.
4. Do not leave any blank pages between two answers.
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.

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8. Draw table/diagrams/flowcharts wherever appropriate.

1. Write short notes on:
   1. Risk factors for neonatal invasive candidal disease. (6+4)
   2. Management of such a case.
2. Long term medical and neuro-developmental challenges of VLBW neonates. (5+5)

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3. Approach to a neonate with antenatally diagnosed hydronephrosis. (10)
4. 1. Define neonatal hypertension. (2+8)
   2. Outline the diagnostic approach to a hypertensive neonate.
5. Total parenteral nutrition in the neonate - indications, constituents and monitoring during therapy. (3+3+4)

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6. Human Genome Project and its impact on clinical practice in Neonatology. (4+6)
7. What is neonatal abstinence syndrome? What are the symptoms and treatment of this condition? (4+(3+3))
8. Determinants of prognosis following Hypoxic Ischaemic Encephalopathy. (10)
9. A neonate presents with acute respiratory distress and has normal chest radiograph. Discuss the differential diagnosis and approach to this case. (6+4)
10. 1. Enumerate the inherited metabolic disorders associated with a hepatitis syndrome of infancy. (4+(3+3))

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    2. Clinical features and the pathogenetic mechanism of alpha-one antitrypsin deficiency.

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