Download DNB 2020 December PaedIatrIc Surgery DIrect 6 Years Course Part I Paper II Question Paper

Download Diplomate of National Board (DNB) 2020 December PaedIatrIc Surgery DIrect 6 Years Course Part I Paper II Question Paper

FINAL EXAM
NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2020
PAEDIATRIC SURGERY - DIRECT 6 YEARS COURSE (PART - I)
PAPER-II

Time: 3 hours
PED.SURG.1/D/20/30/II
Max. Marks:100
Important Instructions:
You are provided with 5 answer sheet booklets. Each individual answer sheet booklet consists
of 10 pages excluding the covering jackets.
Answers to all the questions must be attempted within these 5 answer sheet booklets which
must be later tagged together at the end of the exam.
No additional supplementary answer sheet booklet will be provided.
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.
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.

Write short notes on:

1. a) Production, metabolism and excretion of bilirubin.
3+1+3+3
b) Define pathological jaundice.
c) Causes of pathological jaundice.
d) Evaluation of pathological jaundice.
2. a) Altman's classification of scarococcygeal teratoma with incidence and
4+3+3
characteristics of each type.
b) Prognostic factors for coccygeal teratoma.
c) Tumor markers for Germ cell tumors.
3. a) Differential diagnosis of malignant renal tumors of early infancy.
2+5+3
b) Risk stratification of Wilms' tumor in SIOP protocol.
c) Syndromic Wilms' tumor with a reference to oncogenes.
4. a) Pathogenesis of meconium ileus.
2+3+2+3
b) Confirmatory tests for meconium ileus in a neonate.
c) Long-term results of meconium ileus.
d) Imaging for abnormalities of rotation and fixation of gut.
5. a) Antenatal hydronephrosis.
3+4+3
b) Renal dynamic scan in diagnosing hydronephrosis due to pyelo-
ureteric junction obstruction.
c) Caeco-ureterocele.
6. a) Pathogenesis of necrotizing enterocolitis of the newborn.
5+5
b) Metabolic abnormalities in an infant with repeated vomiting due to
infantile hypertrophic pyloric stenosis with reference to paradoxical
aciduria.
7. a) Extra-corporeal membrane oxygenation- definition, indications, pros
5+5
and cons and techniques in the management of congenital
diaphragmatic hernia.
b) Complicatons of transfusion of blood and blood products.
P.T.O
-1-
POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.

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FINAL EXAM
NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2020
PAEDIATRIC SURGERY - DIRECT 6 YEARS COURSE (PART - I)
PAPER-II

8. a) Development of diaphragm; supplement answer with diagram(s).
3+4+3
b) Beckwith Wiedemann Syndrome- definition, underlying genetic
changes, and associated malignancies.
c) Hemopneumothorax.
9. a) Thermoregulation in newborn.
3+3+4
b) Aetiology and management of acute hyperkalemia in neonates.
c) Principles of management of hypovolemic shock.
10. a) Second branchial cleft anomalies.
3+4+3
b) Maintenance fluid and electrolyte requirements in a newborn.
c) Omphalomesenteric remnants.
*************
-2-
POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.

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