Download DNB 2020 June Neonatology Paper I Question Paper

Download Diplomate of National Board (DNB) 2020 June Neonatology Paper I Question Paper

FINAL EXAM
NATIONAL BOARD OF EXAMINATIONS
JUNE 2020
NEONATOLOGY
PAPER-I
Time: 3 hours
NEONAT/J/20/19/I
Max. Marks:100
Important Instructions:
Attempt al questions in order.
Each question carries 10 marks.
Read the question careful y 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 al 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) Mechanisms of antimicrobial drug resistance.
5+5
b) Investigating a sepsis outbreak in NICU.
2. a) Discuss pathogenesis of septic shock.
4+6
b) Time sensitive goal directed stepwise management of septic shock.
3. a) Describe the pathophysiology of hydrops fetalis.
5+5
b) Discuss the indications and complications of intrauterine transfusion.
4. a) Describe stages in the development of the lung.
5+5
b) Describe the embryologic basis of any two anomalies due to mal-
development during any two stages.
5. a) Discuss criteria for diagnosis for congenital hypothyroidism.
3+7
b) Management algorithm for congenital hypothyroidism.
6. a) Tabulate severity classification of ROP.
4+3+3
b) Discuss:
I. Indications of various treatment modalities.
II. Treatment of threshold ROP.
7. A 5-day-old term baby, birth weight 2.9 kg, presents with current weight of
10
2.0 kg with a serum sodium of168 mEq/l. Discuss fluid management of this
baby for the next 48 hours.
8. a) Nested case control study.
5+5
b) Receiver Operating Characteristic (ROC) curves.
9. a) Informed consent and assent.
5+5
b) Phases of clinical trials.
10. a) GRADE.
3+3+2+2
b) Confidence interval.
c) Advantages of randomization.
d) Likelihood Ratio.
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POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.

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