Download DNB 2020 June Neonatology Paper II Question Paper

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

FINAL EXAM
NATIONAL BOARD OF EXAMINATIONS
JUNE 2020
NEONATOLOGY
PAPER-II
Time: 3 hours
NEONAT/J/20/19/II
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) What are the tests for antepartum fetal wel -being?
5+5
b) Discuss the role of fetal Doppler ultrasound.
2. A two-month old infant is presenting with failure to thrive. Outline the causes,
10
approach to diagnosis and management of this infant.
3. a) Describe the ethical issues in the management of a peri-viable newborn.
5+5
b) How would you counsel and prognosticate the parents of a newborn likely to
deliver at 25 weeks gestation?
4. Describe the antenatal management in fol owing two situations:
5+5
a) A pregnant woman presenting at 10 weeks of gestation to the perinatal clinic
and whose previous baby had congenital adrenal hyperplasia.
b) A pregnant woman presenting at 10 weeks of gestation to the perinatal clinic
and whose previous baby had Down Syndrome.
5. Antenatal, intrapartum and immediate postnatal strategies to improve survival
10
in an extremely preterm baby.
6. Short and long term outcomes of Preterm AGA, Preterm SGA and Term SGA
10
babies, each born with a birth weight of 1.4 kg.
7. a) Rationale and evidence for the practice of skin to skin contact at birth.
5+5
b) Relactation.
8. a) Plagiocephaly.
5+5
b) Hammersmith infant neurological examination.
9. a) Approach to diagnosis for a 2 days old neonate with bilious vomiting.
5+5
b) Discuss how to differentiate clinical y Cerebral Visual Impairment (CVI) and
ocular blindness.
10. a) Family centered care in NICU.
5+5
b) Core principles of Quality Improvement Initiatives.
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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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