Download DNB 2020 June Neonatology Paper III Question Paper

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

FINAL EXAM
NATIONAL BOARD OF EXAMINATIONS
JUNE 2020
NEONATOLOGY
PAPER-II
Time: 3 hours
NEONAT/J/20/19/I 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) Human milk oligosaccharides and their clinical significance.
5+5
b) Evaluation and management of persistent hypoglycemia.
2. Good clinical practices that you would like to fol ow in Special Newborn Care
10
Units.
3. a) Supraventricular tachycardia in a neonate.
4+3+3
b) Enumerate echocardiographic criteria for a hemodynamical y significant
PDA.
c) The pharmacological management of hemodynamical y significant PDA in
a 1.2 kg preterm neonate.
4. a) KDIGO criteria for acute kidney injury.
5+5
b) Management of the neonate with antenatal y diagnosed hydronephrosis.
5. A twenty-day old infant presents with increasing jaundice. Outline the causes,
10
approach to diagnosis and management of this infant.
6. a) Evidence for Magnesium Sulphate to the pregnant woman to improve
5+5
neonatal outcomes.
b) Critical Congenital Heart Disease screening in neonates.
7. Discuss `Care bundles' for prevention of:
5+5
a) Central Line associated Blood Stream Infection.
b) Ventilator associated pneumonia.
8. a) Minimal y Invasive Surfactant Therapy.
4+6
b) Patient triggered ventilation.
9. a) New born Hearing Screening protocol.
5+5
b) Evidence regarding use of Antenatal Steroids beyond 34 weeks'
pregnancy.
10. Mechanism of action, indications, evidence and protocol for administration of
3+2+3+2
Inhaled Nitric oxide.
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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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