Download Diplomate of National Board (DNB) 2020 June Paediatric SurgeryPart IIfinal Paper II Question Paper
NATIONAL BOARD OF EXAMINATIONS
JUNE 2020
PAEDIATRIC SURGERY(PART-II/FINAL)
PAPER-II
Time: 3 hours
PEDSURG 2/J/20/29/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) Pathophysiology of Hirschsprung's disease.
3+3+4
b) Immunohistochemical basis of diagnosis of Hirschsprung's disease.
c) How wil you manage a patient of Hirschsprung's disease presenting
post definitive surgery with persistent constipation and recurrent
episodes of enterocolitis?
2. a) Various causes of tethered cord syndrome.
2+4+2+2
b) Presentation and management of tethered cord syndrome.
c) What are the types of Arnold-Chiari malformations?
d) Management of Chiari I malformation.
3. a) Aetiology of extrahepatic biliary atresia.
3+2+3+2
b) CMV infection and its significance in biliary atresia.
c) What are the prognostic factors in cases of biliary atresia?
d) What are the long term outcomes post Kasai's portoenterostomy for
biliary atresia?
4. a) Etiology of achalasia cardia.
2+4+4
b) Dif erent methods of diagnosis of achalasia cardia.
c) Dif erent methods of treatment of achalasia cardia.
5. A female neonate on examination is found to have absent normal anal
2+3+5
opening and 2 openings in the vulva:
a) What are the various anatomical abnormalities possible?
b) How wil you manage such a patient?
c) Describe in detail the management protocol of cloacal anomaly.
P.T.O
-1-
POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
FINAL EXAM
NATIONAL BOARD OF EXAMINATIONS
JUNE 2020
PAEDIATRIC SURGERY(PART-II/FINAL)
PAPER-II
6. You are cal ed to see a 32-week male child weighing 1.75 kg with
2+3+5
respiratory distress:
a) What are the causes of respiratory distress in new born?
b) Development of the diaphgram and the effects of mal-development.
c) The new born with congenital diaphgramatic hernia suddenly becomes
acidotic while on ventilator: What are the possible causes and their
management?
7. a) What is meconium ileus?
2+2+2+4
b) What are the clinical types of meconium ileus?
c) Diagnosis of meconium ileus.
d) Medical and surgical management of meconium ileus.
8. a) What are the different types of chest wal deformities?
3+2+5
b) Discuss the various indices used to quantify the severity of pectus
excavatum.
c) Management of pectus excavatum.
9. A four-year-old girl is brought to you with tilting of head to one side since
2+2+3+3
she was 2-year-old:
a) What is your diagnosis and what investigations would you order?
b) What are the secondary effects of this condition?
c) Indications for surgery in such condition.
d) Describe briefly the surgical management.
10. a) What are the causes of chemical esophageal injuries in children?
2+3+5
b) What are the differences between acid and alkali ingestion causing
esophageal injuries?
c) Immediate and long term management of caustic injuries of the
esophagus.
************
-2-
POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
This post was last modified on 31 July 2021