Download DNB 2020 December Neonatology Paper II Question Paper

Time: 3 hours

Max. Marks: 100

Important Instructions:

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• 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.

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• 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.

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• Draw table/diagrams/flowcharts wherever appropriate.

Write short notes on:

1. Write ILAE classification of neonatal seizure and write an algorithm of neonatal seizure management. 5+5
2. a) Algorithm for postnatal workup of antenatal renal collecting system dilatation.
   b) Algorithm for evaluation and treatment of refractory hypoglycaemia. 5+5

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3. Recent recommendation of PRBC transfusion in preterm infant and enumerate QI practices to optimize transfusion need. 4+6
4. Describe Pattern of Artifacts in Point of care Lung USG. Describe lung USG finding in Pneumothorax, TTNB and Pneumonia. 3+3+2+2
5. a) Distribution of clinical phenotype of preterm infants.
   b) Chromosomal Microarray. 5+5
6. Postnatally acquired CMV infection in ELBW infants – Risk factors, presentations and management. 2+3+5

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7. A 27 weeks preterm with birth weight of 890 grams received surfactant, was on ventilation, deteriorated on end day 2 with tachycardia, and increase need of FiO2. Discuss causes, how to approach and classify severity of hsPDA and current pharmacotherapy for hsPDA. 2+2+3+3
8. a) Enumerate Development Supportive Care for VLBW infants.
   b) Hearing Screening protocol for at risk New born. 6+4
9. a) How to investigate an infection outbreak in NICU?
   b) Describe the core components of hospital antibiotics stewardship. 5+5

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10. A 25 weeks preterm now 34 weeks PMA still on ventilator has repeated episodes of desaturations: how would you investigate and list outline of respiratory management of this neonate. 4+6

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