DNB AUG 2021 PAPER

 Paper I

1.a) Describe / Diagrammatic representation of normal CSF flow.

b) Antenatal diagnosis Neural tube defects

2. a) pathogenesis of edematous malnourishment

b) normal calcium hemostasis

3. a) pliagrism

b) role of institutional ethical committee

4. a) Odds ratio and it's drawbacks

b) Meta-analysis of observational study

5. a) Mechanism of absorption of carbohydrates and name disease with defect at each level

b) pancreatic function tests

6. a) components of nurturing care for early childhood development.

b) Sustained developmental goals related to child health

7. a) Normal glucose homeostasis in infants

b) Diagnostic approach of 2 year old child with recurrent symptomatic hypoglycemia

8. a) MR campaign

b) Epidemiological investigation in disease outbreak

9. a) Psychosocial effects of covid 19 in children

b) classification & management of MIS-C

10. a) Procedure in child sexual abuse

b) POCSO act.

Paper II

1. a) Minimally invasive surfactant therapy

b) Management of BPD

2. a) Composition of human milk.

b) Human milk banking

3. a) Evaluation of obesity

b) Diagnosis and management of obstructive sleep apnea.

4. a) Diagnosis and treatment of migraine

b) Super refractory Status epilepticus and it's management.

5. Tabulate the classification of malnutrition by WHO. Management of 1 year old child with severe acute malnutrition and acute diarrhoea.

6. a) Medical management of acute kidney injury and indications for dialysis.

b) Diagnostic criteria for SIADH

7. a) Conjugate vaccines

b) Casuality assessment in AEFI

9. a) Hereditary thrombotic predisposition

b) Vaccination in child with cancer chemotherapy

10. a) screening test for ASD

b) Management of child with nocturnal enuresis.

Paper 3

1. a) Risks of acid suppression medications

b) ROME IV classification of functional abdominal pain

2. a) chicken pox management in adolescents

b) Management and complications of pertussis in infants

3. a) Next generation sequencing and it's indications

b) Management of ARF with carditis

4. a) Management of ingestion of many tablets of ferrous sulphate.

b) Diagnosis and differential diagnosis of neurocardiogenic syncope.

5. a) Tabulate the difference between extrahepatic biliary atresia and idiopathic neonatal hepatitis.

b) Management of newborn to HBsAg positive mother

6. Enumerate cause of short stature. Approch to 9 year old child with short stature.(4+6)

7. a) Management of child with intraocular perforation injury.

b) contact dermatitis

8. a) Tabulate the different ECG changes between different tachyarrythmias.

b) Clinical features and management of empyema.

9. a) Management of traumatic brain injury.

b) Diagnosis of lead poisoning

10. a) Strategies to limit screen time in children.

b) Disruptive behavioural disorders in children


Paper 4

1. a) Monoclonal antibodies in rabies post exposure prophylaxis

b) Recent advances in Insulin therapy

2. a) Pain assessment in children

b) Brain stem reflexes in determining brain death

3. a) Role of Vit D in child health beyond bone health

b) Dexa scan

4. a) Dengue vaccine

b) CRISPR editing in child health

5. a) Role of cryptosporidium in childhood diarrhoea.

b) WHO Reduced ORS

6. a) continuous glucose monitor

b) Point of care tests in diagnosis of infection

7. a) Universal newborn hearing screening

b) Prevention of vit A deficiency.

8. a) Discuss the differential diagnosis of acute flaccid paralysis in tabular form.

b) Discuss the pattern in weakness in GBS and it's variants and subtypes.

9. a) Diagnosis tests and management of renal artery stenosis.

b) Laboratory determiners of fanconi syndrome.

10. a) Heated high flow nasal cannula in respiratory distress.

b) Management of child with 40% burns