8. Emergency & Critical care - DNB QUESTIONS

• Severity scoring system in PICU. Dec 19; 7mrks
• Emergency triage & treatment in pediatric practice. Dec 20; 5mrks
• Pediatric triage in emergency department. Jun 20; 5mrks
• Triage of sick newborn in SNCU. Dec 18; 5mrks
• A 4-day old home delivered boy (weight 1350g, Gestation 36 wk) is brought to you with abnormal body movements and non-acceptance of feeds. The child is cold to touch and capillary filling time is 5 seconds. Discuss the diagnosis and management of this child. Jun 20; 5+5mrks
• a) Management of a child with ingestion of many tablets of ferrous sulphate. b) Diagnosis and Differential Diagnoses of Neurocardiogenic syncope. Jun 21; 5+5mrks
• a) Management of neonatal seizures. b) Surgical emergencies in newborn. Dec 20; 5+5mrks
• a) Approach to child with upper airway obstruction. b) Types of supraventricular tachycardia and management of SVT with circulatory failure. Dec 20; 5+5mrks
• a) Diagnosis of Wilson's disease. b) Emergency triage and treatment in pediatric practice
• a) Modified Glasgow Coma Scale. b) Pediatric multisystem inflammatory syndrome.
• a) Ethics in biomedical research. b) Intraosseous infusions: Indications and complications.
• a) Adolescent Friendly Health Services. b) Severity scoring systems in PICU (Pediatric Intensive Care Units).
• a) Modified Glasgow Coma Scale for children and infants. b) Its advantages and disadvantages. c) What is AVPU Pediatric Response Scale?
• Mechanism of action, therapeutic usage, dosages and adverse effects in children of: a) Low molecular weight heparins b) Magnesium sulphate.
• What is Rapid Sequence Intubation (RSI)? Outline the steps involved. Discuss the indications and advantages of RSI.
• A three days old neonate is brought to the Emergency with history of not accepting feeds for one day. He is found to be lethargic with a HR of 180/min, and capillary filling time of 4 secs and cold extremities. Outline your approach to this neonate along with management of the case.
• Write short notes on: a) Probiotics b) Enteral feeding in the sick child c) Magnesium in therapy
• Write short notes on: a) End-Tidal carbon dioxide monitoring b) Pulse oximetry c) Amplitude integrated EEG
• a) Adolescent Friendly Health Services. b) Severity scoring systems in PICU (Pediatric Intensive Care Units).
• a) Measures to reduce intracranial tension. b) Management of scabies in children.
• a) lntracranial hypertension - Causes, diagnosis and management. b) Hematopoietic Stem Cell Transplant (HSCT).
• a) Diagnosis of lead poisoning. b) Management of a child with traumatic brain injury.
• a) Clinical features and diagnosis of posterior fossa tumours. b) Treatment of raised intracranial tension in acute encephalitic syndrome.
• a) Measures of central tendency. b) Odds Ratio. c) Management of raised intracranial tension.
• a) Neuroprotective strategies in CNS injuries in neonates. b) Complications of unconjugated hyperbilirubinemia in a neonate.
• Discuss pathophysiology and types of cerebral edema. Write the medical management of raised ICT.
• a) Assessment of pain in children. b) Brainstem reflex testing to determine brain death.
• Define Brain Death. Write age specific criteria for Brain Death in children.
• a) Evaluation of medical morbidities in Down syndrome. b) Management of septic shock
• A 4-day old home delivered boy (weight 1350g, Gestation 36 wk) is brought to you with abnormal body movements and non-acceptance of feeds. The child is cold to touch and capillary filling time is 5 seconds. Discuss the diagnosis and management of this child.
• a) INAP (India Newborn Action Plan). b) Management of a child in the emergency room with peripheral circulatory failure.
• a) Pathophysiology of hypovolemic shock. b) Principles of newer diagnostic tests in tuberculosis.
• a) Management of tachycardia with pulse but poor perfusion. b) Management of corrosive ingestion by a child.
• a) Management of fluid refractory septic shock. b) Hyper IgE syndromes
• a) Factor replacement therapy in Hemophilia. b) Systemic Inflammatory Response Syndrome.
• Etiology, pathogenesis, clinical features and management of cardigenic shock?
• Etiopathogenesis and management of septic shock.
• a) Early Biomarkers of sepsis. b) Management of moderate persistent asthma.
• What are the defining criteria of Systemic Inflammatory Response Syndrome (SIRS)? Name the mediators involved and their mode of action.
• Pathophysiology and management of: a) Refractory shock. b) Intraventricular hemorrhage.
• Etiology and management of cardiogenic shock.
• A three days old neonate is brought to the Emergency with history of not accepting feeds for one day. He is found to be lethargic with a HR of 180/min, and capillary filling time of 4 secs and cold extremities. Outline your approach to this neonate along with management of the case.
• Define SIRS, sepsis, severe sepsis and septic shock. Discuss the management of septic shock.
• Write short notes on: a) Voiding dysfunctions in children . b) Various adjunctive therapies in the management of overwhelming sepsis in neonates.
• Discuss the pathophysiology of septic shock. Describe the International consensus definition for pediatric sepsis.
• Define septic shock. Describe etio-pathogenesis and clinical features in a 15 month old child presenting with septic shock.
• a) Management of acute lung injury. b) Metabolic autopsy.
• a) Staging & management hypoxic ischemic encephalopathy (HIE). b) Approach to a newborn with respiratory distress.
• a) Heated high flow nasal cannula oxygen therapy for respiratory distress. b) Management of a child with 40% burns.
• a) End tidal CO2 measurement and interpretation. b) Attention deficit hyperactivity disorder in children - Management.
• a) Modes of ventilation in pediatric patients. b) Point of care ultrasonography in PICU.
• a) Enumerate and describe the scoring systems to evaluate severity of respiratory distress in new born. b) Outline the indications, setting and contraindications of CPAP in new born infants.
• a) Rational Oxygen Therapy. b) Diagnostic cardiac catheterization.
• a) High Frequency ventilation. b) FOAD (Foetal Origin of Adult Disease).
• a) Noninvasive Ventilation (NIV) in neonates. b) Role of USG in NICU.
• a) What is Human milk bank and enumerate its indications? b) Indications of Nasal high flow oxygen in neonates.
• a) Management of two-year-old child coming to Emergency room with severe respiratory distress. b) Management of an eight-month old baby with diarrhea without dehydration.
• a) Differential diagnosis of respiratory distress in a 6 hour old newborn infant. b) Pathophysiology and recent advances in the management of Respiratory Distress Syndrome.
• a) Biology and role of cytokines in newborn infants. b) Oxygenation index. c) ASHA.
• Utility of blood gas studies (ABG) in localization of pathology and severity of disease in respiratory problems.
• a) High frequency oscillatory ventilation (HFOV). b) Pulmonary graphics.
• a) CPAP for neonatal RDS. b) Surfactant replacement therapy.
• a) Pulse oximetry b) Newer anti-epileptics c) Iron plus initiative
• An 8 month old baby presents with respiratory distress. Describe the differential diagnosis, evaluation and outline treatment for this infant.
• Write short notes on: a) End-Tidal carbon dioxide monitoring b) Pulse oximetry c) Amplitude integrated EEG
• Define Acute Lung Injury. Discuss the etiopathogenesis and management of a child with Acute Lung Injury.
• Classify respiratory failure in children. List the modes of assisted ventilation and its indications.
• a) Diagnosis of autoimmune encephalitis. b) Role of Sildenafil Citrate in newborn practice.
• a) Define near drowning. b) Pathophysiology and management of near drowning.
• a) (i) Definition of polio eradication. (ii) Polio eradication in India. (iii) Immunization issues following polio eradication. b) Near drowning.
• Discuss the pathophysiology of submersion injury. A 4 year old boy was rescued 10 min back from a pond and rushed to the hospital emergency. Mention the basic principles of management.
• a) Heated high flow nasal cannula oxygen therapy for respiratory distress. b) Management of a child with 40% burns.
• a) Nutrition in a critically sick child. b) Role of salicylates in Kawasaki disease.
• Outline the nutritional support of a critically ill child. List the complications during the management of such a child.
• Provide classification of burns injury. Describe the clinical manifestation of electrical burns. Outline emergency management of a child with 20% burns.
• Describe the advantages and methods of giving Kangaroo Mother Care (KMC). Enlist metabolic consequences of hypothermia.