FINAL EXAM NATIONAL BOARD OF EXAMINATIONSDECEMBER 2011

NEONATOLOGY

PAPER- ITime :3hours NEONAT/Dl11llgllMax. Marks : 100

Attempt all questions in order.Each question carries 10 marks.

1. Describe the placental development, and discuss the endocrine 4+3+3and paracrine functions of the placenta.

2. What is evidence based medicine (EBM)? Describe strength of 2+3+5evidence and quality of evidence. Discuss importance of EBM inrelation to neonatal resuscitation.

3. Describe the development of skin and discuss strategies for 4+6epidermal barrier maturation

4. Write a note on retinal development with special emphasis on 5+5pathophysiology of Retinopathy of Prematurity (ROP) anddiscuss the management of ROP.

5. Tabulate the ontogenic time table of gut development and 4+6describe the neonatal gastrointestinal functions.

6. Describe the host defense mechanisms against fungi and 6+4discuss the management of fungal sepsis.

7. Describe neuronal migration and discuss disorders of neuronal 5+5migration.

8. Enumerate various modes used in echocardiography. Discuss 3+7the role of functional echocardiography in the neonatal intensivecare unit.

9. What is. meant by evaluation of a diagnostic test? Discuss the 3+7same in relation of 'Sepsis Screen' in neonates.

10. What is Biophysical Profile? Discuss the modalities to assess 3+7fetalwell being.

rt:k {. r} {.

pos9nssrcNrusn oF qELL pHoNES oR ANy sacH ELECTRnNT: GADGETS IS Nor nERMITTEDINSIDE THE EruMINATION HALL

FINAL EXAMDECEMBER 2011

NATIONAL BOARD OF EXAMINATIONS

NEONATOLOGY

PAPER.IITime :3 hoursMax. Marks : 100

Attempt all questions in order.Each question carries 10 marks.

NEONAT/DI11I19II'

1. Describe fetal circulation. Discuss the pathophysiology ofpersistent pulmonary hypertension in newborn.'

2. Define perinatal asphyxia. Describe the pathophysiorogy arrddiscuss recent advances in management of an asphyxiatedneonate.

3. Discuss the antenatal markers of chromosomal disorders infetus.

4. Describe the mechanisms of neonatal lung injury and discusslung protective strategies in neonatal ventilation

5. What is the mechanism of bilirubin brain toxicity? List the clinicalfeatures of kernicterus and its MRI findings.

6. Define intra-uterine grovuth restriction (IUGR). Discuss clinicalassessment of nutrition, and enumerate the short and long termcomplications associated with IUGR.

7. How would you clinically suspect tnborn Errors of Metabolism(lEM) in a neonate? Describe a stepwise investigative approachto diagnosis of lEM.

8. Describe transient disorders of thyroid function in neonates anddiscuss universal thyroid screening in new-born.

9. Discuss the prenatal diagnosis of congenitar AdrenalHyperplasia (CAH). Enumerate steps of pre and post natalmanagement of CAH.

10. Discuss the clinical presentation and treatment of gastro,esophageal reflux.

tl. !t * rF rl.

POSSESSIONilSE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTEDINSIDE THE EXAMINATION HALL

4+6

2+3+5

1 0

5+5

4+4+2

2+3+3+2

4+6

6+4

5+2+3

4+6

1 .

2.

3.

4.

FINAL EXAMDECEMBER 2011

NATIONAL BOARD OF EXAMINATIONS

Time : 3 hours

PAPER- III

NEONATTD/11/1g/il1Max. Marks : 100

Aftempt all questions in order.Each question carries 10 marks.

Describe levels of Neonatal Care. Discuss regionalization ofneonatal care in public health system in India.

Describe the maturational changes in EEG in preterm and termneonates and discuss the role of cerebral function monitor inclinical practice.

Enumerate the causes and discuss the diagnostic approach to acase of obstructive uropathy.

Discuss the diagnosis, prevention and management of ,intra-ventricular hemorrhage in a preterm neonate.

Enumerate components of Janani Shishu Suraksha Karyakram(JSSK) and discuss its role in achieving Millennium DevelopmentGoals (MDG).

Describe assessment scale used for neurobehavioralassessment in newborn and discuss its significance.

Describe pain pathway. Discuss assessment and management ofpain.

What is developmentally supportive care? Discuss theorganization of developmentally supportive care in a resourcepoor setting.

Discuss challenges in diagnosis and management of NecrotizingEnterocolitis (NEC). Comment on status of probiotics inmanagement-lssues and controversies.

Discuss issues in enteral feeding of very low birth weightneonates with special reference to nutritional supplements.

{. *:1. * *

POSSESSION/ASE OF CELL PHONES ORANY SUCH ELECTRONIC GADGETS IS NOT PERMITTEDINSIDE THE EruMINATION HALL

4+6

4+3+3

3+7

3+3+4

5+5

6+4

3+3+4

4+6

5+5

5.

6.

7.

8.

L

1 0 . 5+5