31 Paediatrics P-III

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FINAL EXAM NATIONAL BOARD OF EXAMINATIONS

JUNE 2020

PAEDIATRICS
PAPER-III
TIME: 3 HOURS PED/J/20/31/III
MAX. MARKS: 100

IMPORTANT INSTRUCTIONS

 This question paper consists of 10 questions divided into Part “A” and part “B”, each part
containing 5 questions.
 Answers to questions of part A and part B are to be strictly attempted in separate answer sheet(s)
and the main + supplementary answer sheet(s) used for each part must be tagged separately.
 Answers to question(s) of Part A attempted in answer sheet(s) of part B or Vice versa shall not be
evaluated.
 Answer sheets of Part A and Part B are not to be tagged together.
 Part A and Part B should be mentioned only on the covering page of the respective answer sheets.
 Attempt all questions in order.
 Each question carries 10 marks.
 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.
 Draw table/diagrams/flowcharts wherever appropriate.

Write short notes on:

PART A

1. a) Explain the pathogenesis and diagnosis of celiac disease. 4+4+2


b) Define non-responsive celiac disease and refractory
celiac disease.

2. a) Hashimoto’s thyroiditis. 5+5


b) Long-term management of Type 1 diabetes mellitus.

3. a) Clinical features and management of scabies in children. 5+5


b) Management of scorpion sting.

4. Approach to diagnosis and management of a child with 10


suspected immune deficiency.

5. a) Congenital cataract: causes and prevention. 5+5


b) Post exposure prophylaxis for dog bite.

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

PAEDIATRICS
PAPER-III

Please read carefully the important instructions mentioned on Page ‘1’

 Answers to questions of Part A and part B are to be strictly attempted in separate answer sheets and the
main + supplementary answer sheets used for each part must be tagged separately.
 Answers to question(s) of Part A attempted in answer sheets of Part B or vice versa shall not be evaluated.

PART B

6. Discuss briefly the differential diagnosis and management 5+5


of a 3-year-old unimmunized child presenting with fever and
stridor for 3 days.

7. a) Metabolic causes of hepatic failure. 5+5


b) Diagnosis and prevention of congenital adrenal
hyperplasia (CAH).

8. Write a brief note on the magnitude of suicide in 3+(4+3)


adolescents. Discuss briefly the approach to suspecting and
preventing self-harm in adolescents.

9. a) Management of suspected sexual abuse in a 10-year- 5+5


old girl.
b) Approach to management of corrosive poisoning.

10. a) Typhoid conjugate vaccine. 5+5


b) Treatment of functional constipation.

************

-2-
POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION
HALL.

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