DNB Pediatrics Final Theory Exam June 2025 Paper 4

Question 1:

• a) Discuss mechanism of tubular reabsorption in kidneys with the help of a diagram. [5]
• b) Referral criteria for growth-related problems in children. [5]

Question 2:

• a) Changes in respiratory mechanics in a newborn after birth. [5]
• b) Clinical approach to microcytic anemia in a child. [5]

Question 3:

• a) Drugs used in pulmonary hypertension. [5]
• b) Nadas criteria for the diagnosis of congenital heart disease. [5]

Question 4:

• a) Discuss human leucocyte antigen (HLA) and its role in transplantation. [5]
• b) Hematopoietic stem cell transplantation in a child. [5]

Question 5:

• a) Brighton diagnostic criteria for Guillain-Barre syndrome. [5]
• b) Inhalation devices used in the management of chronic childhood asthma. [5]

Question 6:

• a) Prevention of medication errors in NICU. [5]
• b) Enumerate the changes in neonatal resuscitation program (NRP) India 2024 over NRP AHA 2020, and their implications. [5]

Question 7:

• a) Initial management of the septic shock in resource-poor countries as per recent surviving sepsis guidelines. [5]
• b) Rapid malaria antigen test. [5]

Question 8:

• a) Yellow fever vaccine in children. [5]
• b) Cardiac action potential in various part of heart. [5]

Question 9:

• a) Vaughan William classification for antiarrhythmic medications. [5]
• b) Pulmonary function tests. [5]

Question 10:

• a) Embryonic development of diaphragm & its abnormalities leading to congenital diaphragmatic hernia (CDH). [5]
• b) Pathophysiology of acute rheumatic fever. [5]

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