NBE DCH (Pediatrics) Jan 2026 (Dec 25 session) exit exam Paper 1

Diploma Paediatrics Paper I – Question List

1. a) Define hypernatremia and enumerate its causes. [4]
   b) How will you approach and manage a 2-year-old child with complaints of multiple episodes of loose stool and serum sodium of? [6]
   
2. Organophosphate poisoning:
   a) Etiopathogenesis. [3]
   b) Clinical features. [3]
   c) Management. [4]
   
3. Septic shock in children:
   a) Pathogenesis of septic shock. [3]
   b) Clinical features and management of septic shock. [3+4]
   
4. a) Enlist the steps for conducting a meta-analysis. [5]
   b) Types of study designs. [5]
   
5. a) Briefly explain the various thyroid function tests. [6]
   b) Neonatal screening for congenital hypothyroidism. [4]
   
6. Briefly discuss the diagnostic criteria and management of pediatric acute respiratory distress syndrome (ARDS). [5+5]
   
7. Briefly discuss the definition, diagnostic evaluation and management of late onset neonatal sepsis. [2+4+4]
   
8. a) Describe the calcium metabolism in infants. [5]
   b) Draw the coagulation cascade and highlight the abnormality in hemophilia. [5]
   
9. A 6.5-months-old, exclusively breast fed child is brought to the OPD for health check up.
   a) How will you guide the mother regarding complementary feeding? [6]
   b) Advise for nutritional supplementation in infants as per national guidelines? [4]
   
10. Kangaroo mother care (KMC):
    a) Key features and eligibility for KMC. [2+2]
    b) Positioning, duration and when to stop KMC. [2+2+2]

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