FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2018

POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION HALL.
NEONATOLOGY
PAPER-I
NEO/J/18/19/I
Time: 3 hours
Max. Marks:100
IMPORTANT INSTRUCTIONS
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:
1. Describe the key evolutions of the circulatory system at birth
and discuss their practical implications.
5+5
2. Outline the pathogenesis of septic shock in a neonate discuss
the applied therapeutic principles.
5+5
3. Antenatal diagnosis of Down Syndrome and the principles of
counselling of parents after fetal diagnosis of Down syndrome.
6+4
4. Principles of establishing a neonatal transport system for a
district enlist the role of smartphone in the transport.
8+2
5. Describe the statistical method to evaluate the utility of a new
diagnostic test.
10
6. Antibiotic stewardship in a NICU.
10
7. Classify the causes of thrombocytopenia in a neonate and
discuss the management of Neonatal Allo-immune
Thrombocytopenia.
6+4
8. Describe thermo-neutral zone and write factors affecting
TNZ in neonatal care.
5+5
9. Pathophysiology and management of persistent pulmonary
hypertension in a new born.
5+5
10. Development of urinary system and detection of its disorders in
the fetus.
5+5