FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2017
NEONATOLOGY
PAPER II
POSSESSION USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
Time 3 hours NEONAT/D/17/19/II
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. Write a note on skin development and discuss guidelines
for skin care of preterm neonate.
5+5
2. Outline evaluation of a neonate with cardiomegaly and
discuss the management of hypertrophic cardiomyopathy.
5+5
3. Outline the diagnosis of Gastro-esophageal reflux in
newborn and discuss the management.
5+5
4. Outline the causes of growth failure in preterm neonates.
Discuss its management and prevention.

5. Outline evaluation of respiratory distress in full term
neonate. Briefly outline the pre-operative management of
a neonate with congenital diaphragmatic hernia.
4+6
6. Discuss strategies for optimal nutrition in Extremely Low
Birth Weight ELBW preterm neonates.
10
7. a. Human milk fortifier
b. Metabolic bone disease
5+5
8. a. Neurally adjusted ventilator assist
b. IVIG in neonates
5+5
9. Discuss the pain pathways in neonates. Briefly write about
the management strategies for relief of pain in neonates
4+6
10. a. Entero-mammary axis
b. Quality improvement initiative
5+5