FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2017
NEONATOLOGY
PAPER I
POSSESSION USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
Time 3 hours NEONAT/D/17/19/I
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 functional structure of human placenta and
discuss physico-chemical and structural properties regulating
drug transfer.

2. Discuss the temperature regulation in a neonate. Write about
the concept of therapeutic hypothermia. Does the literature
support its use, please elaborate.

3. Point of care testing devices in neonatal care. 10
4. Enumerate Levels of Neonatal care and describe
requirements for level III (Level Neonatal care.
3+7
5. Discuss future prospects of:
a. Human Milk Banking
b. Cord blood banking
5+5
6. a. Informed consent in Research studies
b. Ethics in Research
5+5
7. Discuss principle of use of NIRS and its clinical applicability in
Neonatal practice.
4+6
8. Discuss the role of innate host defences in susceptibility to
Early Onset Neonatal Sepsis.
10
9. Enumerate the available postnatal growth charts. Evaluate
their merits and demerits.
4+6
10. Strategies for fetal neuro-protection. 10