FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2016

POSSESSION USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
PAEDIATRICS
PAPER I
PED/J/16/31/I
Time 3 hours
Max. Marks 100
IMPORTANT INSTRUCTIONS
• This question paper consists of 10 questions divided into Part and Part each part
containing 5 questions.
• Answers to questions of Part and Part are to be strictly attempted in separate answer
sheet(s) and the main supplementary answer sheet(s) used for each part must be tagged
separately.
• Answers to questions of Part attempted in answer sheet(s) of Part or vice versa shall
not be evaluated.
• Answer sheet(s) of Part and Part are not to be tagged together.
• Part and Part should be mentioned only on the covering page of the respective answer
sheet(s).
• 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:
PART A
1. Outline the steps involved in the synthesis of steroid
hormones.
Clinical features and management of classical congenital
adrenal hyperplasia.

2. Classification, etiopathogenesis and management of hemolytic
uraemic syndrome.

3. Munchausen syndrome by proxy.
Meta-analysis.
Forest Plot graph.

4. Mechanism of action, therapeutic usage, dosages and adverse
effects in children of:
Low molecular weight heparins
Magnesium sulphate.
5+5
5. Pathophysiology of regulation of plasma osmolality.
Diagnosis and management of distal renal tubular
acidosis.
5+5
P.T.O.