Clinical Neonatology DM Question Bank : web.tnmgrmu.ac.in

Name of the University : The Tamilnadu Dr. M.G.R. Medical University
Degree : D.M
Branch : BRANCH XI – NEONATOLOGY
Subject Code/Name : 1452/CLINICAL NEONATOLOGY
Paper : II
Document Type : Question Bank
Website : tnmgrmu.ac.in

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TNMGRMU Clinical Neonatology Question Bank

AUGUST 2012 :
Sub. Code: 1452
D.M– NEONATOLOGY

Related : TNMGRMU Clinical Haematology DM Question Bank : www.pdfquestion.in/4504.html

Paper – II CLINICAL NEONATOLOGY
Q.P. Code: 161452
Time: 3 hours
Maximum: 100 marks
(180 Min)
Answer ALL questions in the same order. :
I. Elaborate on:
1. Elaborate on the evaluation of a Neonate with thrombocytopenia.
2. Write in detail about factors affecting fetal weight at birth.

II. Write notes on:
1. Mechanism of placental transport.
2. Prenatal diagnosis.
3. Enteromammary circulation.
4. Fetal stem cell therapy.
5. Management of antenatally diagnosed renal anomalies.
6. Approach to a dying infant with suspected IEM.
7. Fetal fibronectin.
8. Recent guidelines on the use of supplemental oxygen during resuscitation.
9. Management of congenital varicella.
10. Stabilisation and transport of a neonate with congenital heart disease.

August 2013

I. Elaborate on: (2X15=30)
1. The goals of developmentally supportive care and how will you implement it in neonatal intensive care.
2. The risk factors for the development of respiratory distress syndrome in a neonate. Discuss the Ventilatory management and surfactant therapy.
II. Write notes on: (10X7=70)
1. The mechanisms of heat gain in a neonate. Discuss the advantages and disadvantages of each of them.
2. Vitamin requirements for a very low birth weight infant.
3. Criggler Najjar syndrome.
4. Surgical management of necrotizing enterocolitis.
5. Radiological studies for obstructive uropathy in a neonate.
6. Management septic shock in a neonate.
7. Drugs used for the medical closure of patent ductus arteriosus.
8. The diagnostic workup of a bleeding neonate.
9. Risk factors and management of developmental dysplasia of hip.
10. Pathogenesis and management of post haemorrhagic ventricular dilatation.

August 2014

I. Elaborate on: (2 x 15 = 30)
1. Enumerate the morbidity risks in a late preterm neonate and discuss their management.
2. Pathogenesis, diagnosis and treatment of neonatal shock.
II. Write notes on: (10 x 7 = 70)
1. Cystic hygroma.
2. Therapeutic approach for management of apnoea of prematurity.
3. Pierre Robin sequence.
4. Approach to a baby with antenatally detected hydronephrosis.
5. Evaluation and management of neonatal fever.
6. Management of Perinatal Varicella –Zoster infection.
7. Evaluation and treatment of HIV exposed young infant.
8. Evaluation and management of a neonate with suspected meningitis.
9. Short Bowel syndrome
10. Approach to a baby with hyperinsulinemic hypoglycaemia.

Syllabus

A) Basic Sciences :
Basic genetics :
1. Foetal and neonatal immunology
** Mechanism of disease
** Applied Anatomy and Embryology
** Feto-placental Physiology
** Neonatal adaptation

** Development and maturation of lungs, respiratory control, lung functions, ventilation, gas exchange, ventilation perfusion.
** Physiology and development of cardiovascular system, developmental defects, physiology and hemodynamics of congenital heart disease.

** Fetal and intrauterine growth.
** Development and maturation of nervous system, cerebral blood flow, blood brain barrier.
** Fetal and neonatal endocrine physiology
** Developmental pharmacology

** Developmental hematology, bilirubin metabolism
** Renal physiology
** Physiology of gastrointestinal tract, digestion, absorption.
** Electrolyte balance
** Metabolic pathways pertaining to major and minor nutrients
** Biochemical basis of inborn errors of metabolism

2. General Topics :
** Research methodology
** Biostatistics
** Review of evidence, evidence based care, critical appraisal of scientific material.
** Ethics in perinatology/neonatology
** Principles of education (objectives, curriculum, assessment and use of media)
** Computers, information technology, internet

C ) Perinatology :
** Perinatal and neonatal mortality, morbidity, epidemiology.
** High risk pregnancy: detection, monitoring and management.
** Fetal monitoring, clinical, electronic; invasive, and non- invasive
** Intrapartum monitoring and procedures

** Assessment of foetal risk, and decision for termination of pregnancy
** Diagnosis and management of foetal diseases
** Medical diseases affecting pregnancy and foetus, psychological and ethical considerations
** Foetal interventions.
** Foetal origin of adult disease
D) Neonatal Resuscitation

E) Neonatal Ventilation :
** Non invasive ventilation
** Basic modes of ventilation
** Advanced modes of ventilation including High frequency Ventilation
** ECMO (Extra Corporeal Membrane Oxygenation)
** Nitric Oxide Therapy

F) Blood Gas And Acid Base Disorders
G) Neonatal Assessment And Follow Up :
** Assessment of gestation, neonatal behaviour, neonatal reflexes.
** Developmental assessment, detection of neuro-motor delay, Early intervention/ Developmentaly supportive care
** Immunization
H) Body Systems

I) Respiratory System :
** Neonatal airways: physiology, pathology; management
** Pulmonary diseases: Hyaline membrane disease, transient tachypnea, aspiration pneumonia, pulmonary air leak syndromes, pulmonary haemorrhage.

** Developmental defects
** Oxygen therapy and its monitoring
** Pulmonary infections
** Miscellaneous pulmonary disorders.