Name of the University : The Tamilnadu Dr. M.G.R. Medical University
Degree : D.M
Branch : BRANCH XI – NEONATOLOGY
Subject Code/Name : 1453/Clinical Neonatology And Neonatal Intensive Care Including Neonatal Transport
Paper : III
Document Type : Question Bank
Website : web.tnmgrmu.ac.in
Download Model/Sample Question Paper :
2012-2014 : https://www.pdfquestion.in/uploads/web.tnmgrmu.ac.in/4509-161453KU.pdf
Neonatal Intensive Care :
AUGUST 2012 :
Sub. Code: 1453
D.M – NEONATOLOGY
Paper – III CLINICAL NEONATOLOGY AND NEONATAL INTENSIVE CARE INCLUDING NEONATAL TRANSPORT
Related : TNMGRMU Clinical Neonatology DM Question Bank : www.pdfquestion.in/4508.html
Q.P. Code: 161453
Time: 3 hours
Maximum: 100 marks
(180 Min)
Answer ALL questions in the same order. :
I. Elaborate on:
1. Write in detail about the Pathophysiology, clinical features and recent advances in the management of Chronic Lung disease.
2. Describe a structured approach to the diagnosis and management of Congenital Cyanotic Heart Disease.
II. Write notes on:
1. Patient triggered ventilation.
2. Periventricular leukomalacia.
3. Rationale of EEG in newborns.
4. Scoring for pain and management of procedure related pain in neonates.
5. Principles of parent education and support in NICU.
6. Differential diagnosis for hematuria in newborn.
7. Enteral feeding technique in VLBW babies.
8. Algorithm for evaluation of disorders of sexual differentiation.
9. Follow up program for a NICU graduate.
10. Antibiotic resistance in NICU.
AUGUST 2013 :
I. Elaborate on: (2X15=30)
1. Diagnostic approach to anaemia in the newborn and its management. Discuss blood transfusion guidelines in a neonate.
2. Organization of neonatal transport services in our country.
II. Write notes on: (10X7=70)
1. Ventilation induced lung injury
2. Management of CCF in newborn.
3. Clinical presentation and management of septic arthritis.
4. Hypothermia for management of Hypoxic ischemic encephalopathy.
5. Discuss the use of Probiotics in preterm babies.
6. Components of Kangaroo care and issues in implementing it.
7. Early markers of neonatal sepsis.
8. Transient disorder of thyroid function and Universal thyroid screening in newborn.
9. Neonatal resuscitation in special situations.
10. Clinical presentation and management of posterior urethral valve.
AUGUST 2014 :
I. Elaborate on: (2 x 15 = 30)
1. Diagnostic criteria, pathogenesis and prevention of Broncho pulmonary Dysplasia.
2. Approach to a neonate presenting with central cyanosis.
II. Write notes on: (10 x 7 = 70)
1. Catch up growth of IUGR babies-controversies.
2. How will you manage a baby born to a mother with ITP?
3. Approach to a neonate with anorectal malformations.
4. Compassionate care for a terminally ill baby.
5. Warm chain.
6. Permissive hypercarbia
7. Recommendations for hand hygiene practices in NICU.
8. Paracetamol versus ibuprofen in medical closure of PDA.
9. Compare and contrast- Self inflating bag, flow inflating bag and T- piece resuscitator.
10. End tidal CO2 monitoring.
Theory 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