Part VII - Emergency Medicine and Critical Care

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Question Chapter Year
Severity scoring systems in PICU (DNB 2019/2)7772019
PRISM scoring system (DNB 2023/2)5772023
Pediatric triage management in emergency department (DNB 2020/1)5782020
Emergency triage and treatment in pediatric practice (DNB 2020/2)5782020
Steps in emergency triage and treatment (DCH 2024/1)5782024
Triaging in the pediatric emergency room (DNB 2024/2)5782024
Draw an algorithm for managing pulseless ventricular tachycardia and ventricular fibrillation. (DNB 2008/1)10792008
How will you assess that a 10-year-old child who has fallen unconscious in front of you required basic life support. What are the steps for basic life support to such a child (as per American Heart Association Guidelines for CPR) (DNB 2009/1)3+7792009
What is Rapid sequence intubation (RSI)? Outline the steps involved. Discuss the indications and advantages of RSI (DNB 2014/2)2+5+3792014
a) Modified Glasgow Coma Scale for children and infants b)Its advantages and disadvantages c) What is AVPU pediatric response Scale (DNB 2016/1)5+2+3792016
Modified Glasgow Coma Scale (DNB 2020/2)5792020
Rapid sequential intubation (2020/2)5 (DCH 2023/2)5792020
Changes in American Heart Association Guidelines in 2020 for Pediatric Advanced Life Support (DNB 2022/1)5792022
Pediatric cardiac arrest algorithm for single rescuer (DNB 2022/2)5792022
Management of a 6-month-old child with heart rate of 230 beats per minute presenting at emergency (DCH 2024/1)5792024
Approach to a child brought to emergency room with a history of Road Traffic Accident (RTA) (DNB 2022/1)5802022
Discuss diagnosis and management of an unconscious child (DNB 1992/2)25821992
Discuss the management of a 3-year-old unconscious child (DNB 1999/1)25821999
Management of a child with Traumatic brain injury (DNB 2021/1)5822021
Brain Death (DNB 1998/1)15, (DNB 1999/2)15831998
Define Brain Death. Write age specific criteria for Brain Death in children (DNB 2011/2)2+8832011
Brain stem reflex testing to determine brain death (DNB 2021/1)5832021
Diagnosis and Differential diagnosis of Neurocardiogenic syncope (DNB 2021/1)5842021
Define Shock. Describe the pathophysiology and management of septic shock in children (DNB 1994/2)25, (DNB 2004/2)5+5851994
Management of Cardiogenic shock (DNB 1996/1)15851996
Discuss the classification and causes of shock in children (DNB 1997/1)15851997
Shock-pathogenesis of different types and pathological changes in different organs (DNB 2003/1)25852003
Discuss the management of an infant with Shock (DNB 2000/1)25852000
How do you classify Shock in children? Write its etiopathogenesis and management (DNB 2006/1)10852006
Discuss the pathophysiology of cardiogenic shock. How are the various hemodynamic parameters affected in cardiogenic shock? Discuss steps in monitoring and treatment of cardiogenic shock (DNB 2008/2)10852008
Define fluid refractory shock. Describe the management strategy for a 2-year-old child with fluid refractory shock (DNB 2010/1)3+7852010
Define septic shock. Describe the etiopathogenesis and clinical features in a 15-month old child presenting with septic shock (DNB 2011/2)2+4+4852011
Discuss the pathophysiology of septic shock. Describe the international consensus definition for pediatric sepsis (DNB 2013/1)5+5852013
Define SIRS, sepsis, severe sepsis and septic shock. Discuss the management of septic shock (DNB 2013/2) 1+1+1+1+6852013
Etiology and management of cardiogenic shock (DNB 2014/2)3+7852014
Pathophysiology and management of Refractory shock (DNB 2015/2)5852015
What is the defining criteria of systemic inflammatory response syndrome (SIRS). Name the mediators involved and their mode of action (DNB 2015/2)5+5852015
Etiology, pathogenesis, clinical features and management of cardiogenic shock? (DNB 2015/2)2+3+2+3852015
Etiopathogenesis and management of septic shock (DNB 2016/2)5852016
Early biomarkers of sepsis (DNB 2016/2)5852016
SIRS (Systemic inflammatory Response Syndrome) (DNB 2017/1)5852017
Management of tachycardia with pulse but poor perfusion (DNB 2018/1)5852018
Pathophysiology of hypovolemic shock (DNB 2019/1)5852019
Management of a child in the emergency room with peripheral circulatory failure (DNB 2019/2)5852019
Management of fluid refractory septic shock (DNB 2018/1)5852018
Management of septic shock (2020/2)5, (DNB 2023/1)5852020
Pathophysiology of shock (DNB 2023/2)5852023
Management of septic shock (DNB 2023/2)5852023
Sepsis biomarker (DCH 2023/2)5852023
Clinical and physiological features necessary to diagnose respiratory failure in children (DNB 1994/2)15861994
Pulse Oximetry and its limitations (DNB 1998/1)15861998
Briefly discuss the non-invasive estimation of gas exchange in children (DNB 2004/1)10862004
How will you define acute respiratory failure? Write common causes of acute respiratory failure in a 2-year-old child. What are the various methods of oxygen therapy in children (DNB 2004/2)3+3+4862004
Enumerate 4 adventitious sounds that can be heard during examination of respiratory system. At what anatomical level are they produced? In which conditions are they produced (DNB 2006/1)10862006
Types of Acute Respiratory Failure in children, modes of assisted ventilation and indications for the same in children (DNB 2006/1)10862006
What are the criteria used to diagnose Acute Respiratory Distress Syndrome (ARDS). Write in brief the pathogenesis, clinical features and lab findings of the same. Discuss the treatment and ventilatory strategies to manage ARDS (DNB 2008/2)10862008
Describe the various pressures which are used or varied during mechanical ventilation. What is 'Cycling' and 'Control' in mechanical ventilator? Describe the differences in pressure controlled and volume controlled ventilation. Illustrate with suitable indication use of these forms of ventilation (DNB 2008/2)10862008
Describe the pathophysiology, etiology and management of acute respiratory distress syndrome. (DNB 2009/2)3+3+4862009
Define ventilation/ perfusion ratio (DNB 2011/1)2 Outline Va/Q changes in a. Pneumonia b. Obstructive lung disease c. ARDS d. Pulmonary thromboembolism (DNB 2011/1)2+2+2+2862011
Classify respiratory failure in children. List the modes of assisted ventilation and its indications (DNB 2013/1)10862013
Write short notes: a) End - Tidal carbon dioxide monitoring b) Pulse oximetry (DNB 2014/1)3+4862014
Utility of Blood gas (ABG) in localising pathology and severity of disease in respiratory problems (DNB 2015/1)5+5862015
Pulse oximetry (DNB 2015/1)2862015
Define Acute Lung Injury. Discuss the etiopathogenesis and management of a child with Acute Lung Injury (DNB 2014/1)2+3+5862014
Write short notes on: - High frequency oscillatory ventilation (HFOV) - Pulmonary graphics (DNB 2015/1)5+5862015
An 8-month old baby presents with respiratory distress. Describe the differential diagnosis, evaluation and outline treatment for this infant (DNB 2014/1)3+3+4862014
Oxygenation index (DNB 2016/1)3862016
Describe oxygen dissociation curve and factors affecting it (DNB 2018/1)5862018
Oxygen dissociation curve and its clinical implication (DNB 2020/2)5862020
High frequency ventilation (DNB 2019/2)5862019
Management of 2-year-old child coming to ED with severe respiratory distress (DNB 2019/1)5862019
Management of acute lung injury (DNB 2020/2)5862020
Modes of ventilation in pediatric patients (DNB 2020/2)5862020
Heated High flow nasal cannula oxygen therapy for respiratory distress (DNB 2021/1)5862021
End tidal CO2 measurement and interpretation (DNB 2021/2)5862021
Volume targeted ventilation (DNB 2022/1)5862022
Near drowning in children (DNB 2006)10, (DNB 2015/1)4882006
An 18-month old child was brought to you after he fell upside down in a tub filled with water. Briefly describe the possible injuries and preventive strategies to avoid similar situation in future (DNB 2008/1)10882008
Describe the pathogenic mechanism of injury in near drowning. Discuss the steps of initial resuscitation and subsequent hospital management (DNB 2008/2)10882008
Discuss the pathophysiology of submersion injury. A 4-year-old boy was rescued 10 min back from a pond and rushed to the hospital emergency. Mention the basic principles of management (DNB 2012/1)5+5882012
A. Define near drowning B. Pathophysiology and management of near drowning (DNB 2016/1)2+4+4882016
How is the degree of Burns classified? Write the initial fluid therapy for a one-year-old child weighing 10 kg with 20% 2nd degree burns (DNB 2006/1)10892006
Provide classification of burns injury. Describe the clinical manifestation of electrical burns. Outline emergency management of a child with 20% burns (DNB 2011/2)2+3+5892011
Management of a child with 40% burns (DNB 2021/1)5892021
Cold Injury (DNB 2007/1)10902007
Drugs for procedural sedation in children (DNB 2016/2)5922016
Describe principles of sedation in children undergoing day care procedures (DNB 2023/1)5922023
Enumerate drugs commonly used for short term sedation in children (DNB 2023/1)5922023
Pain management in infants and children (DNB 1998/1)15931998
Pathogenesis and management of pain in children (DNB 2006/1)10932006
Enumerate various sedatives and analgesics recommended for children undergoing painful procedures. Describe their main action, indication in pediatric practice and important side effects in a tabular format (DNB 2008/1)10932008
Non-pharmacological methods in pain management (DNB 2016/1)5932016
Pharmacological and non-pharmacological methods of pain relief in children (DNB 2017/1)5932017
Outline pain pathway (DNB 2017/1)5, (DNB 2019/1)5932017
Pediatric pain management (DNB 2020/2)5932020
Assessment of pain in children (DNB 2021/1)5932021
Discuss the impact of pain on a preterm neonate. Identify common procedures associated with pain in a newborn. Describe the strategies for pain management in a newborn (DNB 2008/2)10932008
Drug therapy in neonatal pain management (DNB 2016/1)5932016
Neonatal pain (DNB 2016/1)5932016
Organophosphorous insecticide poisoning (DNB 1995/1)15941995
Enumerate the major routes of pesticide exposure in children. Outline the manifestations of their toxicity. Discuss steps for minimization/prevention of exposure to pesticides in children (DNB 2008/1)10942008
A 3-year-old boy has swallowed an unknown amount of toilet cleaner and is brought to you in distress. Discuss the possible injuries, initial and late management of this patient (DNB 2008/2)10942008
Outline and discuss the diagnosis and management of organophosphorous poisoning (DNB 2013/1)4+6942013
Pathophysiology, clinical presentations and management of carbon monoxide poisoning (DNB 2014/2), (DNB 2015/2)3+3+4942014
Pathophysiology, clinical features and management of salicylate poisoning (DNB 2015/2)3+3+4942015
Pathophysiology and management of Organophosphorous poisoning (DNB 2016/1)5942016
Management of child with acid ingestion (DNB 2017/2)5942017
Assessment and management of child with suspected poisoning (DNB 2017/1)5942017
Treatment of organophosphorus poisoning (DNB 2018/2)5942018
Management of OP poisoning (DNB 2019/1)5942019
Management of corrosive ingestion by a child (DNB 2018/1)6942018
Paracetamol poisoning (DNB 2019/2)4942019
Management of child following kerosene ingestion (DNB 2019/2)5942019
Approach to management of corrosive poisoning (DNB 2020/1)5942020
Management of a child with corrosive poisoning (DNB 2024/2)5942024
Unknown poisoning - Approach in management (DNB 2021/2)5942021
Management of acetaminophen poisoning (DNB 2022/1)5942022
Pathophysiology and treatment of salicylate poisoning in young children (DNB 2023/2)5942023
Salicylate poisoning: a) Pathophysiology b) Clinical manifestations c) Management and outcome (DCH 2024/2)3+3+4942024
General management of poisoning (DCH 2023/2)5942023
Feature of various toxindromes (DCH 2023/2)5942023
Kerosene oil poisoning (DNB 1993/1)10 (DNB 2006/1)5, (DNB 2016/1)5, (DCH 2024/1)5941993
Pediatric emergency triage (DNB 2024/2)5772024
Components of high-quality chest compressions in basic life support (DNB 2025/1)5792025
Define brain death in neonate and child (DNB 2025/1)5832025
Systemic response to blood loss in a child (DNB 2025/1)5852025
Initial management of septic shock in resource-poor countries as per recent guidelines (DNB 2025/1)5852025
Define ARDS and describe its management in pediatrics (DNB 2024/2)5862024
Lund and Browder diagram for estimating burns in children (DNB 2025/1)5892025
Management of corrosive poisonings in children (DNB 2025/1)5942025
Management of a child with corrosive poisoning (DNB 2024/2)5942024

Chapter Key