Very Important Topics for Exam.

DCH Exam Details

Paper – I

A.  Emergencies / Critical care Pediatrics

          (Approach & Management)

1. Acute and chronic Renal Failure

2. Septicemic shock, Viral infections and shock

3. Hypoglycemia

4. Severe Anemia, Bleading child, Neutropenia

 5. Pain Management

6. ARDS

7. Respiratory Failure

8. Animal bites

9. Severe Comlicated Maleria

10. Acute severe asthma , bronchiolitis

11. Status epilepticus

12. Seizures

13. Shock

14. Upper Airway obstruction

15. Poisioning

16. Snake bite

17. Scorpion Sting

B. New Born

 

 

1. Approach to a child with short stature
2. Define obesity in childhood. List the causes of obesity in children. Outline strategies for its prevention.
3. Define failure to thrive and tabulate its causes. Outline the approach to manage a child with failure to thrive.
4. Approach/Management of developmental delay,regression of milestones
5. Growth and development of infant,preschool,Early school,Adolescence
6. Describe the etiology, clinical manifestations and management of autistic spectrum disorders in children.
7. Describe clinical manifestations, diagnosis and management of ADHA
8. Enumerate the causes of mental retardation in children. Give an outline of management of a child with mental retardation.
9.  Outline the 10 steps of management of severe malnutrition, as per WHO guidelines, in appropriate sequence.. Discuss factors associated with high mortality in severe PEM.
10. Outline the metabolism and function of Vitamin D in human body. Describe in detail the etiology and pathological changes in rickets.
11. Give dietary requirements of Zinc in children and discuss its role in childhood immunity and infections
12. Define complimentary feeding. Outline the attributes of complimentary foods. Enumerate the recommendations on complimentary feeding, as per the National guidelines on Infant and Young Child Feeding.
13. Define Shock. Describe the pathophysiology and management of septic shock in children
14. List the causes of Hypokalemia. Discuss the clinical features, laboratory diagnosis and management of Hypokalemia
15. List the causes of Hyponatremia. Discuss the clinical features, lab diagnosis and management of Hyponatremia
16. Pathogenesis and Management of Hypernatremic Dehydration
17. 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.
18. 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  of ventilation.
19. Enlist the inborn errors of metabolism (IEM) with their associated peculiar odor.
20. Define hypoglycemia. Describe clinical features and management of hypoglycemia in newborn and children.
21. List the causes of respiratory distress in preterms. Outline the principles of surfactant therapy in preterms. Outline the manifestations of oxygen therapy in newborns.
22. Discuss the approach to diagnosis of Persistent Pulmonary Hypertension of Newborn (PPHN). Outline the available modalities of management, highlighting their key features in a tabular format.
23. Discuss the etiopathology and management of birth asphyxia
24. What are the etiological causes of Fetal Hypoxia? Write pathophysiology of Fetal Hypoxia. Describe stages of HIE
25. Classify neonatal seizures. Outline their etiology and provide a brief clinical description. Provide general principles of management of a seizure in neonate.
26. Define Hypoglycemia in newborn. List its causes. Describe stepwise treatment if hypoglycemia in a newborn.
27. Physiological and biochemical consequences of Hypothermia in Neonate.
28. Discuss the methods of detection of congenital malformations in the fetus and their prevention.
29. What are the methods of diagnosis of fetal disorders? Describe the fetal medical and surgical therapeutic options for various fetal disorders.
30. Discuss the risk factors for vertical transmission of HIV infection and methods to prevent parent to child transmission of HIV.
31. Newer modalities in the management of neonatal sepsis, Sepsis Screen in neonates.
32. Enumerate the etiology of fetal or intrauterine growth retardation (IUGR). Describe the screening and diagnosis of IUGR.
33. Discuss reasons for Physiological Jaundice in a Newborn. Define and list causes of pathological jaundice in a newborn. Discuss clinical manifestations (acute and chronic)of kernickterus
34. Desccribe in brief the etiology, clinical features, diagnostic investigations and management of congenital hypothyroidism.
35. Hemorrhagic Disease of The Newborn
36. Outline the classification, clinical manifestations, laboratory findings and differential diagnosis of vitamin K deficiency bleeding.
37. Define ‘High risk infant’. Discuss the long term management of such infants with emphasis on detection and early intervention of infants with developmental disabilities.
38. Fetal circulation and changes at birth
39. List the children to be selected for assessing renal function. Briefly discuss the tests used to assess the renal function in children.
40. Discuss renal replacement therapy.
41. Enumerate the principles of management of Idiopathic Nephrotic syndrome.
42. What are the causes of ARF in children? How will you investigate such a case? Discuss management.
43. Discuss the presentation, diagnostic criteria for Kawasaki Disease. What is the management strategy? What are the complications?
44. Prevention of HIV infection during childhood.
45. Diagnosis and management of a child with resistant TB.
46. Detail the various complications of enteric fever and briefly outline the specific management.
47. Treatment of typhoid fever
48. Dengue Fever
49. What are management guidelines of malaria under the national programme. How will you manage a case of cerebral malaria.
50. Diagnosis and treatment of SSPE .Management of Plague.
51. Management of acute Rheumatic Fever
52. Comment on clinical features, diagnosis and treatment of Swine flu in children.
53. Approach and management of a child with Persistent Diarrhea.
54. Discuss the investigative plan for a child with generalized malabsorption.
55. Discuss categorization of chronic childhood asthma. Discuss step – wise management of chronic asthma in children .
56. Describe the pathogenesis of Bronchial Asthma. Give an outline for prevention and treatment of recurrent episodes.Discuss briefly the recent advances in the management of Bronchial Asthma .
57. Types of Acute Respiratory Failure in children, modes of assisted ventilation and indications for the same in Children.
58. Discuss etiology, diagnosis and management of Childhood Hypertension.