Download DNB 2019 June ENDOCRINOLOGY ENDOCRINOLOGY PAPER 3 Question Paper

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FINAL EXAM

JUNE 2019

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ENDOCRINOLOGY

PAPER-III

Time: 3 hours ENDO/J/19/07/1 Max. Marks:100

Important Instructions:

• Attempt all questions in order.
• Each question carries 10 marks.
• Read the question carefully and answer to the point neatly and legibly.

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• 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.

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Write short notes on:

1. Androgen receptor, its ligands and post receptor signaling mechanism. 2+3+5
2. Discuss induction of puberty in a 15-year old girl with hypogonadotropic hypogonadism. 10
3. Therapeutic options for treatment of Polycystic Ovary Disease (PCOD). 10
4. Initiation of treatment in a 15 days old newborn (weight 4.2 kg) diagnosed to have primary hypothyroidism (TSH >500 mIU/l) and follow-up management during first year of life. 5+5

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5. Discuss plan of evaluation in a 35 year-old man with impotence. 10
6. Mechanisms controlling normal puberty induction. 10
7. Sick Euthyroid Syndrome (SES) and indications for starting treatment. 5+5
8. Discuss utility of genetic studies in a newborn diagnosed to have congenital adrenal hyperplasia (CAH) with 17-hydroxy progesterone (17-OH P) level of >100 ng/ml. 10
9. Factors controlling testis determination in bi-potential gonad during fetal life. 10

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10. Newer treatment options of Thyroid Associated Ophthalmopathy (TAO). 10

POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION HALL.

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