Download DNB 2019 June FAMILY MEDICINE FAMILY MEDICINE PAPER 2 Question Paper

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FINAL EXAM

JUNE 2019

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FAMILY MEDICINE

PAPER-II

Time: 3 hours FLM/J/19/08//11 Max. Marks:100

Important Instructions:

• Attempt all questions in order.

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• Each question carries 10 marks.
• Read the question carefully and answer to the point neatly and legibly.
• 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.

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• Start the answer to a question on a fresh page or leave adequate space between two answers.
• Draw table/diagrams/flowcharts wherever appropriate.

Write short notes on:

1. A 65-year-old lady is brought to you with history of pain and swelling of the left wrist after falling in the bathroom. 5+5
   1. Describe briefly the clinical features, investigations and management.
   2. Discuss the further assessment and management to prevent recurrences.

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2. Prakash is a 55-year-old labourer who presents with neck pain and right arm pain for 1 week. 4+2+4
   1. State the differential diagnosis, with clinical features for each.
   2. Investigations to assess his condition.
   3. Role of physical therapy modalities in each diagnosis.

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3. 1. Discuss the differential diagnosis for a patient presenting to you with unilateral painful red eye. 5+5
   2. Outline briefly the clinical features and management of each.
4. Clinical features and management of acute otitis externa. 3+7
5. Clinical features, investigations and management of benign prostatic hypertrophy: 4+2+4

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6. Lekha is a 23-year-old lady who has come to you with pain and tenderness of the right lower quadrant of the abdomen from the morning. 4+3+3
   1. Discuss the differential diagnosis.
   2. How would you rapidly investigate for each of the above diagnosis?
   3. When and why should this patient be referred to a surgeon?
7. A 20-year-old man is brought unconscious to your CHC after he was allegedly hit by a truck. His blood pressure is 90/70 mm Hg. 4+3+3
   1. How will you rapidly assess the patient?

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   2. What management will you institute immediately?
   3. What precautions should be taken during transportation of this patient?
8. 1. Describe the differentiating clinical features in the different types of jaundice. 4+4+2
   2. How does the ultrasound examination contribute in evaluating jaundiced patients?

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   3. What is the role of alkaline phosphatase in evaluating jaundice?
9. A 30-year-old man comes to you with reduced hearing of his right ear. Examination reveals wax in the ear. Discuss the management. 10
10. 1. What are the symptoms of entrapment neuropathies? 4+3+3
    2. What are the predisposing causes of entrapment at the wrist?

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    3. List the medical and surgical management.

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

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