Download DNB 2019 June FAMILY MEDICINE FAMILY MEDICINE PAPER 4 Question Paper

Download Diplomate in National Board (DNB) 2019 June FAMILY MEDICINE FAMILY MEDICINE PAPER 4 Previous Question Papers

FINAL EXAM
JUNE 2019
Time: 3 hours
NATIONAL BOARD OF EXAMINATIONS
FAMILY MEDICINE
PAPER-IV
Max. Marksz100
Important Instructions:
. Attempt all questions in order.
Each question carries 10 marks.
Read the question carefully and answer to the point neatly and legib/y.
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/f/owcharts wherever appropriate.
Write short notes on:
1 .
The area where you have been working in a CHC was damaged
heavily by a cyclone the previous day. Describe the role of the doctor
as part of the disaster response team.
You want to investigate the effectiveness of a single high dose of
azithromycin as compared to the usual treatment for outpatient
management of community acquired pneumonia, using a randomized
controlled trial. Write briefly on the steps involved in this.
Sources, effects and control of air pollution in a rural setting.
Rota virus infection and vaccination.
What advice would you give to a family which is planning a 10-day
visit to Kenya for a wild life safari holiday?
Occupational hazards due to cement for a construction worker and
methods to prevent them.
You are planning a new group health education initiative for antenatal
women in your CHC. Describe briefly the components of health
education for this group.
a) A 45-year-old diabetic requires insulin for control of diabetes, but
is refusing insulin. What is the best patient?centered ethical
approach?
b) List the measures which can help to improve compliance in
taking 6 tablets in a 70-year-old illiterate widow who lives alone.
-1.
FLM/J/19/08/IV
1O
1O
1O
1O
1O
5+5
1O
5+5
P.T.O.
POSSESSION/USE OF CELL PHONES 0R AN Y S UCH ELECTRONIC GADGETS IS NOTPERMITTED INSIDE THE EXAMINA TION HALL.

FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2019
FAMILY MEDICINE
PAPER-IV
9. a) Describe what measures should be taken to prevent and treat 5+5
anemia in adolescent girls.
b) Describe the intervention to be adopted in a school where several
boys have been caught smoking.
10. a) Describe the public health measures to be taken at the start of a 5 +5
dengue outbreak.
b) What measures are helpful to reduce the incidence of filariasis?
*************
-2.
POSSESSION/USE OF CELL PHONES 0R AN Y S UCH ELECTRONIC GADGETS IS NOTPERMITTED INSIDE THE EXAMINA TION HALL.