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

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FINAL EXAM JUNE 2019

GENERAL MEDICINE

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PAPER-IV

TIME: 3 HOURS MED/J/19/11/\V MAX. MARKS: 100

IMPORTANT INSTRUCTIONS

1. This question paper consists of 10 questions divided into Part “A” and part “B”, each part containing 5 questions.
2. Answers to questions of part A and part B are to be strictly attempted in separate answer sheet(s) and the main + supplementary answer sheet(s) used for each part must be tagged separately.

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3. Answers to question(s) of Part A attempted in answer sheet(s) of part B or Vice versa shall not be evaluated.
4. Answer sheets of Part A and Part B are not to be tagged together.
5. Part A and Part B should be mentioned only on the covering page of the respective answer sheets.
6. Attempt all questions in order.
7. Each question carries 10 marks.

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8. Read the question carefully and answer to the point neatly and legibly.
9. Do not leave any blank pages between two answers.
10. Indicate the question number correctly for the answer in the margin space.
11. Answer all the parts of a single question together.
12. Start the answer to a question on a fresh page or leave adequate space between two answers.

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13. Draw table/diagrams/flowcharts wherever appropriate.

Write Short notes on:

PART A

1. a) Clinical features of atypical pneumonia: 3+3+(2+2)
   b) Pneumonia severity index.
   

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   c) Indications and complications of extra-corporeal membrane oxygenation.
2. a) Echocardiographic findings of pulmonary embolism. 2+3+5
   b) Diagnosis of heparin-induced thrombocytopenia.
   c) Newer oral anticoagulants.
3. a) Indications of plasmapheresis and its complications. (3+2)+(2+3)
   

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   b) Indications and adverse effects of blood transfusion.
4. a) Transmission and diagnosis of HIV infection. (3+2)+5
   b) National guidelines for anti-retroviral therapy.
5. a) Newer diagnostic techniques in tuberculosis. 3+(2+5)
   b) Diagnosis and treatment of drug resistant tuberculosis.

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Please read carefully the important instructions mentioned on Page ‘1’

• Answers to questions of Part A and part B are to be strictly attempted in separate answer sheets and the main + supplementary answer sheets used for each part must be tagged separately.
• Answers to question(s) of Part A attempted in answer sheets of Part B or vice versa shall not be evaluated.

PART B

1. a) Biology of aging. 5+5
   

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   b) Common neurological problems in the elderly.
2. a) Clinical features and diagnosis of rheumatoid arthritis. (3+3)+4
   b) Use of biologicals in treatment of rheumatoid arthritis.
3. a) Enumerate causes of secondary hypertension. 3+(3+4)
   b) Diagnosis and management of renal artery stenosis.

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4. a) Etiology and clinical features of tachyarrhythmias. (3+2)+5
   b) Device therapy for treatment of cardiac arrhythmias.
5. a) Health aspects of International travel. 5+5
   b) Immunization in adults.

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