Download DNB 2019 Dec 2019 Dec Respiratory Diseases PAPER IV Question Paper

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RESPIRATORY MEDICINE

PAPER-IV

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Time: 3 hours

Max. Marks: 100

Important Instructions:

1. Attempt all questions in order.
2. Each question carries 10 marks.

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

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8. Draw table/diagrams/flowcharts wherever appropriate.

Write short notes on:

1. a) Bronchial Thermoplasty. (5+5)
   b) Role of E-cigarettes in smoking cessation.
2. a) Extra corporeal membrane oxygenator (ECMO). (5+5)
   

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   b) Bronchoscopic volume reduction in emphysema.
3. a) Newer methods of assessment of fluid status and responsiveness in critically ill patients. (5+5)
   b) Renal replacement therapy in ICU.
4. a) Current role of stress ulcer prophylaxis in the ICU. (5+5)
   b) End of life care issues in ICU.

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5. a) Percutaneous Tracheostomy. (5+5)
   b) Transbronchial lung biopsy.
6. a) Diagnosis of IPF. (5+5)
   b) Anti-fibrotic drugs.
7. a) Advances in the management of pulmonary embolism. (5+5)
   

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   b) Advances in mechanical ventilation of a patient with the ARDS.
8. a) Heparin induced thrombocytopenia (HIT). (5+5)
   b) New guidelines on HIT.
9. a) New GINA guidelines for asthma. (5+5)
   b) Newer biological for treatment of asthma.

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10. a) New pneumococcal vaccination recommendation for adults more than 65-year-old. (5+5)
    b) Newer treatments for advanced COPD.

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

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