Download DNB 2019 Dec 2019 Dec VASCULAR SURGERY PAPER I Question Paper

Download Diplomate in National Board (DNB) 2019 Dec 2019 Dec VASCULAR SURGERY PAPER I Previous Question Papers

FINAL EXAM
DECEMBER 2019
VASCULAR SURGERY
PAPER-I
Time: 3 hours
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 legib/y.
Do not leave any blank pages between two answers.
Indicate the question number correctly for the answer in the margin space.
Answer a// the parts of a single question together.
NATIONAL BOARD OF EXAMINATIONS
VS/D/19/33/I
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 .
a) Embryological developmental of the arterial system of the
lowerlimbs.
b) Discuss about persistent sciatic artery.
a) Ischemic reperfusion injury ?? mechanism & effects
b) Management of reperfusion injury in carotid artery
revascularization.
Hamburg classification of vascular malformation.
Indication of intervention in vascular malformation.
Methods of intervention in venous vascular malformation.
Discuss about sclerosing agents.
0.0 U9)
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Carbon dioxide angiography: indication, technique of 002
angiography, advantages, limitation and complication of this
procedure.
a) Graftinfection.
b) Management of Graft infection pre?operatively, intraoperatively
and postoperatively.
a) Steal syndromes in vascular surgery.
b) Explain about subclavian steal syndrome.
a) Pathological aspect of stable plaque and unstable plaque
(vulnerable plaque).
b) Methods of stabilizing the unstable plaques.
0) Drugs used for stabilizing the vulnerable plaque.
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l?OSSESSlON/USE 0]" CELL PIIONES 0R ANYSUCII ELECTRONIC GADGETS 1S NOT?PERMITI'EI) INSIDE ?IWE
EXA MINA ?I?ION I [A LL.

FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2019
VASCULAR SURGERY
EA??L-l
8. Drugs used commonly in the treatment of arterial occlusion. 4+6
Discuss about all antiplatelet in brief.
Permanent and reversible effect of sympathectomy. 4+2+4
Indications of sympathectomy.
Indications of sympathectomy in TAO.
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10. a) Takayasu?s arteritis ? diagnostic criteria. 3+3+2+2
b) Staging of Takayasu?s arteritis.
0) Uses of PET scan in Takayasu?s arteritis.
d) Treatment of Takayasu?s arteritis.
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POSSESSION/USE OF CELL PHONES OR AN Y SUCH ELECTRONIC GADGETS 15 NOT PERMITI?EI) INSIDE THE
EX/l MINA TION HA LL.

FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2019
PHARMACOLOGY
PAPER-l
Time: 3 hours
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.
Do not leave any blank pages between two answers.
Indicate the question number correctly for the answer in the margin space.
Answer all the pants of a single question together,
PHARM/D/19/34/l
Start the answer to a question on a fresh page or leave adequate space between two answers.
Draw tab/e/dlagrams/?owcharts wherever appropriate.
Write short notes on:
1.
10.
Discuss drug repurposing emphasizing its benefits. What might be the
adverse consequences of ever greening of pharmaceutical patent?
Describe target concentration intervention (TCI) for optimization of drug
treatment. How does it differ from TDM (Therapeutic Drug Monitoring)?
Explain how preparing own P-formulary can facilitate prescribing
rationally? Write a short commentary on individualization of therapy as an
indispensable step of rational use of medicine.
Explain how health technology assessment can help in rational use of
drugs? What is its status in India?
What is medication error? How many types of error can you detect in a
tertiary care hospital? Mention strategies to prevent these in busy clinical
settings.
Briefly discuss about the pharmacological considerations on drug therapy
in elderly individuals. Give examples and brief description of specific
clinical tools (Charts) which can aid in drug therapy in elderly patients.
Give your comments on importance and limitations of evidence based
medicine in Clinical practice. Enumerate by giving suitable examples with
appropriate reasoning the rationality of various approved Fixed Dose
Combinations.
How a nomogram can help in selection of appropriate dose of a drug?
Explain with examples. What are the clinical implications of plasma
protein binding of a drug?
Define Apparent Volume of Distribution of a drug. Discuss by giving
suitable examples the various factors governing volume of distribution.
Define Drug - Drug Interaction. Enumerate various groups of drugs likely
to be involved in drug interactions. Explain pharmacokinetic drug
interactions by giving suitable examples.
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P()SSICSS/ON/USE ()F C ELL PHONES OR A N Y SUCH ELECTRONIC GADGETS IS N 07' PERM] 7775]) INSIDE 77115
EX/I M INA WON [IA LL

FINAL EXAM
NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2019
Time: 3 Hours
PHYSICAL MEDICINE & REHABILITATION
PAPER-I
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 leg/b/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 tabIe/diagrams/?owcharts, where ver appropriate
Write short notes on:
1.
10.
How is Brachial plexus formed, draw a labeled diagram also.
Write the presentation at common levels of injury to brachial
plexus.
What are the indications and contraindications of heat therapy?
What is the mode of action of action of Ultrasonography and
Short Wave Diathermy?
Biomechanics of knee joint.
Bronchopulmonary segments and principles of postural drainage
of lungs.
What is HLA 827? What is its clinical significance?
Discuss determinants of human gait. How do they help optimize
energy while walking?
What is Motor Unit Action Potential? What are the changes
observed in nerve injury?
ASIA impairment scale.
Write the X-ray findings in different stages of ankylosing
spondylitis.
Calcium and Vitamin D metabolism.
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PMR/D/19/35/l
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1O
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5+5
l?OSSESS/ON/USE 01"CELL PHONES OR ANY SUC H ELIECTIHJA?IC GADGETS IS NOT PERMITTED INSIDE THE
EX/IM/NA TION I [/1 LL

FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2019
PHYSIOLOGY
PAPER-l
Time: 3 Hours PHY/D/19/36/I
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.
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, where ver appropriate.
Write short notes on:
1 .
10.
In the context of ventricular myocardial muscle:
a) State different phases of action potential and their ionic mechanism.
b) Define refractory period, its mechanism and importance.
a) Describe different mechanisms by which cells internalize extracellular
material.
b) Add a note on receptor mediated endocytosis.
a) Explain the terms transcription and translation in gene expression.
b) Give detailed account of transcription factors in terms of types, function
and regulation.
a) Outline the distribution of water in different compartment of the body.
b) With help of an example, describe the method of estimation of volume
of a body fluid compartment.
a) Compare and contrast excitation contraction coupling in skeletal,
cardiac and smooth muscle.
b) Explain the importance of latch phenomenon.
a) Describe the general properties of G protein coupled receptors.
b) Outline the various secondary messengers associated with G protein
coupled receptors.
23) Compare and contrast innate immunity and adaptive immunity.
b) Describe the role of complement proteins in innate immunity.
Explain the role of various organ systems involved in regulation of:
a) lntravascularvolume.
b) Osmolality of body fluids.
Outline the formation of different types of blood cells from a hematopoietic
stem cell. Explain the concept of hematopoietic niche.
Formulate a plan for statistical analysis of quantitative data obtained from
three separate groups of subjects (n=50) in a cross?sectional study design.
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POSSESSION/USE OF CELL PHONES OR ANY SUCH lz?l,li(,"l'R()NlC G/th1/3718? IS NOT I?ERMI'IV'ICI.) INSIDE THE
EXA MINA TION HA LIA
5+5
6+4
3+7
4+6
6+4
5+5
4+6
5+5
7+3
10

FINAL EXAM
NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2019
Time: 3 hours
PLASTIC SURGERY
PAPER-l
Max. Marksz100
Important Instructions:
- Attempt all questions in orden
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/?n 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.
10.
Describe the blood supply of the skin. What do you understand by
angiosomes? What is its clinical significance?
Describe healing of a 5x5cm wound in front of elbow if left to heal
by itself? What measures can you take to prevent scar
hypertrophy?
Classify nerve injuries. What is the role of Nerve Conduction
Velocity (NCV) in management of nerve injuries?
What are high voltage electrical burns? Discuss its initial
management. What is the role of fasciotomy/escharotomy in such
cases?
How do you classify muscle ?aps? Describe the anatomy of
Latissimus dorsi flap. Discuss its uses in reconstructive surgery.
Enumerate the muscles supplied by the radial nerve. How will you
treat a patient with post injection radial nerve palsy?
Describe the anatomy of temporo-parietal fascia. What are its
uses?
What is Osteo-integration? What are the principles of Osteo-
integration? Discuss its Clinical applications in relation to Plastic
Surgery.
a) Outline various methods for assessing patency of free flaps.
b) What is super microsurgery? Discuss the clinical uses of super
microsurgery.
What is the difference between disinfection and sterilization? What
are the markersl indicators of sterilization?
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PLSZ/D/19/37/l
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POSSESSION/USE OF CELL PHONES OR ANYSUCH ELECTRONIC GADGETS IS NOT PERMITTED /N$lDE THE EXAMINA TION HALL.