Download DNB 2019 Dec 2019 Dec EMERGENCY MEDICINE PAPER I Question Paper

Download Diplomate in National Board (DNB) 2019 Dec 2019 Dec EMERGENCY MEDICINE PAPER I Previous Question Papers

FINAL EXAM
DECEMBER 2019
Time: 3 hours
NATIONAL BOARD OF EXAMINATIONS
EMERGENCY MEDICINE
PAPER-l
Max. Marksz100
Important Instructions:
00......
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 tab/e/d/agrams/?owcharts where ver appropriate.
Write short notes on:
1. a)
b)
C)
d)
2. a)
b)
Pathophysiology of hemorrhagic shock in trauma.
Permissive hypotension -? indications and contraindications.
Classification of hemorrhagic shock in trauma.
ABC score for massive transfusion protocol.
Pathophysiology of sepsis and septic shock.
Various scoring systems for early identification of sepsis in
emergency.
Pathway of lactate production and its significance for
emergency physician.
Mechanisms of blood flow during CPR.
Resuscitative thoracotomy.
Therapeutic hypothermia.
Draw a well- labelled diagram of circle of Willis.
Describe Monro-Keliie doctrine and autoregulation.
Enumerate the anatomical and physiological risk factors of
acute ischemic stroke.
Draw the anatomy of ankle joint. Describe the assessment of
Lisfranc injury.
Discuss the anatomy of shoulder joint. Describe the various
types of shoulder dislocation.
Describe the assessment of scaphoid lunate dislocation.
Describe the pathophysiology of fever in pediatrics and elderly
population.
Antipyretics and analgesics used in ED.
Elaborate on the pathophysiology of hypothermia. Enumerate
the causes of hypothermia in adults.
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EM/D/19/52/l
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P OSS ESSION/ USE OF C ELL PHONES OR A N Y SUCH ELECTRONIC GA DGE'I?S [S N 07? PERMITTED INSIDE THE
EX/l M INA TION HA LL.

FINAL EXAM
DECEMBER 2019
7 a)
b)
C)
8 a)
b)
C)
9 a)
b)
C)
10. a)
b)
C)
d)
NATiONAL BOARD OF EXAMINATIONS
EMERGENCY MEDICINE
PAPER-l
Describe pathophysiology of ARDS in dengue and malaria.
Enumerate the steps of Drug assisted intubation for trauma
victim.
High Flow oxygen therapy ? indications, contraindications and
proven benefits.
Describe various clinical decision making rules for management
and disposition of Low?risk chest pain.
Describe the anatomy of coronary circulation.
Draw Einthoven?s Triangle.
Enumerate the causes and diagnostic algorithm of
hypernatremia.
Describe the approach to diagnosis of mixed acid base disorder
from ABG analysis.
Describe the physiology and pathophysiology of Potassium
homeostasis.
Describe pulse-echo principle.
Describe ALARA principle.
Discuss the role of Lung Ultrasound in diagnosis of critical
clinical conditions. Enumerate the artifacts observed.
Describe utility of low frequency probes during resuscitation.
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POSSESSION/USE OF CELL PHONES ()R A NY SUC H ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXA MINA 'I?ION 1-1/1 LL