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

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

FINAL EXAM
DECEMBER 2019
Time: 3 hours
NATIONAL BOARD OF EXAMINATIONS
EMERGENCY MEDICINE
PAPER-lll
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/o wcharts wherever appropriate.
Write short notes on:
1.
a)
'0)
Compare the various scoring systems to predict outcome in
acute onset chest pain.
Describe ECG findings requiring immediate coronary
intervention. Enumerate other causes of ST elevations.
Utility of cardiac biomarkers in Emergency department.
Classify acute myocardial infarction.
Describe etiopathogenesis, clinical feature and management of
acute kidney injury.
Bicarbonate therapy - indications and complications.
Urinalysis in Emergency department.
Indications for RRT in ED.
Describe the clinical features and management of meningitis in
a pediatric age group.
Approach and management of coma in a young adult.
Antiepileptic therapy in Emergency department.
Enumerate the causes of acute onset dyspnea in adult patient,
based on severity. Discuss the investigations performed to
establish the diagnosis.
Non-invasive ventilation in ED ? weaning protocol.
Suggest, with justification the initial ventilator settings for
invasive mechanical ventilation for a COPD patient.
Tricycle antidepressant poisoning
Describe differences between Neuroleptic Malignant Syndrome
and Serotonin Syndrome.
Organophosphorus poisoning - drug therapies for treatment.
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POSLS'ESSION/USE OF C ELL PIIONES OR AN Y S UCH ELECTRONIC GA DGE'I'S IS NOT PERMITTED INSIDE THE
EX/I MlN/I TION HA LL.

FINAL EXAM
DECEMBER 2019
NATIONAL BOARD OF EXAMINATIONS
EMERGENCY MEDICINE
PAPER-III
6. a) Approach to the management of a young adult with fever and
b)
C)
7 a)
b)
C)
8 a)
b)
?IO. a)
jaundice. Discuss the diagnostic algorithm.
Malignant Hyperthermia - clinical features and treatment pearls.
Post?exposure prophylaxis for needle stick injury from HIV
positive patient for emergency care providers.
Describe clinical features and management of Sickle cell crisis.
ED physician role in management of febrile neutropenia.
Blood component therapy in anticoagulant induced upper GI
bleeding in ED.
Discuss various pain assessment scores in children.
Procedural sedation and analgesia for reduction of hip
dislocation in a known hypertensive adult on regular
antihypertensive.
Femoral nerve block and intercostal nerve block.
Approach to acute onset diffuse bullous lesions.
Approach to acute onset erythematous rash in children.
Panic disorder ? presentation and treatment.
Approach to a patient with narrow?complex tachycardia.
Describe Delta Gap and its clinical implications.
Metabolic alkalosis ? causes, clinical presentations and
management.
Briefly discuss the clinical features and management of
hypercalcemia.
Briefly discuss the clinical importance of Osmolal gap for
emergency physician.
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POSSESSION/ US E OF C ELL PHONES OR A N Y S UCH ELECTRONIC GADGE?I?S IS NOT PERMITTED INSIDE THE
EXA M INA TI 0N HA LL.