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

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

FINAL EXAM
DECEMBER 2019
FAMILY MEDICINE
PAPERJH
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 all the parts of a single question together.
NATIONAL BOARD OF EXAMINATIONS
FLM/D/?l 9/08/lll
Start the answer to a question on a fresh page or leave adequate space between two answers.
Draw table/diagrams/?owcharts, wherever appropriate.
Write short notes on:
1.
An 8-year-old child comes to the CPD with a history of fever for the last
10 days. This was followed by development of pain and swelling in the
right ankle joint which subsided and was followed by similar involvement
of the left knee joint. Write your approach to the diagnosis and
management of this child. What are Jone's criteria? What steps will you
take for the primary prevention of this condition?
Diagnosis and treatment of nephrotic syndrome in children.
A 2 kg baby delivered at home by a Dal is brought to your CHC with a
history of refusal to feed. The baby is also cold to touch. Describe your
approach to the diagnosis and management of this child.
a) Pneumococcal vaccine in children.
b) Vaccination in a child with history of seizures,
c) Chicken pox vaccine.
A 5?year?old child is brought to the casualty with a history of unprovoked
bite by a stray dog. The dog was reported to have bitten several other
people aiso over the last few days. How will you manage this child?
A 24-year?old term primigravida patient is brought to the casualty with a
history of altered mental status. She is found to be hypeitensive and
throws a seizure while you are examining her. Describe your evaluation
and management of this patient.
A 19?year-old college student comes to your clinic as she had
unprotected sex the previous night and is worried that she would get
pregnant. How can pregnancy be prevented in this patient? What advice
would you give with regard to safe sex?
_1.
5+3+2
10
10
4+2+4
10
10
5+5
P.T.O.
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EX/i MINA 7?ION HA 1.]...

FINAL EXAM NATIONAL BOARD OF EXAMINATiONS
DECEMBER 2019
FAMILY MEDiCI?E
PAPER-Ill
8. A 50?year?old lady presents to you Wlth irregular periods for the past 6 2+2+3+3
months. Write briefly on the possibte causes. history, physical
examination and investigations to assess her.
9. Describe the causes, evaluation, and management of bleeding in the 10
first trimester of pregnancy.
10. A 48-year-old post-menopausal lady has been getting recurrent UTI for 3+2+5
the past few months. Write briefly on the clinical features, investigations
and management of this lady.
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