Download DNB 2017 Dec EMG MED EM PAPER I Question Paper

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NATIONAL BOARD OF EXAMINATIONS

EM.MED/D/17/52/1

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DECEMBER 2017

EMERGENCY MEDICINE

PAPER - I

Time : 3 hours

Max. Marks : 100

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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.

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• 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/flowcharts wherever appropriate.

Write short notes on:

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1. a. How do you predict difficult airway by LEMON and MOANS assessment methods? (2+2)+3+3
2. Rapid sequence intubation in unstable cervical spine. 3+2+3+2
3. Supraglottic airways. 4+4+2
4. Diagram depicting anatomy of subclavian vein relevant to its venous access 4+3+3
5. Indications of central venous catheterization in Emergency Department. 4+2+4

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6. Complications of central venous catheterization 3+3+4
7. Complications of peripheral venous access 3+3+4
8. Conduction pathways of the heart
9. Normal ECG waves and intervals.
10. List the causes of QT interval prolongation

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11. Explain normal oxygen dissociation curve.
12. Factors causing shifts in oxygen dissociation curve
13. Clinical applications of central venous oxygen saturation
14. Regulation of acid-base balance by kidneys
15. Normal anion gap metabolic acidosis

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16. High anion gap metabolic acidosis.
17. Enumerate sedation agents for procedural sedation
18. Discuss any three sedation agents
19. Monitoring a patient during procedural sedation
20. Describe various volumes given by a spirometer

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21. Define anatomic, physiologic and mechanical dead spaces
22. Clinical importance of various dead spaces during invasive ventilation
23. Non-invasive arterial blood pressure monitoring 3+4+3
24. Invasive arterial blood pressure monitoring 2+4+4
25. Non-invasive cardiac output monitoring 3+4+3

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26. Anatomic changes in pregnancy affecting airway management during pregnancy
27. Physiological changes in pregnancy relevant to resuscitation.
28. Discuss briefly special steps of cardiopulmonary resuscitation during pregnancy.
29. Vaughan-Williams classification of anti-arrhythmic agents
30. Discuss briefly about class I anti-arrhythmic agents

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31. Discuss briefly about class II anti-arrhythmic agents

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