Download Diplomate in National Board (DNB) 2017 Dec EMG MED EM PAPER II Previous Question Papers
DECEMBER 2017 www.FIrstRanker.com www.FIrstRanker.com
EMERGENY MEDICINE
PAPER ? ||
EM.MED/D/17/52/|l
Time : 3 hours
Max. Marks : 100
Important instructions:
Attempt all questions in order.
Each question carries 10 marks.
Flead 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/?owcharts wherever appropriate.
Write short notes on:
1. A 32 year old is brought to the ED one hour after an 2+5+3
accident. On arrival, he is talking in incomprehensible
words. His Vitals are: RR- 32/min and SpO2 ? 92% on
room air, PR- 118/min, and BP- 88/60mmHg. He is
opening his eyes to painful stimulus. He withdraws right
upper and lower extremities on painful stimulus with no
movement of left side. The right pupil is fixed and dilated.
a) What is his Glasgow Coma Scale?
b) Describe step?wise approach to the patient in the
ED.
0) How will you prevent further deterioration in brain
injury?
2. A 16 year old boy presents to ED complaining of shortness 3+3+2+2
of breath and pain on right side of chest. He informs being
beaten by hockey sticks in playground 30 minutes ago. His
Vitals are: Respiratory rate ? 28/minute, oxygen saturation
? 80% on room air, pulse ? 110/min, blood pressure ?
90/50 mmHg. His Glasgow Coma Scale is 15/15 with
normal pupils and no deficits.
a) What are the possible chest injuries in this patient?
b) How will you detect various chest injuries in the
ED?
0) How will you relieve him of his pain?
d) The patient was intubated by an intern and put on
ventilator. However, the boy suddenly collapsed
with unrecordable blood pressure. Enumerate the
probable causes of his deterioration?
3. A 56 year old male has been wheeled into your ED with 2+5+3
deep second degree burns involving both upper limbs. He
had an unsuccessful attempt trying to save his wife from
fire within a closed compartment having wool garments.
He is highly agitated and coughing black sputum.
a) What are your initial concerns in managing this P.T.0
POSSESSION / USE OF CELL PHONE Y I GETS IS NOT PERMITTED INSIDE THE
W???em
FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2017 www.FirstRanker.com www.FirstRanker.com
EMERGENY MEDICINE
PAPER ? II
patient?
b) How will you manage various inhalational injuries
produced by smoke?
0) Discuss Parkland?s formula for fluid resuscitation of
burn in adults.
a) Enumerate common causes of acute pancreatitis. 2+3+3+2
b) How do you assess severity of acute pancreatitis in
ED?
0) Diagnostic studies in a patient with suspected acute
pancreatitis.
d) What are the local complications seen in acute
pancreatitis?
A 25 year old female presents with sudden loss of vision in 5+5
her right eye.
a) Describe briefly various causes of painless vision
loss.
b) Describe briefly various causes of painful vision
loss.
a) List the incomplete spinal cord syndromes. 2+3+5
b) Management of neurogenic shock.
c) Mechanisms of injuries encountered in cervical spine
trauma with an example in each category.
a) Discuss briefly about various causes of acute scrotal 4+4+2
pain.
b) How do you differentiate clinically among them?
0) Discuss the treatment options for testicular torsion in
ED.
a) Anatomy of knee relevant to trauma. 3+3+4
b) Discuss important neurovascular complications of
injuries to knee.
0) Meniscal and ligament injuries around knee joint.
a) Regional nerve entrapment syndromes of the hip 3+3+4
b) Bursal syndromes of the knee
0) Knee myofascial syndromes
10. a) Chest pain during third trimester of pregnancy 4+3+3
b) Severe preeclampsia
c) Abruptio placentae
**********************
POSSESSION/ USE OF CELL PHONE Y I ET I N TPERMI'ITED IN IDE THE
WKEEWG s 3 ? 3
This post was last modified on 17 April 2020