Download DNB 2017 Dec FAMILY MEDICINE FLM I Question Paper

FirstRanker.com

DECEMBER 2017

FAMILY MEDICINE

--- Content provided by‌ FirstRanker.com ---

PAPER - I

FLM/D/17/08/1

Time: 3 hours

Max. Marks: 100

Important instructions:

--- Content provided by⁠ FirstRanker.com ---

1. Attempt all questions in order.
2. Each question carries 10 marks.
3. Read the question carefully and answer to the point neatly and legibly.
4. Do not leave any blank pages between two answers.
5. Indicate the question number correctly for the answer in the margin space

--- Content provided by​ FirstRanker.com ---

6. Answer all the parts of a single question together.
7. Start the answer to a question on a fresh page or leave adequate space between two answers.
8. Draw table/diagrams/flowcharts wherever appropriate.

Write short notes on:

1. Mrs. Meera, a 60-year-old woman, comes with complaints of bilateral, swelling of feet. 2+5+3
   1. Mention two clinical signs you will look for that will suggest it is congestive cardiac failure.

   --- Content provided by FirstRanker.com ---

   2. List three essential groups of drugs, with an example that is used in management of congestive cardiac failure with reasons.
   3. Two weeks later, she comes back with worsening of symptoms in spite of medical management. List probable causes of refractory cardiac failure.
2. A 30-year-old male presents to emergency department with sudden onset of abdominal pain. 4+2+2+2
   1. List the clinical signs and symptoms of acute pancreatitis.
   2. What are the diagnostic features of acute pancreatitis in laboratory investigation?

   --- Content provided by‍ FirstRanker.com ---

   3. List steps of management of acute pancreatitis.
   4. List long term complications of acute pancreatitis.
3. Mr. Raju is a 45-year-old male, who is a chronic smoker for the past 30 years. He has come with history of worsening breathlessness and frequent episodes of cough for the past six months. 4+6
   1. What are the specific clinical features and investigatory findings for Chronic Obstructive Pulmonary Disease (COPD)?
   2. What is the role of the family physician in all levels of prevention in COPD-Primordial, primary, secondary and tertiary?

   --- Content provided by‍ FirstRanker.com ---

4. Mr. Ram, an Executive Chairman of a multi-national company, is brought to you by his wife with complain of ‘Low-mood’ for the past few weeks. 4+2+3+1
   1. Mention the key features in diagnosis of depression.
   2. How will you assess severity of his depression?
   3. What are the risk factors for suicide in a depressed person?
   4. List criteria for referral to a psychiatrist in a case of depression.

   --- Content provided by‌ FirstRanker.com ---

5. A 15-year-old boy is brought by his mother, as he is upset because of his ‘pimple on the face’ problem: 2+6+2
   1. Mention the life style modifications with regard to acne.
   2. How will you treat various forms of acne according to severity?
   3. List four systemic causes of acne.

--- Content provided by​ FirstRanker.com ---

6. 1. Draw the WHO pain management ladder, mentioning the groups of drugs used with examples and their common side effects. 7+3
   2. How will you manage bladder pain in a patient with advanced urinary bladder carcinoma?
7. 1. What are the risk factors for Community Acquired Pneumonia (CAP)? 2+3+3+2
   2. What is the investigating work-up for CAP? Mention reasons.

   --- Content provided by FirstRanker.com ---

   3. How will you prognosticate CAP? Mention criteria used.
   4. List the treatment options for CAP.
8. 1. What are the various forms of urinary tract infection (UTI)? Mention the etiological agents and their risk factors. 6+4
   2. A 30-year-lady presents with cystitis. Mention the management plan for treating and preventing UTI in her.

   --- Content provided by FirstRanker.com ---

9. 1. List the causes of hyponatremia. 3+3+4
   2. Mention the investigating work up for a 60-year-old man with hyponatremia.
   3. How will you treat a patient with hyponatremia?

--- Content provided by⁠ FirstRanker.com ---

10. 1. Mention the risk factors for pulmonary embolism (PE). 3+4+3
    2. List the investigatory work-up for PE with reasons.
    3. How will you treat PE?

POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION HALL.

--- Content provided by‍ FirstRanker.com ---

FirstRanker.com