Download Diplomate in National Board (DNB) 2017 Dec FAMILY MEDICINE FLM I Previous Question Papers
DECEMBER 2017
FAMILY MEDICINE
PAPER ? |
FLM/D/17/08/l
Time: 3 hou rs
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 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 question to a question on a fresh page or leave adequate space between two answers.
0 Draw table/diagrams/flowcharts wherever appropriate.
Write short notes on:
1. Mrs. Meera, a 60-year-old woman, comes with complaints 2+5+3
of bilateral, swelling of feet.
a) Mention two clinical signs you will look for that will
suggest it is congestive cardiac failure.
b) List three essential groups of drugs, with an example
that is used in management of congestive cardiac
failure with reasons.
0) 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 4+2+2+2
with sudden onset of abdominal pain.
a) List the clinical signs and symptoms of acute
pancreatitis.
b) What are the diagnostic features of acute pancreatitis
in laboratory investigation?
0) List steps of management of acute pancreatitis.
d) List long term complications of acute pancreatitis.
3. Mr. Raju is a 45-year-old male, who is a chronic smoker 4+6
for the past 30 years. He has come with history of
worsening breathlessness and frequent episodes of cough
for the past six months.
a) What are the specific clinical features and
investigatory findings for Chronic Obstructive
Pulmonary Disease (COPD)?
b) What is the role of the family physician in all levels of
prevention in COPD?Primordial, primary, secondary
and tertiary?
P.T.0
1
.1.
POSSESSION/USE OF CELL PHONES OR ANY S UCH ELECTISONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION HALL.
www.FIrstRanker.com
F'NAI? EXAM www.FirstRanker.com NATIOWWBQMPQRWW
DECEMBER 2017
4. Mr. Ram, an Executive Chairman of a multi-national 4+2+3+1
company, is brought to you by his wife with complain of
?Low?mood? for the past few weeks.
a) Mention the key features in diagnosis of depression.
b) How will you assess severity of his depression?
c) What are the risk factors for suicide in a depressed
person?
d) List criteria for referral to a psychiatrist in a case of
depression.
5. A 15-year?old boy is brought by his mother, as he is upset 2+6+2
because of his ?pimple on the face? problem:
a) Mention the life style modifications with regard to acne.
b) How will you treat various forms of acne according to
severity?
0) List four systemic causes of acne.
6. a) Draw the WHO pain management ladder, mentioning 7+3
the groups of drugs used with examples and their
common side effects.
b) How will you manage bladder pain in a patient with
advanced urinary bladder carcinoma?
7. a) What are the risk factors for Community Acquired 2+3+3+2
Pneumonia (CAP)?
b) What is the investigating work-up for CAP? Mention
reasons.
c) How will you prognosticate CAP? Mention criteria
used.
d) List the treatment options for CAP.
8. a) What are the various forms of urinary tract infection 6+4
(UTI)? Mention the etiological agents and their risk
factors.
b) A 30?year?Iady presents with cystitis. Mention the
management plan for treating and preventing UTl in
her.
9. a) List the causes of hyponatremia. 3+3+4
b) Mention the investigating work up for a 60?year?old
man with hyponatremia.
c) How will you treat a patient with hyponatremia?
10. a) Mention the risk factors for pulmonary embolism (PE). 3+4+3
) List the investigatory work-up for PE with reasons.
0) How will you treat PE?
?3
.5.
POSSESSION/USE OF CELL PHONES OR ANY S UCH ELECTISONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION HALL.
www.FIrstRanker.com
This post was last modified on 17 April 2020