Download DNB 2017 Dec IMMUNO HEM IMH PAPER III Question Paper

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FINAL EXAM DECEMBER 2017

IMMUNO-HEMATOLOGY & TRANSFUSION MEDICINE

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PAPER-III

IHTM/D/17/15

TIME : 3 HOURS

MAX. MARKS : 100

Attempt all questions in order.

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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.

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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:

1. 1. Discuss indications for cryoprecipitate. (4)
   2. How would you ensure good yield of FVIII in a unit of cryoprecipitate? (6)

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2. 1. Laboratory diagnosis of Neonatal Alloimmune Thrombocytopenia (NAIT) (5)
   2. Discuss transfusion support in NAIT. (5)
3. 1. Audit in transfusion medicine (5)

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   2. How will you perform audit of red cell transfusion practices in neonatal care units? (5)
4. Describe merits and demerits of donor deferral criteria in India with respect to past history of jaundice. (10)
5. 1. Differential diagnosis of Transfusion Associated Dyspnoea (TAD) (5)
   2. Outline the plan of investigation in TAD (5)

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6. “Fresh whole blood is a better option than components for transfusion support in trauma patients”. Critically analyse this statement. (10)
7. 1. Principles of blood inventory management (5)
   2. What is “WAPI and ISI” in relation to blood inventory management? (5)

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8. What factors would you consider prior to implementing a screening test for any new infection on all blood donations in the country? (10)
9. 1. Laboratory diagnosis of Disseminated Intravascular Coagulation (DIC) (5)
   2. Transfusion support in a case of DIC (5)
10. Discuss transfusion support in following conditions:
    1. Bombay phenotype patient (5)

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    2. Patient with IgA deficiency (5)

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