Download DNB 2016 Dec PULMONARY MEDICINE PAPER 3 Question Paper

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FINAL EXAM NATIONAL BOARD OF EXAMINATIONS

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DECEMBER 2016
TUBERCULOSIS & RESPIRATORY DISEASES/PULMONARY MEDICINE
PAPER - IlI
RPD/D/16/42/11l
Time : 3 hours

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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.

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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/flowcharts wherever appropriate.

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Write short notes on:

1. a) Nucleic acid amplification tests for the diagnosis of tuberculosis. (5+5)
   b) Epidemiology of HIV related tuberculosis.
2. a) Indications of non-invasive ventilation in acute respiratory failure? (4+6)
   b) Role of non-invasive ventilation in the management of COPD patients with acute exacerbation.

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3. a) Enumerate recently developed anti-tuberculosis drugs. (2+(4+4))
   b) Management of MDR and XDR tuberculosis.
4. a) Infection control in ICU. (5+5)
   b) Management of hyponatremia in ICU.
5. Clinical presentation, diagnosis and management of obesity hypoventilation syndrome: (3+3+4)

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6. How will you evaluate and manage a case of acute severe asthma in ICU? (4+6)
7. a) Indications and types of sleep studies. (5+5)
   b) Restless leg syndrome.
8. Current status of bed side ultrasound and echocardiography in ICU. (6+4)
9. Cardiovascular and metabolic complications of obstructive sleep apnea. (6+4)

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10. Various prophylactic strategies used in the ICU to decrease morbidity and mortality. (10)

POSSESSION / USE OF CELL PHONE IS NOT PERMITTED INSIDE THE EXAMINATION HALL.