Download DNB 2016 Dec DERMATOLOGY VENEREOLOGY AND LEPROSY PAPER 2 Question Paper

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FINAL EXAM NATIONAL BOARD OF EXAMINATIONS

DECEMBER 2016

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DERMATOLOGY, VENEREOLOGY & LEPROSY

PAPER - I

Time : 3 hours

Max. Marks :100

Important instructions:

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• 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.

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• 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.

1. Write short notes on:
2. Write the management of an 11-month-old female infant with scabies under the following headings:
   1. Write a prescription for treatment of the patient.

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   2. Instructions for using the medications and counseling of parents.
   3. Treatment of complications.
3. A 26-year old, married female patient needs to be prescribed oral retinoids for her acne.
   1. What baseline and follow up investigations need to be done for her?
   2. What instructions would you give to such a patient?

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   3. How would you monitor such a patient?
   4. What additional medications would you prescribe to such a patient to reduce the side effects of retinoid therapy?
4. A 2-year old female patient born to consanguineous parents presents with multiple hemorrhagic bullae (on hands, feet, elbows, knees and trunk) which heal with scarring and milia formation. She also has ‘easy fragility of skin’, shedding of nails and has oral lesions. A clinical diagnosis of epidermolysis bullosa (EB) is made.
   1. Write the tests which you will perform to establish the type of EB.
   2. What are the complications which are likely to develop in this patient?

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   3. Outline the management of this patient.
5. Enumerate the diagnostic criteria for diagnosis of:
   1. Neurofibromatosis 1.
   2. Systemic lupus erythematosus (SLICC criteria).
   3. Dermatomyositis.

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   3+4+3

6. A 58-year old patient who is on antitubercular treatment presents with DRESS. Mention the management of this patient using the following guidelines:
   1. General measures.
   2. Specific therapy.
   3. Monitoring of such a patient at admission and during hospital stay.

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   4. Institution of safe antitubercular therapy.

   2+2+3+3

7. Importance of dressings in dermatology under the following headings:
   1. Classification of dressings.
   2. Tabulate the properties of any 4 different types of dressings and their clinical uses.

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   2+8

8. Evaluation of extra-cutaneous manifestations in:
   1. Patient with plane xanthomas on palmar creases.
   2. Pseudoxanthoma elasticum.

   5+5

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9. How will you manage the following:
   1. Muscle weakness in dermatomyositis.
   2. Itching of renal disease.
   3. Persistent oral lesions in pemphigus vulgaris:

   4+3+3

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10. A 32-year old female patient presents with hand dermatitis.
    1. Mention the relevant points to be evaluated in her in:
       1. History and Examination.
       2. Investigations.
    2. How will you manage such a patient?

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    (2+3)+5

11. 1. Nail changes in systemic sclerosis
    2. Scalp lesions in lichen planus.
    3. Oral manifestations of smoking.

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    2+3+5