Download DNB 2016 Dec FAMILY MEDICINE PAPER 2 Question Paper

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FINAL EXAM

DECEMBER 2016

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FAMILY MEDICINE

PAPER - II

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.

Write short notes on:

1. a) State the guidelines for screening for eye involvement in diabetes mellitus. (6+4)

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   b) Stages of diabetic retinopathy and management at each stage.

2. Causes and clinical features of: (6+2+2)

   a) Oral ulceration

   b) Halitosis

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   c) Leukoplakia

3. A 50 year old man has a confirmed deep vein thrombosis of the right calf after a long flight. (5+5)

   a) Outline management in detail.

   b) Venous leg ulcer and its management.

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4. Clinical features, differential diagnosis, investigations and management of septic arthritis of the hip in children. (3+2+2+3)

5. a) Management of epistaxis in a 50 year old man with blood pressure 220/100mmHg. (5+5)

   b) List the causes of ear pain with otorrhoea.

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6. a) How is osteoporosis diagnosed? (4+4+2)

   b) State the risk factors for osteoporosis.

   c) Management of osteoporosis.

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7. Definition and role of the following forms of anaesthesia in surgery: (2+2+3+3)

   a) Conscious sedation.

   b) Spinal anaesthesia

   c) Epidural analgesia

   d) Nerve block

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8. Diagnostic features and management of the following sports related injuries: (5+5)

   a) Ankle sprain

   b) Achilles tendon rupture.

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9. Rani is a 50 year old lady who presents to you with a lump in her left breast. (3+2+5)

   a) History and clinical features you would elicit on her.

   b) What are the clinical features suggestive of a malignant breast lump?

   c) Health education you would give to your patients about breast cancer, including early detection and screening.

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10. a) Causes of sudden onset unilateral blindness in a 30 year old lady. (6+4)

    b) List visual field defects and state the causes.

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