Download DNB 2016 Dec FAMILY MEDICINE PAPER 3 Question Paper

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FINAL EXAM
DECEMBER 2016
FAMILY MEDICINE
PAPER - III

Time : 3 hours

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Important instructions:

1. Attempt all questions in order.
2. Each question carries 10 marks.
3. Read the question carefully and answer to the point neatly and legibly.

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4. Do not leave any blank pages between two answers.
5. Indicate the question number correctly for the answer in the margin space.
6. Answer all the parts of a single question together.
7. Start the answer to a question on a fresh page or leave adequate space between two answers.
8. Draw table/diagrams/flowcharts wherever appropriate.

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NATIONAL BOARD OF EXAMINATIONS

FLM/D/16/08/111

1. Management of a newborn exposed to:
   a) Varicella infection stating rationale. (5)
   b) Principles of management of a HIV +ve pregnant mother. (5)

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2. Define febrile convulsion. How is it differentiated from serious causes of seizures? How will you support the anxious parents? (1+7)+2
3. a) List the various types of oral contraceptives. (3)
   b) Which is the most suitable oral contraceptive for a 40 year old woman who smokes? (3)
   c) List major drug interactions which will alter efficacy of oral contraceptives. (4)
4. Hazards of the following in pregnancy:
   

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   a) Smoking (4)
   b) Alcohol consumption (2)
   c) Asymptomatic bacteriuria (4)
5. Mental health problem associated with pregnancy and their management (6+4)
6. Asha is a 1 year-old girl who has been brought to you with acute onset of breathlessness.
   

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   a) Outline the differential diagnosis (5)
   b) Management of acute asthma attack in a child. (5)
7. Rekha is a 45 year old lady who presents with intermenstrual bleeding for the past few months. Write the relevant clinical history, physical examination and investigations to assess her. (3+3+4)
8. a) What clinical features will raise the suspicion of child being abused? (5)
   b) List the types of child abuse. (3)
   

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   c) List the risk factors for child abuse. (2)
9. a) Principles of management of a patient with epilepsy who conceives. (5)
   b) Medical issues of malaria complicating pregnancy and its appropriate management. (5)
10. a) List the common problem mothers express while breast feeding. How can these be addressed? (4)
    b) What nutrients are deficient in breast milk and how is this managed? (2)
    

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    c) List some important drugs which are secreted in breast milk and the caution required in their usage. (4)

POSSESSION / USE OF CELL PHONES IS NOT PERMITTED INSIDE THE EXAM HALL.