Download RGUHS DM 2020 9119 Pulmonary Medicine Paper IV Question Paper

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Answer all questions.

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1. (10 Marks)

   What do the terms “microbiome” and “metagenomics” mean? Write briefly about lung microbiome in health and disease.

2. Define, enumerate the markers and treatment options for sepsis-induced immune paralysis. What are the components of the ‘Surviving Sepsis’ campaign?

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3. Write a commentary on the various methods and indices used to assess suitability for weaning from mechanical ventilation.

4. Discuss about the recent advances in diagnostic Bronchoscopy.

5. Draw a schematic pathway for targeted therapy in non-small cell lung cancer. Describe immunotherapy in NSCLC.

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6. What are the types, indications and contraindications for ECMO? Write in brief about the components of ECMO.

7. Define ARDS. Enumerate ventilator strategies used to treat ARDS.

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8. Role of biomarkers and newer therapeutic agents in bronchial asthma.

9. Write the classification of Pulmonary hypertension. What are the newer therapies available for primary Pulmonary hypertension?

10. Define a case of vaping induced lung injury. what are the radiological features, clinical manifestations and treatment of ‘EVALI’ (E-cigarette/vaping associated lung injury)

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