Download DNB 2015 Dec PHYSIOLOGY IV Question Paper

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FINAL EXAM

DECEMBER 2015

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PHYSIOLOGY

PAPER - IV

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:

NATIONAL BOARD OF EXAMINATIONS

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PHY/D/15/36/IV

1. a) Gastro esophageal reflux in health.

   b) Pattern and factors affecting 24 h pH monitoring of distal esophagus.

2. a) Mention the composition of hepatic and gall bladder bile.

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   b) Chemistry, enterohepatic circulation and effects of deficiency of bile salts.

3. a) Which type of cells of pancreas produces glucagon?

   b) Insulin-Glucagon molar ratio and factors affecting it.

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4. What is the cause of primary aldosteronism? Which layers of adrenal cortex is affected? What are its effects and diagnostic criteria? How will you manage it? 2+2+(2+2)+2

5. Neurohormonal basis of puberty in males. 10

6. Define feto placental-maternal unit. What is its role in placental progesterone synthesis? How is the placental progesterone synthesis different from ovarian progesterone synthesis? 2+3+5

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7. a) Factors influencing the secretion of gonadotrophins.

   b) Compare and contrast the pattern of secretion of gonadotrophins in males and females.

8. a) Role of thyroid hormone on Central Nervous System. 4+6

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   b) Physiological basis of mental retardation in cretins.

9. a) What are the important signs and symptoms of diabetes mellitus? Give their physiological basis. (3+3)+4

   b) Recent advances in physiological basis of management of diabetes mellitus.

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10. Compare and contrast between functioning of Meissner’s and myenteric plexus. 5+5

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