Download DNB 2013 June DERMATOLOGY & VENEREOLOGY P III Question Paper

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FINAL EXAM

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Time : 3 hours
Max. Marks : 100

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Attempt all questions in order.
Each question carries 10 marks.

1. Discuss oncogenesis in skin under the following headings:
   a. Genetic factors.
   b. Infectious agents.
   

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   c. Environmental factors.

2. A 45 year old house wife needs to be prescribed daily oral corticosteriods for a long period of time.
   a. What instructions would you give to such a patient?
   b. How would you monitor such a patient?
   

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   c. What additional medications would you prescribe to her to reduce the side effects of steroid therapy?

3. A 6 year old patient presents with recurrent pyodermas, candidiasis, chest infections and otitis media. How will you evaluate such a patient in:
   a. Resource rich settings.
   b. Resource limited settings.

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4. Discuss the evaluation and management of extracutaneous manifestations of pseudoxanthoma elasticum in:
   a. Eye.
   b. Cardiovascular system.
   c. Gastrointestinal system.

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5. How will you manage the following:
   a. Calcinosis cutis in systemic sclerosis.
   b. Arthritis of psoriasis.
   c. Itching of hepatic disease.
   

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   d. Itching of renal disease.

6. In a patient who is diabetic, discuss the skin lesions which can occur on:
   a. Genitalia.
   b. Legs.
   

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   c. Oral mucosa.
   d. Trunk.

7. Enumerate co-morbidities in psoriasis.
   Discuss the evaluation of metabolic syndrome in a patient of psoriasis.
   

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   c. Outline management issues in such patients.

8. a. Enumerate dermatological manifestations of protein energy malnutrition.
   b. Discuss role of zinc in dermatology.
   c. Discuss briefly causes of reactive arthritis.

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9. In a patient who presents with the following conditions, what relevant investigations would you do and when:
   a. Portwine stain on the face.
   b. Verrucous hemangioma on the leg.
   c. Hairy tuft on the lumbosacral area.
   

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   d. Cutaneous horn.

10. In a 26 year old female who presents with increased facial hair:
    a. Discuss the points of relevance of a good history.
    b. What clinical evaluation will you do on her?
    

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    c. Enumerate the relevant investigations.
    d. What are the Lasers available for such a patients?

NATIONAL BOARD OF EXAMINATIONS

POSSESSION / USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION HALL.

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