Download DNB 2019 June RESPIRATORY DISEASES RESPIRATORY MEDICINE PAPER 3 Question Paper

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FINAL EXAM

JUNE 2019

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RESPIRATORY MEDICINE

PAPER-III

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) Wallgren timetable of tuberculosis. 4+3+3
   

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   b) What are the causes of hemoptysis in tuberculosis?
   c) Management of hemoptysis in tuberculosis.
2. Tubercular meningitis: 2+4+4
   a) Clinical features
   b) Diagnosis
   

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   c) Treatment.
3. a) Discuss the WHO classification of Anti-tubercular drugs. 3+4+3
   b) What are the basic principles of chemotherapy in MDR-TB?
   c) Short-course chemotherapy for MDR-TB:
4. a) Lupus vulgaris 3+3+4
   

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   b) Miliary TB and lung injury.
   c) India DR TB survey.
5. a) Describe the Classification of Non-Tubercular Mycobacteria (NTM) and their significance in clinical practice 4+3+3
   b) How do you diagnose NTM?
   c) How do you manage such a case?

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6. a) Epidemiology and risk factors for OSA. (3+3)+4
   b) What are the Surgical options for Obstructive sleep apnea (OSA)?
7. a) INDEX-TB guidelines. 4+3+3
   b) Newer TB vaccines.
   c) BCG: Favorable and unfavorable characteristics.

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8. a) Define - SIRS, Sepsis, Severe sepsis and Septic shock. (1+1+1+1)+6
   b) Approach to management of sepsis.
9. a) Pulse oximetry 4+3+3
   b) Nutrition in COPD
   c) ICU neuropathy

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10. a) What is the role of surgery in pleuro-pulmonary tuberculosis? 5+3+2
    b) How do you assess such a patient for surgery?
    c) What are the complications of surgery in such cases?

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

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