Download DNB 2019 June EMERGENCY MEDICINE EMERGENCY MEDICINE PAPER 1 Question Paper

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FINAL EXAM

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JUNE 2019

EMERGENCY MEDICINE

PAPER-I

Time: 3 hours

Max. Marks:100

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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.
4. Do not leave any blank pages between two answers.

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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.

Write short notes on:

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1. 1. Pathophysiology of bomb blast injuries.
   2. Enumerate factors affecting bomb blast injuries.
   3. Field triage in bomb blast injuries.
   4. ED triage in bomb blast injuries.

   4+2+2+2

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2. 1. Control zones of a chemical release event at a scene.
   2. How do you suspect chemical terrorism?
   3. Classify the chemical agents as per their actions.
   4. Personal protective equipments

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   3+2+2+3

3. 1. Pathophysiology of coagulopathy observed in trauma victims.
   2. Role of Thromboelastography in coagulopathy.
   3. Damage control resuscitation.

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   3+2+5

4. 1. Clinical criteria for anaphylaxis.
   2. Enumerate pathophysiology of anaphylaxis.
   3. Current treatment of anaphylaxis.

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   3+2+5

5. 1. Discuss physiological changes in pregnancy relevant to managing emergency conditions.
   2. How will you resuscitate a 26-weeks pregnant woman who is in cardiac arrest?

   5+5

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6. 1. Discuss various methods to confirm correct position of endotracheal tube.
   2. Draw and label the normal capnogram.
   3. Write on role of capnography variations in assessment of ventilator abnormalities.

   5+2+3

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7. 1. Pathophysiology of tumour lysis syndrome.
   2. Clinical features of tumour lysis syndrome.
   3. Management of tumour lysis syndrome.

   3+3+4

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8. 1. Draw a labelled diagram of cardiac conduction system.
   2. Classify cardiac arrhythmias.
   3. Classify anti-arrhythmic agents.
   4. Discuss various mechanisms of cardiac arrhythmias.

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   2+2+2+4

9. 1. Anatomy of knee joint.
   2. Clinical tests for diagnosis of cruciate ligament injuries of knee.

   5+5

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10. 1. Blood supply of spinal cord.
    2. Labelled diagram of transverse section of spinal cord at the level of dorsal-6 (thoracic-6) vertebra.
    3. Various rules for imaging cervical spine in a trauma patient.

    3+3+4

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

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