Download DNB 2019 June EMERGENCY MEDICINE EMERGENCY MEDICINE PAPER 4 Question Paper

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FINAL EXAM

JUNE 2019

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EMERGENCY MEDICINE

PAPER-IV

Time: 3 hours

Max. Marks: 100

Important Instructions:

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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.
5. Indicate the question number correctly for the answer in the margin space.

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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:

1. a) Use of REBOA in ED. (5+5)
   

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   b) Use of ECMO in ED.
2. a) What is routine newborn care? (2+5+3)
   b) Discuss steps of neonatal resuscitation.
   c) Vascular access in the new born.
3. a) How will you clinically evaluate dehydration in children? (3+4+1+2)
   

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   b) Treatment of dehydration according to severity.
   c) Composition of reduced WHO ORS.
   d) Maintenance phase for successfully rehydrated children.
4. a) Discuss types of neglect in children. (2+2+6)
   b) Risk factors for child maltreatment.
   

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   c) Diagnosis of physical abuse in-child.
5. a) Causes of jaundice in neonates and infants. (3+4+3)
   b) Pathogenesis of various causes of jaundice in children.
   c) Approach to a child with jaundice.
6. a) Confidence interval. (3+4+3)
   

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   b) Positive and negative predictive values.
   c) Triple-blinded, randomized studies.
7. a) What are LVADs (Left Ventricular Assist Devices)? (2+2+3+3)
   b) What are the indications of LVADs?
   c) How do LVADs function?
   

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   d) Medical complications of LVADs.
8. What are two different classes of novel oral anticoagulants (NOAC) and enumerate commonly used drugs of each class? (2+2+3+3)
   Role of NOAC in patients with atrial fibrillation.
   CHA2-DS2-VASc score.
   HAS-BLED score.

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9. a) Ocular ultrasound. (3+5+2)
   b) FALLS protocol.
   c) Ultrasound finding in pneumonia.
10. a) High sensitivity troponin. (4+3+3)
    b) HEART pathway.
    

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    c) ADVISED trial in aortic dissection.

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