Download DNB 2019 June FAMILY MEDICINE FAMILY MEDICINE PAPER 3 Question Paper

FINAL EXAM

JUNE 2019

FAMILY MEDICINE

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PAPER-III

Time: 3 hours

Max. Marks: 100

Important Instructions:

• Attempt all questions in order.

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• 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.
• Answer all the parts of a single question together.

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• 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 35-year-old lady who is G4P2L2A1 at 38 weeks, has just delivered at the CHC you are working. She develops profuse bleeding.

   1. How will you assess the patient? (3)

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   2. Management of postpartum hemorrhage at the CHC. (7)

2. A 24-year-old sexually active lady complaints of white discharge per vaginum.

   1. Describe the WHO syndromic approach in this patient. (5)
   2. Investigations to assess her problem. (2)

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   3. Management of the condition. (3)

3. Describe the mode of action of intra-uterine contraceptive devices (IUCD). (5)

   Discuss the optimum timing of insertion of IUCD. (5)

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4. List the patients who are high risk for gestational diabetes. (2)

   Describe the screening strategies for detecting gestational diabetes. (5)

   What is the long-term outcome of carbohydrate tolerance in a woman with gestational diabetes? (3)

5. Define asymptomatic bacteriuria in pregnancy. (5)

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   Why is active treatment for this advocated in pregnancy? (5)

6. How is asthma severity classified in children? (5)

   List the medications and dosages in each grade of severity. (5)

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7. A mother has brought her 6-week old child for a health check to you. Describe briefly the history and physical examination to assess this child. (10)

8. Human papilloma virus vaccination in children. (10)

9. 1. Discuss the problems associated with breast-feeding a newborn child and their management. (5)

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   2. Describe how breast milk is expressed and fed to a baby whose mother is working outside the home or is unwell. (5)
10. 1. List 4 common skin infections in childhood. (4)
    2. Describe clinical features and management of each of the above. (6)

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