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

FirstRanker.com

FINAL EXAM
JUNE 2019

--- Content provided by​ FirstRanker.com ---

Time: 3 hours FLM/J/19/08/IV Max. Marks:100

Important Instructions:

• Attempt all questions in order.

--- Content provided by⁠ FirstRanker.com ---

• 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.

--- Content provided by⁠ FirstRanker.com ---

• 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. The area where you have been working in a CHC was damaged heavily by a cyclone the previous day. Describe the role of the doctor as part of the disaster response team. (10)
2. You want to investigate the effectiveness of a single high dose of azithromycin as compared to the usual treatment for outpatient management of community acquired pneumonia, using a randomized controlled trial. Write briefly on the steps involved in this. (10)

--- Content provided by‌ FirstRanker.com ---

3. Sources, effects and control of air pollution in a rural setting. (10)
4. Rota virus infection and vaccination. (10)
5. What advice would you give to a family which is planning a 10-day visit to Kenya for a wild life safari holiday? (10)
6. Occupational hazards due to cement for a construction worker and methods to prevent them. (5+5)
7. You are planning a new group health education initiative for antenatal women in your CHC. Describe briefly the components of health education for this group. (10)

--- Content provided by⁠ FirstRanker.com ---

8. a) A 45-year-old diabetic requires insulin for control of diabetes, but is refusing insulin. What is the best patient-centered ethical approach? (5)
   b) List the measures which can help to improve compliance in taking 6 tablets in a 70-year-old illiterate widow who lives alone. (5)
9. a) Describe what measures should be taken to prevent and treat anemia in adolescent girls. (5)
   b) Describe the intervention to be adopted in a school where several boys have been caught smoking. (5)
10. a) Describe the public health measures to be taken at the start of a dengue outbreak. (5)
    

    --- Content provided by⁠ FirstRanker.com ---

    b) What measures are helpful to reduce the incidence of filariasis? (5)

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

FirstRanker.com