Download Diplomate in National Board (DNB) 2017 Dec EMG MED EM PAPER III Previous Question Papers
Max. Marks : 100
Important instructions:
Attempt all questions in order.
Each question carries 10 marks.
Flead 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.
Start the answer to a question on a fresh page or leave adequate space between two answers.
Draw table/diagrams/?owcharts wherever appropriate.
Write short notes on:
1.
A 30?year patient presents to the emergency with fever and
altered sensorium.
a) Enumerate differential diagnosis
b) Approach to the patient in the ED
A 68 year old male presents to ED with chest pain. His ECG
shows ST- segment elevation in V2?V6.
a) Enumerate causes of ST segment elevation
b) How will you manage this patient in the ED?
0) Discuss HEART score and TIMI score in a patient with chest
pain.
d) How will you decide between percutaneous coronary
intervention and fibrinolytic therapy?
A 30 year old presents to the emergency with an acute onset of
breathlessness.
a) Enumerate the causes of acute onset of breathlessness
b) In a patient with acute asthma, how do you classify his
asthma attack based on the peak expiratory flow rate
(PEFR).
c) What are the indications for assisted ventilation in a patient
with acute asthma?
d) What are the initial ventilator settings for invasive positive
pressure ventilation in acute asthma?
A 42 year old male is brought to the ED with right arm and leg
weakness with slurring of speech for past 2 hours. His Vitals are
PR 100/min, BP 200/130 mmHg and oxygen saturation 95%. He
is fully conscious.
a) Step-wise assessment and management of this patient in
b) What are stroke-mimics?
c) What are the absolute and relative contraindications to
fibrinolytic therapy?
FINAL EXAM _ NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2017 www.FIrstRanker.com www.FIrstRanker.com
EMERGENCY MEDICINE
PAPER ? III
EM.MED./D/17/52/III
: 3 hours
4+6
2+2+3+3
3+2+2+3
5+2+3
POSSESSION / USE OF CELL PHONE Y I GETS IS NOT PERMITTED INSIDE THE
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FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2017 www.FirstRanker.com www.FirstRanker.com
EMERGENCY MEDICINE
PAPER ? III
5. a) What are the causes acute onset of jaundice? 2+2+3+3
b) List the complications of cirrhosis of liver
0) Discuss briefly spontaneous bacterial peritonitis
d) Discuss briefly hepato-renal syndrome
6. a) Pathophysiology of acute kidney injury 3+3+2+2
b) RIFLE criteria for acute kidney injury
0) Laboratory evaluation of acute kidney injury
d) Radiocontrast-induced nephropathy
7. A patient has come with suspected tetanus. Discuss the 3+3+2+2
following:
a) Pathophysiology of tetanus
b) Control of muscle spasms
G) Control of autonomic dysfunction
d) Immunotherapy and immunization
8. a) Factors precipitating lithium toxicity 3+4+3
b) Toxic effects of chronic lithium poisoning
0) Management of chronic lithium poisoning
9. a) Regulation of body temperature 3+4+3
b) Cooling techniques in heat stroke
0) Complications of heat stroke
10. a) Clinical features of myxedema crisis 3+2+5
b) List differential diagnosis of myxedema crisis
0) ED treatment of myxedema crisis
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POSSESSION/ USE OF CELL PHONE Y I ET I N TPERMI'ITED IN IDE THE
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This post was last modified on 17 April 2020