Download DNB 2016 Dec EMERGENCY MEDICINE PAPER 1 Question Paper

Download Diplomate of National Board (DNB) 2016 Dec EMERGENCY MEDICINE PAPER 1 Previous Question Paper

FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2016
-1-
POSSESSION / USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
EMERGENCY MEDICINE

PAPER ? I
EM.MED/D/16/52/I
Time : 3 hours
Max. Marks : 100

Important instructions:

? Attempt all questions in order.
? 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.
? 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) Illustrate with the help of a labelled diagram the conducting system of
the heart.
b) What are the different mechanisms of tacharrhythmias?
c) Classification of anti-arrhythmic agents.

3+3+4
2. a) Sodium homeostasis.
b) Mention various causes of hypernatremia.
c) Pathophysiology of clinical effects of hypernatremia.

4+3+3
3. a) Anatomy of wrist and hand as relevant to emergency physician.
b) Nerve supply of various muscles of hands.
c) Action of various muscles of hand.

4+3+3
4. a) Kassirer-Bleich equation.
b) How does the kidney regulate acid-base balance?
c) Define anion gap and mention its clinical use.
d) Enumerate cause of metabolic acidosis.

2+3+2+3
5. a) Non-invasive oxygen and carbon dioxide monitoring.
b) Oxygen-hemoglobin dissociation curve.
c) What is the utility of end-tidal CO2 during cardio-pulmonary
resuscitation?

4+3+3
6. a) Name three low-molecular heparins alongwith their doses.
b) Mechanism of action of unfractionated and low-molecular weight
heparin.
c) Methods to monitor therapy with unfractionated heparin.

3+3+4
7. a) Classify various antimicrobial agents.
b) Mechanism of action of penicillins.
c) Adverse effects of penicillins.
d) What are the adverse effects of aminoglycosides?



4+2+2+2




P.T.O.
FirstRanker.com - FirstRanker's Choice
FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2016
-1-
POSSESSION / USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
EMERGENCY MEDICINE

PAPER ? I
EM.MED/D/16/52/I
Time : 3 hours
Max. Marks : 100

Important instructions:

? Attempt all questions in order.
? 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.
? 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) Illustrate with the help of a labelled diagram the conducting system of
the heart.
b) What are the different mechanisms of tacharrhythmias?
c) Classification of anti-arrhythmic agents.

3+3+4
2. a) Sodium homeostasis.
b) Mention various causes of hypernatremia.
c) Pathophysiology of clinical effects of hypernatremia.

4+3+3
3. a) Anatomy of wrist and hand as relevant to emergency physician.
b) Nerve supply of various muscles of hands.
c) Action of various muscles of hand.

4+3+3
4. a) Kassirer-Bleich equation.
b) How does the kidney regulate acid-base balance?
c) Define anion gap and mention its clinical use.
d) Enumerate cause of metabolic acidosis.

2+3+2+3
5. a) Non-invasive oxygen and carbon dioxide monitoring.
b) Oxygen-hemoglobin dissociation curve.
c) What is the utility of end-tidal CO2 during cardio-pulmonary
resuscitation?

4+3+3
6. a) Name three low-molecular heparins alongwith their doses.
b) Mechanism of action of unfractionated and low-molecular weight
heparin.
c) Methods to monitor therapy with unfractionated heparin.

3+3+4
7. a) Classify various antimicrobial agents.
b) Mechanism of action of penicillins.
c) Adverse effects of penicillins.
d) What are the adverse effects of aminoglycosides?



4+2+2+2




P.T.O.
FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2016
-2-
POSSESSION / USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.

EMERGENCY MEDICINE

PAPER ? I

8. a) What are the diseases produced by various species of Clostridium?
b) Pathogenesis of tetanus.
c) Tetanus prophylaxis following an injury.

3+4+3
9. a) Common causes and pathophysiology of anaphylaxis.
b) Clinical criteria for its diagnosis.
c) Write about 2 drugs used as first-line therapy.

5+3+2
10. a) Pathophysiology and diagnostic criteria of diabetic ketoacidosis.
b) Mention important laboratory tests to be done in a case of suspected
diabetic ketoacidosis.

(4+3)+3
**********************
FirstRanker.com - FirstRanker's Choice