Download DNB 2016 Dec ANAESTHESIOLOGY PAPER 4 B Question Paper

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FINAL EXAM NATIONAL BOARD OF EXAMINATIONS

DECEMBER 2016

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ANAESTHESIOLOGY

PAPER - IV

Please read carefully the important instructions mentioned on Page ‘1’

Answers to questions of Part ‘A’ and Part ‘B’ are to be strictly attempted in separate answer sheet(s) and the main + supplementary answer sheet(s) used for each part must be tagged separately.

Answers to questions of Part ‘A’ attempted in answer sheet(s) of Part ‘B’ or vice versa shall not be evaluated.

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PART B

1. What are the symptoms and signs of hyponatraemia? 4+3+3

   Calculate the sodium deficit in a 70 Kg adult male with serum sodium of 122mmol/L. How will you replace the deficit?

2. a) Define: (1+1)

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   1. Systemic Inflammatory Response Syndrome.
   2. Septic shock

   b) Role of the following drugs in the management of septic shock: (3+3+2)

   1. Noradrenaline
   2. Dopamine

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   3. Dobutamine

3. Define bronchospasm. How does it affect the pressure volume flow loop? What are the intra-operative causes of bronchospasm? How is it managed? 2+2+3+3

4. Define VAP (Ventilator Acquired Pneumonia). What are the guidelines for antimicrobial treatment of VAP? What are the common microbes responsible for VAP? How can it be prevented? 2+3+2+3

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5. a) Define ARDS. 2+3+5

   b) Pathophysiology of ARDS.

   c) Principles of ventilatory management in a patient with ARDS.

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POSSESSION / USE OF CELL PHONES IS NOT PERMITTED INSIDE THE HALL.