Download DNB 2016 Dec ANAESTHESIOLOGY PAPER 4 Question Paper

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FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2016

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IMPORTANT INSTRUCTIONS

• This question paper consists of 10 questions divided into Part ‘A’ and Part ‘B’, each part containing 5 questions.
• 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.
• Answer sheet(s) of Part ‘A’ and Part ‘B’ are not to be tagged together.

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• Part ‘A’ and Part ‘B’ should be mentioned only on the covering page of the respective answer sheet(s).
• 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.

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• 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:

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PART A

1. a) Why is humidification of inhaled gases important? 2+(4+4)
   b) What are the various techniques of humidifying inhaled air in a patient breathing spontaneously, and a patient on controlled ventilation in ICU?
2. a) What is opioid induced hyperalgesia? 2+2+6
   b) What is the difference between opioid induced hyperalgesia and opioid tolerance?
   

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   c) Measures taken to overcome opioid induced hyperalgesia.
3. Symptoms and signs, and management of organophosphorus poisoning. 5+5
4. Role of PT, APTT and thromboelastography in clinical practice. 3+3+4
5. Pharmacological and non-pharmacological means of reducing intracranial tension in a patient with head injury being ventilated in ICU. 5+5

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