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FINAL EXAM
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DECEMBER 2016
Time : 3 hours
Max. Marks : 100
IMMUNO-HEMATOLOGY & TRANSFUSION MEDICINE
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PAPER — llI
NATIONAL BOARD OF EXAMINATIONS
IHTM/D/16/15/11
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.
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1. Write short notes on:
2. Discuss the investigations and management in a 56 year old male who is bleeding following a CABG. He has received streptokinase, Abciximab (Gp llb Illa inhibitor) and Clopidogrel. (6+4)
3. An 18 year old boy with severe haemophilia A is detected to have inhibitors of 2 Bethesda Units. Mention: (5+5)
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a) Short term management in a bleed.
b) Long term management.
4. A 30 year old lady who is 34 weeks pregnant and has a platelet count of 40 x 109/L with large platelets. How will you investigate and manage this patient? (5+5)
5. A 42 year old male with acute promyelocytic-leukemia with seizures and bleeding gums. (6+4)
a) Outline the approach to this patient.
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b) What blood products would you recommend based on your findings?
6. A 25 year old lady has post partum hemorrhage and massive blood loss (4+6)
a) Investigations and transfusion support.
b) Use of recombinant activated FVIIa (Novoseven) in this situation.
7. Preterm neonate delivered at 32 weeks of gestation. Most suitable blood component & reasons thereof since he is requiring top up for: (10)
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a) Platelets
b) Red cells
8. Enumerate pathogen reduction strategies in blood and blood products. (4+6)
9. You have been asked to develop a program for Thalassaemia management in your town. (5+5)
a) Outline the feasibility of a screening program.
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b) Enumerate the facility development for investigations and management.
10. a) Cord blood banking. (4+6)
b) Processing and storage for a public cord blood bank.
11. You have been asked to develop blood storage centres at 3 of your satellite hospitals which offer all medical and surgical subspecialities.
a) Evaluate the need and outline facility management.
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b) Blood stock management.
POSSESSION / USE OF CELL PHONE IS NOT PERMITTED INSIDE THE EXAMINATION HALL.
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This download link is referred from the post: DNB 2016 Dec Previous Question Papers-(Diplomate of National Board) Under NBE