Download DNB 2016 Dec IMMUNO HEMATOLOGY AND TRANSFUSION MEDICINE PAPER 3 Question Paper

Download Diplomate of National Board (DNB) 2016 Dec IMMUNO HEMATOLOGY AND TRANSFUSION MEDICINE PAPER 3 Previous Question Paper

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

PAPER ? III
IHTM/D/16/15/III
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. Discuss the investigations and management in a 56 year old male who is
bleeding following a CABG. He has received streptokinase, Abciximab (Gp IIb
IIIa inhibitor) and Clopidogrel.

10
2. An 18 year old boy with severe haemophilia A is detected to have inhibitors of
2 Bethesda Units. Mention:
a) Short term management in a bleed.
b) Long term management.

6+4
3. A 30 year old lady who is 34 weeks pregnant and has a platelet count of 40 x
10
9
/L with large platelets. How will you investiage and manage this patient?



5+5
4. A 42 year old male with acute promyelocytic leukemia with seizures and
bleeding gums.
a) Outline the approach to this patient.
b) What blood products would you recommend based on your findings?

5+5
5. A 25 year old lady has post partum hemorrhage and massive blood loss
a) Investigations and transfusion support.
b) Use of recombinant activated FVIIa (Novoseven) in this situation.

6+4
6. Preterm neonate delivered at 32 weeks of gestation. Most suitable blood
component & reasons thereof since he is requiring top up for:
a) Platelets
b) Red cells

4+6
7. Enumerate pathogen reduction strategies in blood and blood products.


10
8. You have been asked to develop a program for Thalassaemia management in
your town.
a) Outline the feasibility of a screening program.
b) Enumerate the facility development for investigations and management.


4+6
9. a) Cord blood banking.
b) Processing and storage for a public cord blood bank.

5+5
10. 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.
b) Blood stock management.
4+6
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