Download DNB 2015 Dec GENERAL MEDICINE I Question Paper

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FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2015

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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.

PART A

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Write short notes on:

1. a) High risk factors for syncope. 3
   b) Pathophysiology of syncope. 4
   c) Classify syncope. 3
2. a) Define obesity. 1
   

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   b) Pathophysiologic consequences of obesity. 3
   c) Goals of therapy, lifestyle management, diet therapy, 6 pharmacotherapy and surgery for obesity.
3. a) Mention causes of isolated splenomegaly. 3
   b) How would you differentiate clinically between causes of 4 isolated splenomegaly? 3
   c) Indications of splenectomy.

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4. A 21-year old woman, previously healthy, presents with 3-months history of headaches.
   a) What are the likely etiologies? 3
   b) How would you investigate her? 4
   c) Pharmacotherapy for prevention of migraine. 3
5. a) Define Fever of Unknown Origin (FUO). 1
   

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   b) Causes of FUO. 4
   c) Approach to a patient with classic FUO. 5