Download DNB 2015 Dec GENERAL MEDICINE II B Question Paper

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FINAL EXAM NATIONAL BOARD OF EXAMINATIONS

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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.

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

PART B

1. a) Approach to prevent cancer. 5
   b) Screening tests for early detection of breast, colorectal, 5
   lung, ovarian and prostate cancer.
2. A 15-year-old boy presents with severe anaemia, mild jaundice, splenomegaly, reticulocytosis and elevated LDH.
   

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   a) How would you investigate this patient? 5
   b) Clinical features of paroxysmal nocturnal haemoglobinuria 5
   (PNH).
3. Clinical features, laboratory tests, differential diagnosis and 3+2+2+3
   treatment of typhoid fever.

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4. a) Muscarinic, nicotinic and central nervous system features 5
   of acute intentional organophosphorous pesticide poisoning. 5
   b) Management of acute organophosphorous poisoning.
5. a) Clinical features of neurotoxic snake bite. 3
   b) Management of severe envenomation caused by cobra 4
   

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   bites. 3
   c) Complications of Viper bite.

POSSESSION / USE OF CELL PHONWE\‘WKH?&IBHDGE TS IS NOT PERMITTED INSIDE THE - LE.