Download Diplomate of National Board (DNB) 2020 December OtorhInolaryngology Paper IV Question Paper
NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2020
OTORHINOLARYNGOLOGY
PAPER-IV
TIME: 3 HOURS
ENT/D/20/28/IV
MAX. MARKS: 100
IMPORTANT INSTRUCTIONS
You are provided with 5 answer sheet booklets. Each individual answer sheet
booklet consists of 10 pages excluding the covering jackets.
This question paper consists of 10 short note questions. Question paper is
divided into 5 Parts - A, B, C, D and E, each part containing 2 questions.
Answers to questions of part A, part B, part C, part D & part E are to be strictly
attempted in a separate answer sheet booklet which must be later tagged
together at the end of the exam.
No additional supplementary answer sheet booklet will be provided.
Answers to question(s) attempted on an answer sheet booklet for a different
part will not be evaluated.
Part A/Part B /Part C/Part D/Part E should be mentioned on the covering
page of the respective answer sheet booklet.
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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POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION HALL.
FINAL EXAM
NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2020
OTORHINOLARYNGOLOGY
PAPER-IV
TIME: 3 HOURS
ENT/D/20/28/IV
MAX. MARKS: 100
PART-A
IMPORTANT INSTRUCTIONS
Answers to questions of part A, part B, part C, part D & part E are to be strictly
attempted in a separate answer sheet booklet which must be later tagged together
at the end of the exam.
No additional supplementary answer sheet booklet will be provided.
Answers to question(s) attempted on an answer sheet booklet for a different part
will not be evaluated.
Part A/Part B /Part C/Part D/Part E should be mentioned on the covering page of the
respective answer sheet booklet.
Write short notes on:
PART-A
1. a) What is fractionation of radiotherapy?
5+5
b) Role of Proton beam therapy in head and neck malignancy.
2. a) Classify the various types of free flaps.
4+3+3
b) Discuss the factors contributing to a compromised flap and the various
interventions to improve skin flap survival.
-2 of 6-
POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION HALL.
FINAL EXAM
NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2020
OTORHINOLARYNGOLOGY
PAPER-IV
TIME: 3 HOURS
ENT/D/20/28/IV
MAX. MARKS: 100
PART-B
IMPORTANT INSTRUCTIONS
Answers to questions of part A, part B, part C, part D & part E are to be strictly
attempted in a separate answer sheet booklet which must be later tagged together
at the end of the exam.
No additional supplementary answer sheet booklet will be provided.
Answers to question(s) attempted on an answer sheet booklet for a different part
will not be evaluated.
Part A/Part B /Part C/Part D/Part E should be mentioned on the covering page of the
respective answer sheet booklet.
Write short notes on:
PART-B
3. a) What is the thyroid imaging reporting and data system (TI-RADS)
5+5
classification and scoring system of thyroid nodules?
b) Discuss in brief how to approach a case of suspected recurrent thyroid
cancer.
4. a) Principle and the equipment required for contact endoscopy.
5+5
b) Role of contact endoscopy in management of oral cancers.
-3 of 6-
POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION HALL.
FINAL EXAM
NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2020
OTORHINOLARYNGOLOGY
PAPER-IV
TIME: 3 HOURS
ENT/D/20/28/IV
MAX. MARKS: 100
PART-C
IMPORTANT INSTRUCTIONS
Answers to questions of part A, part B, part C, part D & part E are to be strictly
attempted in a separate answer sheet booklet which must be later tagged together
at the end of the exam.
No additional supplementary answer sheet booklet will be provided.
Answers to question(s) attempted on an answer sheet booklet for a different part
will not be evaluated.
Part A/Part B /Part C/Part D/Part E should be mentioned on the covering page of the
respective answer sheet booklet.
Write short notes on:
PART-C
5. a) What is the principle of PET-CT?
4+6
b) Indications and limitations of PET-CT in head and neck cancers.
6. a) What is artificial blood?
5+5
b) Discuss the various methods to minimize transfusion reactions.
-4 of 6-
POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION HALL.
FINAL EXAM
NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2020
OTORHINOLARYNGOLOGY
PAPER-IV
TIME: 3 HOURS
ENT/D/20/28/IV
MAX. MARKS: 100
PART-D
IMPORTANT INSTRUCTIONS
Answers to questions of part A, part B, part C, part D & part E are to be strictly
attempted in a separate answer sheet booklet which must be later tagged together
at the end of the exam.
No additional supplementary answer sheet booklet will be provided.
Answers to question(s) attempted on an answer sheet booklet for a different part
will not be evaluated.
Part A/Part B /Part C/Part D/Part E should be mentioned on the covering page of the
respective answer sheet booklet.
PART-D
Write Short notes on:
7.
a) Classify wounds based on level of contamination at surgery.
5+5
b) Source and role of various cytokine/growth factors in wound
healing.
8
a) Causes of Eustachian tube dysfunction.
2+(2+3+3)
b) Indications, procedure and complications of Eustachian tube
balloon dilation and tuboplasty.
-5 of 6-
POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION HALL.
FINAL EXAM
NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2020
OTORHINOLARYNGOLOGY
PAPER-IV
TIME: 3 HOURS
ENT/D/20/28/IV
MAX. MARKS: 100
PART-E
IMPORTANT INSTRUCTIONS
Answers to questions of part A, part B, part C, part D & part E are to be strictly
attempted in a separate answer sheet booklet which must be later tagged together
at the end of the exam.
No additional supplementary answer sheet booklet will be provided.
Answers to question(s) attempted on an answer sheet booklet for a different part
will not be evaluated.
Part A/Part B /Part C/Part D/Part E should be mentioned on the covering page of the
respective answer sheet booklet.
PART-E
Write short notes on:
9.
a) Discuss the various stem cell types.
5+5
b) Describe the potential clinical application of stem cells.
10.
a) Classify lymphangiomas of the neck.
4+(3+3)
b) Discuss the various medical and surgical options available for the
management of a case of lymphangiomas.
************
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POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION HALL.
This post was last modified on 31 July 2021