Download DNB 2020 June Emergency Medicine Paper I Question Paper

FINAL EXAM
NATIONAL BOARD OF EXAMINATIONS
JUNE 2020
EMERGENCY MEDICINE
PAPER-I

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Time: 3 hours
EM/J/20/52/I
Max. Marks:100
Important Instructions:
Attempt all questions in order.

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Each question carries 10 marks.
Read the question careful y 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.

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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. a) Il ustrate counter current mechanisms for urine acidification.
4+3+3

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b) Various methods to provide renal replacement therapy.
c) Emergency complications in a patient with renal transplant.
2. a) Patho-physiology of diabetic ketoacidosis.
5+3+2
b) Diagnostic criteria for diabetic ketoacidosis.

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c) Complications of diabetic ketoacidosis.
3. a) Describe the anatomy and physiology of neuromuscular junction.
4+3+3
b) Enumerate differential diagnosis of acute onset quadriparesis.
c) Management of myasthenic crisis.

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4. a) Draw a diagram and describe the physiology of lung volumes and
4+3+3
capacities.
b) Initial ventilator management in a patient with respiratory acidosis.
c) Initial ventilator management in a patient with metabolic acidosis.

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5. a) Describe the pathophysiology of COVID-19 infection in
4+2+1+3
humans.
b) Awake proning in ARDS.
c) Single breath count in Emergency care.

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d) How wil you prepare your Emergency Department triage during the
pandemic of COVID-19?
6. a) Discuss rotator cuff injuries.
4+3+3
b) Diagram of anatomy of brachial plexus.

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c) Clinical presentation of Brachial plexus injuries.
7. a) Physiology of temperature regulation.
4+6
b) Heat stroke.
8. a) Antiplatelet drugs.

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3+3+4
b) High-dose insulin therapy in acute poisoning.
c) Intravenous lipid emulsion.
P.T.O.
-1-

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POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.

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FINAL EXAM
NATIONAL BOARD OF EXAMINATIONS
JUNE 2020

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EMERGENCY MEDICINE
PAPER-I
9. a) Calcium hemostasis.
3+2+3+2
b) Causes of hypocalcemia.

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c) Clinical features of hypocalcemia.
d) Treatment of hypocalcemia.
10. a) Pathophysiology of heart failure.
4+2+4
b) Biomarkers in diagnosis of heart failure.

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c) Management of sympathetic crashing acute pulmonary edema.
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-2-
POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.

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