Download DNB 2020 June Emergency Medicine Paper IV Question Paper

Download Diplomate of National Board (DNB) 2020 June Emergency Medicine Paper IV Question Paper

FINAL EXAM
NATIONAL BOARD OF EXAMINATIONS
JUNE 2020
EMERGENCY MEDICINE
PAPER-IV
Time: 3 hours
EM/J/20/52/IV
Max. Marks:100
Important Instructions:
Attempt al questions in order.
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.
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) Use of POCUS in COVID-19 infections.
5+3+2
b) Hydroxychloroquine use and COVID-19.
c) Dexamethasone in COVID-19.
2. a) Sample size calculation for a research study in ED.
4+3+3
b) Write briefly about Cox Regression model.
c) Forest plot.
3. a) `Do not attempt resuscitation' guidelines by ICMR.
7+3
b) Euthanasia.
4. a) Discharge against medical advice from ED.
4+3+3
b) Medico-legal implications of a prisoner absconding from ED.
c) How to declare a patient "brought dead"?
5. a) Pre-requisites before initiating clinical tests to declare a patient
2+5+3
`brain dead'.
b) Clinical tests required to be done to declare a patient `brain
dead'.
c) Care of patient who has been declared `brain dead' and is a
potential organ donor.
6. a) Airway ultrasound in Emergency department.
4+3+3
b) Broselow tape.
c) Nerve blocks in a trauma patient.
7. a) Greif Counsel ing.
5+5
b) Home isolation of a COVID-19 positive patient.
8. a) FISH bone analysis for quality improvement in ED.
4+(3+3)
b) DAWN and DIFFUSE-3 Trials.
9. a) MEWS score.
4+3+3
b) Prehospital antibiotic therapy in suspected sepsis.
c) Vancomycin as an empiric treatment in sepsis.
10. a) Evaluation and management of a neonate with fever.
5+5
b) Evaluation and management of a febrile infant between 1-12
months of age.
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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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