Download Diplomate of National Board (DNB) 2020 June Family Medicine Paper IV Question Paper
NATIONAL BOARD OF EXAMINATIONS
JUNE 2020
FAMILY MEDICINE
PAPER-IV
Time: 3 hours
FLM/J/20/08/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) Define infant mortality rate (IMR).
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b) What is the current IMR in India?
c) What are the causes of high IMR in India?
d) As a Family Physician, how wil you plan in helping district health
authorities to reduce IMR in your district?
2. Define Pandemic. Enlist the diseases which occurred in pandemic form.
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Write on preventive measures for COVID-19 Pandemic being undertaken
in our country.
3. Many people of various age groups are reporting with fever, jaundice and
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other abdominal symptoms from a vil age under the PHC where you are
working as in-charge Medical Officer. How wil you investigate this
outbreak? Describe the steps you would undertake to prevent and control
this outbreak in your PHC area.
4. How will you carry out screening of breast cancer in females, in community
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as wel as at clinic level? Name the programme for cancer prevention in
India. Write on the role of Cancer Registry in prevention of cancers.
5. Enlist various indicators of fertility. Define Net Reproduction Rate. Outline
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the plan for evaluation of Family Planning Services.
6. What are the key features of the National Mental Health Program? What
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is the role of the family physician to integrate mental health with primary
health care and provide access to mental health services in the
community?
P.T.O
-1-
POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
FINAL EXAM
NATIONAL BOARD OF EXAMINATIONS
JUNE 2020
FAMILY MEDICINE
PAPER-IV
7. a) Telemedicine and its use in family practice.
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b) Recent Bio-medical waste management guidelines.
8. a) The role of the family physician in prevention of drug resistance in the
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community.
b) Adult vaccinations.
9. A 45-year male had been diagnosed to have TB and started on anti-
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tubercular treatment (ATT). He returns in two weeks to say that his fever
is persisting. What are the common causes of discontinuation of ATT?
What measures can you take to ensure compliance? What are the
common side effects and adverse effects of the first line ATT?
10. Define the fol owing and give their formulae:
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a) The mean deviation.
b) The standard deviation.
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-2-
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