Download Diplomate of National Board (DNB) 2020 June General Medicine Paper IV Question Paper
NATIONAL BOARD OF EXAMINATIONS
JUNE 2020
GENERAL MEDICINE
PAPER-IV
TIME: 3 HOURS
MED/J/20/11/IV
MAX. MARKS: 100
IMPORTANT INSTRUCTIONS
This question paper consists of 10 questions divided into Part "A" and part "B", each part
containing 5 questions.
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.
Answers to question(s) of Part A attempted in answer sheet(s) of part B or Vice versa shall not be
evaluated.
Answer sheets of Part A and Part B are not to be tagged together.
Part A and Part B should be mentioned only on the covering page of the respective answer sheets.
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.
Write short notes on:
PART A
1. Structure, functions of telomeres and relation of telomere length
3+2+5
to disease risks.
2. Pathogenesis and management of sarcoidosis.
4+6
3. Enumerate oral JAK inhibitors and their role in treatment of
4+6
diseases.
4. Recent advances in diagnosis and management of Irritable
4+6
bowel syndrome.
5. a) Lung as an endocrine organ.
5+5
b) Outline the recent advances in management of interstitial
lung disease.
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
GENERAL MEDICINE
PAPER-IV
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 sheets and the
main + supplementary answer sheets used for each part must be tagged separately.
Answers to question(s) of Part A attempted in answer sheets of Part B or vice versa shall not be evaluated.
PART B
6. What is the human microbiome? Outline the relationship
3+3+4
between microbiota with specific disease states. Describe
fecal microbiota transplantation.
7. Diagnosis and management of Legionella infections.
5+5
8. a) Impact of Hepatitis C- HIV co-infection.
5+5
b) Management of HCV infection in people living with HIV.
9. a) Concept of emerging infectious diseases.
5+5
b) Effect of climate change on disease.
10. Indications and strategies of domiciliary oxygen therapy.
5+5
************
-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