Download DNB 2020 June Ophthalmology Paper IV Question Paper

FINAL EXAM
NATIONAL BOARD OF EXAMINATIONS
JUNE 2020
OPHTHALMOLOGY
PAPER-IV

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TIME: 3 HOURS
OPH/J/20/26/IV
MAX. MARKS: 100

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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.

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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.

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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.

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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:
PART A

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1. a) Rho kinase inhibitors in Ophthalmology.
5+5

b) Micro-Invasive Glaucoma Surgery (MIGS).

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2. Intravitreal Aflibercept Injection: mechanism of action, indications,
5+5
dosage and adverse events. Add a note on comparative
effectiveness with other drugs of same group.
3. a) Bal oon Assisted Lacrimal Surgery.

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5+5
b) Implants used for orbital reconstruction - advantages and

disadvantages.
4. a) DRCR.net protocols for macular edema.

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5+5

b) VEGF-trap.
5. a) Lamel ar Keratoplasty: types and indication.
5+5

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b) DMEK.
P.T.O
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POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION

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HALL.

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FINAL EXAM
NATIONAL BOARD OF EXAMINATIONS
JUNE 2020

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OPHTHALMOLOGY
PAPER-IV

Please read carefully the important instructions mentioned on Page `1'

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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. Differentiate between Regression, Progression and Ectasia post

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5+5
LASIK with respect to refractive errors. What is WF-Optimized,
WF-Guided and Contoura procedures?
7. What is canaloplasty? Discuss indications, technique, IOP
3+7

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lowering efficacy and adverse effects.
8. a) Topical chemotherapy for ocular tumours.
5+5
b) Enumerate options for management of uveitic macular

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oedema (UMO).
9. a) Diagnosis of Meibomian gland dysfunction.
4+2+2+2
b) DEWS 2 definition of dry eyes.

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c) Intense pulsed light therapy.
d) Lipiflow.
10. Use of smartphone for Ophthalmic imaging & tele ophthalmology.

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10
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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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