Download DNB 2020 June Ophthalmology Paper IV Question Paper

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

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


TIME: 3 HOURS
OPH/J/20/26/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. a) Rho kinase inhibitors in Ophthalmology.
5+5

b) Micro-Invasive Glaucoma Surgery (MIGS).
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.
5+5
b) Implants used for orbital reconstruction - advantages and

disadvantages.
4. a) DRCR.net protocols for macular edema.
5+5

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

b) DMEK.
P.T.O
-1-
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


OPHTHALMOLOGY
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. Differentiate between Regression, Progression and Ectasia post
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

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

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

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

10
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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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