NATIONAL BOARD OF EXAMINATIONS
JUNE 2020
PATHOLOGY
PAPER-IV
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TIME: 3 HOURSPATH/J/20/32/IV
MAX. MARKS: 100
Important Instructions:
At empt al questions in order.
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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 al 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 twoanswers.
Draw table/diagrams/flowcharts wherever appropriate
Write short notes on:
1. Classify transfusion reactions. Discuss the algorithm used to
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investigate a case of transfusion reaction to identify the cause.5+5
2. Classify myeloproliferative disorders. Discuss each entity as per
WHO defining criteria.
3+7
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3. Classify prothrombotic states. Discuss the investigation in such acase.
3+7
4. Enumerate the pre-analytical variables in hematology. How does it
influence results in various parameters?
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5+55. Classify plasma cel dyscrasias. Discuss MGUS.
5+5
6. Discuss role of molecular diagnostics in hematology.
10
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7. a) PNH.b) Dyserythropoietic anemias.
5+5
8. a) Newer information obtained from Hematology cel counter.
5+5
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b) Use of flow cytometry in non-neoplastic hematologicaldisorder.
9. Enumerate the causes of leuco-erythroblastic picture. How would
you investigate a patient presenting with this picture on PBS.
10
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10. a) Drug induced immune hemolytic anemia.b) Chronic Eosinophilic Leukemia vs Idiopathic Hypereosinophilic
5+5
Syndrome.
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POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATIONHALL.