Download DNB 2020 June Rheumatology Paper II Question Paper

Download Diplomate of National Board (DNB) 2020 June Rheumatology Paper II Question Paper

FINAL EXAM
NATIONAL BOARD OF EXAMINATIONS
JUNE 2020
RHEUMATOLOGY
PAPER-II
Time: 3 hours
RHM/J/20/43/II
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 al 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. Define and classify panniculitis? Discuss differential diagnosis in a patient
5+5
with erythema nodosum and ankle arthritis.
2. Briefly describe type of pulmonary involvement in RA. Write management
3+(4+3)
and prognosis of interstitial lung disease in RA.
3. What is the role of intra-articular (IA) drugs in osteoarthritis? In addition,
6+4
discuss role of IA mesenchymal stem cel s in OA.
4. A 27-year-old patient with SLE presented to casualty with fever, dyspnea &
3+7
hemoptysis for two days. Write differential diagnosis. Describe approach to
management of this patient.
5. What is CPPD disease? What are the various conditions associated with
2+2+6
it? How do you differentiate acute attack of CPPD disease from gout?
6. Compare and contrast juvenile idiopathic inflammatory myositis from adult
6+4
idiopathic inflammatory myositis. What are the prognostic factors and long-
term outcome of juvenile idiopathic inflammatory myositis?
7. Write a narrative on various effects of SARS-COV2 pandemic on patients
6+4
with rheumatic diseases and rationale behind use of certain anti-rheumatic
drugs in management of COVID-19.
8. Name 3 organisms associated with reactive arthritis. What is the postulated
3+7
pathogenesis of acute and chronic reactive arthritis?
9. Write pathophysiology of axial spondyloarthritis. Discuss treat to target
5+5
strategies in axial spondyloarthritis.
10. Name 3 different disease activity measures used in RA. Compare and
3+4+3
contrast them. Are patient administered disease activity measures as good
as physician determined measures?
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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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