Download DNB 2020 December Emergency MedIcIne Paper I Question Paper

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FINAL EXAM

DECEMBER 2020

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EMERGENCY MEDICINE

PAPER-I

Time: 3 hours EM/D/20/52/1

Max. Marks: 100

Important Instructions:

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• You are provided with 5 answer sheet booklets. Each individual answer sheet booklet consists of 10 pages excluding the covering jackets.
• Answers to all the questions must be attempted within these 5 answer sheet booklets which must be later tagged together at the end of the exam.
• No additional supplementary answer sheet booklet will be provided.
• Attempt all questions in order.
• Each question carries 10 marks.

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• 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.

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• Draw table/diagrams/flowcharts wherever appropriate.

Write short notes on:

1. a) Pathways of transmission of pain. 3+4+3
   b) Local anaesthetic drugs.
   c) Hematoma block.

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2. a) Physiology of temperature regulation. 4+2+4
   b) Enumerate the methods of measuring the body temperature.
   c) Management of heat stroke.
3. a) Pathophysiology of acclimatization. 4+3+3
   b) What is the management of acute mountain sickness?
   

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   c) Caisson sickness.
4. a) Physiology of blood flow in the heart. 5+5
   b) POCUS in estimation of fluid volume in shock.
5. a) Anatomical characteristics of pediatric airway. 3+4+3
   b) How does pediatric airway differ from adult airway?
   

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   c) Steps of management of difficult pediatric airway.
6. a) Buffer systems, respiratory and renal regulations of acid-base balance. 4+4+2
   b) Describe the difference between arterial blood gas and venous blood gas.
   c) Acid-base disorders in trauma.
7. a) Physiology of adrenal hormone secretion. 5+5
   

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   b) What is the management of adrenal crisis?

P.T.O.

8. a) Physiology of haemostasis. 4+2+4
   b) What are the tests for primary and secondary haemostasis?
   c) von Willebrand disease.

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9. a) Physiology of urine formation. 4+4+2
   b) What is the mechanism of action of various classes of diuretic drugs?
   c) What are the complications of diuretics?
10. a) Anticonvulsants. 5+5
    b) Anti-arrhythmic drugs.

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