Download Diplomate of National Board (DNB) 2020 December FamIly MedIcIne Paper I Question Paper
NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2020
FAMILY MEDICINE
PAPER-I
Time: 3 hours
FLM/D/20/08/I
Max. Marks:100
Important Instructions:
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.
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:
1.
A 60-year-old lady, known diabetic since a few years, did not take
2+3+5
her medicines a few months and presents with abdominal pain,
vomiting and fever in your primary care clinic.
a) Write 4 differential diagnosis.
b) What investigation would you like to do, with reasons for each?
c) How would you manage each condition?
2.
A 17-year-old girl is concerned about her acne. What are the
3+5+2
various presentations of acne? What are the treatments
available? How would you counsel her?
3.
An 18-year-old woman, presents with left sided massive pleural
3+5+2
effusion. What are your differential diagnosis? What specific tests
would you need to confirm your diagnosis? She turns out to be
HIV positive. How would you explain to her and her widowed
mother?
4.
A 24-year young man, presents with fever and dry cough since 3 3+3+2+2
days with no localizing symptoms. List the common differentials.
How would you manage? When would you decide to investigate
this patient? When would you advise admission?
5.
Over the years, there are many women who visit your OP who are 2+2+4+2
overweight or obese. What are the definitions of obesity? Obesity
is a risk factor for many diseases, name four. What are the
personal measures you would suggest to reduce weight? What
are the community measures you would suggest to reduce
obesity?
P.T.O.
-1-
POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
FINAL EXAM
NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2020
FAMILY MEDICINE
PAPER-I
6.
A 30-year-old salesman has come to you with heartburn and
2+3+5
reflux for the past 2 months. He travels extensively and eats out
all the time. He has gained weight recently due to the junk food
that he has been eating. He admits to smoking and drinking to
deal with the stress of work. On examination, his BMI is 34 and
he has no abnormalities except for mild epigastric tenderness.
a) What are the red flags in the history that you would ask for?
b) What is the most probable diagnosis and what drugs will you
start him on?
c) What life style changes would you advise him?
7.
A 55-year-old man presents with history of hemoptysis for the past
3+3+4
few days.
a) Write briefly on the common causes of hemoptysis in family
practice.
b) How will you assess this man with appropriate history,
physical examination and investigations?
c) Diagnosis and management of bronchiectasis.
8.
A 60-year-old man is brought to you with history of brief episodes
4+3+3
of loss of consciousness over the past week.
a) List the differential diagnosis for this presentation.
b) What history and physical examination would you elicit?
c) How will you investigate this patient?
9.
You have a 45-year-old patient whose spirometry showed
10
features of COPD. Discuss how you will help him to quit smoking.
10.
A 25-year-old labourer who was working in the field in the hot sun
10
was brought to you with altered behaviour. His core temperature
was found to be 1050 F. What is the differential diagnosis? How
will you investigate and manage this patient?
*************
-2-
POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
This post was last modified on 31 July 2021