Download Diplomate of National Board (DNB) 2020 December FamIly MedIcIne Paper II Question Paper
NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2020
FAMILY MEDICINE
PAPER-II
Time: 3 hours
FLM/D/20/08/II
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 teenager met with a cycling accident. Bystanders rushed to his aid and
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found him unresponsive but in a few minutes he recovered and was well
enough to take a cab back home. Displaying abundant precaution, his
parents have brought him to you.
a) How would you assess this case?
b) What are the steps in the management of head injury in this teenager?
2. A 45-year-old man presents with the history of a swelling in the inguinal
5+5
region which becomes larger when he coughs or sneezes.
a) How would you assess this case?
b) What are the steps in the management of this case?
3. A 35-year-old man complains of passing blood in his stools. Defecation is
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painful as well.
a) How would you assess this case?
b) What are the steps in the management of this case?
4. A 70-year-old lady presents to you with history of a fall. She complains of
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radiating pain to the knee and the inability to put her foot down.
a) How would you assess this case?
b) What are the steps in the management of this case?
5. A 55-year-old bus conductor presents to you with a history of heaviness of
5+5
the legs, pain while walking and itching above the left ankle.
a) How would you assess this case?
b) What are the steps in the management of varicose ulcer?
P.T.O.
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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-II
6. A young man presents to you with a history of a swelling on the left side of
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his neck. This has been growing in size over the past few days. He says
he feels feverish off and on.
a) What is your differential diagnosis?
b) How would you assess this case?
c) What are the steps in the management of such a swelling?
7. A middle aged tailor working in a factory presents with a history of low 3+3+4
backache.
a) How would you assess the case?
b) How can low backache due to such occupations be prevented?
c) How can this patient be managed?
8. A 60-year-old man presents with a history of inability to pass urine. On 2+4+4
examination you find that he has unbearable supra-pubic tenderness.
a) What is your differential diagnosis?
b) How would you assess this case?
c) What are the steps in the management of this case?
9. Discuss the management of the following two conditions in children:
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a) Paraumbilical hernia
b) Phimosis
10.
A 50-year-old presents to you with severe pain of his right thumb. On 2+5+3
examination, you notice a small dark patch below the nail. He vaguely
remembers injuring himself while doing some work in his garden.
a) What is your differential diagnosis?
b) What are the steps in the management of this case?
c) What options of anesthesia are available in case a surgical intervention
is required?
*************
-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