Download Diplomate of National Board (DNB) 2020 December General MedIcIne Paper I Question Paper
NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2020
GENERAL MEDICINE
PAPER-I
TIME: 3 HOURS
MED/D/20/11/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.
This question paper consists of 10 short note questions. Question paper
is divided into 5 Parts - A, B, C, D and E, each part containing 2 questions.
Answers to questions of part A, part B, part C, part D & part E are to be
strictly attempted in a separate answer sheet booklet which must be later
tagged together at the end of the exam.
No additional supplementary answer sheet booklet will be provided.
Answers to question(s) attempted on an answer sheet booklet for a
different part will not be evaluated.
Part A/Part B /Part C/Part D/Part E should be mentioned on the covering
page of the respective answer sheet booklet.
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.
-1 of 6-
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
GENERAL MEDICINE
PAPER-I
PART- A
TIME: 3 HOURS
MED/D/20/11/I
MAX. MARKS: 100
IMPORTANT INSTRUCTIONS
Answers to questions of part A, part B, part C, part D & part E are to be strictly
attempted in a separate answer sheet booklet which must be later tagged
together at the end of the exam.
No additional supplementary answer sheet booklet will be provided.
Answers to question(s) attempted on an answer sheet booklet for a different part
will not be evaluated.
Part A/Part B /Part C/Part D/Part E should be mentioned on the covering page of
the respective answer sheet booklet.
Write short notes on:
PART - A
1. Discuss the mechanism of action and clinical uses of metformin.
5+5
2. Classify neuromuscular weakness related to critical illness. Describe
2+(4+4)
patho-physiology and clinical features of neuromuscular weakness
related to critical illness.
-2 of 6-
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
GENERAL MEDICINE
PAPER-I
PART- B
TIME: 3 HOURS
MED/D/20/11/I
MAX. MARKS: 100
IMPORTANT INSTRUCTIONS
Answers to questions of part A, part B, part C, part D & part E are to be strictly
attempted in a separate answer sheet booklet which must be later tagged
together at the end of the exam.
No additional supplementary answer sheet booklet will be provided.
Answers to question(s) attempted on an answer sheet booklet for a different part
will not be evaluated.
Part A/Part B /Part C/Part D/Part E should be mentioned on the covering page of
the respective answer sheet booklet.
Write short notes on:
PART - B
3. Describe pulsus paradoxus using a labelled diagram. Discuss the
4+(3+3)
clinical examination findings and list the conditions causing it.
4. Describe the types of hyponatremia and discuss its evaluation and
3+4+3
treatment.
-3 of 6-
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
GENERAL MEDICINE
PAPER-I
PART- C
TIME: 3 HOURS
MED/D/20/11/I
MAX. MARKS: 100
IMPORTANT INSTRUCTIONS
Answers to questions of part A, part B, part C, part D & part E are to be strictly
attempted in a separate answer sheet booklet which must be later tagged
together at the end of the exam.
No additional supplementary answer sheet booklet will be provided.
Answers to question(s) attempted on an answer sheet booklet for a different part
will not be evaluated.
Part A/Part B /Part C/Part D/Part E should be mentioned on the covering page of
the respective answer sheet booklet.
Write short notes on:
PART - C
5. Describe the principles of antimicrobial stewardship and discuss the
5+5
mechanisms of antibiotic resistance.
6. Describe the pathogenesis of Hepatitis B infection. List the various
5+5
serological markers and their significance in clinical practice.
-4 of 6-
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
GENERAL MEDICINE
PAPER-I
PART- D
TIME: 3 HOURS
MED/D/20/11/I
MAX. MARKS: 100
IMPORTANT INSTRUCTIONS
Answers to questions of part A, part B, part C, part D & part E are to be strictly
attempted in a separate answer sheet booklet which must be later tagged
together at the end of the exam.
No additional supplementary answer sheet booklet will be provided.
Answers to question(s) attempted on an answer sheet booklet for a different part
will not be evaluated.
Part A/Part B /Part C/Part D/Part E should be mentioned on the covering page of
the respective answer sheet booklet.
Write short notes on:
PART - D
7. Classify hemolytic anaemia and discuss its laboratory diagnosis.
5+5
8. Describe the physiology of sleep regulation. List the causes and
4+(2+4)
describe the treatment of hypersomnolence.
-5 of 6-
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
GENERAL MEDICINE
PAPER-I
PART- E
TIME: 3 HOURS
MED/D/20/11/I
MAX. MARKS: 100
IMPORTANT INSTRUCTIONS
Answers to questions of part A, part B, part C, part D & part E are to be strictly
attempted in a separate answer sheet booklet which must be later tagged
together at the end of the exam.
No additional supplementary answer sheet booklet will be provided.
Answers to question(s) attempted on an answer sheet booklet for a different part
will not be evaluated.
Part A/Part B /Part C/Part D/Part E should be mentioned on the covering page of
the respective answer sheet booklet.
Write short notes on:
PART - E
9. Describe the functional anatomy of lungs, the physiology of breathing
3+3+4
and respiratory function abnormalities in Obstructive versus Restrictive
Lung diseases.
10.
Describe the anatomy and physiology of different segments of the
2+4+4
Nephron and outline the renal function tests used for diagnosis of
Tubulo-interstitial renal diseases.
-6 of 6-
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