Download Diplomate of National Board (DNB) 2020 December General MedIcIne Paper II Question Paper
NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2020
GENERAL MEDICINE
PAPER-II
TIME: 3 HOURS
MED/D/20/11/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.
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.
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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
GENERAL MEDICINE
PAPER-II
TIME: 3 HOURS
MED/D/20/11/II
MAX. MARKS: 100
PART A
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. a) Name the various immune-mediated and non-immune mediated (3+3)+(1+3)
adverse reactions following blood transfusion. Write a note on
Transfusion Related Acute Lung Injury (TRALI).
b) How is Acute Myeloid Leukemia (AML) diagnosed? What are the genetic
abnormalities in AML that are associated with favorable outcomes, if
appropriately treated?
2. a) What are the ROME-IV diagnostic criteria for diagnosing Irritable Bowel
2+3+5
Syndrome (IBS)? Discuss the newer agents introduced for treating IBS.
b) Enumerate the differences between type-1 and type-2 Crigler Najjar
syndromes.
-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-II
TIME: 3 HOURS
MED/D/20/11/II
MAX. MARKS: 100
PART B
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. a) How do you diagnose Spontaneous Bacterial Peritonitis (SBP)? How do
(2+4)+4
you treat SBP?
b) What are the diagnostic criteria for diagnosing Hepato-Renal Syndrome
(HRS)?
4. a) Definition and causes of Acute Respiratory Distress Syndrome
(2+2)+6
(ARDS).
b) What are the various strategies employed in mechanical ventilation in
ARDS?
-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-II
TIME: 3 HOURS
MED/D/20/11/II
MAX. MARKS: 100
PART C
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. a) What is the operational definition of Osteoporosis? What are the risk
(1+3)+6
factors for Osteoporotic fracture?
b) Dual-energy X-ray absorptiometry (DXA) scan.
6. a) Biological functions of Thiamine in the human body.
2+4+4
b) Beriberi.
c) Pellagra.
-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-II
TIME: 3 HOURS
MED/D/20/11/II
MAX. MARKS: 100
PART D
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. a) Draw a labeled diagram of the spinal cord at the C4 level.
7+3
b) List the findings of CSF examination in a case of acute bacterial
meningitis.
8. Risk factors, clinical features, diagnosis, and re-warming strategies in a 2+3+2+3
case of hypothermia.
-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-II
TIME: 3 HOURS
MED/D/20/11/II
MAX. MARKS: 100
PART E
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. a) Hyporeninemic hypoaldosteronism and hyperkalemia.
6+4
b) ECG changes in hyperkalemia.
10. a) Classify diabetes mellitus.
4+6
b) Physiological response to an episode of hypoglycemia.
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This post was last modified on 31 July 2021