Download DNB 2020 December General MedIcIne Paper III Question Paper

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FINAL EXAM

DECEMBER 2020

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GENERAL MEDICINE

PAPER-III

TIME: 3 HOURS MED/D/20/11/III

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.
• 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.

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• 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.

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• 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.

PART- A

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1. a) What are the various auto-antibodies that can be detected in systemic lupus erythematosus (SLE)? Enumerate their target antigens and clinical relevance. 3+3+4
   b) SLICC criteria for classification of SLE.
2. a) Myeloma kidney. 5+5
   b) Treatment of hypercalcemia.

PART- B

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3. a) Classify the a-Thalassemia syndromes 5+5
   b) Draw a labeled diagram of Circle of Willis.
4. a) Complement system. 6+4
   b) Diagnosis of Wilson's disease.

PART- C

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5. a) What are the various patterns of arthropathy seen in psoriatic arthritis? 5+5
   b) Raynaud's phenomenon.
6. a) Enumerate the various non-immune cutaneous drug reactions. 5+5
   b) Enumerate the Ann-Arbor staging for lymphoma.

PART- D

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7. a) Empirical antibiotic treatment of Community Acquired Pneumonia. 6+2+2
   b) List the sub-types and variants seen in Guillain-Barré syndrome, with their associated antibodies.
8. a) Sick Euthyroid Syndrome. 6+4
   b) Ivabradine.

PART- E

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9. a) Friedrich's ataxia. 5+5
   b) How will you differentiate articular pain from non-articular pain?
10. a) Treatment of Cryptococcus meningitis in HIV-positive patient. 6+4
    b) FGF-23 (Fibroblast Growth Factor)

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