Download DNB 2020 December General MedIcIne Paper IV Question Paper

FINAL EXAM
DECEMBER 2020

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GENERAL MEDICINE
PAPER-IV
MED/D/20/11/IV

TIME: 3 HOURS
MAX. MARKS: 100

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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.

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• 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.

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• 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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PART-A

1. a) Revised Duckett-Jones criteria for acute rheumatic fever. (5+5)
   b) Infections in post-splenectomy patients.
2. a) Gompertzian growth in tumours. (4+6)
   b) Lactic acidosis.

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PART-B

1. a) Draw a labeled structure of the severe acute respiratory syndrome coronavirus-2. (6+4)
   b) ECG changes in acute pericarditis.
2. a) Cardio-renal syndrome. (5+5)
   b) Secretory diarrhea.

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PART-C

1. a) Haemoglobin with altered oxygen affinity. (5+5)
   b) Bedaquiline.
2. a) What are the principles of radiation therapy in malignancy? (5+5)
   b) Genotype-based treatment of HCV infection.

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PART-D

1. a) HIV drug resistance. (6+4)
   b) West Haven classification of Hepatic Encephalopathy.
2. a) List the potential complications of gene therapy. (5+5)
   b) Falls in the elderly.

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PART-E

1. a) Treatment of pre-eclampsia. (5+5)
   b) Tocilizumab.
2. a) List the various presentations of Telomere disease. (5+5)
   b) Classify pulmonary hypertension.

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