Download Diplomate of National Board (DNB) 2020 December General MedIcIne Paper IV Question Paper
NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2020
GENERAL MEDICINE
PAPER-IV
TIME: 3 HOURS
MED/D/20/11/IV
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-IV
TIME: 3 HOURS
MED/D/20/11/IV
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) 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.
-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-IV
TIME: 3 HOURS
MED/D/20/11/IV
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) Draw a labeled structure of the severe acute respiratory syndrome
6+4
coronavirus-2.
b) ECG changes in acute pericarditis.
4. a) Cardio-renal syndrome.
5+5
b) Secretory diarrhea.
-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-IV
TIME: 3 HOURS
MED/D/20/11/IV
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) Haemoglobin with altered oxygen affinity.
5+5
b) Bedaquiline.
6. a) What are the principles of radiation therapy in malignancy?
5+5
b) Genotype-based treatment of HCV infection.
-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-IV
TIME: 3 HOURS
MED/D/20/11/IV
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) HIV drug resistance.
6+4
b) West Haven classification of Hepatic Encephalopathy.
8. a) List the potential complications of gene therapy.
5+5
b) Falls in the elderly.
-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-IV
TIME: 3 HOURS
MED/D/20/11/IV
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) Treatment of pre-eclampsia.
5+5
b) Tocilizumab.
10.
a) List the various presentations of Telomere disease.
5+5
b) Classify pulmonary hypertension.
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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