DNB Medicine Final Examination December 2011 Question Papers
Paper I
1. Define Hepato-renal syndrome. Describe its pathogenesis, diagnostic criteria and treatment modalities. [1+3+3+3]
2. Describe clinical presentation, diagnosis and treatment of a patient with hypertensive encephalopathy. [2+3+5]
3. Enumerate thrombolytic agents. Describe their indications, contraindications and complications in acute myocardial infarction. [2+2+2+4]
4. Decribe clinical features, diagnosis and treatment of herpes simplex viral encephalitis. [2+3+5]
5. Describe causes, evaluation and treatment of patient with massive hemoptysis. [2+3+5]
6. What is Immune Reconstitution Inflammatory Syndrome? Discuss its pathogenesis, diagnosis and treatment. [1+2+3+4]
7. Classify tumor markers and describe their role in various medical conditions. [4+6]
8. Enumerate causes of hypercalcemia. Describe the clinical presentation and management of a patient with severe hypercalemia. [2+2+6]
9. Describe the clinical presentation and etiopathogenesis and management of hypokalemic periodic paralysis. [3+3+4]
10. Briefly discuss thyroid function tests. Discuss Sick Euthyroid syndrome. [5+5]
Paper II
1. Describe the clinical features, diagnostic evaluation and management of a patient with organophosphorous poisoning. [4+2+4]
2. Describe the etiology, diagnosis and management of a patient with atypical pneumonia. [2+2+6]
3. What are Gliptins? Describe their mechanism of action and specific indications of usage. [2+4+4]
4. How do you approach a patient with cardiac arrhythmia? Classify anti-arrhythmic drugs. [5+5]
5. Describe diagnostic evaluation of patient presenting with peripheral neuropathy. Enumereate the neuropathic patterns associated with diabetes mellitus. [5+5]
6. Describe diagnostic evaluation, clinical features and management of a patient with a malabsorption syndrome. [3+3+4]
7. Describe etiology, clinical presentation and management of cerebral venous thrombosis. [2+3+5]
8. Describe clinical features, investigations and management of multiple myeloma. [2+3+5]
9. Describe the clinical presentation, diagnostic evaluation and management of Dengue fever. [3+3+4]
10. Define brain death. Outline the means of ascertaining brain death. [3+7]
Paper III
1. Enumerate causes of acute renal failure. Describe the management and preventive guidelines in such patients. [3+5+2]
2. Describe the etiopathogenesis, clinical presentation and management of Hepatitis C infection. [2+3+5]
3. Describe diagnostic evaluation of a patient with adrenal insufficiency. Discuss the management of adrenal crisis. [5+5]
4. Classify cyanotic congential heart diseases. Describe the clinical features and managemnent of Fallot's tetralogy. [2+4+4]
5. Define spontaneous bacterial peritonitis. Describe its etiopathogenesis, clinical features and management. [1+2+3+4]
6. What are the diagnostic criteria for depression? Briefly describe the principles of management. [3+7]
7. Describe the priniciple and clinical uses of stres test. Differentiate between stress echocardiography and stress thallium. [2+3+5]
8. Describe the indications and complications of mechanical ventilation. [4+6]
9. Describe the clinical presentation, diagnostic evaluation and management of right venticular myocardial infarction. [3+3+4]
10. Describe the skin manifestations of internal malignancies. Discuss its prognostic value. [5+5]
Paper IV
1. Describe the nerve supply of urinary bladder and discuss the physiologic basis of automatic bladder. [5+5]
2. Enumerate parasitic infestations of central nervous system. Describe the diagnosis and management of neurocysticercosis. [3+3+4]
3. Describe various diagnostic tools for detection of pulmonary and extrapulmonary tuberculosis. [5+5]
4. Classify dyslipidaemias and describe various management strategies. [4+6]
5. Discuss vitamin B12 absorption and consequences of its deficiency. [4+6]
6. Discuss role of Renin-Angiotensin-Aldosterone axis in pathogenesis of essential hypertension. Discuss direct renin inhibitors. [3+7]
7. Describe pathophysiology of Parkinson's disease. Describe clinical features and management of a patient with Parkinsonism. [4+2+4]
8. Define febrile neutropenia. Describe it etiopathogenesis, diagnostic evaluation and management. [1+2+3+4]
9. Describe pathophysiology, diagnostic evaluation and management of primary pulmonary hypertension. [3+3+4]
10. Define evidence based medicine. Describe the key processes and mention the currently available tools. [2+5+3]