Previous Years DNB Medicine Final Exam Question Papers 2010- - 2013

Discussion in 'DNB CET board - DipNB' started by Neha Gupta, Jul 19, 2013.

  1. Neha Gupta

    Neha Gupta Active Member

    June 2010

    PAPER I

    1. ARDS – definition, causes and approach to its management
    2. Classify lupus nephritis and outline its management
    3. Clinical presentation, diagnostic evaluation and management of “right ventricular
    infarction”
    4. Etiology, clinical features and treatment of malignant neuroleptic syndrome
    5. Clinical features and management of cardiogenic shock
    6. Renij angiotensin system and its role in health and disease
    7. Define anion gap. Enumerate causes of metabolic acidosis and mention algorithm for
    its management
    8. Abdominal tuberculosis – types, clinical presentations and diagnostic evaluation
    9. Etiological factors, pathophysiology, lab findings and treatment of disseminated
    intravascular coagulation (DIC)
    10. What is parenteral nutrition? What are its hazards and significance in relation to
    various disorders?
  2. Neha Gupta

    Neha Gupta Active Member

    June 2010

    PAPER II
    1. Causes, clinical manifestation and diagnostic approach of superior vena cava
    obstruction
    2. MDR tuberculosis, diagnostic approach and drug management
    3. Pathophysiology, diagnostic evaluation and treatment modalities in primary
    pulmonary hypertension
    4. Clinical presentation of acute methyl alcohol poisoning and its management
    5. Classify dyslipidemias and approach to management of hypertriglyceridemias
    6. Causes, diagnostic algorithm and management of a patient with thrombocytopenia
    7. Define brain death and outline the means of ascertaining brain death
    8. Immunopathogenesis of hepatitis B infection and management of chronic hepatitis B
    9. Define incretin effect and discuss the incretin mimetics
    10. Fundamentals of palliative care
  3. Neha Gupta

    Neha Gupta Active Member

    June 2010

    PAPER III
    1. Clinical features of idiopathic pulmonary fibrosis and its management
    2. Enumerate acyanotic congenital heart diseases and describe in brief the clinical
    features, diagnostic evaluation and treatment of ventricular septal defect
    3. Clinical features, diagnostic evaluation and management of neurocysticercosis
    4. Clinical features, diagnostic evaluation and treatment of depression
    5. Clinical presentation, sequelae and management of herpes zoster
    6. Mechanical ventilator – its indications, advantages and complications
    7. Enumerate nephrotoxic drugs and describe in brief heir mechanism of toxicity and
    principles of dose modifications in chronic kidney diseases
    8. Define gestational diabetes and outline its management
    9. Enumerate geriatric syndromes and outline the management of delirium.
    10. Clinical features, diagnostic evaluation and management of hemochromatosis
  4. Neha Gupta

    Neha Gupta Active Member

    June 2010

    PAPER IV
    1. What is evidence based medicine? Describe the various levels of evidence
    2. Bioavailability of drugs and enumerate its clinical implications
    3. Principles and applications of positron emission tomography (PET) in medicine
    4. Enumerate tumor markers in relation to medicine and discuss their clinical applications and limitations
    5. Causes investigations and management of acute polyneuropathy
    6. Define ventilator associated pneumonias. Enumerate the microbes causing it and outline the treatment approach
    7. Pathogenesis, clinical manifestations and acute radiation sickness
    8. Biological therapy in rheumatoid arthritis – indications, contraindications and monitoring
    9. Describe pulmonary function tests and their interpretation in relation to various pulmonary diseases
    10. Anatomy of ‘cortical venous sinuses’ and outline the management of cavernous sinus thrombosis
  5. Neha Gupta

    Neha Gupta Active Member

    December 2010

    Paper I

    1. Causes and diagnostic evaluation of a patient suffering from pyrexia of
    Unknown origin.
    2. Types, clinical presentation and management of normal pressure
    Hydrocephalus.
    3. What is Anion Gap? Describe its significance in evaluation of Blood
    Gas Analysis.
    4. Causes and diagnostic evaluation of a patient with acute diarrhea
    5. Predisposing conditions, clinical features and treatment of Pellagra
    6. Define anti-phospholipids syndrome and describe its diagnostic criteria and management.
    7. Diagnosis and management of renal osteodystrophy
    8. Define Bone Marrow Failure Syndrome and describe its management'
    9. What is pre-hypertension: describe the risk factors associated and its management.
    10. Etiological causes, clinical presentation and management of ventilator associated pneumonia.
  6. Neha Gupta

    Neha Gupta Active Member

    December 2010
    Paper II
    1. Define autoimmune hepatitis. Describe its immuno-pathogenesis and management.
    2. What are the causes of superior vena caval obstruction? Describe its clinical presentation and investigative approach
    3. Describe Duke's criterion for infective endocarditis.
    4. Define Gullian Barre Syndrome. Describe its immuno-pathogenesis, diagnostic criteria and management.
    5. Describe the causes of sub-clinical hypothyroidism and current line of management.
    6. Define Acute Respiratory Distress Syndrome. Describe its clinical course and management.
    7. Describe the clinical manifestations and management of scorpion sting/bite.
    8. What are asphyxiants? Describe their mode of action. Comment briefly on clinical features and treatment of asphyxiant poisonings.
    9. Describe clinical presentation and management of HIV associated nephropathy.
    10. Define Waldenstorm's macroglobulinemia. Describe its clinical presentation diagnostic evaluation and treatment.
  7. Neha Gupta

    Neha Gupta Active Member

    December 2010

    Paper III

    1. Define MDR-TB and XDR-TB. How to suspect it and drug protocol used in MDR-TB?
    2. Define and enumerate common autosomal recessive disorders. Describe the genetic disturbances and clinical manifestations of Freidrick's Ataxia.
    3. Enumerate the causes of Erythema Nodosum and describe its management.
    4. Describe the ill effects of smoking and steps to help smoking cessation.
    5 Define brain death and outline the means of ascertaining brain death.
    6. How would you investigate a case of hirsuitism?
    7. Discuss lrritable Bowel Syndrome with respect to pathophysiology, clinical presentation and management.
    8. Describe various ventilatory functions. What are normal flow volume curves and how to differentiate between obstructive and restrictive lung disease.
    9. Describe clinical presentation and management of hypertrophic cardiomyopathy.
    10. Describe the diagnostic criteria and management of gestational diabetes.
  8. Neha Gupta

    Neha Gupta Active Member

    December 2010

    Paper IV

    1. Discuss the structure and function of spleen. How does splenectomy alter the response to microbial infection?
    2. Describe Uric Acid Metabolism. What are the mechanisms of hyperuricaemia and what are its complications?
    3. Discuss the mechanism of resistance of antimicrobial agents.
    4. Define epidemiology. Discuss its various components and utility as applicable to clinical medicine.
    5. Discuss the differential diagnosis of headache and describe the pharmacological modalities for the treatment of migraine.
    6. What are the principles of immunization? Discuss adult immunization.
    7. Discuss parenteral nutrition and the hazards associated with its long term use.
    8. Describe aetiopathogenesis, hazards and treatment modality of obesity.
    9. List various types of ionizing radiation. What are their biological effects? Comment on role of radiation therapy with relation to cancer.
    10. What is a case definition of Novel Influenza A (H1N1)? Describe the guidelines for sample collection (including handling) for laboratory diagnosis.
  9. Neha Gupta

    Neha Gupta Active Member

    June 2011

    Paper I

    1) Pathogenesis, diagnosis, treatment of leptospirosis
    2) Renal tubular acidosis, classification, principles of treatment
    3) Causes, clinical features, management of hyperthyroidism
    4) Refractory hypertension, definition and management
    5) Predisposing conditions, clinical features, management of Beriberi
    6) Nervous system involvement in HIV infection
    7) Churg Strauss syndrome
    8) Etiology, clinical features, management of autoimmune haemolytic anaemia
    9) Antibiotic associated diarrhoea
    10) Key processes and tools in practice of evidence based medicine
  10. Neha Gupta

    Neha Gupta Active Member

    June 2011

    Paper II

    1) Diagnostic criteria for rheumatoid arthritis, principles of management
    2) Obstructive sleep apnea
    3) Causes, diagnosis, treatment of vascular dementia
    4) Clinical features, management on cobra bite
    5) Current WHO guidelines for treatment and diagnosis of complicated malaria
    6) SIADH
    7) Lower GE bleeding causes and management
    8) Tumor lysis syndrome
    9) Acute intermittent porphyria, causes, clinical features, management
    10) PSVT causes, management
  11. Neha Gupta

    Neha Gupta Active Member

    June 2011

    Paper III

    1) Non-alcoholic fatty liver causes, clinical features, management
    2) Orthostatic hypotension, classification, ennumerate the various tests
    3) Causes, pathogenesis, treatment guidelines for anemia of chronic diseases
    4) Steven Johnson syndrome
    5) Haematological indications for bone marrow transplantation, complications of allogenic bone marrow transplantation
    6) Clinical features, management of tetanus
    7) What are incretins, describe its physiological basis of treatment, and specific indications for use
    8) ABPA
    9) Osteoporosis
    10) Indication for bloob transfusion, discuss complications of massive blood transfusion and its management
  12. Neha Gupta

    Neha Gupta Active Member

    June 2011

    Paper IV

    1) Ennumerate the common causes of chronic pain, describe pain mechanism, management
    2) Describe pathophysiology, diagnostic criteria of sepsis, discuss the principles of management
    3) What are extended betalactamases, discuss mechanism, clinical utility in present scenario
    4) Components of balanced diet, suggest balanced diet for an adult vegetarian, non vegetarian
    5) Discuss causes, consequences of atherosclerosis and preventive strategies
    6) Common variable immunodeficiency, diagnosis, clinical features, treatment
    7) Panic disorder, clinical features, management
    8) Bio-terrorism, causes, prevention, management
    9) Bilirubin metabolism,classify hyperbilirubinemia syndromes,,outline approach to diagnosis
    10) Elisa test, discuss its clinical significance in practice of medicine
  13. Neha Gupta

    Neha Gupta Active Member

    December 2011

    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]
  14. Neha Gupta

    Neha Gupta Active Member

    December 2011

    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]
  15. Neha Gupta

    Neha Gupta Active Member

    December 2011

    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]
  16. Neha Gupta

    Neha Gupta Active Member

    December 2011

    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]
  17. June 2012

    Paper I

    1. Enumerate the actions of growth hormone. Discuss the clinical features, diagnosis and treatment of adult growth hormone deficiency. 3+2+2+3
    2. Discuss the vascular endothelial cell function in health and disease. Describe clinical assessment of endothelial function. 5+5
    3. Define and list the causes of delirium. Describe the approach to diagnosis of a case of delirium. 2+3+5
    4. Discuss etiology, clinical features, prognostic markers and management of acute liver failure. 2+2+2+4
    5. Define hyper-eosinophilic syndrome. Describe its etiopathogenesis, clinical spectrum and management. 1+3+3+3
    6. Define mutation. Briefly describe autosomal dominant inheritance. Draw a family tree of an autosomal dominant disease. 2+4+4
    7. Define anion gap. Describe the causes, diagnosis and treatment of anion gap metabolic acidosis. 2+2+3+3
    8. Discuss differential diagnosis of 'Solitary Pulmonary Nodule'. Describe its diagnostic algorithm. 5+5
    9. Define sudden cardiac death. Describe initial evaluation and basic life support in such a situation. 2+3+5
    10. Discuss differential diagnosis of ST segment elevation. Describe ECG changes in hyperkalemia, hypokalemia and hypocalcemia. 4+2+2+2
  18. June 2012

    Paper II

    1. Enumerate causes of stroke in young. Describe diagnostic algorithm of a 25 year old man presenting in unconscious state. 4+6
    2. What are Proton Pump Inhibitors? Describe their function, uses and adverse effects. 2+(3+2+3)
    3. Define Systemic Inflammatory Response Syndrome. Describe its diagnostic criteria, clinical presentation and management. 1+(2+3+4)
    4. Define hepato-pulmonary syndrome. Describe its pathogenesis, diagnosis and management. 2+(2+3+3)
    5. Describe pathophysiology, diagnostic evaluation and treatment of renal amyloidosis. 4+3+3
    6. Define metabolic syndrome. Discuss evaluation and treatment of a patient with morbid obesity. 3+(3+4)
    7. Describe clinical presentation, diagnostic evaluation and management of a patient with HIV infection. 3+3+4
    8. Describe etiopathogenesis, clinical presentation, diagnostic evaluation and treatment of Wilson's Disease. 2+2+3+3
    9. What are the types of mechanical ventilators? Describe the indications and complications of mechanical ventilation. 4+(3+3)
    10. Discuss chemical terrorism under the following headings: a) Agents b) Treatment c) Prevention. 4+4+2
  19. June 2012

    Paper III

    1. Describe clinical features, laboratory findings and treatment of Idiopathic Thrombocytopenic Purpura. 3+3+4
    2. Define anaphylaxis. Enumerate its causes. Describe its clinical presentation and management. 1+2+3+4
    3. Describe current WHO guidelines for diagnosis and treatment of complicated malaria. 5+5
    4. Define cardio-renal syndrome. Discuss its etiopathology and management. 1+4+5
    5. Describe causes, diagnostic evaluation and treatment of a patient presenting with haematuria. 3+3+4
    6. Discuss post myocardial infarction risk stratification, assessment and secondary prevention. 3+4+3
    7. Define gestational diabetes. Enumerate its risks to foetus. Describe its management strategies. 2+3+5
    8. Discuss differential diagnosis and diagnostic evaluation of a patient with new onset acute headache. 5+5
    9. Define parenteral nutrition. Discuss its indications, types and complications. 2+2+2+4
    10. Describe the clinical features, diagnosis, differential diagnosis and treatment of angina pectoris. 2+2+2+4
  20. June 2012

    Paper IV

    1. a) Discuss synthesis and metabolism of Vitamin D. b) Enumerate role of vitamin D in health and disease. 5+5
    2. a) Describe regulation of Hypothalamo-Pituitary-Adrenal Axis. b) Briefly discuss etiology, clinical presentation and management of adrenal insufficiency. 3+(2+2+3)
    3. Describe pathophysiology, clinical presentation and management of High Altitude Pulmonary Oedema. 3+2+5
    4. Discuss Bio-medical waste management. 10
    5. Describe the pathophysiology, clinical features and management of carbon monoxide poisoning. 3+2+5
    6. Define acute kidney injury. Describe its etiopathogenesis, clinical presentation and treatment. 2+(3+2+3)
    7. Describe the basic mechanisms of systolic dysfunction, diastolic dysfunction and ventricular remodelling. 4+3+3
    8. Define the terms sensitivity or true positive rate and specificity or true negative rate and discuss their clinical significance. 2+2+6
    9. What is informed consent? Discuss genetic counseling. What are the indications of genetic counseling? 2+4+4
    10. Discuss antimicrobial drug resistance. 10
  21. December 2012

    Paper I

    1. Define disseminated intravascular coagulation (DIC). Enumerate the causes of DIC and discuss clinical approach to its management. 2+(4+4)
    2. Define fever of unknown origin (FUO) and classify FUO. Discuss the etiology of FUO in an immunocompromised patient. (1+4)+5
    3. Define acute lung injury. Describe the etiology, pathophysiology and management of acute lung. , 1+(3+3+3)
    4. Define chronic diarrhea. Discuss its etiology and the diagnostic approach to a case of chronic diarrhea. 1+(4+5)
    5. Define hypoglycemia. Discuss its etiology, clinical features and diagnostic evaluation. 1+(3+3+3)
    6. Define hypertension. Classify and enumerate the causes of secondary hypertension. Describe hypertensive emergencies and their management. 1+(2+2)+5
    7. Discuss the electrophysiology, etiology and management of Atrial Fibrillation. 3+3+4
    8. Define hyponatremia. Discuss the etiology, clinical manifestations and management of hyponatremia. 1+(3+3+3)
    9. Discuss the risk factors for atherosclerosis. Describe the management of dyslipidemias. 5+5
    10. Describe the measures of nutritional assessment. Classify obesity and discuss its medical management. 4+(3+3)
  22. December 2012

    Paper II

    1. Define syndrome of inappropriate anti-diuretic hormone (SIADH). Discuss the causes, clinical manifestations and management of SIADH. 1+(3+3+3)
    2. Discuss the clinical features, complications and management of Plasmodium falciparum malaria. 3+3+4
    3. A primigravida lady develops acute onset breathlessness on the second day following delivery of a normal healthy baby. Discuss the possible causes and clinical approach to diagnosis & management. 10
    4. Define hospital acquired pneumonia. Discuss the etiology, diagnosis and management of Hospital acquired pneumonia. 1+(3+3+3)
    5. What is extremely drug-resistant tuberculosis (XDR-TB)? Discuss its diagnosis and management. 2+(3+5)
    6. Define renal replacement therapy and enumerate the strategies. Discuss the indications and complications of hemodialysis. 2+(3+5)
    7. Describe the various paraneoplastic neurological syndromes in clinical practice. Discuss the diagnostic approach in a patient with neuropathy. 6+4
    8. Enumerate oncologic emergencies. Discuss the clinical features, diagnosis and management of tumour lysis syndrome. 2+(2+3+3)
    9. Discuss the diagnosis and management of chronic hepatitis B infection. 5+5
    10. Define shock. Discuss the etiology, diagnosis and management of hypovolemic shock. 1+(2+3+4)
  23. December 2012

    Paper III

    1. Classify lupus nephritis. Describe its clinical features, diagnosis and management. 2+(2+3+3)
    2. Discuss the clinical features, diagnosis and management of Parkinson's disease. 4+2+4
    3. Enumerate the causes of hepatic steatosis. Discuss the features, diagnosis and management of non alcoholic fatty liver disease. 3+(2+2+3)
    4. Discuss the risk factors, diagnosis and management of acute pulmonary embolism in pregnancy. 3+4+3
    5. Describe the pathophysiology, clinical features, diagnosis and management of polycystic ovarian syndrome. 2+3+3+2
    6. Describe the pathophysiology, diagnosis and management of chronic stable angina. 3+4+3
    7. Describe the clinical manifestations, management and complications of organo-phosphorous poisoning. 3+4+3
    8. Describe the clinical features, diagnosis and management of chronic myeloid leukemia. 3+3+4
    9. An intern sustains a needle-prick injury in the hospital ward. Discuss the approach to and medical management of the intern vis-à-vis risk of HIV infection. 5+5
    10. Discuss the blood transfusion associated reactions and their management. 5+5
  24. December 2012

    Paper IV

    1. Describe iron metabolism in the human body. Discuss the interactions between iron and infections. 4+6
    2. Classify and enumerate antifungal agents. Discuss the management of cryptococcal meningitis. 5+5
    3. Describe the rapid diagnostic tests for malaria. Discuss their advantages and disadvantages. 6+4
    4. Describe immunization and vaccination. Discuss the vaccines recommended for geriatric population. 5+5
    5. Discuss the pathophysiology, clinical features and management of methyl alcohol poisoning. 3+4+3
    6. Define epidemiology of a disease. Discuss the components and the measures to determine the burden of a disease. 3+7
    7. What is the concept of 'window period' in HIV infection? Discuss the methods and strategies of diagnosis of HIV infection recommended for India. 3+7
    8. Enumerate and classify beta blockers. Discuss the indications of beta blockers in medicine. 3+7
    9. Discuss risk stratification and management of a case of dog bite. 5+5
    10. What are induced pluripotent stem cells? Describe stem-cell therapy and discuss its role in medical therapeutics. 2+(4+4)
  25. June 2013

    Paper I

    Part A
    1. Define hypercalcemia. Discuss the etiology, clinical manifestations and management of hypercalcemia. 1+3+3+3
    2. Discuss the clinical manifestation of Helicobacter pyroli infestation, its diagnosis and recommended treatment regimen. 2+4+4
    3. Discuss the clinical features and management of viperine snake bite. 5+5
    4. Describe the role of inflammatory mediators in bronchial asthma. Discuss the management of acute severe asthma. 5+5
    5. What is malabsorption syndrome? Discuss the clinical manifestation of Vitamin B12 deficiency and its treatment. 4+(3+3)
    Part B
    6. What is Systemic Inflammatory Response Syndrome (SIRS)? Discuss the complications and management of severe sepsis. 3+(4+4)
    7. Define dementia. Discuss the causes of reversible dementia. Describe the management of Alzheimer’s disease. 2+4+4
    8. Define metabolic syndrome. Discuss the etiology and management of metabolic syndrome. 2+(4+4)
    9. Define acute kidney injury. Discuss the etiology and management of acute tubular necrosis. 2+(4+4)
    10. Discuss the pathophysiology of supra ventricular tachycardia. Describe the management of Paroxysmal Supraventricular Tachycardia (PSVT). 5+5
  26. June 2013

    Paper II

    Part A
    1. Discuss the etiology, management and complications of community acquired pneumonia. 3+4+3
    2. Discuss the causes of Upper Gastrointestinal (UGI) bleeding. Describe the management of variceal UGI bleed. 5+5
    3. Describe the risk factors, clinical features, diagnosis and management of cortical venous thrombosis. 2+3+3+2
    4. Enumerate the causes of fever with jaundice. Discuss the clinical features and management of leptospirosis. 4+(2+4)
    5. Discuss the causes of chronic mengitis. Describe the management and complications of tubercular meningitis. 3+(3+4)
    Part B
    6. Discuss the risk factors, diagnosis and management of osteoporosis. 3+3+4
    7. Discuss the etiopathogenesis, clinical features and management of ankylosing spondylitis. 3+4+3
    8. Discuss the etiopathogenesis of anemia of chronic kidney disease and outline its management. 5+5
    9. Discuss the etiology, clinical features and management of Immune Thrombocytopenic Purpura (ITP). 3+3+4
    10. Discuss the epidemiology of influenza virus infection, risk factors for complications and treatment in adults. 3+3+4
  27. June 2013

    Paper III

    Part A
    1. Discuss the etiology, diagnosis and management of peripheral arterial disease. 2+4+4
    2. Discuss the etiology and clinical manifestations of hyperprolactinemia. Describe the management of prolactinoma of the pituitary. (3+3)+4
    3. Discuss the clinical manifestation, diagnosis and management of multiple myeloma. 4+3+3
    4. Discuss the etiology, clinical features, diagnosis and management of Immune Reactivation Inflammatory Syndrome (IRIS) in HIV infection. 2+3+3+2
    5. Discuss the clinical manifestations, diagnosis and management of sarcoidosis. 3+4+3
    Part B
    6. Discuss the etiology, clinical features and diagnostic evaluation of urinary tract infection. 3+3+4
    7. Describe the clinical features, diagnosis and management of chronic hepatitis C infection. 3+3+4
    8. Discuss the clinical features, diagnosis and management of multiple sclerosis. 4+3+3
    9. Describe the clinical manifestation, diagnosis and complications of enteric fever. 3+3+4
    10. Discuss the indications for Long Term Oxygen Therapy (LTOT). Describe the modalities of delivery and monitoring of patients receiving LTOT. 4+(3+3)
  28. June 2013

    Paper IV

    Paper A
    1. Classify antiretroviral drugs. Discuss the indications of antiretroviral treatment (ART) and monitoring of patients on ART. 4+(3+3)
    2. What are nucleic acid based tests? Discuss the advantages and disadvantages of cartridge based nucleic acid tests in the diagnosis of tuberculosis. 2+(4+4)
    3. Describe the metabolism of hemoglobin in the body. Discuss the clinical features of hemolytic anemias. 5+5
    4. Describe a case control study. What are the advantages and disadvantages of case control studies? 4+(3+3)
    5. Describe the role of resident bacterial flora in the human body. Discuss the indications of use of probiotics. 5+5
    Part B
    6. Describe the mechanism of anti-microbial drug resistance. Discuss the clinical implications of anti-microbial drug resistance. 6+4
    7. Define standard work precautions. Describe the role of personal protective equipment and hand washing in daily practice. 2+(4+4)
    8. What is post exposure prophylaxis? Discuss the role of post exposure prophylaxis in relation to any two infections. 2+4+4
    9. What is Anion Gap? Describe the causes of metabolic acidosis and role of anion gap in metabolic acidosis. 3+(4+3)
    10. What is Total Parenteral Nutrition. Discuss the indications and complications of Total Parenteral Nutrition. 2+(4+4)

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