dermatology and venereology - National Board Of Examination

NATIONALBOARD OF EXAMINATIONS
FINAL EXAM
DECEMBER2O1I
AND VENEREOLOGY
DERMATOLOGY
PAPER.I
: llhours
Time
Max.Marks : 100
Attempt all questions in order.
Each questioncarries 10 marks.
1.
DVD/D/11t06t1
a. When calculatingsamplesize in a clinicaltrial,what is meant
by:
i. Powerof study
ii. Levelof significance
b. What is meant by doing a study accordingto good clinical
practiceguidelines?
c. What is meantby strengthof evidenceand qualityof evidence
in a clinicaltrial?
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2
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2.
a. Discussthe structureof desmosome.
of a desmosome?
components
b. Whatare the immunological
in blistering
diseases?
c. Whatis the roleof desmosomes
3
3
4
3.
unit?
a. Whatis an epidermal-mblanin
b. Discussthe structureof melanocyteunderthe followingheads:
i) Lightmicroscopyappearance
ii) Electronmicroscopyappearance
to studymelanocytes
iii) Specialtechniques
2
a. Discuss the characteristics of autosomal recessive
genodermatosis.
b. Describebrieflytechniquesused to diagnosegenodermatosis
antenatally.
c. Discussgeneticmosaicism
4
done to evaluatea child
a. Discussthe laboratoryinvestigations
with mechanico-bullous
disorders.
b. Discussthe laboratoryevaluationsdone to evaluatean adult
withimmuno-bullous
disorders.
5
4.
5.
6-
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3
2
4
2
5
A 55 yearsold farmerpresentswith a suspectedfungalinfection
on his foot. Discussthe evaluationof such a patientunderthe
followingheadings:
a. Cluesin history
of lesions
b. Cluesin morphology
collection
c. Sample
d. Directmicroscopy
e. Histopathology
f. Otherinvestigations
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ISNorPERMITTED
P,T.O.
NATIONALBOARDOF EXAMINATIONS
FINAL EXAilI
DECEMBER2011
7.
8.
9.
of psoriasisunderthe following:
Discussthe pathogenesis
genetic
Role
of
factors
a.
b. Roleof T-cells
c. Roleof dendriticcells
t
d. Roleof cytokines
a. Enumeratethe residentflora of skin.
b. Outlinethe methodsof samplingnormalflora.
c. Whatis the functionof normalfloraon the skin?
- d. Discussone diseasecausedby residentflora.
a. Enumeratethe componentsof solarrays.
b. Discussthe roleof UVA,UVB in health.
c. Discussthe roleof UVA,UVB in :
Ageing
D
Pigmentation
ii)
iii)
Carcinogenesis
10. Discussthe Valueof the followingtests in evaluatinga patientof
'allergy':
a. Patchtest
b. Photo-patch
test
c. Skinpricktest
d. RAST
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POSSESSION/ASEOF CELL PHONES ORANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED
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FINAL EXAM
DECEMBER2011
NATIONAL
BOARDOF EXAMINATIONS
DERMATOLOGY
ANDVENEREOLOGY
PAPER.II
Time
:3 hours
Max.Marks : 100
DVD/D/I1/06/rl
Attemptall questionsin order.
Eachquestioncarries10 marks.
1.
a. What are the clinical and histopathological
differences
betweenlentiginesand freckles?Enumerate
four syndromes
associated
with lentigines.
b. Enumeratefour syndromesassociatedwith caf6 a0 lait
macules.
c. Whatarethe clinicalfeatures
of PeutzJegher'ssyndrome?
2
2
2.
a. Classifydermatosis
of pregnancy.
presentation
b. Discussthe clinical
gestationis.
of pemphigoid
c. How will you manage an 8 month pregnantwoman with
pemphigoid
gestationis?
2
4
4
3.
a . Discuss the differentialdiagnosipof skin lesions in- a
5
3
3
seborrhoeic
distribution.
b . Discussthe differential
diagnosisof skin lesionson pressure
5
Tabulatethe differences
between:
a. Variegateporphyria
and porphyriacutaneatarda
psoriasisand hyperkeratotic
b. Palmoplantar
eczema.
5
5
points.
4.
5.
a. Whatarethe criteriafor makinga diagnosis
of tuberculides?
b . Discusspapulonecrotic
tuberculide
underthe followingheads:
i)
ii)
iii)
6.
7.
Clinicalfeatures
Biopsyfindings
Treatment
Discussthe useof the followingdrugs:
in pemphigus
a. Rituzimab
b. Dapsonein lichenplanus
c. Steroidsin toxicepidermalnecrolysis
d. Acyclovirin erythemamultiforme
e. Thalidomide
in Behcet'ssyndrome
2
4
2
2
2
2
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2
a. Classifyalopecia
2
b. Discussmedicalmanagement
of differenttypesof cicatricial
4
alopecia.
c. Discussthe surgicalmanagement
of cicatricial
4
alopecia.
P0.SSESSI0.N/USE
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ISNorPERMITTED
P.T.O.
FINALEXAM
DECEMBER
2011
8.
9.
NATIONALBOARDOF EXAMINATIONS
A 38 year old t"r"i" patientneedsto be prescribedsteroidsfor
severalmonths.
a. Whatadvicewouldyou giveheraboutusingthe drug?
b. Howwouldyou monitorher?
c. what additionaldrugs would need to be given to her to
countersomeof the sideeffectsandwhy?
l
a)
z
-i
a. Classifycutaneousleishmaniasis.
b. what is the geographic
distribution
of leishmaniasis
in lndia?
c. How will you managea patientof post Kala azar dermal
leishmaniasis?
2
2
6
10. Discussthe managementof a 1g year old femalepatientwith
hirsutism.
10
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i
FINALEXAM
DECEMBER
2011
NATIONALBOARDOF EXAMINATIONS
DERMATOLOGY
AND VENEREOLOGY
PAPER.III
Time
:3 hours
Max.Marks : 100
DVD/D/11/06/lll
Attempt all questions in order.
Each questioncarries10 marks.
1.
2.
3.
a. Enumeratethe bullous disordersassociatedwith internal
malignancies.
b. Discussthe clinicalmanifestations
of pancreatictumoursas
seenon the skin.
c. Discussclinicalmanifestations
of secondariesof malignant
tumorsseenon the skin.
2
4
4
Describethe cutaneousmanifestations
of :
a. Hypothyroidism
b. Addison'sdisease
c. Hyperthyroidism
d. VitaminC deficiency
e. Riboflavindeficiency
2
2
2
2
2
a. Classifyxanthomas.
b. Howwouldyou evaluatea patientwho presentswith multiple
tuberousxanthomas?
Discussunderthe followingheads:
i) Clinicalfeaturesincludinghistory
ii) Laboratoryevaluation
iii) Systemicfeatures
2
4
2
2
a. How would you monitor a patient of ichthyosison oral
retinoids?
b. How would you monitora patientof pustularpsoriasison
methotrexate?
5
5.
a. Discussthe extra-cutaneous
manifestations
of a patientwith
systemicsclerosis.
10
6.
b.
c.
d.
e.
4.
5
Definemastocytosis
Classifymastocytosis
Whatare the criteriafor diagnosisof systemicmastocytosis?
Discuss the histopathologyof one clinical type of
mastocytosis.
1
2
4
3
POSSESSION/ASEOF CELL PHONES OR ANY SACH ELECTRONIC GADGETS IS NOT PERMITTED
INSIDE THE EXAMINATION HALL
P.T.o.
FINAL EXAM
DECEMBER2011
NATIONAL BOARD OF EXAMINATIONS
7.
a. Discussthe metabolism
of zinc in the humanbody.
b. Enumerate
the causesof zincdeficiency.
c. Discussthe clinicalfeaturesand treatmentof acrodermatitis
enteropathica.
8.
Discussthe management
of a2 yearold child,whopresentswith
recurrentskin and chestinfections.An eldersiblingof the child
also had similar severe complaintsand died of pneumonia.
Discussyouranswerunderthe followingheads:
a. History
b. Examination
c. Lab investigations,
if all facilitiesare available.
2
2
6
a. Discussthe stagingof mycosisfungoides.
b. Discussthe stagingof malignant
melanoma.
5
5
10. Discussthe management
of :
a. Acutegeneralized
pustulosis
exanthematous
b . Fixeddrugeruption
c. Steroidacne
d. Cyclosporine
inducedhypertrichosis
e . Minocycline
inducedpigmentation.
2
2
2
2
2
9.
rFrfi ,&rt
POSSESSION/USEOF CELL PHONES OR ANY SACH ELECTRONIC GADGETS IS NOT PERMITTED
INSIDE THE EXAMINATION HALL
2
2
6
FINALEXAM
DECEMBER
2011
NATIONAL
BOARDOF EXAMINATIONS
AND VENEREOLOGY
DERMATOLOGY
PAPER.IV
Time
:3 hours
Max.Marks : 100
DVD/D/I1/06flV
1fffl[11i,x1":H:".'lo"l,1T"
1.
2.
3.
4.
'
Discussthe manifestations
of leprosyin
a. Kidney
b. Gonads
c. Eye
2
4
4
Tabulatethe differencesbetweenborderlinetuberculoidleprcisy
leprosyunderthe followingheadings:
lepromatous
and borderline
a. Morphology
and characterof lesions.
b. Nerveinvolvement
c. Lepromintest
d. Histopathology
3
3
1
3
program:
Discussthe followingaspectsof leprosyelimination
a. Elimination
b. Eradication
c. New casedetectionrate.
in lepr:osy
d. Disability
used.
e. Newparameters
1
1
1
2
5
of leprosyin the followingsituations:
Discussthe management
a. Pregnancy
b. Type 1 reaction
c. Type 2 reaction
2
4
4
10
5.
of nervedamagein leprosy.
Discussthe pathogenesis
6.
A 19 year old sexuallyactive male presentswith a laboratory
reportof HIV positive.Howwouldyou :
a. Clinicallyevaluatethe patient
b. Counselhim
c. Investigate
him
3
2
5
testsavailablefor diagnosisof:
Discussthe serological
a. Syphilis
infection
b. C-hlamydia
trachomatis
c. Herpesgenitalis
4
3
3
7.
Poss4ssloNtusa
or cnn rnonnsolrwl;":,:^:rf,i:ff;iflI'iticADcETs IS NoTPERMITTED
P.T.O.
FINALEXAM
DECEMBER
2011
8.
9.
NATIONALBOARDOF EXAMINATIONS
a. Classifyanogenitalwarts.
b. Discussthe management
of anogenitalwarts in a pregnant
woman.
c. Discussthe complications
of anogenitalwarts
in a male.
a. Discussthe recommendation
of partnermanagement
in:
i) Syphilis.
-,
ii) Urethraldischarge.
iii)Vaginaldischarge
b. Discus!the recom"mendations
for presumptive
management
of sexuallytransmitted
infections.
1 0 . Tabulatethe differencesbetween:
a. Ulcersof Chancreand chancroid
b. Ulcersof dwarfchancroidand herpesgenitalis.
c. Buboof chancroidand lymphogranuloma
venereum.
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POSSESSIONIUSE
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