answer the attached question paper as a 10marks DNB answer so that i can write in my exam
Reading File
Finding Sources
Finding Sources
Finding Sources
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Finding Sources
Finding Sources
Finding Sources
Finding Sources
Finding Sources
Finding Sources
All 10 answers are complete. Here is a quick guide to the high-yield points for each question so you can prioritize in the exam:
QUICK REVISION GUIDE - HIGH YIELD POINTS PER QUESTION:
| Q | Topic | Must-Write Points |
|---|---|---|
| Q1a | Wound Healing (5M) | 4 phases + local vs systemic factors table + 5 ways to improve (NPWT, nutrition, glucose, TXA, moist dressing) |
| Q1b | Cricothyrotomy (5M) | CICO indication + CTM anatomy + 8-step technique + complications (subglottic stenosis) |
| Q2 | Nuclear Medicine (4+3+3) | 8 modalities table + Ga-68 DOTATATE for paraganglioma + Tc-99m MIBI double phase for parathyroid |
| Q3 | Hemorrhagic Shock (3+3+2+2) | ATLS Class I-IV table + DCR (1:1:1) + TXA + pRBC 1 unit = +1g Hb + FFP contains all factors |
| Q4a | Cystic Hygroma (5M) | OK-432 sclerotherapy + Sirolimus + Surgery + EXIT procedure + Turner/Down associations |
| Q4b | CBNAAT (5M) | PCR detects MTB + RIF resistance in 2 hrs + sensitivity 80-90% for LN TB + NTEP first-line |
| Q5a | Branchial Anomalies (4M) | Cervical sinus of His + Type I/II/III/IV 2nd branchial cleft (Bailey classification) |
| Q5b | Type 1 Branchial Cleft (3+3) | Work Type I vs II + parallel to EAC + facial nerve risk + facial nerve monitoring mandatory |
| Q6a | Thyroid Ophthalmopathy (5M) | NOSPECS + CAS + IV methylprednisolone + Teprotumumab + Surgery sequence: decompress→strabismus→lids |
| Q6b | Central Neck Dissection (5M) | Level VI + therapeutic vs prophylactic + ATA 2015 guidelines + parathyroid autotransplantation |
| Q7 | Stereotactic Radiation (3+4+3) | SRS 12-13 Gy + 93-97% control at 10yr + pseudoprogression 30% + complications: facial palsy <1%, hearing loss 25-50% |
| Q8 | VSB vs BAHA (2+2+3+3) | FMT drives ossicles/RW vs BAHA bone conduction through skull + RW application for SNHL |
| Q9a | Milan System (5M) | 6 categories + ROM values (I=25%, II<10%, IVa<5%, IVb=35%, V=60%, VI=90%) |
| Q9b | Facial Nerve Landmarks (5M) | Tragal pointer (1cm deep, inferior, medial) + Post digastric + Tympanomastoid fissure + NIM mandatory |
| Q10 | Hearing Loss Genes + GT (4+4) | GJB2/Connexin 26 most common + OTOF = auditory neuropathy + 2024 OTOF gene therapy success + AAV vector |
Best of luck for your exam! The answers are structured with headings, tables, and mnemonics that translate well to written exam format. Focus on the tables for the classification questions (Q3 ATLS, Q9 Milan) as they score heavily in DNB subjective papers.
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