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DNB Hospital Administration Previous Year Questions

These are the DNB Hospital Administration theory questions asked by NBEMS in the December 2025 and June 2025 exams, listed paper by paper as they appeared. The Prep DNB app has all 18 DNB sessions from December 2014 to December 2025 — 720 questions in total — with repeat-question tracking, examiner keywords and MCQs.

Jump to: December 2025 · June 2025 · Important topics · Older papers

DNB Hospital Administration December 2025 Question Paper

Paper 1

  1. a) What is significance of leadership in management? [3] b) Discuss the latest theory of leadership and its advantages over earlier theories of leadership. [7]
  2. a) What is a group? [1] b) Discuss the different types of groups with examples. [4] c) Discuss social identity theory. [5]
  3. a) Discuss significance of conflict management in a organization. [3] b) Enumerate various techniques of conflict resolution. Which of these technique is most commonly used in health care institutions? [7]
  4. a) What do you understand by working capital? [3] b) Discuss various measures which help in maintaining healthy working capital in any organization. [7]
  5. a) What is the significance of written communication in management of any organization? [3] b) Discuss various barriers to good written communication. [7]
  6. Managerial decision making is key to optimum working of any organization. Discuss role of costing in different types of decision making. Illustrate significance/role of costing in decision making by giving 2 examples. [10]
  7. What do you understand by social marketing & impact of the same on the outcome of interventions in health care sector? Illustrate the same by giving suitable examples. [10]
  8. What do you understand by SWOT analysis? How does this analysis help the organizations remain relevant & creating value to the society? [10]
  9. What is significance of staffing in maintaining the competitive edge of the organizations? Outline the strategies that organizations should adopt to achieve this objective. [10]
  10. What do you understand by quality? What are the various measures which can be used to create quality consciousness & quality culture in any organization? [10]

Paper 2

  1. What do you understand by out of pocket expenditure? What is the percentage of total health expenditure which is met by the families from their savings & socio-economic impact of the same on the families? Discuss various measures which you think can be undertaken to reduce out of pocket expenses on healthcare by the individuals and the families. [3+2+5]
  2. What is the quantum of burden of non communicable diseases in our country? Discuss various measures government has undertaken to deal with the burden of NCD. [10]
  3. Enumerate key recommendations of 'Jain committee' which was constituted for hospital infrastructure development. What is the present status of the implementation of these recommendations? [10]
  4. a) What are the components of the triad of Epidemiology? [3] b) How can principles of epidemiology help in improving patient care? [7]
  5. Discuss various components of National Rural Health Mission. Describe the impact of this mission in terms of various outcomes. [10]
  6. a) Enumerate important mortality and morbidity indicators used in hospitals. [3] b) How do these indicators help in improving operational effectiveness and outcomes? [7]
  7. Discuss the various challenges faced by the hospitals in providing cashless treatment to the insured persons. In your opinion, what all can be done to improve the situation? [10]
  8. a) Enumerate various components of National AIDS Control Program. [3] b) Describe in detail the Information, Education and Communication (IEC) strategy of this program. [7]
  9. Discuss the role of hospitals in RNTCP. [10]
  10. What are the advantages of the regionalization of healthcare? Enumerate various barriers to regionalization. Suggest what can be done to reap the benefit of this approach in India. [4+3+3]

Paper 3

  1. a) What is 'Six Sigma? [5] b) How can 'Six Sigma' technique help in reducing turn around time for various radio-diagnostic procedures? [5]
  2. What is risk management? Discuss various measures to mitigate and prevent risks to the patients in the operation theatres. [10]
  3. Housekeeping in the hospitals is a major concern. This is also a major cost center. What are the various measures you may take to minimize cost of manpower yet maintaining good hygiene in the hospital? [10]
  4. a) What are the various types of disaster which any hospital needs to be prepared for? [3] b) Discuss in brief the various components of communication plan for effective management in post disaster phase. [7]
  5. Describe in brief various components of Ayushman Bharat Scheme. [10]
  6. There is a saying: Design should follow the function. Discuss the significance of this statement as per your understanding. Please give suitable practical examples from your own experience to support the same. [10]
  7. Give the outlines of the plan for installation of piped medical supply in a 200 bedded multi specialty hospital. Discuss various planning premises for planning of this system. [10]
  8. What do you understand by Architects brief? Describe various activities involved in preparing this document. [10]
  9. What are the salient features of MTP Act? What all is required to be done by a hospital to be compliant with the provisions of this Act? [10]
  10. Electricity is a major cost center in any hospital. Describe various measures which are practical and feasible to be adopted to reduce this expenditure in a running hospital. [10]

Paper 4

  1. A dead fetus is recovered from the dustbin in the hospital premises. What actions you will take in such a situation? Discuss the rationale of all actions. [10]
  2. a) What are the space requirements for planning the medical records department in a 1000 bed hospital? [2] b) Give the manpower requirement for running this department. [2] c) Enumerate various statutory provisions to be complied with by this department. [3] d) Enumerate various activities to be undertaken by this department. [3]
  3. a) Enumerate various risks in carrying out operations in the department of nuclear medicine. [3] b) Describe various measures you will have in place to be compliant with BARC guidelines and prevent/mitigate risks specific to this department. [7]
  4. a) What are the common problems encountered in labour room of government hospitals? [5] b) Describe various measures/policy we should have in place to prevent these problems. [5]
  5. a) Discuss various types of ward design. [4] b) What are the advantages/disadvantages of Nightingale Design over other designs? [6]
  6. a) Describe the process of preparing a hospital formulary. [5] b) How is hospital formulary different from drug list in hospital pharmacy? [2] c) What are the advantages of having a hospital formulary? [3]
  7. What are the various models in vogue for installing equipment for various investigative modalities in laboratories? What are the relative advantages and disadvantages of various modalities? [10]
  8. A National Level Sports event is scheduled to be held in your city. This is to be attended by 1000 sport persons. Your hospital has been asked to prepare contingency plan for those attending to any medical/surgical emergency for this event. How will you plan for the same? Give the details of the contingency plan with rationale for the same. [10]
  9. a) What are the various types of intramural transportation systems in hospital? [5] b) Write about the relative advantages and disadvantages of these over each other. [5]
  10. Medical tourism in India - SWOT analysis. [10]

DNB Hospital Administration June 2025 Question Paper

Paper 1

  1. a) In your opinion, which of the various theories of leadership is the most relevant in todaysstime for managing healthcare systems. [7] b) What differentiate leaders from the managers? [3]
  2. a) What is a team? [3] b) How does team dynamics influence outcomes in any organization? [7]
  3. a) Enumerate various distinct characteristics of matrix organization. [4] b) Advantages of matrix organizations and special challenges in managing such organizations. [6]
  4. a) What do you understand by inventory? [2] b) Importance of Inventory management in smooth operations of any organization. [3] c) Discuss the inventory control techniques which help in minimizing Inventory carrying cost and inventory shortage cost. [5]
  5. a) What is quality? [3] b) Discuss the challenges of implementing Total Quality Management (TQM) in healthcare. [7]
  6. a) What do you understand by management by walking around? [3] b) Discuss advantages of this approach in managing operations in health care organizations. [7]
  7. a) Outline in brief the evolution of the theory of management by enumerating the important milestones in this journey. [5] b) Enumerate principles of management. [5]
  8. a) What do you understand by 'Organization' as a function of management. Describe various activities managers perform under this function. [6] b) What is the importance of 'Informal Organization' in managing any organization? [4]
  9. a) What is the significance of decision making? Give few examples to illustrate the same. [5] b) Compare and contrast centralized vs decentralized decision-making. [5]
  10. a) What do you understand by job description? [5] b) How does job description impact various activities related to human resource management? [5]

Paper 2

  1. a) Give an overview of the existing healthcare delivery system in India. [5] b) Discuss in brief various policy initiatives taken by the Government in last 10 years to improve the system. [5]
  2. a) Enumerate various national heath programs in India which are focused to deal with infectious diseases. [2] b) Discuss key components of revised national tuberculosis control program (RNTCP) and important outcomes expected from this program. [8]
  3. a) Significance of biostatistics in public health. [3] b) What is the definition of infant mortality rate (IMR)? [3] c) Significance of IMR in monitoring outcome of various health programs and socioeconomic development of the country. [4]
  4. a) Discuss the role of the private sector in the healthcare delivery system of our country. [5] b) Describe in brief, various policy decisions taken by the government to strengthen this sector to improve healthcare delivery to the elderly and BPL population. [5]
  5. a) Enumerate various components of primary health care. [4] b) Role of immunization in primary health care. [6]
  6. a) Significance of sampling in research. [3] b) Enumerate various sampling techniques. Describe indications for each technique with limitations/advantages. [7]
  7. a) Give an overview of the system/infrastructure in government sector which provides primary health care to the masses. [5] b) Identify weaknesses in this infrastructure/system and suggest measures which can help in overcoming the same. [5]
  8. a) How does audit help in healthcare quality control? [5] b) What are the barriers to adopt audit in healthcare systems in India. [5]
  9. a) What are the advantages of using telemedicine. [3] b) What are the barriers in leveraging telemedicine to reap its full potential? [7]
  10. How can we leverage technology to reduce cost of medical care in a country like India? Give suitable examples to illustrate your answer. [10]

Paper 3

  1. a) Describe the process you will follow to assess need for installing CT scan in your hospital. [3] b) Enumerate various activities you will undertake after need assessment till the commissioning of this machine. [7]
  2. Enumerate the various statutory requirements one needs to comply with to establish any healthcare facility. [10]
  3. a) What do you understand by shake down period? [3] b) How is this different from commissioning? [3] c) What are the various safeguards one should undertake to have successful commissioning? [4]
  4. a) What are the various components of a hospital management information system (HMIS)'? [5] b) What are the challenges commonly encountered in installing and operationalizing this system? [5]
  5. a) What do you understand by patient safety culture? [5] b) What are the commonest barriers which are encountered while introducing this concept in any healthcare organization? [5]
  6. a) Enumerate various activities to be undertaken by a public relation officer in a hospital. [4] b) How can having a robust public relation action plan help in improving productivity in any hospital? Illustrate with examples. [6]
  7. a) What do you understand by corporate culture? What are the distinct characteristics of this culture? [5] b) What are the various skills which hospital administrator will need to adapt to this culture and improve outcome for the patients? [5]
  8. a) What do you understand by the term 'Integrated building management system? [3] b) Is it a buzz word or it is something, which provides distinct advantages? Enumerate various advantages of having this system in terms of maintenance cost and safety for the hospitals. [7]
  9. a) What are the various measures which should be undertaken while designing ICU to ensure proper disinfection / asepsis in this facility? [5] b) Enumerate various measures one should take in day to day operations of ICU to prevent nosocomial infections in this facility. [5]
  10. Enumerate and discuss various components of hospital waste management system (compliant with various statutory provisions). [10]

Paper 4

  1. a) Enumerate 3 specific challenges which are commonly encountered in managing operations of accident and emergency services in hospitals. [3] b) Discuss various measures to prevent/mitigate these challenges. Describe how the suggested measure/s will help. [7]
  2. Pharmacy services is a significant revenue center in any corporate hospital. This is also a major cause of dissatisfaction for the patient and their families. What are the various measures you will undertake to plan this department so that it is not only a revenue center but also makes patients and their family happy? [10]
  3. a) Significance of intramural and extramural transportation services in any hospital. [3] b) What all will you consider at the planning stage to have smooth operations in the hospital even when you have to expand the building in future? [7]
  4. a) Significance of maintaining medical records in a hospital. [2] b) What do you understand by EMR? How will you switch over to EMR in a running hospital? Discuss the challenges likely to be encountered and step you will take to ensure smooth roll out. [8]
  5. What do you understand by 'Value Added Services in a hospital? Identify 2 such activities which you feel are required in government hospitals but are not provided. In case, you are asked to provide these services, how will you plan and roll out these services? [10]
  6. Government hospitals are often blamed for poor housekeeping and sanitation services. Explain root cause analysis of this problem and identify key problem areas. Suggest practical measures which needs to be taken to address these problems. [10]
  7. a) Mortuary services. [5] b) CSSD. [5]
  8. Dirty and torn linen supply is a major dissatisfier in most of the hospitals. You have in-house laundry services. What are the various measures you will undertake to ensure that linen which is supplied to various hospital areas is clean and not torn? [10]
  9. What is PACS? What all is required to have this system in the hospital? Discuss various advantages of this system. [10]
  10. In the COVID pandemic, availability of oxygen emerged as a major challenge. How will you plan oxygen storage and supply system in a hospital? Describe various measures you will have in place to take care of any redundancy or sudden surge in demand for oxygen. [10]

High-Yield DNB Hospital Administration Topics

A selection of 24 of the 40 important topics curated in the app from repeated DNB Hospital Administration questions.

Healthcare system and national policy — highest yield

  • Healthcare delivery in India: primary/secondary/tertiary, public vs private, referral system
  • National Health Policy 2017: goals, health financing, UHC
  • Ayushman Bharat: PMJAY, HWC, ABDM; national health programs (NTEP, NPCDCS, NVBDCP)

Hospital quality and patient safety

  • Donabedian model: structure, process, outcome; quality indicators and KPIs
  • NABH/NQAS accreditation: standards, certification vs accreditation vs licensing
  • Patient safety: IPSG, surgical safety checklist, FMEA, root cause analysis, just culture

Management fundamentals

  • Functions of management (POSDCORB), Fayol's principles, organizational structures (line, matrix)
  • Leadership theories: transformational, situational; motivation (Maslow, Herzberg, McGregor)
  • Planning: strategic planning, MBO, SWOT/TOWS; change management and resistance

Human resource management

  • Manpower planning, recruitment, job analysis, performance appraisal (360-degree, BARS)
  • Nursing staffing norms and nurse-bed ratio calculation
  • Labor laws: Industrial Disputes Act, ESI Act, Contract Labour Act; disciplinary proceedings (CCS Rules)

Financial management

  • Budgeting: line-item, zero-based, performance budgeting; variance analysis
  • Cost analysis: fixed/variable/semi-variable costs, cost centres, break-even analysis
  • Health economics: cost-benefit, cost-effectiveness, QALY, DALY; ROI, NPV

Hospital planning and services

  • Hospital planning: site selection, master plan, architectssbrief, green hospital (GRIHA)
  • OPD workflow, queuing theory, emergency services (trauma levels, triage, Code Blue)
  • ICU/OT/CSSD planning: zoning, laminar flow, sterilization methods and indicators

Legal, ethics, and disaster

  • Medical negligence, consent, Consumer Protection Act 2019, PCPNDT, MTP, MHA, THOTA
  • Clinical Establishments Act; Right to Information; euthanasia guidelines
  • Disaster management: hospital disaster plan, fire safety, emergency codes

Statistics and material management

  • Hospital statistics: BOR, ALOS, turnover rate — calculation and interpretation
  • Biostatistics: measures of central tendency, tests of significance, p-value
  • Inventory control: ABC/VED analysis, EOQ, FSN; procurement (GeM, GFR, tendering)

Older DNB Hospital Administration Question Papers

The remaining 16 papers are available in the Prep DNB app, organized paper-wise with repeat-question tracking.

Get all 18 papers in the app

Previous Year Questions for Other DNB Subjects