General Medicine P-II

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FINAL EXAM NATIONAL BOARD OF EXAMINATIONS

APRIL 2016
GENERAL MEDICINE
PAPER – I
MED/APRIL/16/11/I
Time : 3 hours
Max. Marks : 100
Important instructions:
• Attempt all questions in order.
• Each question carries 10 marks.
• Read the question carefully and answer to the point neatly and legibly.
• Do not leave any blank pages between two answers.
• Indicate the question number correctly for the answer in the margin space.
• Answer all the parts of a single question together.
• Start the answer to a question on a fresh page or leave adequate space between two answers.
• Draw table/diagrams/flowcharts wherever appropriate.

Write short notes on:

1. a) Define atopy. 2+5+3


b) Outline the pathophysiology of bronchial asthma.
c) Pulmonary function abnormalities in bronchial asthma.

2. a) What is exfoliative dermatitis? Enumerate its causes. (2+2)+3+3


b) What haemodynamic alterations are expected in such a
patient?
c) Medical complications of generalized exfoliation.

3. a) Case control study. 2+(4+4)


b) Its advantages and disadvantages.

4. a) Neural circuit responsible for the cough reflex. 3+2+5


b) Enumerate causes of cough.
c) Clinical histories and findings which would help to
localize the cause of cough in a given individual.

5. a) What is autologous bone marrow transplantation? 3+2+5


b) What are its indications?
c) Complications of bone marrow transplantation.

6. a) Define secondary diabetes and enumerate its causes. (2+3)+5


b) What investigations will you perform in a patient with suspected
secondary diabetes?

7. a) When will you suspect that a patient is suffering from 3+4+3


panhypopituitarism?
b) What clinical features give a clue to your diagnosis?
c) What investigations are needed to confirm your diagnosis?

8. a) Peripartum cardiomyopathy. 5+5


b) Puerperal psychosis.

P.T.O.
-1-
POSSESSION / USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
APRIL 2016

GENERAL MEDICINE
PAPER – I

9. a) How is temperature regulated in the body? 4+3+3


b) How is it altered in presence of an invading viral illness?
c) How does it differ from a patient having high fever after a
prolonged sun exposure?

10. a) Principles of adult immunization. 4+3+3


b) Immunization of a healthy 70 year old female.
c) Immunization of a 40 years old male with splenectomy.

**********************

-2-
POSSESSION / USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.

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