Download DNB 2016 Dec PHYSICAL MEDICINE AND REHABILITAT PAPER 3 Question Paper

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FINAL EXAM NATIONAL BOARD OF EXAMINATIONS

DECEMBER 2016

PHYSICAL MEDICINE & REHABILITATION

PAPER - III

PMR/D/16/35/III

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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.

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• 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.

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Write short notes on:

1. A 10 years old male presented with weakness of both lower limbs with difficulty in holding urine. He was born with a swelling in the lower lumbar region and was operated in early childhood.

   1. What is your differential diagnosis?
   2. Investigations with their expected results.
   3. Outline his orthotic management.

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   (2+2+6)

2. 1. What is spasticity? How does it help a patient and how it can be harmful?
   2. Pharmacological management of spasticity in a patient with stroke.

   ((2+2)+6)

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3. 1. Etiological factors of cerebral palsy.
   2. Outline management of cerebral palsy.

   (4+6)

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4. A 35 year old man presented with spinal cord injury at D7 level.

   1. What are the possible urinary bladder presentations in such a case?
   2. Investigations that would be pertinent to manage bladder and the findings expected.
   3. What would be the ultimate bladder management at the time of discharge from the hospital?

   (2+3+5)

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5. Carpal tunnel syndrome: Clinical features, diagnosis and management.

   (3+3+4)

6. 1. How would you suspect deep vein thrombosis (DVT) in a patient having spinal cord injury?

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   2. Outline management of DVT.

   (3+7)

7. 1. What is postural drainage?
   2. How would you prepare the patient for postural drainage?

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   3. In which conditions does this help?

   (3+5+2)

8. 1. How is treadmill testing helpful in a patient with post myocardial infarction?
   2. How and when is it done?

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   3. What precautions would you take while performing it?

   (3+4+3)

9. 1. What is thoracic outlet syndrome?
   2. How would you diagnose it?

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   3. Outline its management.

   (2+4+4)

10. What are the principles of parental counseling in a patient having Duchenne Muscular Dystrophy? Mention the key areas to be covered in counseling.

    (10)

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