Download DNB 2016 Dec PHYSICAL MEDICINE AND REHABILITAT PAPER 4 Question Paper

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FINAL EXAM NATIONAL BOARD OF EXAMINATIONS

DECEMBER 2016

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PHYSICAL MEDICINE AND REHABILITATION

PAPER - IV

PMR/D/16/35/1V

Time : 3 hours

Max. Marks :100

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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.

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• 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:

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1. What are environmental control devices? (4+6) What type of devices would be helpful in a patient having tetraplegia at C4 level?
2. What is functional electrical stimulation? (4+6) How is it helpful in a patient having paraplegia at D7 level? Give the principles of its usage.
3. What are architectural barriers? (2+(4+4)) What are the common barriers for a patient on a wheel chair and how would you address them?
4. What types of interface devices are available for propulsion of a motorized wheel chair in a patient having C5 level tetraplegia? (5+5) What are the prescription criteria for each type of such a device?
5. What are the principles of evaluation of permanent physical impairment in a patient having post-polio residual paralysis of the lower limb? (6+(2+2)) Write each component involved in such evaluation along with combining formula. How many doctors need to certify it?

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6. What is body weight supported gait training? (4+4+2) How is it helpful in training a person with hemiplegia? What does the recent literature say about its efficacy?
7. How does the quadrilateral socket differ from the Ischial containment socket? (5+5) Compare the two sockets for their advantages and disadvantages.
8. What are the recent advances in the prosthetic foot ankle mechanisms for a trans-tibial amputation for athletic activities? (6+4) How are they helpful in increasing the efficiency of the athlete?
9. What are the principles of interventional pain management? (5+5) What are the modalities used in this?
10. What is sacral anterior root stimulator device? (5+5) How is it useful in patients with spinal cord injury?

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POSSESSION / USE OF CELL PHONE IS NOT PERMITTED INSIDE THE EXAMINATION HALL