FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2012
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GENERAL MEDICINEPAPER- I
Time : 3 hours MED/J/12/08/1
Max. Marks : 100
Attempt all questions in order.
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Each question carries 10 marks.- Enumerate the actions of Growth Hormone. Discuss the clinical features, diagnosis and treatment of adult growth hormone deficiency. 3+2+2+3
- Discuss the vascular endothelial cell function in health and disease. Describe clinical assessment of Endothelial function. 5+5
- Define and list the causes of delirium. Describe the approach to diagnosis of a case of delirium. 2+3+5
- Discuss etiology, clinical features, prognostic markers and management of acute liver failure. 2+2+2+4
- Define hyper-eosinophilic syndrome. Describe its etiopathogenesis, clinical spectrum and management. 1+3+3+3
- Define mutation. Briefly describe autosomal dominant inheritance. Draw a family tree of an autosomal dominant disease. 2+4+4
- Define anion gap. Describe the causes, diagnosis and treatment of anion gap metabolic acidosis. 2+2+3+3
- Discuss differential diagnosis of ‘Solitary Pulmonary Nodule’. Describe its diagnostic algorithm. 5+5
- Define sudden cardiac death. Describe initial evaluation and basic life support in such a situation. 2+3+5
- Discuss differential diagnosis of ST segment elevation. Describe ECG changes in hyperkalemia, hypokalemia and hypocalcemia. 4+2+2+2
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POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION HALL
FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
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JUNE 2012GENERAL MEDICINE
PAPER- II
Time : 3 hours MED/J/12/08/11
Max. Marks : 100
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Attempt all questions in order.Each question carries 10 marks.
- Describe clinical features, laboratory findings and treatment of Idiopathic Thrombocytopenic Purpura. 3+3+4
- Define anaphylaxis. Enumerate its causes. Describe its clinical presentation and management. 1+2+3+4
- Describe current WHO guidelines for diagnosis and treatment of complicated malaria. 5+5
- Define cardio-renal syndrome. Discuss its etiopathology and management. 1+4+5
- Describe causes, diagnostic evaluation and treatment of a patient presenting with haematuria. 3+3+4
- Discuss post myocardial infarction risk stratification, assessment and secondary prevention. 3+4+3
- Define gestational diabetes. Enumerate its risks to foetus. Describe its management strategies. 2+3+5
- Discuss differential diagnosis and diagnostic evaluation of a patient with new onset acute headache. 5+5
- Define parenteral nutrition. Discuss its indications, types and complications. 2+2+2+4
- Describe the clinical features, diagnosis, differential diagnosis and treatment of angina pectoris. 2+2+2+4
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POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION HALL
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FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2012
GENERAL MEDICINE
PAPER- III
Time : 3 hours MED/J/12/08/111
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Max. Marks : 100Attempt all questions in order.
Each question carries 10 marks.
- Enumerate causes of stroke in young. Describe diagnostic algorithm of a 25 year old man presenting in unconscious state. 4+6
- What are Proton Pump Inhibitors? Describe their function, uses and adverse effects. 2+(3+2+3)
- Define Systemic Inflammatory Response Syndrome. Describe its diagnostic criteria, clinical presentation and management. 1+(2+3+4)
- Define hepato-pulmonary syndrome. Describe its pathogenesis, diagnosis and management. 2+(2+3+3)
- Describe pathophysiology, diagnostic evaluation and treatment of renal amyloidosis. 4+3+3
- Define metabolic syndrome. Discuss evaluation and treatment of a patient with morbid obesity. 3+(3+4)
- Describe clinical presentation, diagnostic evaluation and management of a patient with HIV infection. 3+3+4
- Describe etiopathogenesis, clinical presentation, diagnostic evaluation and treatment of Wilson’s Disease. 2+2+3+3
- What are the types of mechanical ventilators? Describe the indications and complications of mechanical ventilation. 4+(3+3)
- Discuss chemical terrorism under the following headings: 4+4+2
- Agents
- Treatment
- Prevention
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POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION HALL
FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
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JUNE 2012GENERAL MEDICINE
PAPER- IV
Time : 3 hours MED/J/12/08/IV
Max. Marks :100
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Attempt all questions in order.Each question carries 10 marks.
- a) Discuss synthesis and metabolism of Vitamin D. 5+5
b) Enumerate role of vitamin D in health and disease. - a) Describe regulation of Hypothalamo-Pituitary-Adrenal Axis. 3+(2+2+3)
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b) Briefly discuss etiology, clinical presentation and management of adrenal insufficiency. - Describe pathophysiology, clinical presentation and management of High Altitude Pulmonary Oedema. 10
- Discuss Bio-medical waste management. 10
- Describe the pathophysiology, clinical features and management of carbon monoxide poisoning. 3+2+5
- Define acute kidney injury. Describe its etiopathogenesis, clinical presentation and treatment. 2+(3+2+3)
- Describe the basic mechanisms of systolic dysfunction, diastolic dysfunction and ventricular remodeling. 4+3+3
- Define the terms sensitivity or true positive rate and specificity or true negative rate and discuss their clinical significance. 2+2+6
- What is informed consent? Discuss genetic counseling. What are the indications of genetic counseling? 2+4+4
- Discuss antimicrobial drug resistance. 10
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POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION HALL
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