FINAL EXAM
NATIONAL BOARD OF EXAMINATIONS
JUNE 2020
FAMILY MEDICINE
PAPER-II
FLM/J/20/08/II
Max. Marks:100
Important Instructions:
Attempt al questions in order.
Read the question careful y 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.
Draw table/diagrams/flowcharts wherever appropriate.
Write short notes on:
1. A 28-year-old female presents with diffuse swel ing in the mid line of neck
3+3+4
a) Discuss the differential diagnosis in such case.
b) What investigations will you do and what do you expect in her?
c) What are all the various treatment options available to her?
2. A 64-year-old man presents to you with complaints of bilateral knee pain
for last few years. He is increasingly incapacitated now because of the
pain and difficulty walking.
a) What are your differential diagnosis?
b) What medicines would you give for pain relief?
d) In osteoarthritis knee, what are the indications for surgery?
3. A 41-year-old man presents with history of trauma in the palm after a
2+3+2+3
road traffic accident. He has no other injuries.
b) What regional anaesthesia would you like to give? What nerves and
where would you block them, if he requires minor surgery?
c) What are the local anaesthetic drugs you can use for a peripheral
nerve block?
block?
4. A 65-year-old man needs to undergo a hernia repair. What conditions
4+3+3
would you look for in preparation for the anaesthesia? What
hypertension & COPD. How would you prepare him for surgery?
5. a) Pilonidal sinus
5+5
b) Paraphimosis
-1-
POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
FINAL EXAM
JUNE 2020
FAMILY MEDICINE
PAPER-II
6. A young man met with an accident. He is opening eyes to painful stimuli,
withdraws from pain and makes gurgling sounds. His vitals are as
fol ows: Pulse: 110/min, BP 90/60 mmHg, RR 40/min.
a) How would you assess this case?
b) How would you manage this case now?
3+4+3
you with a non-healing ulcer over dorsum of left foot for the past 2
months.
a) What are all the various tests you wil do on this patient?
c) As a Family Physician, how wil you prevent occurrence of another
ulcer in the future.
8. You have diagnosed a 10-year-old girl to have safe chronic suppurative
2+2+2+2+2
investigations, treatment and complications of CSOM in such case.
9. A 65-year-old female patient presents with pain and swel ing in the left
2+2+6
thigh since 5 days. There is some local warmth, peripheral pulses are
a) What are your differential diagnosis in such case?
b) What investigations would you request, with reasons?
c) How would you manage deep vein thrombosis?
10. A 40 years old lady, presents with abdominal pain since 2 days which is
gradual y increasing. Her vitals- BP 100/60mmHg, pulse 110/min, RR
25/min. Abdomen has generalized tenderness and guarding.
a) Write 4 differential diagnosis you would consider with
common clinical findings in each.
************
-2-
POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
NATIONAL BOARD OF EXAMINATIONS
JUNE 2020
FAMILY MEDICINE
PAPER-II
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Time: 3 hoursFLM/J/20/08/II
Max. Marks:100
Important Instructions:
Attempt al questions in order.
--- Content provided by FirstRanker.com ---
Each question carries 10 marks.Read the question careful y 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.
--- Content provided by FirstRanker.com ---
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 28-year-old female presents with diffuse swel ing in the mid line of neck
3+3+4
--- Content provided by FirstRanker.com ---
which moves with deglutition. She also has bilateral prominent eyes.a) Discuss the differential diagnosis in such case.
b) What investigations will you do and what do you expect in her?
c) What are all the various treatment options available to her?
2. A 64-year-old man presents to you with complaints of bilateral knee pain
--- Content provided by FirstRanker.com ---
2.5x4for last few years. He is increasingly incapacitated now because of the
pain and difficulty walking.
a) What are your differential diagnosis?
b) What medicines would you give for pain relief?
--- Content provided by FirstRanker.com ---
c) What other modalities of pain relief would you suggest?d) In osteoarthritis knee, what are the indications for surgery?
3. A 41-year-old man presents with history of trauma in the palm after a
2+3+2+3
road traffic accident. He has no other injuries.
--- Content provided by FirstRanker.com ---
a) What first aid would you give him?b) What regional anaesthesia would you like to give? What nerves and
where would you block them, if he requires minor surgery?
c) What are the local anaesthetic drugs you can use for a peripheral
nerve block?
--- Content provided by FirstRanker.com ---
d) What precautions would you take while doing a peripheral nerveblock?
4. A 65-year-old man needs to undergo a hernia repair. What conditions
4+3+3
would you look for in preparation for the anaesthesia? What
--- Content provided by FirstRanker.com ---
investigations would you require, with reasons? He has diabetes,hypertension & COPD. How would you prepare him for surgery?
5. a) Pilonidal sinus
5+5
b) Paraphimosis
--- Content provided by FirstRanker.com ---
P.T.O-1-
POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
FINAL EXAM
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NATIONAL BOARD OF EXAMINATIONSJUNE 2020
FAMILY MEDICINE
PAPER-II
6. A young man met with an accident. He is opening eyes to painful stimuli,
--- Content provided by FirstRanker.com ---
5+5withdraws from pain and makes gurgling sounds. His vitals are as
fol ows: Pulse: 110/min, BP 90/60 mmHg, RR 40/min.
a) How would you assess this case?
b) How would you manage this case now?
--- Content provided by FirstRanker.com ---
7. A 62-year-old man, a known diabetic for the past 15 years, presents to3+4+3
you with a non-healing ulcer over dorsum of left foot for the past 2
months.
a) What are all the various tests you wil do on this patient?
--- Content provided by FirstRanker.com ---
b) How wil you manage his wound?c) As a Family Physician, how wil you prevent occurrence of another
ulcer in the future.
8. You have diagnosed a 10-year-old girl to have safe chronic suppurative
2+2+2+2+2
--- Content provided by FirstRanker.com ---
otitis media. Write the clinical features, examination findings,investigations, treatment and complications of CSOM in such case.
9. A 65-year-old female patient presents with pain and swel ing in the left
2+2+6
thigh since 5 days. There is some local warmth, peripheral pulses are
--- Content provided by FirstRanker.com ---
normal.a) What are your differential diagnosis in such case?
b) What investigations would you request, with reasons?
c) How would you manage deep vein thrombosis?
10. A 40 years old lady, presents with abdominal pain since 2 days which is
--- Content provided by FirstRanker.com ---
6+4gradual y increasing. Her vitals- BP 100/60mmHg, pulse 110/min, RR
25/min. Abdomen has generalized tenderness and guarding.
a) Write 4 differential diagnosis you would consider with
common clinical findings in each.
--- Content provided by FirstRanker.com ---
b) What initial management would you start for this patient?************
-2-
POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
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