NATIONAL BOARD OF EXAMINATIONS
JUNE 2020
FAMILY MEDICINE
PAPER-III
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Time: 3 hoursFLM/J/20/08/III
Max. Marks:100
Important Instructions:
Attempt al questions in order.
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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.
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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. Enumerate the various health problems faced by the adolescents. As a
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Family Physician, how wil you address health issues of adolescentattending your clinic. Name some Government programs that are
initiated to help the adolescents and the benefits they get out of them
2. a) Define Severe Acute Malnutrition (SAM).
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b) How wil you manage a child with uncomplicated SAM?c) What are the serious complications faced by children with SAM and
how wil you manage them?
3. a) Define low birth weight.
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b) Name 3 major problems faced by:i.
Preterm babies
i .
IUGR (Intra-Uterine Growth Retardation) babies
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c) What is Kangaroo Mother Care (KMC)?d) What are all advantages of KMC?
4. A 35-year-old married woman has come to you with history of profuse
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vaginal discharge.
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a) How wil you take history, do examination and investigate her?b) Name 2 common conditions that causes pathological
vaginal discharge and how wil you treat them.
5. A 4-year-old girl is brought to you with fever and rashes. Discuss the
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differential diagnosis. Write short note on how you wil manage a childwith measles.
6. A 35-year-old lady presents with dysmenorrhea for the past 3 months.
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What could be causes of primary and secondary dysmenorrhea? Discuss
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the diagnosis and the initial management of dysmenorrhoea in this lady.P.T.O
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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 2020
FAMILY MEDICINE
PAPER-III
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7. A 40-year-old lady who has 3 children presents with history of urinary5+5
incontinence. She has urinary loss while coughing or sneezing, which is
embarrassing her. Her deliveries were al vaginal, but prolonged. Discuss
the diagnosis and management of her problem.
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8. A 34-year-old married woman has come for antenatal checkup. You2+3+5
suspect that she may be having gestational diabetes.
a) Define gestational diabetes.
b) How wil you screen/ investigate for gestational diabetes in
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this lady?c) If she is found to have gestational diabetes, how will you
manage her?
9. a) Name the broad groups of contraceptives available and give
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examples.b) What are the advantages and disadvantages of intrauterine
contraceptive devices.
c) What are the advantages and disadvantages or contraindications of
combined oral contraceptive pil s?
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10. Child abuse is being more commonly seen in the newspapers. How4+6
would you screen for child abuse in your clinic? What are the available
laws, systems to help victims of child abuse?
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-2-POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.