FINAL EXAM
NATIONAL BOARD OF EXAMINATIONS
JUNE 2020
FAMILY MEDICNE
PAPER-I
FLM/J/20/08/I
Max. Marks:100
Important Instructions:
Attempt all 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 65-year-old patient is having fever and dry cough for last three days,
5+5
hypertensive patient.
a) What are your differential diagnosis with clinical justification?
b) What are the current treatment guidelines for Covid-19 patients?
2. A 30-year-old salesman has come to you with heartburn and reflux for the
past 2 months. He travels extensively and eats out al the time. He has
gained weight recently due to the junk food that he has been eating. He
admits to smoking and drinking to deal with the stress of work. On
examination, he is found to be hypertensive and he has no abnormalities
a) What are the red flags in the history that you would ask for?
b) How you can classify hypertension?
c) What drugs wil you start him on for his various problems?
d) What lifestyle changes would you advise him?
3+3+4
days.
a) Write briefly on the common causes of haemoptysis in family practice
b) How will you assess this man with appropriate history, physical
c) Discuss briefly diagnosis and management of bronchiectasis
4. A 60-year-old man is brought to you with history of brief episodes of loss
4+3+3
of consciousness over the past week.
b) What history and physical examination would you elicit?
c) How wil you investigate this patient?
P.T.O
-1-
EXAMINATION HALL.
FINAL EXAM
NATIONAL BOARD OF EXAMINATIONS
JUNE 2020
PAPER-I
5. You have a 45-year-old patient whose spirometry showed features of
2+4+4
COPD:
features?
b) How wil you clinical y approach to this patient including history and
examination?
c) How wil you clinically manage this case?
2+6+2
hairs unkempt. She has been like this for the last 10-15 years. She leaves
home in the mornings, takes tea at the local tea shop and returns home in
the evenings. She does not take any responsibilities at home. She stays
Her husband has taken their children to another vil age. Her widowed
mother takes care of her. The latter is known to be using alcohol
occasional y. What are your differential diagnoses? How would you
manage her? What supports or referrals would you like to give her in a
7. Clinical features and management of fol owing conditions in children:
5+5
a) Scabies
b) Head louse infestation
5+5
b) What preventive measures you would like to take at individual level
and at community level to prevent obesity?
9. A 25-year-old labourer who was working in the field in the hot sun was
brought to you with altered behaviour. His core temperature was found to
be 1050 F.
a) What is the differential diagnosis?
b) How wil you investigate and manage this patient?
(3+2+3)+2
having anxiety disorder:
a) How wil you clinical y diagnose, investigate and manage such anxiety
disorders in this group?
************
-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 MEDICNE
PAPER-I
--- Content provided by FirstRanker.com ---
Time: 3 hoursFLM/J/20/08/I
Max. Marks:100
Important Instructions:
Attempt all 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 65-year-old patient is having fever and dry cough for last three days,
5+5
--- Content provided by FirstRanker.com ---
and difficulty in breathing for last two days. He is a known diabetic andhypertensive patient.
a) What are your differential diagnosis with clinical justification?
b) What are the current treatment guidelines for Covid-19 patients?
2. A 30-year-old salesman has come to you with heartburn and reflux for the
--- Content provided by FirstRanker.com ---
2+3+3+2past 2 months. He travels extensively and eats out al the time. He has
gained weight recently due to the junk food that he has been eating. He
admits to smoking and drinking to deal with the stress of work. On
examination, he is found to be hypertensive and he has no abnormalities
--- Content provided by FirstRanker.com ---
except for mild epigastric tenderness.a) What are the red flags in the history that you would ask for?
b) How you can classify hypertension?
c) What drugs wil you start him on for his various problems?
d) What lifestyle changes would you advise him?
--- Content provided by FirstRanker.com ---
3. A 55-year-old man presents with history of haemoptysis for the past few3+3+4
days.
a) Write briefly on the common causes of haemoptysis in family practice
b) How will you assess this man with appropriate history, physical
--- Content provided by FirstRanker.com ---
examination and investigations?c) Discuss briefly diagnosis and management of bronchiectasis
4. A 60-year-old man is brought to you with history of brief episodes of loss
4+3+3
of consciousness over the past week.
--- Content provided by FirstRanker.com ---
a) List the differential diagnosis for this presentationb) What history and physical examination would you elicit?
c) How wil you investigate this patient?
P.T.O
-1-
--- Content provided by FirstRanker.com ---
POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THEEXAMINATION HALL.
FINAL EXAM
NATIONAL BOARD OF EXAMINATIONS
JUNE 2020
--- Content provided by FirstRanker.com ---
FAMILY MEDICNEPAPER-I
5. You have a 45-year-old patient whose spirometry showed features of
2+4+4
COPD:
--- Content provided by FirstRanker.com ---
a) What are the difference in obstructive and restrictive spirometryfeatures?
b) How wil you clinical y approach to this patient including history and
examination?
c) How wil you clinically manage this case?
--- Content provided by FirstRanker.com ---
6. A 45-year-old woman, is seen in the streets, poorly dressed, dirty clothes,2+6+2
hairs unkempt. She has been like this for the last 10-15 years. She leaves
home in the mornings, takes tea at the local tea shop and returns home in
the evenings. She does not take any responsibilities at home. She stays
--- Content provided by FirstRanker.com ---
awake throughout the night and occasionally passes urine in her room.Her husband has taken their children to another vil age. Her widowed
mother takes care of her. The latter is known to be using alcohol
occasional y. What are your differential diagnoses? How would you
manage her? What supports or referrals would you like to give her in a
--- Content provided by FirstRanker.com ---
rural area with limited health facilities?7. Clinical features and management of fol owing conditions in children:
5+5
a) Scabies
b) Head louse infestation
--- Content provided by FirstRanker.com ---
8. a) Explain various indices or tools to define obesity.5+5
b) What preventive measures you would like to take at individual level
and at community level to prevent obesity?
9. A 25-year-old labourer who was working in the field in the hot sun was
--- Content provided by FirstRanker.com ---
4+2+4brought to you with altered behaviour. His core temperature was found to
be 1050 F.
a) What is the differential diagnosis?
b) How wil you investigate and manage this patient?
--- Content provided by FirstRanker.com ---
10. Many of the students and adults, because of Covid-19 pandemic, are(3+2+3)+2
having anxiety disorder:
a) How wil you clinical y diagnose, investigate and manage such anxiety
disorders in this group?
--- Content provided by FirstRanker.com ---
b) When you would like to refer such cases to a psychiatrist?************
-2-
POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
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