NATIONAL BOARD OF EXAMINATIONS
JUNE 2020
RESPIRATORY MEDICINE
PAPER-IV
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TIME: 3 HOURS
RPD/J/20/42/IV
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.
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Write short notes on:1. a) Impulse oscil ometry.
5+5
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b) Bronchial thermoplasty.2. a) Cryobiopsy.
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b) Liquid biopsies tests for lung cancer patients.
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3. a) Benefits and indications of mechanical ventilation in the prone5+5
position.
b) Contraindications and procedure of prone ventilation.
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4. a) QTcF monitoring during treatment of drug resistant tuberculosis.5+5
b) Concomitant Anti-retroviral therapy (ART) in drug resistant TB
(DRTB) patient.
5. a) Shorter MDR-TB regimen and its exclusion criteria as per
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5+5National Tuberculosis Elimination Programme (NTEP) of India.
b) Drugs used in Al oral longer MDR-TB regimen as per National
Tuberculosis Elimination Programme (NTEP) of India.
6. a) Diagnostic test for COVID-19.
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5+5b) Enumerate Old and Re-purposed Drugs used or under
evaluation for the treatment of COVID-19.
7. a) Airway stenting.
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b) Extracorporeal membrane oxygenation.
8. a) Clinical use of exhaled nitric oxide analysis in asthma.
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b) Respiratory muscle assessment in clinical practice.9. a) Lung transplantation in IPF and COPD.
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b) Complications of lung transplantation.
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10. a) Phenotypes and asthma management.5+5
b) Walk tests and chronic respiratory diseases.
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POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATIONHALL.