FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2017

POSSESSION USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
FAMILY MEDICINE
PAPER II
FLM/J/17/08/II
Time 3 hours
Max. Marks 100
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.
• 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.
Write short notes on:
1. A 30 year old labourer presents with a swelling of the left side of
the scrotum for the past 2 months.
List the differential diagnosis for this and write briefly on the
clinical features of each.
How will you investigate him and what findings are you
looking for in the investigations?
Different issues he will face after surgery for hernia repair.

2. A 42 year old executive presents with pain of the right heel for
the past 2 weeks.
List the differential diagnoses.
History, physical examination findings and management of
plantar fasciitis.
2+8
3. Principles of wound healing.
How will you improve healing of a foot ulcer in a diabetic
patient?
5+5
4. You happen to be near the site of a road traffic accident where
a cyclist was hit by a car. The cyclist is lying injured on the road.
How you will assess the patient, provide first aid and transfer
the patient to a hospital?

5. Non-surgical management of osteoarthritis of the knee.
10
6. Clinical features and management of acute otitis media in
children.
4+6
7. A 20 year old lady presents to you with swelling of the right
eyelid for the past 2 days.
List the differential diagnosis and write briefly on the clinical
features of each.
Management of blepharitis.
7+3
8. A 40 year old man presents to you with dyspepsia for the past 1
month:
List the differential diagnosis and briefly describe clinical
features of each.
How will you investigate?
What are the indications for an upper GI scopy for him?

9. A 45 year old man comes to you with neck pain after going to
the gym in the morning. Outline clinical features and
management of cervical disc prolapse.
5+5
10. Clinical features and management of allergic rhinitis.
5+5