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.
EMERGENCY MEDICINE
PAPER III
EM/J/17/52/III
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 young pregnant lady presents to the emergency with headache her
blood pressure is 200/110 mmg.
Discuss differential diagnosis.
How will you evaluate this patient?
How will you manage this patient in ER?

2. Define 'Delirium'.
List types of delirium.
Enumerate causes of delirium in elderly.
How will you manage a delirious patient?

3. Enumerate causes of acute chest pain in the emergency.
Role of biomarkers in evaluation of acute chest pain.
Management of "Saddle thrombus" in pulmonary artery.

4. Role of gastric lavage in patients with poisoning.
How multiple doses of activated charcoal help in patients with acute
poisoning?
How will you perform whole bowel irrigation in patient acute poisoning?

5. Staging of chronic kidney disease (CKD).
Emergency complications of end-stage CKD.
Emergency complications of hemodialysis.

6. A young male presents to the emergency with fever and "Purpuric rash".
Enumerate causes.
"Warning signs" in dengue fever.
How will you treat a patient with Dengue shock syndrome-Grade IV (or
severe dengue with shock)?

7. Precipatory factors for Addisonian crisis.
Clinical features of Addisonian crisis.
Management of Addisonian crisis.

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.
EMERGENCY MEDICINE
PAPER III
8. Enumerate causes of acute flaccid paralysis in adults.
How will you manage a patient of 'Krait
Complications associated with antisnake venom administration.

9. Enumerate causes of vesiculo-bullous skin lesions.
Clinical features of pemphigus vulgaris.
Treatment of pemphigus vulgaris.

10. Enumerate "cold" related emergencies.
Clinical presentation of hypothermia.
Management of accidental hypothermia.