FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2017
EMERGENCY MEDICINE
PAPER I
POSSESSION USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
EM.MED/D/17/52/I
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. How do you predict difficult airway by LEMON and
MOANS assessment methods?
b. Rapid sequence intubation in unstable cervical spine.
c. Supraglottic airways.

2. a. Diagram depicting anatomy of subclavian vein relevant
to its venous access
b. Indications of central venous catheterization in
Emergency Department.
c. Complications of central venous catheterization
d. Complications of peripheral venous access

3. a. Conduction pathways of the heart
b. Normal ECG waves and intervals.
c. List the causes of QT interval prolongation
4 4
4. a. Explain normal oxygen dissociation curve.
b. Factors causing shifts in oxygen dissociation curve
c. Clinical applications of central venous oxygen
saturation

5. a. Regulation of acid-base balance by kidneys
b. Normal anion metabolic acidosis
c. High anion gap metabolic acidosis.

6. a. Enumerate sedation agents for procedural sedation
b. Discuss any three sedation agents
c. Monitoring a patient during procedural sedation

7. a. Describe various volumes given by a spirometer
b. Define anatomic, physiologic and mechanical dead
spaces
c. Clinical importance of various dead spaces during
invasive ventilation


8. a. Non-invasive arterial blood pressure monitoring
b. Invasive arterial blood pressure monitoring
c. Non-invasive cardiac output monitoring

9. a. Anatomic changes in pregnancy affecting airway
management during pregnancy
b. Physiological changes in pregnancy relevant to
resuscitation.
c. Discuss briefly special steps of cardiopulmonary
resuscitation during pregnancy.

10. a. Vaughan-Williams classification of anti-arrhythmic
agents
b. Discuss briefly about class I anti-arrhythmic agents
c. Discuss briefly about class III anti-arrhythmic agents