FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2018

POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION HALL.
EMERGENCY MEDICINE
PAPER-I
EM/J/18/52/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. Draw neat labelled diagram of cerebral circulation.
How is cerebral autoregulation maintained?
Cerebral herniation syndromes.

2. Anatomy of shoulder joint.
Pathophysiology of impingement syndrome of shoulder.
Pathophysiology of rotator cuff tear.

3. Fundamentals of radiation physics.
Biologic effects of ionizing radiation.
Clinical features of acute radiation syndrome.

4. Physiology of high altitude acclimatization.
List various high altitude illnesses.
Prevention of high-altitude illnesses.

5. Define vertigo.
What is vestibulo-ocular reflex?
How do you differentiate peripheral from central vertigo?
Diagnostic approach to a patient with vertigo in Emergency
Department

6. What is neurogenic shock?
Pathophysiology of neurogenic shock.
How will you differentiate neurogenic shock from spinal
shock?
How do you manage neurogenic shock?

7. Pathophysiology of pain.
Discuss any three pain scales used in ED for adults.
Complex regional pain syndrome.

8. Various gas laws relevant to hyperbaric oxygen therapy.
Physiological effects of hyperbaric oxygen.
Enumerate indications of hyperbaric oxygen therapy.
Write a note on one of the definitive indications of hyperbaric
oxygen.


9. What is an adverse drug reaction?
Classification of adverse drug reactions.
Pathophysiology of adverse drug reactions.
What is Pharmacovigilance?

10. Henderson-Hasselbalch equation.
Kassirer-Bleich equation.
Pathophysiology of respiratory acidosis.
Adaptation in chronic respiratory acidosis.