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.
FAMILY MEDICINE
PAPER-III
FLM/J/18/08/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 question 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 45-year-old lady comes to consult you for heavy menstrual
bleeding.
List the conditions that can cause this.
How will you arrive at a clinical diagnosis, evaluate her and
manage her?
3+7
2. List the risk factors for preterm delivery.
How can the neonatal outcome be improved when preterm
labour is confirmed?
What are the clinical features of a preterm baby?
Kangaroo method to care for a preterm baby.

3. Clinical features and management of pelvic inflammatory
disease.
5+5
4. A 23-year-old newly married lady comes to you to discuss about
the use of oral contraceptive pills. Describe briefly how you
would explain to her about the use of the pill including the:
Mechanism of action
Pros and cons of using the pill
Dosage schedule
Contraindications
Complications.

5. A 30-day old infant is brought to you with incessant cry. Outline
the management of this infant.
10
6. Clinical features, investigations and management of acute
epiglottitis.

7. Investigations and management of recurrent urinary tract
infection in a woman (both young and old).
4+6
8. Clinical features and management of infantile eczema. 5+5
9. Prevention, complications and management of anaemia in
pregnancy.

10. IMNCI classification and management of a child with acute
diarrhea.
10