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.
PHYSICAL MEDICINE REHABILITATION
PAPER-IV
PMR/J/18/35/IV
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. Discuss various kinds of issues related to caregivers of cerebral
palsy.
10
2. Enumerate effects of prolonged immobilization in bed-ridden
patients. Discuss strategies to prevent them.
3+7
3. Describe step by step approach for the management of
autonomic dysreflexia.
10
4. Discuss indications, contraindications and complications of use
of Intrathecal baclofen in patients with spinal cord injury.

5. Discuss about types and management of sexuality issues in
patients with spinal cord injury.
10
6. Discuss the role of biologics in the management of rheumatoid
arthritis.
10
7. Discuss etiopathology and management of fibro-fasciitis.
10
8. Compare the use of ultrasonography and MRI imaging in the
diagnosis of rotator cuff pathology in the shoulder.
10
9. List various types of prosthetic foot and ankle assemblies.
Discuss about biomechanical principles and advantages of
energy storing type of foot ankle mechanism.
3+7
10. Discuss categories of disabilities included in of Rights of
Persons with Disability Act, 2016.
10