FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2017
PHYSICAL MEDICINE REHABILITATION
PAPER III

POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION
HALL.
Time 3 hours PMR/D/17/35 /III
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 about the prenatal counseling in Duchenne muscular
dystrophy.
10
2. Write about role of muscle relaxants in management of
spasticity. Mention the mechanism of action, indications,
contraindication and precautions for two such drugs.
10
3. Neuroplasticity
Stem cells
5+5
4. What is post polio syndrome? What are the various differential
diagnosis and investigations needed to confirm diagnosis?
10
5. Rehabilitation goal setting and management of a 14 year old
female patient having wrist and hand deformities due to cerebral
palsy (hemiplegia).
10
6. Write about the psychiatric management of upper limb
lymphoedema in a case of carcinoma of breast treated with
Radiotherapy and surgery?
10
7. Describe in detail the implications of persistence of neonatal
reflexes in a child with delayed milestones?
10
8. Clinical presentation and management of tethered cord
syndrome.
10
9. Clinical features, diagnosis and management of Tarsal Tunnel
syndrome.
10
10. Blink reflex Methodology and implications (with diagram). 10