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.
RESPIRATORY DISEASES
PAPER-I
RPD/J/18/42/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. Structure of acinus
Function of Alveolocapillary membrane
Mucocilliary escalator

2. Forced vital capacity
Anatomic dead space
Functional residual capacity

3. Measurement of compliance of lung
Alveoarterial oxygen gradient
5+5
4. Role of kidney in acid-base balance
Anion gap acidosis
5+5
5. Alpha 1 antitrypsin deficiency
Flow volume loop in clinical practice
5+5
6. Leukotrienes
T lymphocyte and bronchial asthma
5+5
7. Causes of Hypercapnic respiratory failure
Positive end expiratory pressure (PEEP)
5+5
8. Causes of acute pulmonary thromboembolism
Ventilation-Perfusion mismatch
5+5
9. Mechanism of Dyspnoea
Ultrafine particulate matter
5+5
10. Antibiotic Stewardship
Drug treatment of MRSA infections
5+5