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-III
RPD/J/18/42/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 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. Primary complex
Latent tuberculosis
5+5
2. Role of corticosteroids in management of tuberculosis.
INH mono-resistance: Implications in tuberculosis control.
5+5
3. Merits and de-merits of shorter regimens for MDR-TB.
Diagnosis and management of hepatitis due to first line antituberculosis
drugs.
5+5
4. Strategy of prevention of transmission of tuberculosis in
health care workers.
Causes of secondary drug resistance in TB patients.
5+5
5. Complex Sleep apnoea
Causes of Central Sleep apnoea.
5+5
6. Role of corticosteroids in patients with septic shock.
Management of acute exacerbation of COPD in critically ill.
5+5
7. Lung protective ventilation.
Diagnosis of ventilator associated pneumonia.
5+5
8. Fluid therapy in patients with septic shock.
Initial antibiotic therapy in patients with septic shock.
5+5
9. Causes of difficulty in weaning a patient from mechanical
ventilation.
Role of non-invasive ventilation for management of chronic
respiratory failure.
5+5
10. Newer drugs for management of MDR-TB.
Challenges of END TB Strategy.
5+5