FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2016

POSSESSION USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
FAMILY MEDICINE
PAPER II
FLM/J/16/08/II
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.
1. A 25 year old woman develops unilateral red eye.
List the likely causes with clinical findings in each case.
When is referral to an Ophthalmologist warranted and
why?
6+4
2. List the diagnostic clinical features and principles of
management in:
Colles fracture.
Fracture neck of femur.
Clavicular fracture.
Rib fracture.
Supracondylar fracture of humerus.
2X5
3. Give details of primary care for:
Pulp space abscess of finger.
Four inch lacerated wound in thigh due to fall from 2
wheeler.
Anal fissure.

4. Clinical feature of ulcer in the foot of a diabetic:
i. With neuropathy
ii. Peripheral vascular disease
List the foot care of diabetes to prevent ulcer formation.

5. Diagnosis and management of:
Nasal discharge and persistent sneezing every morning.
Chronic nasal stuffiness loss of smell for several
months, not responding to local treatment.
Facial pain and post nasal drip following an upper
respiratory infection.

6. A 35 year old man with acute loin pain has an ultrasound
showing a 0.5 cm left ureteric calculus.
What is the acute management?
What is the long term management?
4+6
P.T.O.
FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2016

POSSESSION USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
FAMILY MEDICINE
PAPER II
7. An 8 year old boy has a swollen and red, painful left testis:
List the differential diagnosis with clinical features in each
case.
Outline the management in each.
4+6
8. What advice should a family doctor give to women regarding
breast cancer with respect to:
Genetics
Early diagnosis
Risk factors

9. List pain relief measures in each of the following:
Diabetic neuropathy
Migraine headache
Rotator cuff tendinitis
Tennis elbow

10. Causes of arthralgia involving many joints in a young
woman.
What laboratory tests should be done to establish the
diagnosis?
5+5