FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2016

POSSESSION USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
FAMILY MEDICINE
PAPER II
FLM/D/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.
Write short notes on:
1. State the guidelines for screening for eye involvement in
diabetes mellitus.
Stages of diabetic retinopathy and management at each stage.
6+4
2. Causes and clinical features of:
Oral ulceration
Halitosis
Leukoplakia

3. A 50 year old man has a confirmed deep vein thrombosis of the
right calf after a long flight.
Outline management in detail.
Venous leg ulcer and its management.
5+5
4. Clinical features, differential diagnosis, investigations and
management of septic arthritis of the hip in children.

5. Management of epistaxis in a 50 year old man with blood
pressure 220/100mmHg.
List the causes of ear pain with otorrhoea.
5+5
6. How is osteoporosis diagnosed?
State the risk factors for osteoporosis.
Management of osteoporosis.

7. Definition and role of the following forms of anaesthesia in
surgery:
Conscious sedation.
Spinal anaesthesia
Epidural analgesia
Nerve block

P.T.O.
FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2016

POSSESSION USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
FAMILY MEDICINE
PAPER II
8. Diagnostic features and management of the following sports
related injuries:
Ankle sprain
Achilles tendon rupture.
5+5
9. Rani is a 50 year old lady who presents to you with a lump in her
left breast.
History and clinical features you would elicit on her.
What are the clinical features suggestive of a malignant breast
lump?
Health education you would give to your patients about breast
cancer, including early detection and screening.

10. Causes of sudden onset unilateral blindness in a 30 year old
lady.
List visual field defects and state the causes.
6+4