FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
APRIL 2016

POSSESSION USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
GENERAL MEDICINE
PAPER III
MED/APRIL/16/11/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. What is effective circulatory volume?
Enumerate conditions with increased and decreased
effective circulatory volume states and basic management
strategies for each.

2. What is obstructive sleep apnoea syndrome?
Risk factors for obstructive sleep apnoea syndrome and
principles of its management.

3. Drugs used for the treatment of hepatitis C virus
infection.
Management protocol of a patient with HCV genotype 3
infection.
4+6
4. What is Gastro-esophageal Reflux Disorder
Risk factors and management strategies for GERD.

5. Clinical features, diagnosis and management of ankylosing
spondylitis.

6. Describe a typical attack of angina pectoris.
Mention all possible clinical findings during an attack
briefly describe the causative mechanism.
What is angina equivalent?

7. Enumerate the etiologic agents of community acquired
pneumonia (CAP).
How will you assess the severity of CAP?
Outline the management of CAP in a 50 year old male
patient.

8. Pathophysiological basis of formation of various renal
casts.
What is telescoped urinary sediment?
Clinical features of acute interstitial nephritis.

9. What is irritable bowel syndrome?
What are the "warning signs" in a patient with irritable
bowel syndrome?
Management of irritable bowel syndrome.

10. What is reactive arthritis?
When will you suspect that a patient is suffering from
reactive arthritis?
What investigations can be done in such a patient?