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.
GENERAL MEDICINE
PAPER III
MED/D/16/11/III
Time 3 hours
Max. Marks 100
IMPORTANT INSTRUCTIONS
• This question paper consists of 10 questions divided into Part and Part each part
containing 5 questions.
• Answers to questions of Part and Part are to be strictly attempted in separate answer
sheet(s) and the main supplementary answer sheet(s) used for each part must be tagged
separately.
• Answers to questions of Part attempted in answer sheet(s) of Part or vice versa shall
not be evaluated.
• Answer sheet(s) of Part and Part are not to be tagged together.
• Part and Part should be mentioned only on the covering page of the respective answer
sheet(s).
• 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:
PART A
1. Phenomenon of 'Re-Entry'.
Diagnosis of paroxysmal supraventricular tachycardia
(PSVT).
Outline the management of PSVT in a 30 year old female
with BP 90/60mmHg.

2. Enumerate the etiology of hospital acquired pneumonia
(HAP).
What are the risk factors for development of HAP?
Management of ventilator associated pneumonia.

3. Diagnosis of a case of malabsorption syndrome.
Clinical features and management of celiac disease in an
adult.

4. Classify chronic kidney disease.
How will you estimate glomerular function of a patient?
Metabolic bone disease in a patient of chronic kidney
disease.

5. What is a complicated urinary tract infection
Diagnosis of UTI.
How will you manage UTI in a 6 month pregnant lady?

P.T.O.