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.
PHYSICAL MEDICINE REHABILITATION
PAPER III
PMR/D/16/35/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. A 10 years old male presented with weakness of both lower limbs with
difficulty in holding urine. He was born with a swelling in the lower
lumbar region and was operated in early childhood.
What is your differential diagnosis?
Investigations with their expected results,
Outline his orthotic management.

2. What is spasticity? How does it help a patient and how it can be
harmful?
Pharmacological management of spasticity in a patient with stroke.

3. Etiological factors of cerebral palsy.
Outline management of cerebral palsy.
4+6
4. A 35 year old man presented with spinal cord injury at D7 level.
What are the possible urinary bladder presentations in such a case?
Investigations that would be pertinent to manage bladder and the
findings expected.
What would be the ultimate bladder management at the time of
discharge from the hospital?

5. Carpal tunnel syndrome: Clinical features, diagnosis and management.

6. How would you suspect deep vein thrombosis in a patient
having spinal cord injury?
Outline management of DVT.
3+7
7. What is postural drainage?
How would you prepare the patient for postural drainage?
In which conditions does this help?

8. How is treadmill testing helpful in a patient with post myocardial
infarction?
How and when is it done?
What precautions would you take while performing it?

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.
PHYSICAL MEDICINE REHABILITATION
PAPER III
9. What is thoracic outlet syndrome?
How would you diagnose it?
Outline its management.

10. What are the principles of parental counseling in a patient having
Duchenne Muscular Dystrophy? Mention the key areas to be covered in
counseling.
10