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.
RHEUMATOLOGY
PAPER II
RHEUM/D/16/43/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. What is neuropathic joint disease?
What are its causes?
How will you diagnose and treat it?

2. What are the clinical manifestations of relapsing
polychondritis?
Outline its diagnosis and management.
4+6
3. How would you evaluate interstitial lung disease in
connective tissue diseases? Outline the treatment for the same.
5+5
4. What are the clinical manifestations of Wegener's
granulomatosis? What are its important differences from
polyarteritis nodosa?
5+5
5. What are calcium crystal deposition diseases? What are their
presentations? Outline management strategies.

6. What is pre-clinical lupus? What are its implications?
6+4
7. What is primary and secondary fibromyalgia? What is the
prevalence of secondary fibromyalgia?
4+6
8. Clinical presentations and diagnosis of IgG4 related disease.
5+5
9. A 40 year old adult does excessive walking and has pain in front
of knee between the patella and tibial tuberosity. Comment on
likely cause and how to diagnose manage it.

10. What is sarcopenia? Discuss its importance in rheumatological
disease.
3+7