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.
TUBERCULOSIS RESPIRATORY DISEASES/PULMONARY MEDICINE
PAPER IV
RPD/D/16/42/IV
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. Flow volume loops.
Bronchoprovocation test.
5+5
2. Enumerate causes of difficulty in weaning from mechanical
ventilation.
Management of such a case
3+7
3. Per-cutaneous tracheostomy Indications technique.
Bronchial thermoplasty Principles advantages.
5+5
4. Role of e-cigarettes in smoking cesation.
Renal replacement therapy in ICU.
5+5
5. Assessment of technical quality of X-ray chest.
Transbronchial lung biopsy Technique.
5+5
6. Medical thoracoscopy Indications technique.
Endobronchial ultrasound Technique.
5+5
7. Extra Corporeal Membrane Oxygenator (ECMO).
Palliative therapy in lung cancer.
5+5
8. HRCT of thorax: Advantages limitations as compared to
conventional contrast enhanced CT.
Role of tumour markers in the treatment of lung cancer.
5+5
9. Recent WHO classification for lung cancer pathology and its
implications on treatment.
10
10. Actigraphy.
Role of bronchoalveolar lavage in clinical practice and research.
5+5