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.
TUBERCULOSIS RESPIRATORY DISEASES/PULMONARY MEDICINE
PAPER III
RPD/APRIL/16/42/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. Enumerate newer diagnostic techniques for tuberculosis.
Mention the relative merits and demerits of each of these
techniques.
2+8
2. Enumerate side effects of commonly used anti-tuberculosis drugs.
Need for routine monitoring and management of these side effects.
3+7
3. What is overlap syndrome?
Principles of its diagnosis and management.

4. Mention the methods of weaning from mechanical ventilation.
Outline the procedure, advantages and disadvantage of each
method.
2+8
5. Various types (levels) of polysomnographic evaluation.
Merits and demerits of each method.
4+6
6. Commonly encountered problems during administration of noninvasive
ventilation.
Methods of trouble shooting.
5+5
7. Impact of HIV on tuberculosis with respect to susceptibility, reactivation
of latent TB, clinical manifestations and drug resistance.

8. Parasomnia
Narcolepsy
5+5
9. Oxygen toxicity
Barotraumas
5+5
10. Role of surgery in the management of pleura-pulmonary tuberculosis.
10