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 III
RPD/D/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. Nucleic acid amplification tests for the diagnosis of
tuberculosis.
Epidemiology of HIV related tuberculosis.
5+5
2. Indications of non-invasive ventilation in acute respiratory
failure?
Role of non-invasive ventilation in the management of COPD
patients with acute exacerbation.
4+6
3. Enumerate recently developed anti-tuberculosis drugs.
Management of MDR and XDR tuberculosis.

4. Infection control in ICU.
Management of hyponatremia in ICU.
5+5
5. Clinical presentation, diagnosis and management of obesity
hypoventilation syndrome.

6. How will you evaluate and manage a case of acute severe
asthma in ICU?
4+6
7. Indications and types of sleep studies.
Restless leg syndrome.
5+5
8. Current status of bed side ultrasound and echocardiography in
ICU.
6+4
9. Cardiovascular and metabolic complications of obstructive sleep
apnea.
6+4
10. Various prophylactic strategies used in the ICU to decrease
morbidity and mortality.
10