DNB Family Medicine Question Bank

[2008]
Family Medicine
Question Bank
Mohamed Haroon Rashid

©groups.google.com/group/family-medicine
FAMILY MEDICINE
2 Question Bank| Dr Mohamed Haroon Rashid

Dedicated to my Teachers of
Sagar Hospitals, Jayanagar
Parents, and all Family Medicine PGs

Authors
Dr Mohammed Haroon Rashid

Final year PG Family Medicine
Sagar Hospitals, Jayanagar, Bangalore
Contributions:
Dr Prince Christopher
Family Medicine
CMC, Vellore

Contents Page
Introduction & National board of Examination----------------------------- 06
Section I
Family Medicine Question Bank year wise 2007 to 1985 ---------------- 25
Section II
Family Medicine Question bank with references & subject wise------ 101
Section III
Family Medicine Text books and websites----------------------------------- 150

Preface
T he specialty of Family Medicine is a discipline focused on the

healthcare needs of all people without regard to gender, age, disease,
or life-stage. With the unique perspective of this focus we are concerned with
contextualizing care and integrating the complex biologic, social, psychological,
economic and cultural needs of people and families. While this approach may
take many different forms, our focus has traditionally been on offering
comprehensive health care for all.
This book focuses on the question papers and references to books in Family Medicine for the post
graduates.
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DR. K. P. PARTHASARATHY on the importance of family practice as a discipline

NATIONAL BOARD OF EXAMINATIONS

(Ministry of Health & Family Welfare, Govt. of India)
Mahatma Gandhi Marg (Ring Road)
Post Box No. 4931, Ansari Nagar,
New Delhi – 110 029
Telephone : 26589517
Website : www.natboard.nic.in
Email: [email protected]

BRIEF ON NATIONAL BOARD OF EXAMINATIONS
The National Board of Examination was established in 1975 with the primary objective of
improving the quality of the Medical Education by elevating the level and establishing
standards of post graduate examinations in modern medicine, on an all India basis. It was
to function as a National resource for imparting quality in evaluation of professional
competence in Medical Sciences. The Medical Council of India has laid down standards for
post graduate examinations conducted by various universities and other institutions, yet it is
felt that the levels of proficiency and standards of evaluation still vary considerably in these
institutions and universities. The setting up of a National Body, to conduct post -graduate
medical examination was intended to provide a common measurement standard and
mechanism of evaluation of the minimum level of attainment of the objective for which post
graduate courses were started in medical institutions. Moreover, inter-country and
international comparison will be facilitated with the availability of commonly accepted
evaluation mechanism.
There are more than 149 recognized Medical Colleges in the country, in addition to over
325 accredited institutions, imparting DNB in various specialties and super specialties.
There are 41 medical disciplines identified by the by the Board for which approved training
courses are available in the country at present.
PREAMBLE
The present undergraduate medical curriculum and the internship are inadequate to turn
out well trained and competent medical professionals to serve the community needs.
Preventive, promotive and rehabilitation aspects, which form an integral part of healthy
living, have lost focus with most of the medical practitioners. More than 80% of our
population comprises of either the rural or urban poor. They are unable to get access to
adequate medical care facilities from the exiting hospitals. Moreover, to practice holistic
medicine, the treating physician should also understand the social, cultural and economic
conditions of the family. Family physicians need to make the optimal use of the resources
and judiciously select the investigations for diagnosis. They can form the back bone of
health care delivery system and can play a vital role in fulfilling the Rural Health Mission
announced by the Government of India:
The DNB Family Medicine (New Regulations) is not included in the First
schedule of Medical Council of India. Act 1956.
This information booklet is expected to provide the necessary information to

the institutions/hospitals which are willing to start DNB Family Medicine
(New Regulations) and also preliminary information to the candidates who
are aspiring to enroll for DNB Family Medicine (New Regulations).

DNB in Family Medicine (NEW REGULATIONS)
Family Medicine is defined as that specialty of medicine which is concerned with

providing comprehensive care to individuals and families and integrating biomedical,
behavioral and social sciences. As an academic discipline, it includes comprehensive
health care services, education and research. A family doctor provides primary and
continuing care to the entire family within the communities; addresses physical,
psychological and social problems; and coordinates comprehensive health care services
with other specialists, as needed. The practitioners in family medicine can play an important
role in providing healthcare services to the suffering humanity. The General practitioner’s
responsibility in Medicare includes management of emergencies, treatment of problems
relating to various medical and surgical specialties, care of entire family in its environment,
appropriate referrals and follow up. He is the first level contact for the patients and his
family. In a country with large population spread over to rural sector, the need for
adequately trained, properly qualified, competent general practitioners is acutely felt. The
National Board plans to conduct postgraduate degree examinations in Family Medicine
leading to Diplomate of the National Board (New Regulations) to fulfill these felt needs of
the country.
II GOAL
After qualifying the final examinations the candidate should be able to function as a
junior consultant (specialist) in Family Medicine. He should be able to render health
services to the community by providing health care to all members irrespective of age, sex,
culture and socio-economic background. He should be able to decide for appropriate
referral in order to provide secondary/tertiary health services when necessary. He should
be clinically competent and should be able to take personal responsibility for rendering
comprehensive and continuing care of his patients in their own family settings.
III OBJECTIVES
At the end of the training period the candidate should be able to acquire following
competencies for:
1. Effective management of common diseases within the limited resources of family

practice setting.
2. Identification of complex health problems and their appropriate referral.

3. Promotion of health and prevention of disease, and support of the national health
programmes.
4. Ability to care for disadvantages groups in the community such as the elderly,
mentally and physically handicapped persons.
5. Behavioral sciences related to family practice.
6. Effective communication with patients, family, colleagues and other health care
workers, and community.
7. Domiciliary care and palliative care.
8. Conducting research, and submit it in the form of a dissertation.
9. Management of a wide range of common medical emergencies in the context of

family practice with evidence-based medicine.
10. Decision making regarding the need for, and the appropriate and cost-effective
use of, modern technological investigations and ability to interpret the results of these
investigations.
11. Management, team work and leadership.
12. Development of a critical mind and the ability to solve patient problems within a
particular socio-cultural setting, harnessing available community services.
13. Being a role model in health behaviour, and the ability to organize and actively
engage in community care programmes, focusing on promoting and maintaining health
of the community.
IV Content areas
Knowledge and skills for life-saving procedures:

Medical, Obstetric, Paediatric, including neonatal resuscitation, Surgical
and Trauma.
(2) Maternal and child health : prevention, screening , health education,

nutritional guidance and immunization, ante-natal and post-natal check up, well baby

clinic and family planning procedures. Age-specific risk assessment including cancer
risk, adolescent health and lifestyle guidance.
Principles of anaesthesia: local, regional and intravenous sedation
(4) Paediatrics :Growth and development, infectious diseases, malnutrition,

immunization and common paediatric illnesses.
(5) General Medicine:Initial management of all symptoms/health problems,

recognition, assessment, management, follow-up of common medical conditions in the
community, prevention and health promotion, geriatric problems in the community,
palliative care of terminally ill patients, poisoning, chronic disease conditions;
hypertension, diabetes, asthma ischaemic heart disease, obesity, epilepsy and
osteoarthritis.
(6) Diseases of public health importance. e.g., - tuberculosis, leprosy,

HIV/AIDS, STD and malaria.
Reproductive and sexual health problems including HIV/STD.

(8) Common dermatological problems and investigations.
(9) Mental health problems in a community setting:Common psychological

problems pertaining to life-cycle, behavioural problems, substance abuse, domestic
violence, psychoneurosis, anxiety and depression, dementia and identification of at risk
patients by age, sex and environment.
(10) Orthopaedics :Reduction of simple fractures and dislocations, trauma

management and fundamentals of physiotherapy.
(11) Common ophthalmological problems, both curable and incurable.
(12) Common problems in otolaryngorhinology.
(13) Oral health: management of dental emergencies and preventive measures.
(14) Occupational health.
(15) Radiodiagnosis: Interpretation of x-rays, preparation for radiological and

imaging procedures, understanding interpretation and limitations of other imaging
technologies.
(16) Hospital and practice management :Management science/organization,

management of clinics, resource management, financial management, accounting and
auditing and health economics and health insurance schemes.
(17) Basic epidemiology and clinical epidemiology.
(18) Biostatistics.
(19) Behavioral and social sciences related to family medicine.

(20) Research methodology – use of quantitative and qualitative research

methods, use of statistical packages, writing scientific papers.
(21) Critical appraisal of literature and evidence-based medicine.
(22) Communication skills with patients, peers, through media and publications.
(23) Legal and ethical considerations in family practice, Medical negligence and
consumer protection act.
V PROCEDURAL SKILLS
The students are expected to acquire following skills :
(1) Anaesthesiology : endotracheal intubation; intravenous access (peripheral

and central lines, venesection, intravenous infusion); anaesthesia (local, regional,
intravenous sedation).
(2) Medicine : cardio-pulmonary resuscitation (CPR) and advanced cardiac,

trauma, obstetric life supports, lumbar puncture, pleural aspiration, peritoneal aspiration,
drainage of tension pneumothorax; nasogastric intubation and lavage; intravenous,
intramuscular, intradermal and intralesional injections; intra-articular injection and
aspiration; take an ECG.
(3) Obstetrics & Gynaecology : conduction of normal delivery, making and

suturing of episiotomy, management of breech delivery and retained placenta; repair of
perineal laceration; vacuum extraction, forceps extraction; speculum examination,
cervical smear, IUCD insertion.
(4) Ophthalmology : funduscopy, removal of foreign bodies.
(5) Orthopaedics : splinting of fractures, reduction of simple fractures and

dislocation; application of casts.
(6) Otolaryngorhinology : removal of foreign bodies from nose, syringing of ear,

nasal packing; use of otoscope.
(7) Paediatrics : resuscitation of the newborn; intraosseous infusions.
(8) Pathology : haemoglobin level, erythrocyte sedimentation rate, total and

differential leukocyte count, blood picture, routine and microscopic examination of urine
and stool; taking swabs from various orifices and wounds; Fine Needles Aspiration;
performing Gram stain and Ziehl-Neelsen stain; microscopy of urethral and vaginal
discharge; blood sugar with glucometer; use of uristix etc.
(9) Surgery : Assessment and closure of traumatic wounds; burns; incision and
drainage of abscess; in-growing toe-nails; excision and biopsy of superficial swellings;
venesection; urethral catheterization; suprapubic cystostomy; circumcision in adults;
intercostals tube drainage; tracheostomy; screening for breast cancer.

VI Eligibility criteria for candidates
1. Any medical graduate with MBBS qualification, who has completed internship and is
registered with MCI/State Medical Council (Age limit upto 50 years).
2. Any medical graduate holding PG diploma qualification from Indian Universities.
3. Foreign medical graduates who have passed the screening test conducted by NBE
and are registered with MCI/State Medical Council.
4. In service candidates from Defense, Central/State Government, Railways, Public
sector institutions.
Duration of Course – Full Time : 3 Years

Part Time : Minimum 20 hours per week for 3 years
Stipend/Course Fee – the accredited institution for DNB (Family Medicine) should employ
the candidate and provide clinical responsibilities of a Senior Resident and pay
remuneration for his/her services. It is desirable to provide accommodation where it is
possible. There is no entrance test to join the course. The accredited institutions will select
suitable candidates with aptitude for general practice, their concerns & compassion to live &
work within communities. The candidate will be evaluated for various technical skills,
medical skills and communications skills at the end of 12-18 months.
VII INSTITUTIONS WHERE CANDIDATES CAN BE REGISTERED FOR

TRAINING
1. All hospitals attached to Government and Private medical colleges.
2. All Government hospitals including General hospitals, District hospitals, E.S.I.

Defence, Railways etc.
3. Any Multispeciality hospital already accredited to NBE (Single Specialty hospitals

are not eligible).
4. All public sector hospitals, Corporation, Port Trust, Mission hospitals and
multispeciality private hospitals.
Inspection Fee – No inspection fee for categories 1,2 and 3

– – For category 4 inspection fee is 10,000/-
The minimum requirement for hospitals are:
i. The hospital should have full time consultants with postgraduate qualification
MD/MS or DNB or equivalent, in internal medicine, general surgery, OBG, Pediatrics,
and full time/part time/visiting consultants in other specialties.
ii. The hospital should have a minimum number of 50 indoor beds (for 2
candidates) and a minimum of 100 indoor beds (for 4 candidates).
iii. The hospital should have causality/emergency medicine department including

availability of anesthetists and blood transfusion services.

iv. The hospital should have clinical laboratory investigation facilities, viz,
Biochemistry, Microbiology, Pathology etc.
v. Faculties for teaching in small groups, seminars, bed site clinics etc.
vi. Library with standard text books and journals and access to internet. The
institutions which are keen on starting the programme shall fill in the forms available at
NBE office or download the form from internet, giving details of infrastructure, staff and
facilities. The accredited institutions shall send the names of candidates selected, for
registration with NBE.
VIII DETAILED CURRICULUM FOR TRAINING COURSE, DNB (FAMILY

MEDICINE)
The candidate should have completed not less than 3 years of training after full
registration in an recognized institution for Family Medicine.
8.1 Clinical areas
24 months of rotating residencies in approved hospital wards in the areas of :
Internal Medicine including mental health : 10 months

Paediatrics : 4 months
General Surgery including orthopedics : 3 months
Obstetrics and Gynecology : 2 months
Emergency services : 1 month and
Elective training includes any one or more from the areas of dermatology,
ophthalmology, otorhynolaryngology, geriatrics, physical medicine, rehabilitation and
anesthesia. Other relatively lesser known areas for elective training include school health,
sports medicine, long term care and occupational/industrial medicine.
8.2 Field areas
12 months of rotating field postings in the following areas to be identified by the

institutions / hospitals recognized by the NBE:
Family Practice Centre (or a primary health centre or a rural/urban health clinic)
Practice area of a senior general practitioner 3 months
Nursing homes and other sites for training 3 months
Posting at each of these sites should be equally distributed into 50% of time for
assistantship with the tutor’s practice where he also participates in group discussions
and in planned programmes to carry out short projects such as detection and follow up
of some risk factors under tutor’s supervision and another 50% of time for independent
work with the trainee’s own allotted practice population during which he will be required

to study and record 5 family profiles, 15 case histories and 20 domiciliary visits and
participate in group discussions focussed on clinical situations.
The details of the topics to be covered during the period are as follows:
INTERNAL MEDICINE
Diagnosis & management of common diseases; management of common

emergencies seen in General Practice cardio-vascular, respiratory, gastrointestinal,
neurological, metabolic and others like snake bite and heat stroke etc.; nutritional
advice & management of undernutrition and Obesity; basic knowledge of adolescent
health needs, common genetic diseases, immunology and autoimmune diseases,
hormonal disorders psychosomatic illness tropical diseases and common infections.
GERIATIRICS
Medical examination of the aged; common diseases in the old age & their management
eg. vascular, musculosketetal, oncological, psychological, neurological and accidental;
management of terminally ill patients and problems of the family after death; care of
elderly, social & psychological problems in elderly.
PSYCHIATRY
Knowledge of the principles and experience in the practice of interviewing and

counseling patients and their families; basic principles of psychotherapy; rational use of
psychotherapeutic medication; management of alcoholism and other substance abuse;
common psychiatric problems and their management.
DERMATOLOGY & S.T.D.
Prevention diagnosis and management of common dermatological conditions; principles

of dermatological therapy; principles of rehabilitation of chronic dermatological patients
and domiciliary care; minor surgical procedures in dermatology including electro-
surgery, skin-biopsy; principle of diagnosis and management of sexually transmitted
diseases, HIV/AIDS.
SURGERY
The recognition and evaluation of conditions requiring surgical procedures;

management and appropriate referral of primary surgical emergencies e.g. burns,
shock, etc.: acute abdomen; management of minor of trauma injuries including
immediate and resuscitative treatment of acute injuries: accidents; management of
electrolyte and fluid requirements; health education for prevention of injuries; diagnosis
and management injuries, sprains, fractures and dislocations with proper referral;
recognition, diagnosis and management of common diseases including emergencies of
ENT; removal of foreign bodies from nose, ear.

OPHTHALMOLOGY
Recognition of common eye diseases defects and management and referral of all
emergencies in eye diseases including eye injuries; refractive errors; national
programme for prevention of blindness, indications, contraindications and advantages of
contact lens and Intra Ocular Lenses (IOL); minor surgical procedures in ophthalmology.
OBSTETRICS & GYNAECOLOGY
Antenatal care and intranatal care; management of common problems during pregnancy
and common problems in gynaecology; genital tract malignancies; immediate therapy in
obstetrical emergencies
ANAESTHESIOLOGY
Basic principles of anaesthesiology; basic knowledge about specific techniques eg.

endotracheal incubation, local anaesthesia, intravenous, anaesthesia, relaxants in
anaesthesia, techniques in management of common anaesthesia, accidents including
cardiac arrest spinal anaesthesia, epidural anaesthesia; cardiopulmonary resuscitation
etc.
DIAGNOSTIC MEDICINE
CLINICAL LABORATORY : Basic laboratory investigations; Familiarization with clinical

laboratory equipments, common reagents, tests, interpretation of common laboratory
investigations.
IMAGING TECHNIQUES : Basic radiological procedures; ability to read a normal ski

grams; radiation hazards and their precautions; basic idea about least imaging
techniques and their indications including ultrasound.
ELECTRONIC TRACING : ECG, recording, knowledge of normal and abnormal ECG;
(TMT) Tread Mill Test – indications and outline of technique; EEG –
Electroencephalogram its indication outline of technique.
THERAPEUTICS
Knowledge about national pharmacopoeia, drug acts, drug & pharmaceutical agents,
their indications contraindications, dosage, adverse reactions and their management;
awareness of essential and rational drug use.

TOXICOLOGY – Common poisons, their sources properties, symptoms they produce,

lethal doses, and remedial measures to combat the effects e.g. Alcohol, Kerosene,
barbiturates, corrosives, insecticides cannabis, ether and organic phosphorus.
COMMUNITY MEDICINE
Behavioural sciences – sociology, psychology; general epidemiological – levels of

prevention; health services at centre, state and district levels; national health
programmes and policies; demography and family planning; principles of environmental
sanitation; health statistic and demography – record keeping statistics tabulation and
analysis of morbidity and mortality data; health education – principle of health education
and methods; health planning and five year plans; national health insurance schemes
and other private schemes; school health programmes; management of epidemics and
national disasters; epidemiological, prevention and control of common communicable
and other diseases eg. malaria, filarial, cholera, gastrointestinal diseases, leprosy,
tuberculosis, STD, AIDS; control of malnutrition; blindness; psychosomatic illness; role
of NGOs; research in community medicine and interaction with other fields of medicine
GENERAL PRACTICE
Basic concepts and principles of medical practice to help; financial aspects of practice;
medical practice in India, its patterns, comparative medical services, staff management
record keeping, stock keeping, account keeping and taxation and equipments including
furniture; man-power and staff management in general practice; role of computers in
general practice
MEDICAL JURISPRUDENCE
Health legislation relating to public health and health programmes including municipal
acts in relation to health and mental health; Indian Medical Council Act.; ESI and
Factories Act, other legislation; law and private practitioners
PROFESSIONAL DUTIES AND ETHICS
Obligation and responsibilities in medical practice; knowledge of relevant laws of the

country governing the practice of medicine; knowledge of medical ethics and principles
of good practice; doctor-patient relationship, doctor-doctor relations, relationship with
medical organisation and hospitals, para-medical services, including pharmacists and
druggists.
MEDICOLEGAL PROBLEMS AND RESPONSIBILITIES

Knowledge of health legislation and duties of doctor attending to cases, certification

court evidence, expert advice; medical negligence and Consumer Protection Act.
SKILLS PROFICIENCY – Minimum of these activities should be done by each

student
MEDICAL-L.P. (5); venepuncture (5); C.R.P. (5), gastric levage, enema, catheterization
(10), thoracocentesis (5), use of defibrillator (5), ascitic fluid aspiration (5)
SKIN-skin biopsy and skin smear – (5)

electocauterisate of warts (0)
OBSTETRICS & GYNAECOLOGY-use of gavidogram; instrumental evacuation for

incomplete abortion; conduct normal labour (5); using parictogram and management of
atonic PPH
OPHTHALMOLOGY-refractive error assessment (5); tonometry (5); fundoscopy (10);

removal of foreign body (3); eye syringing (2)
SURGERY-Fine needle aspiration; cytology (FNAC); proctoscopy (2); paracentesis (2);

incision & drainage (5); suturing (10); Dressing/Bandage (10); tracheosomy (3);
intravenous infusion (15); circumcision (5); reduction of paraphimosis (3); anal & urethral
dialatation (5) water seal drainage (5); vasectomy (10); cut open (15)
ENT-audiometry (5); auroscopy (5); rhinoscopy (5); laryngoscopy (5); removal of wax
and foreign body removal for ear & nose (5); nasal packing (5); ear syringing (5);
hearing tests (5); Earpeircing (5)
ORTHOPEDICS AND TRAUMATOLOGY-transportation of patients with trauma

application of POP (10); removal of POP (10); splints (10); tractions (3); reduction of
fracture & dislocation, intra-articular injection (5)
8.3 Teaching and Training activities
a. Discussions : The main teaching/learning activity will be discussions.

These will be focussed on clinical situations arising in the family practice and
will cover the specific topics as well as subjects of topical interest.

b. Case presentations : The candidates will be required to present to the

Programmed Director/Preceptor, cases of clinical interest for discussion. The
record of such cases will be maintained in the logbook.
c. Family profiles : The candidates will be required to study the family

profiles under the charge of programme director and will be required to
maintain records at least of the two families in the logbook.
d. Case histories : The candidates will be required to record eight case

histories (two each of medicine, paediatrics, surgery, obstetrics and
gynaecology).
e. Medical and Surgical Procedures : A candidates will maintain a record of

the procedures performed, assisted or observed in the logbook.
f. Emergency/Domiciliary visits : A record of emergencies attended and

domiciliary visits made be maintained.
8.4 8.4 RECORD OF ACADEMIC ACTIVITIES – LOG BOOK
The log book should show evidence that the above subjects were covered (with
dates and the name of teacher(s)
The candidate will maintain the record of all academic activities undertaken by
him/her in log book supplied by National Board of Examinations.
a. Personal profile of the candidate
b. Educational qualification/Professional data
c. Record of case histories (Fifteen cases) studied by him/her. (Model should be given
in the log book) Three case histories pertaining to predominantly Medical problems, three
predominantly Surgical, two Paediatrics, while the rest seven may pertain to other
discipline like Obstetrics and Gynaecology, Ophthalmology, ENT, Dermatology,
Psychiatric etc.
d. Record of Family Profiles – Candidates will maintain the profiles of at least five
families in which at least one member of the family has health problem, eliciting its impact
on the family and the role of family taking into account their social cultural and the
economic consideration.
e. Procedures learnt – The candidates are expected to learn Medical and Surgical
procedures during their advance training in Family Medicine. The record should depict

medical and surgical procedures observed, assisted and performed during the period of
training.
f. Record of case Demonstration/Presentations
g. Record of participation in EME activities – Direct contact activities (lectures,

seminars, workshops conference); Indirect contact activities (correspondence journals,
books, audio-video tapes)
Every candidate will submit the record of academic activities-log book duly certified by the
MS of the hospital, to N.B.E. one month before the date of examination.
The purpose of the log book is to :
a. Help to maintain a record of the work done during the training.
b. Enable the programme director to have first hand information about the work done
and to intervene whenever necessary
c. Use it to assess clinical and surgical experience gained periodically.
d. The entries in the log book should be maintained on a daily basis.
e. During the viva, the candidate may be asked questions based on the cases of
procedures entered in the log book.
The log book should be clear, explicit record of the work carried out by the candidate
and should be a true reflection of the training received by the candidate. Considerable
importance will be given to the quality of the log book in the final assessment of the
candidate.

8.5. THESIS
The candidates are required to submit a thesis at the end of three days of training as per
the rules and regulations of the Baord. Subjects like Tropical Medicine, Community Health
may also be chosen.
GUIDELINES FOR SUBMISSION OF THESIS BY CANDIDATES OFFERING BY

CANDIDATES OF DIPLOMATE NB.
Preamble
Research shall form an integral part of the education programme of all candidates
registered for Diplomat of NB degrees of the Board. The basic aim of requiring the
candidates to write a thesis is to familarise him/her with research methodology. The
members of the faculty guiding the thesis for the candidate shall ensure that the subject
matter selected for the thesis is feasible, economical and original.
Guidelines
The thesis may be normally restricted to the size to 100 pages. To achieve this, following
points may be kept in view.
1. Only contemporary and relevant literature may be reviewed.
2. The techniques may not be described in detail unless any
modification/innovations of the standard techniques are used and reference may be
given.
3. Illustrative material may be restricted.
4. Since most of the difficulties faced by the residents relate to the work in
clinical subject or clinically oriented laboratory subjects the following steps are
suggested:
a. For prospective studies, as far as possible, the number of cases should be

such that adequate material, rudged from the hospital attendance, will be
available and the candidate will be able to complete the date collection within a
period of 6-12 months, so that she/he is in a position to complete the work within
the stipulated time.
b. The objectives of the study should be limited and well defined.
c. As far as possible, only clinical or laboratory data of investigations or

patients or such other material easily accessible in the existing facilities should
be used for the study.
d. The laboratory work required to be performed by the residents of clinical

departments should be minimal. For this purpose technical assistance, wherever
necessary, may be provided by the department concerned. The resident of one
specialty taking up some problem related to some other specialty should have
some basic knowledge about the subject and he/she should be able to perform
the investigations independently, wherever some specialised laboratory
investigations are required a co-guide may be co-opted from the concerned

investigative department, the quantum of laboratory work to be carried out by the

candidate should be decided by the guide and co-guide by mutual consultation.
e. The Clinical residents may not ordinarily be expected to undertake

experimental work or clinical work involving new techniques, not hitherto
perfected or the use of chemicals or radio isotopes not readily available. They
should however, be free to enlarge the scope of their studies or undertake
experimental work on their own initiative but all such studies may be feasible
within the existing facilities.
f. The residents should be able to use freely the surgical pathology/autopsy

data if it is restricted to diagnosis only, if however, detailed historic data are
required the resident will have to study the cases himself with the help of the
guide/co-guide. The same will apply in case of clinical data.
5. Statistical method used for analysis will be described in detail.

Rules for Submission of Thesis by candidates for DNB
(i) The protocol of Thesis should be submitted to the office of the NBE through head of
the institutions within three (3) months of joining the training in Medical
college/university/DNB accredited institution.
(ii) No correspondence will be made in regard to acceptance of the protocol except only
in the case of rejected protocols for which individual will be informed by office
through mail/website.
(iii) The guide will be a recognized PG specialist in the institution.
(iv) If the candidates appearing in the DNB (Family Medicine) have already written their
thesis in the MD/MS examination, they need not submit the thesis. However they
are required to submit a copy of the letter accepting the thesis by the University.
(v) If thesis is rejected or needs to be modified for acceptance, the Board will return it to
the candidate with suggestion of assessors in writing for modification. The result of
such candidate will be kept pending till the thesis is modified or rewritten, accordingly
as the case may be and accepted by the assessors of the Board.
(vi) If any unethical practice is detected in work of the Thesis, the same is liable to be
rejected. Such candidates are also liable to face disciplinary action as may be
decided by the Board.
(vii) The thesis is to be submitted 6 MONTHS before the commencement of the DNB
examination along with thesis evaluation fees of Rs. 1500/- drawn in favour of
NATIONAL BOARD OF EXAMINATIONS - payable at New Delhi, for evaluation.
Theory result of the candidates whose thesis/dissertation are accepted by the Board
will be declared.
Guidelines for Writing of Thesis
Title - Should be brief, clear and focus on the relevance of the topic.
Introduction – Should state the purpose of study, mention lacunae in current knowledge
and enunciate the Hypothesis, if any.
Review of Literature – Should be relevant, complete and current to date.
Material and Methods- Should include the type of study (prospective, retrospective,
controlled, double blind etc.) details of material and experimental design procedure used for
data collection and statistical methods employed; statement of limitations ethical issues
involved.
Observations– Should be organized in readily identifiable sections having correct

analysis of data, and presented in appropriate charts, tables, graphs and
diagram etc. There should be statistically interpreted.
Discussion -Observations of the study should be discussed and compared with observations
of other research studies. The discussion should high light on bold original finders and
should also include suggestion for future.
Summary and Conclusion
Bibliography - Should be correctly arranged in Vancouver pattern.
Appendix—All tools used for data collection such as questionnaire, interview schedules,
observation check lists etc should be put in the annexure.

REGISTRATION FOR CANDIDATES
Candidates are required to register with the Board within one month from the date of
joining a hospital/institution recognized for training. After joining an Institution the
candidate has to submit his registration form to NBE duly completed in all respects through
the head of the Institution with all necessary enclosures.
STARTING OF SESSION
The session begins in July and January. The Institution will follow July to June or January to
December session strictly as per the accreditation given to them. The validity of recognition
of Institution can be seen at the end of this Bulletin.
FINAL EXAMINATION
The final examination will consist of Theory/Clinical-Viva Voce.
THEORY
4 papers of 100 marks and 3 hours duration each

Pass 50% in aggregate
PAPER I - Medical and Allied Sciences including Cardiology,

Gastroenterology, Geriatrics, Dermatology,
Psychiatry, Neurology and Nephrology, Radiology
and other diagnostic procedures.
PAPER II - Surgery and Allied Sciences including ENT,

Ophthalmology, Orthopaedics and Anaesthesia.
PAPER III - Maternal and Child Health including their

community Health Care Management.
PAPER IV Applied Basic Sciences and comprehensive

-
community health care and knowledge of normal
development of health and disease.
CLINICAL PRACTICAL AND VIVA-VOCE
After passing the theory examination (Final) – should obtain a minimum of 50%
score in practical.

Section I
Family Medicine Question Bank year wise 2007 to 1985

FAMILY MEDICINE – 2007
PAPER – I
Time: 3 hrs Maximum Marks: 100
All questions are compulsory.

Each question is of 10 marks.
1. Acne vulgaris
2. Adverse reactions to blood transfusions
3. Staphylococcal food poisoning
4. Pyrexia of unknown origin
5. Risk factors for atherosclerosis
6. Urinary incontinence in the elderly
7. Temporal arteritis
8. Management of case of moderate hypertension
9. Management of obesity
10. Anemia in children and management hookworm infestation

PAPER – II

1. Discuss the a etiology of upper quardrant abdominal pain
2. Investigations of a case of dysphagia
3. Differentiate between anuria, oliguria & retention of urine. How will you
manage a case retention of urine.
4. Enumerate causes of hematuria. Discuss the investigation for diagnosis.
5. Describe chronic suppurative ottitis media
6. Types of conjunctivitis. How will you manage viral conjunctivitis
7. Enumerate the causes of low backache. Write briefly management of prolapsed

intervertebral disc
8. Classify epistaxis. Briefly describe the management.
9. Postpartum hemorrhage
10. Regional anaesthesia

PAPER – III

1. High risk pregnancy
2. Emergency contraception
3. Management of urinary tract infections during pregnancy
4. Hazards of immunization and its prevention
5. Monitoring of growth and development of infants
6. Management of diarrhea as per IMNCI strategy
7. Promotion of breast feeding
8. Under fives clinics
9. Integrated child development services scheme
10. Role of family physician in reduction of neonatal mortality

PAPER – IV

1. Qualitative research
2. Health economics
3. Medical geography
4. Epidemiology of Hepatitis B
5. Evolution of community medicine
6. Prevention & control of nutritional anemia in children
7. Health system monitoring
8. Integrated diseases surveillance project
9. Vaccine research against HIV
10. Role of ICD-10 health management

PAPER – I

1. Aetiological causes and management of upper GI bleeding in the elderly.
2. Discuss the differential diagnosis of intermittent fever with chills of 5 days

duration in a young adult patient. How would you investigate and manage such
a case.
3. What are the complications of diabetes mellitus. How would you manage a
case of diabetic foot?
4. How would distinguish cardiac chest pain from non-cardiac chest pain? Write
emergency management of a patient with a severe chest pain.
5. Discuss the common cause of pleural effusion. How will you investigate such a
case?
6. What are the common causes of jaundice? How would you investigate a case of
medical jaundice and how will you manage a case of Hepatitis A.
7. What are the common causes of rectal bleeding in a child aged 6 years? How do
you investigate such a case? Mention medical management of case of
haemorrhoids.
8. What are the common causes of headache in general practice? As a family

physician how will you manage the case of headache?
9. Management of endogenous depression.
10. Alcohol withdrawal syndrome.

PAPER – II

1. Management of a case of fracture of the clavicle.
2. Management of a case of CORNEAL ABRASIONS.
3. Management of a case of acute suppurative otitis media.
4. Tracheostomy
5. Acute Embolic Occlusion of Lower Limb.
6. Spinal Anaesthesia.
7. Cystosarcoma Phylloides.
8. Congenital Hyperplastic pyloric stenosis.
9. Undescended Testis.
10. Fissure in ANO.

PAPER – III

1. Role of Family Physician in eradication of Polio myelitis in India.
2. Categorization of children with tuberculosis and treatment recommended under

DOTS for category II patient.
3. Common nutritional problems of underfives and management of grade Ii protein

energy malnutrition
4. Hormonal contraceptives: Contraindication, mechanism of action, side effects

and efficacy.
5. Differential diagnosis and management of haemorrhage in first trimester of

pregnancy.
6. Vomiting in pregnancy and its management.
7. Causes and management of obstructed labour
8. Treatment of 10 year child with malaria in residing in high risk area.
9. Water related diseases: enumerate and mention the magnitude of problem in

India.
10. Management of 1½ year child, weighing 6 kg suffering from diarrhoea and

vomiting.

PAPER – IV

1. Role of Family Physician in reduction of infant mortality.
2. Health related millennium development goals.
3. Emerging and re-emerging infectious diseases.
4. Control of cancers in women.
5. Assessment of unmet needs of family planning.
6. Monitoring of growth and development of underfives.
7. Role of family physician in control of anemia.
8. Sources, assessment and health hazards of indoor air pollution.
9. Prevention of pneumoconiosis.
10. Principles of health education. What health education you will provide to a
patient of leprosy.

PAPER – I

Part – A
1. (a) Bell’s palsy

(b) Adam stokes Attacks
2. Write about Dementia: Causes and clinical features
3. Management of Haematuria
4. Management of tuberculous meningitis in children
5. Write about the causes and clinical features of chronic renal failure.
Part - B
6. Write the cause, transmission, clinical features, diagnosis of AIDS.
7. Medical management of Heart Failure
8. Management of Stroke
9. Symptoms, Differential diagnosis and treatment of anxiety disorder
10. Management of Hypoglycemia.

PAPER – II

Part – A
1. Describe Blood substitutes and their role in resuscitation
2. Discuss management of a case of hematemesis.
3. Discuss Nosocomial infections
4. Describe in details Home Parenteral Nutrition
5. Discuss Etiopathology and management of gas gangrene.
Part – B
6. Discuss diagnosis and management of varicose veins of lower limbs
7. What are the principles of management of fracture of limbs? Describe stress

fracture.
8. Discuss Acute Osteomyelitis
9. Discuss causes and management of exopthalmos
10. Describe etiology, symptoms and diagnosis of CSOM

PAPER – III

Part – A
1. Assessment and treatment of cough / difficult breathing in a child
2. Advise to parents of 6-12 months old child regarding complementary
3. Baby friendly hospital initiative
4. Common childhood behavioural problems and their management
5. Management of septic abortion
Part – B
6. RH incompatibility and its management.
7. Management of Dysmenorrhoea
8. Centchroman
9. Services provided by I.C.D.S / Anganwadi centre
10. Vector control

PAPER – IV

Part – A
1. How would you improve the health of pregnant women in the community?
2. What do you understand by Protein energy malnutrition? Describe the role of

family physician in prevention of PEM
3. What are the indicators of health? How do these indicators help to evaluate the
health services
4. What are the causes of juvenile delinquency? How can a family physician help
to prevent them?
5. How would you organize primary health care services in your area?
Part – B
6. You do not heal old age. You protect it. You promote it. Justify the statement.
7. How would you improve the health of industrial workers?
8. What the principles of health education.
9. Discuss the principles of health education.
10. How can you improve the functioning of your family practice by applying
modern management techniques?

PAPER – I

1. How would you manage a case of acute left ventricular failure in your general
practice clinic.
2. Describe the medical management of case of peptic ulcer.
3. “DOTS” has revolutionized the treatment of pulmonary tuberculosis. Discuss the

statement.
4. What are the medical problems faced by the elderly. What specialized care is
required to treat elderly.
5. What is endogenous depression. How would you manage such a case in family
practice.
6. How would you approach a patient with pyrexia of unknown origin.
7. Write short notes:
a. Acne vulgaris
b. Tinea versicolor
8. Write the management of a case of status asthmaticus.
9. How would you evaluate a case of poedal oedema.
10. Describe the diagnosis and management of a case of iron deficiency anaemia.

PAPER – II

1. Describe the complications of blood transfusion.
2. How would you evaluate a case of head injury in your family practice. What
precaution is required in transporting such patient.
3. Discuss the differential diagnosis of a case of scrotal swelling.
4. Discuss the management of a case of 60-year-old man with diabetic foot.
5. Discuss the diagnosis and management of a case of Colle’s fracture.
6. Discuss the management of a case of cervical spondylosis.
7. How would you approach a patient suffering from dysphasia.
8. Discuss the differential diagnosis of a case of red eye.
9. Discuss the principle of local anesthesia.
10. How would you manage a case of epistaxis.

PAPER – III

1. How would you promote breast-feeding.
2. A one-year-old child is brought to you with diarrhea and dehydration. How would
you manage the patient.
3. How would you approach an unconscious child in your clinic.
4. Discuss antenatal care.
5. How would you approach a patient with first trimester bleeding.
6. What are the causes of low birth weight babies. What steps would you recommend
to prevent the same.
7. Newborn child is brought to you. Draw an immunization schedule for the child.
8. Discuss genetic counseling.
9. Write short note on perinatal sex determination.
10. Discuss the role of ‘HRT’

PAPER – IV

1. What are the causes of infant mortality. What is the role of family physician in
reducing infant mortality rate.
2. What is balanced diet. What factors you would take into consideration while
suggesting a diet.
3. Discuss the role of family in health and disease.
4. What is drug abuse. Discuss the role of family physician in curbing the menace of
drug abuse.
5. Write a note on delivery of health care and consumer protection act.
6. What are problems faced by adolescents. How can family physician help to reduce
them.
7. Give the broad outline of the ‘school health programme’
8. What are the common causes of blindness in India. How can blindness be
prevented.
9. Write a short note on: ‘use of computers in health’
10. What role family physician can play in health promotion.

FAMILY MEDICINE – 2003 (I)
PAPER – I

1. Vascular theory of Migraine
2. Cardiogenic pulmonary oedema
3. Urinary incontinence.
4. Injectable contraceptives
5. Vitamin A deficiency in children.
6. Management of thalassaemia
7. Bacterial resistance to β-Lactam antibiotics.
8. Drug therapy of osteoarthritis
9. Cutaneous candidiasis.
10. Treatment of obsessive-compulsive disorder

PAPER – II

1. Tetanus
2. Cataract
3. Tuberculosus lymphadenitis
4. Amoebic liver abscess
5. Factors influencing fracture healing
6. Epistaxis
7. Epidural anaesthesia
8. Stage Horn calculus
9. Hashimoto’s thyroiditis
10. Testicular torsion

PAPER – III

1. Low birth weight
2. Disability adjusted life years (DALY)
3. Sex Ratio
4. Community involvement
5. Principles of PEM management.
6. Braker hypothesis: Foetal life & adult disease
7. Barriers in health communication
8. Genetic counseling
9. Prevention of mother to child transmission of HIV
10. Revised national tuberculosis control programme.

PAPER – IV

1. Testing for HIV
2. Rational use of Drugs
3. Iodine deficiency disorders
4. Elements of good counseling
5. Adult immunization
6. Dengue fever
7. Emergency contraception
8. Adolescent health
9. Chicken pox vaccine
10. General principles in the management of poisoning.

FAMILY MEDICINE – 2003 (II)
PAPER – I

1. Management of Acute coronary syndrome
2. Post exposure prophylaxis of HIV infection.
3. Drug induced renal diseases
4. Stroke management in the first 3 hrs
5. Newer hypoglycemic drugs
6. Year old child with febrile convulsions
7. Lab. Investigations for chronic liver disease
8. Delirium tremens
9. Steven Johnson syndrome.

PAPER – II

1. Aids and General surgeon
2. Factors influencing wound healing
3. Thyroglossal cyst.
4. Surgical emphysema
5. Spinal anesthesia
6. CTEV
7. Tracheostomy
8. Peritonsillar abscess
9. Cataract
10. Glaucoma

PAPER – III

1. Exclusive breast feeding
2. Integrated management of vector control
3. Medical termination of pregnancy
4. Community control of BLINDNESS
5. Audience analysis
6. Balanced diet
7. Sentinel surveillance
8. Growth charts
9. Control council of health
10. Cole chain.

PAPER – IV

1. Sensitivity and specificity of tests.
2. Mass approach in health education.
3. Sex education of school children.
4. Acute respiratory infection in under 5 year old children.
5. National water and sanitation control programme.
6. Cultural aspects in disease and health
7. Ergonomics
8. Basic health indicators of India.
9. Hepatitis A vaccine.
10. UN Rights of the child.

PAPER – I

1. What are the health problems of the elderly. How would you manage them in
your family practice.
2. Write short notes on:
a. Hyperthyroidism
b. Obesity
c. Seabies
d. Alcoholism
e. Lumber puncture

PAPER – II

1. Fracture clavicle
2. Acute cholecystitis
3. Epistaxis
4. Breast lump
5. Haemoturia
6. Refractory error
7. Epidural anaesthesia
8. Fibroid uterus
9. Trigeminal neuralgia
10. Fissure in Ano

PAPER – III

1. Describe the role of counseling in
a. Problems of adolescence
b. Promotion of voluntary blood donation
a. Ante natal care
b. Oral Rehydration therapy
c. Periodic health check up
d. Low birth weight babies
e. Hormone replacement therapy

PAPER – IV

1. Medical ethics
2. Osteoporosis
3. Water borne disease
4. Informed consent
5. MDR in tuberculosis
6. Pulse polio programme
7. A vitaminosis
8. Information technology in health care
9. Environmental pollution
10. Smoking

PAPER – I

1. Transmission of HIV. What are its sequele?
2. Psoriasis-diagnosis and management
3. Management of status asthmaticus
4. Anti-oxidants
5. Management of depression in elderly person
6. Principles of drug prescribing in the elderly
7. Alzheimers disease
8. Role of family physician in the care of tuberculosis patient in the family
9. Holter monitoring
10. Osteo-arthritis and rheumatoid arthritis – differential diagnosis

PAPER – II

1. Glasgow coma scale
2. Tension Pneumothorax
3. Ankle Sprain
4. Hypovolumaeic Shock
5. Laryngeal stridor
6. Chronic Ear discharge
7. Xerophthalmia
8. Allergic Conjunctivitis
9. Basis life support
10. Lignocaine

PAPER – III

1. Baby friendly hospitals
2. Child survival rate
3. Juvenile delinquency
4. UN declaration of the rights of the child National population policy 2000
5. National population policy 2000
6. Health communication
7. Street children
8. Pulse polio immunization program
9. Essential obstetric care
10. Prevention of mother to child transmission of HIV / Aids

PAPER – IV

1. What is meant by risk approach strategy? Describe the role of General

practioner in risk screening.
a. DOTS therapy in tuberculosis
b. Hepatitis B vaccine
c. Epidemic curve
d. Endemic flurosis
e. Syndrome approach

PAPER – I

1. Management of case of cerebral malaria
2. Management of gram negative pneumonias
3. Management of status epilepticus
4. Evaluation of a case of hypertension
5. HIV in Indian Scenario
6. Management of depression
7. Management of Migraine
8. Medical management of acute pancreatitis
9. Medical management of upper GI haemorrhage
10. Treatment of paroxysmal atrial tachycardia.

PAPER – II

1. Give a management plan for a case of “Blunt Abdominal Trauma” with ragard to
diagnosis and treatment.
2. Write short notes on following:
a. Indications for tracheotomy
b. Role of pre-anaesthetic check up and medication
c. Management of foreign body in eye
d. Ileal perforation – physical signs and management.
e. Role of physiotherapy and rehabilitation in lower extremity fractures.

PAPER – III

1. How will you diagnose, monitor and treat a baby with perinatal asphyxia.
a. Cold chain for vaccines
b. “I do not have enough milk”, mother complaints
c. Universal safety precautions (USP)
d. Neonatal transport
e. Eclampsia

PAPER – IV

1. Sources of health information
2. Hazards of smoking
3. Falls in the elderliness
4. Fluorosis
5. Universal immunization programme
6. Rehabilitation after heart attack
7. Medico-legal problem of suicide
8. Advertising in Medical practice
9. Iatrogenic (physician-induced) disease
10. Employees state insurance scheme.

PAPER – I

1. Dengue show syndrome
2. Anti-oxidants
3. Management of barbiturate poisoning
4. Herpes zoster
5. Management of diabetic ketoacidosis
6. Alzheimers Disease
7. Albuminuria
8. Lumbar puncture
9. Enumerate the causes of acute stroke
10. Describe management of pleurisy with effusion

PAPER – II

1. Management of depression in an elderly person
2. Differential diagnosis between Rheumatoid arthritis and Osteoarthritis
3. Management of dandruff
4. Transmission of HIV.
5. Interpretation of lipid profile
6. Hypothyroidism
7. Oral Hypoglycemic drugs
8. Management of acute renal failure
9. Impotence
10. Drug treatment of Tuberculosis.

PAPER – III
1. Concept of high risk pregnancy
2. Side effects an complications of intra-uterine devices
3. Causes of low birth weight babies
4. Hormone replacement therapy
5. Obese child
6. Oral Rehydration therapy
7. Immunization schedule of Infants and Children
8. Accidents in pre-school children
9. Common parasitic infestations
10. National Family Welfare Programme – Role of family physician.

PAPER – IV
1. “Blindness in India”. Discuss. (25)
2. Write short notes (5 x 15)
f. “Target free approach” in Indian Family Welfare Programme.
g. Profile of Silent Killer disease
h. Use of Epidemiology in Community Medicine
i. Medico legal problems in private practice
j. Adolescence – related problems

PAPER – I
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PAPER – II
1. Oral leukoplakia
2. Breast infections
3. Maxillary sinusitis
4. Haematemesis
6. Colposcopy
7. Management of acute appendicitis
8. Colour blindness
9. Ectopic pregnancy
10. Anal haemorrhoids

PAPER – III
1. Pulse polio immunization.
2. Rheumatic fever
3. Principles of nutrition during pregnancy and lactation.
4. Gynecomastia
5. Oral rehydration therapy
6. Behavioral changes during adolescence
7. Primary health care complex
8. Prevention of HIV infection
9. Control of tuberculosis
10. Water-borne diseases

PAPER – IV
1. Describe how environment pollution affects the health of the people. (25)
2. Write short notes on the following: ( 5 x 15 )
a. National Aids control programme.
b. Balanced diet
c. Role of UNICEF
d. Family Physician as a health educator.
e. Alcohol is hazardous to health-how.

PAPER – I
1. Role of the family physician in the care of EPILEPSY patient
2. Management of Leprosy.
3. Methods available for reperfusion of Myocardium following myocardial infarction
4. Acute Respiratory Distress
5. Senile Dementia
6. Endoscopy
7. Management of chronic renal failure
8. Hypokalemia
9. Insomnia
10. Folic acid deficiency

PAPER – II
1. Acute fissure in ANO
2. Complications of blood transmission
3. Intra-ocular lens transplantation
4. Principles of treatment of burns
5. Epidural anesthesia
6. EPISTAXIS
7. Investigative work up in a 40 years man with obstructive jaundice
8. Complications of for enteral hyper-alimentation
9. Crush syndrome

PAPER – III
1. Enumerate the principles of health education. Discuss this knowledge as a family

physician.
a. Prevention of HIV infection
b. Promotion of voluntary blood donation
2. Briefly describe the following:
a. Maternal Mortality
b. Role of surveillance on disease control with suitable examples
c. Consumer protection act. How would it effect the health care in the country?

PAPER – IV
1. What is primary health care? Discuss the role of Family Physician in improving the
health status of the community?
2. Enumerate the health problems that can arise as a result of fare breaking out in a
crowded temporarily covered area.
3. Briefly describe the following
a. Causes of infant mortality and role of Family Physician in its reduction.
b. Balanced diet
c. Blood borne diseases
d. Oral rehydration therapy

PAPER – I
1. DIAGNOSIS and MANAGEMENT of osteoarthritis in elderly.
2. ETIOLOGY and DIAGNOSIS of acute subarachnoid haemorrhage.
3. Management of CHLOROQUINE RESISTANT malaria.
4. CUTANEUS Drug Reactions.
5. FIBRINOLYTIC THERAPY in acute myocardial infarction
6. Management of Snake bite.
7. Etiopathogenesis and diagnosis of FARMER’s LUNG
8. Management of DIABETIC COMA
9. Clinical picture and management of OBSSESSIVE COMPULSIVE NEUROSIS.
10. Etiopathogenesis and diagnosis of renal rickets.

PAPER – II
1. Enumerate the CAUSES of Haematemesis. How will you confirm the

DIAGNOSIS. What are the PRINCIPLES OF MANAGEMENT of peptic ulcer
bleeding?
a. TUBERCULAR cervical lymphadenopathy.
b. ACUTE iridocyclitis.
c. PERITONSILLAR abscess.
d. EPIDURAL ANAESTHESIA.
e. ACUTE osteomyelitis.

PAPER – III
1. Efficacy of measles vaccine and prevention of adverse effects of the vaccination.
2. National Programme for CONTROL OF BLINDNESS.
3. Role of Family Physician in PREVENTION OF AIDS.
4. Prevention of mortality IN UNDERFIVES
5. ROLE OF DIET of Ischaemic heart disease.
6. MULTIPLE DRUG THERAPY in multibacillary leprosy.
7. Prevention of ACCIDENTS AT HOME.
8. SOIL TRANSMITTED HELMINTHS and their prevention.
9. Rehabilitation of MENTALLY HANDICAPPED CHILDREN.
10. Health problems in URBAN SLUMS.

PAPER – IV
1. Role of Family Physician in CONTROL OF POPULATION in India.
2. Principles of control of NON-COMMUNICABLE DISEASES.
3. Balanced diet.
4. Water-borne diseases.
5. Mortality rates.
6. Role of VOLUNTARY HEALTH AGENCIES (VHA’s) in Health Education
7. Life style illnesses.
8. BLOOD TRANSFUSION SERVICES SET UP.
9. PREVENTION of occupational diseases.
10. Immunizing agents.

PAPER – I
1. Discuss the management of ACUTE RHEUMATIC FEVER. Give a brief

description of its sequele.
a. Biology of AGING
b. Diagnosis and treatment of MIGRAINE
c. Diagnosis and treatment of TROPICAL PULMONARY EOSINOPHILA
d. Diagnosis and treatment of HYPOTHROIDISM in adults
e. Diagnosis and treatment of SCABIES.

PAPER – II
1. Describe the causes of Haematuria. How will you investigate such a case?
a. Caudal Block Analgesia
b. Maxillary sinusitis
c. Osteogenic sarcoma
d. Cholangitis
e. Management of cataract.

PAPER – III
1. National Malaria Eradication Programme.
2. D.P.T. Vaccination
3. Primary Health centre
4. Prevention of BLINDNESS
5. OBESITY
6. CAFETRIA
8. Cold chain
9. AMNIOCENTESIS
10. Family Physician relationship with consultants.

PAPER – IV
1. Environment and Health.
2. Principles of Nutrition in ELDERLY
3. National Health Policy
4. RECORD KEEPING in Family Medicine
5. EMPLOYEES STATE INSURANCE SCHEME.
6. HOLISTIC Medicine
7. Prevention of ACCIDENTS AT HOME.
8. HEALTH DELIVERY system in India.
9. Certification by a doctor.
10. Accountability in practice of Medicine.

PAPER – I
1. HERPES ZOSTER
2. CHRONIC CONSTIPATION in the ELDERLY
3. ACUTE DYSPNOEA
4. ACQUIRED IMMUNO DEFICIENCY SYNDROME (AIDS)
5. ORAL CONTRACEPTIVES
6. Management of HYPERPYREXIA
7. Management of CHRONIC URTICARIA.
8. ENDOGENOUS DEPRESSION.
9. Signs of AVITAMINOSIS
10. ALOPECIA

PAPER – II
1. VASECTOMY
2. CORNEAL ULCER
3. Swellings in the NECK
4. Bleeding per RECTUM
5. HOARSENESS
6. ECTOPIC PREGNANCY
7. Surgical interventions in CARDIOLOGY
8. LUMBAR PUNCTURE
9. WHITLOW
10. FRACTURE RIB

PAPER – III
1. INFANT MORTALITY and their prevention
2. EPIDEMIOLOGY OF CANCERS
3. Problems in ADOLESCENCE
4. ORAL REHYDRATION THERAPY
5. PRIMARY HEALTH CARE COMPLEX
6. Drug management of SEXUALLY TRANSMITTED DISEASES
7. Methods of POPULATION CONTROL
8. MEDICAL ETHICS
9. BREAST FEEDING
10. Health education for promotion of immunization in Community

PAPER – IV
1. ANTENATAL CARE
2. Prevention of RABIES
3. Social and Cultural factors in Epidemiology of malnutrition in India.
4. CORONARY ARTERY DISEASE
5. Convalescent rehabilitation of a case of poliomyelitis
6. Causes and effects of AIR POLLUTION
7. DRUG ABUSE

PAPER – I
1. Describe the pathogenesis of BRONCHIAL ASTHMA. Give the differential

diagnosis and principles of management.
a. ALBUMINURIA
b. ANXIETY NEUROSIS
c. KALA-AZAR
d. Complications of MITRAL STENOSIS
e. ACCQUIRED IMMUNO DEFICIENCY SYNDROME (AIDS)

PAPER – II
1. MALLET FINGER
2. SHOCK LUNG
3. DENT SEROUS CYST
4. NASAL POLYP
5. COMPLICATIONS OF COLOSTOMY
6. PELVIC ABSCESS
7. RASPBERRY tumors
8. Long acting THYROID STIMULATOR
9. ECTOPIA VESICAE
10. CYSTIC HYGROMA

PAPER – III
1. Enumerate the health problems that can arise in a flood affected area. Describe the
management of a camp for evacuees from such an area.
a. Causes and effects of uncontrolled FERTILITY in India.
b. Measures to reduce INFANT MORTALITY in India.
c. National goal of HEALTH FOR ALL by 2000 AD
d. COLD CHAIN
e. Health Education during pregnancy

PAPER – I
1. Mention causes of generalized Oedema (Anasarca). How will you differentiate

each condition? Give the principle of management.
a. Hysteria
b. Management of Status asthmaticus
c. Contact Allergic dermatitis
d. Serum enzymes in myocardial infarction
e. Chronic Gonorrhea

PAPER – II
1. Principles of Management of a Burns case.
2. Primary Management of Road Injuries
3. Management of Fracture RIB
4. Indications for Endoscopic Examination.
5. Causes of Hoarseness
6. Retinal Detachment
7. Principles of Management of Slipped Disc
8. Technique of Paracentesis
9. Differential diagnosis of Acute Abdomen
10. Causes of Bleeding Per-Rectum

PAPER – III
1. Etiology and clinical features of Indian Childhood Cirrhosis (ICC)
3. Salient features of Medical Termination of Pregnancy Act (MTP)
4. National Malaria Control Programme.
5. High Infant Mortality Rate – dimensions and causes.
6. Cause of Blindness in India and Role of Voluntary Eye Donation
7. Medico Legal Aspects of Rape
8. Role of Primary Health Centre in Health Delivery System.
9. Active Immunization – Definition and Schedule
10. Drug Addiction in India – Prevalence and Prophylaxis.

PAPER – I
1. Discuss the aetiopathogenesis, complications and principles of management of

HYPERTENSION.
2. Discuss the clinical picture, complications and management of acute diarrhoea in a

child.
3. Write short notes on the following:
a. Principles of Diet in DIABETES MELLITUS.
b. Treatment of MALARIA.
c. Sexually Transmitted Diseases (STD)
4. Give the differential diagnosis between:
a. Hemoptysis and Haematemesis
b. Rheumatoid Arthritis and Osteoarthritis
c. Cerebral Thrombosis and Cerebral Haemorrhage
d. Pleurisy with effusion and Pneumonia

PAPER – II
1. A 25 years old woman with a GOITRE presents with a probable diagnosis of

THYROTOXICOSIS. How would you investigate this case? Discuss the
indications for operation.
2. Discuss the differential diagnosis of ACUTE ABDOMEN
a. Carpel Tunnel Syndrome
b. Dysphasia
c. Funduscopy
d. Laparoscopic Sterilization
e. Management of Burns

PAPER – III
1. Discuss the following:
a. Advantages of Breast feeding

b. Expanded programme of Immunization
2. Give the essential features of:
a. ALMA-ATA Declaration – Health for All by the year 2000

b. Define the role of private practitioners
a. Hyperemesis Gravidarum
b. DURG INTRACTION
c. VITAMIOSIS
4. Give details of Programme for prevention of blindness

PAPER – I
1. Discuss the pathophysiology, clinical features, complications and management of

diabetes mellitus.
2. Write notes on:
a. Laboratory diagnosis of syphilis

b. Lumber puncture as a method of investigation
3. Write short notes:
a. Haemoplysis
b. Psycho-sexual disorders
c. Immunoglobins
4. Discuss the management of
a. Acute myocardial infarction

b. Acute renal failure.

PAPER – II
1. How will you diagnose and manage acute upper profuse gastro-intestinal
haemorrhage? (OR) How will you diagnose dysphasia and treat?
a. Deafness
b. Cardiogenic shock
c. Low backache (adults)
d. Joint aspiration
3. Give comments on:
a. Haemo-analysis
b. Keratoplasty
4. Review in short:
a. Occupational therapy
b. Management of severe burns
c. Non-healing wounds
d. Detachment of ratina.

PAPER – III
1. How will you organise minimum perinatal care in a Primary Health Centre?
2. Define ‘Medical Termination of Pregnancy Act’. Discuss provisions of the act and
its effects on maternal health.
3. Write short answers on:
a. Leucorrhoea
b. Bleeding in 1st Trimester
c. Management of aclamptic fit
d. Personal hygiene in adolescent girl.
e. Oral Pill
f. Resuscitation of the newborn

PAPER – I
1. Discuss the pathophysiology, clinical features, complications and management of

shigellosis
2. What are the risks involved in blood transfusion.
3. Discuss the management of the common complications and the measures to avoid
them.
a. Dementia
b. Heat stroke
c. Trigeminal neuralgia
d. CT scanning
e. Genetic counseling

PAPER – II
1. A forty-year-old man has noticed a lump in right iliac fossa for two months.
Discuss the differential diagnosis; Describe the treatment of any one of the
conditions
2. Discuss the differential diagnosis of bleeding per Rectum. How will you confirm
the diagnosis? Describe treatment of Carcinoma of Rectum.
3. Write notes on:
a. Epistaxis
b. Cervical ulcer
c. Extradural anaesthesia
d. Management of Burns

PAPER – III
1. What are the problems met with during pregnancy. Describe in brief their
management. Outline the principles of general guidance to the pregnant women.
a. Oral Rehydration Therapy

b. Health care delivery system in India.
c. Rheumatic fever.
d. Environmental Pollution
3. Describe the role of general practitioner in the following:
a. Primary health care in population under 5 years.

b. Sex education.
c. Population control.

Section II-
Family Medicine Question Bank with references

FAMILY MEDICINE QUESTION BANK
COMMUNITY HEALTH
1. Describe the impact of environmental pollution on health and survival. (Also

environment and health).
2. National Health Policy and its goals by 2000 AD.
3. Criteria of assessment of safe drinking water.
4. Social and cultural factors in disease and health.
5. Dimension in the specialty of family medicine.
6. Health care during calamities.
7. International Health agencies in India.
8. Importance of record keeping in family medicine.
9. Non-communicable disease and their control.
10. Consumer protection Act in relation to medical practice
11. School Health programme
12. Cafeteria approach in birth control programme
13. Role of Anganwadis in MCH services.
14. Cold chain.
15. Patterns of health care delivery in India.
16. Essentials of teaching of family medicine at under-graduate level.
17. National programme for the control and eradication of Malaria.
18. Role of Voluntary Health Agencies (VHAs) and Non-Government Organisations in

health care.
19. Blood borne diseases

20. Nutritional requirements of special groups.
21. Role of computers in Health and Medical care.
22. Noise pollution and its effects on health.
23. Helmenthiasis
24. Dimensions of HIV Infection in India and its control.
25. Epidemiology and prevention of RHD in school children.
26. Health management information systems
27. Concept of comprehensive health care
28. Give a profile of silent Killer diseases
29. Enumerate National Health Programmes to control/eradicate disease
30. Drug abuse – its prevalence and suggested plan to control it.
31. Management of a suspected case of TB reporting to a PHC OPD.
32. Role of NGOs in Health Care of the Aged.
33. Complications and management of malaria during pregnancy.
34. Control of occupational cancers.
35. Medical and social aspects of Amniocentesis
36. Precautions during immunization procedures in infants
37. Family physician as a health education
38. Important health legislations in the country
39. Broad outline of a practical model of family health care
40. Principles of drug prescribing in the elderly.
41. Tobacco and alcohol and health hazards – justify the statement.

42. Health education
43. Rabies
44. Infant mortality
45. Scabies
46. Drug addiction – prevalence and prevention
47. Why are disposable syrings and needles preferred
48. Family Physician as doctor, philosopheer and guide
49. Medico-legal problems in private practice
50. National pharmacopoeia
51. Functions of Medical council of India.
52. Dimensions of non-communicable diseases in India
53. Alternate systems of medicine
54. Family physicians role as a psychiatrist
55. Vital health statistics
56. Common parasitic infestations
57. PEM in women-prevention and management
58. Cafeteria approach in birth control programmes
59. Prevention of HIV infection in women
60. Role of family physician in MCH care
61. Problems of the elderly
62. Role of ICMR in control of AIDS
63. Measurement of morbidity

64. Employees state health Insurance Scheme.
65. Arthropods of medical importance
66. Factors affecting fertility
67. Prophylaxis for rabies
68. Referral services in primary health care
69. School health programme
70. Treatment of complete care of falciparum
71. Drug treatment regimens in TB
72. National Programmes for prevention of nutritional def. Dis. In preschoolers
73. Prevention of mortality in ARI in children
74. Pop. Explosion + National Family Welfare Programme
75. Role of joint family system in MCH care
76. National Programme for control of blindness. Cause of blindness in India.
77. Role (family physician in prevention of Aids)
78. Multiple drug therapy in multibacillary leprosy
79. Prevention of accidents at home
80. Soil transmitted helminthes
81. Rehabilitation of mentally handicapped children
82. Health problems in urban slums
83. Role of family physician in control of population in India
84. Principles of control of non-communicable diseases
85. Balanced diet

86. Water borne diseases
87. Mortality rates
88. Life style illnesses
89. Blood transfusion services set up
90. Prevention of occupational diseases
91. Immunizing agents
92. DPT vaccination
93. Primary health centre
94. Oral rehydration therapy
95. Family physicians relationship with consultants
96. Principles of nutrition in the elderly
97. Holistic medicine
98. Certification by a doctor
99. Causes of infant mortality and their prevention
100. Epidemiology of cancers
101. Primary health care complex
102. Methods of population control
103. Medical ethics
104. Breast feeding
105. Health education for promotion of immunization in a community
106. Prevention of rabies
107. Social and cultural factors in the epidemiology of malnutrition in India

108. Health hazards in slums
109. Causes of air pollution
110. Physicians role in health service research
111. Drug abuse
112. Manifestations and treatment of plague
113. Role of integrated child development scheme (ICDS) in achieving mother and
child health goals in India.
114. Principle features of Medical Termination of Pregnancy Act (MTP)
115. Diseases spread by rodents
116. Role of the WHO
117. How will you organize the medical and health care of the elderly in your city
118. What is hospital infection? How can its prevention be planned?
119. A young mother comes to you with a 3/12 old baby. Discuss how you will
health educate the mothers as to
a. Prevent the common childhood

b. Promote infant nutrition i.e. weaning.
120. Discuss breast cancer and its prevention
121. What do you understand by chemoprophylaxis?
Discuss the role of chemoprophylaxis in

i) Malaria
ii) Leprosy
iii) Rh. Fever
iv) TB
122. Write short notes on oral Rehydration therapy in a village home
123. Control Birth and Death Registration Act of 1969
124. Discuss the social problems of a family having a mental retarded child
125. Discuss the problem of short term measures to improve child survival in India
126. Outline, the pattern of deliveries in rural areas. Discuss the organization of
health services to reduce the hazards assoc. with the above pattern of deliveries
127. Short notes on leprosy research
128. Periodic abstinence as a method of family planning.
129. Limitations of baby food in developing countries
130. Mass therapy in disease control
131. Community participation in health programmes
132. Describe the role of general practitioners in
a. Primary health care in population

b. Sex education
c. Population control
133. Occupational therapy
134. How will you organize minimum perinatal care in a PHC?
135. Define “Medical Termination of Pregnancy Act”. Discuss provisions of the acts
and its effects on maternal health.
136. Steps taken to decrease IMR.
137. School Health Programmes
138. Role of Anganwadis in MCH services
139. Promotion of measures for healthy child growth
140. Efficacy of measles vaccine
141. Prevention of Mortality in <5 years.

DERMATOLOGY
1. Acne
2. Diagnosis and management of psoriasis
3. Scabies
4. Herpes oster
5. Management of chronic urticaria
6. Alopecia
7. Dry management of STDs
8. Cutaneous drug
9. Adverse drug
PSYCHIATRY
1. Dementia
2. Depression in the elderly
3. Problems of adolescence
4. Manic depressive psychosis
5. Diagnosis and treatment of endogenous depression
6. Organic brain syndrome
7. Clinical picture and management of obsessive compulsive neuosis
8. Electro Convulsive therapy (ECT)
9. Psycho-social disorders
OBSTETRIC & GYNAECOLOGY

1. PEM in women a prevention and management
2. Menstrual regulation
3. Complications and management of malaria during pregnancy
4. Amniocentesis
5. Principles of nutrition during pregnancy and lactation
6. Maternal mortality
7. Cafeteria approach in birth control programmes
8. Prevention of HIV infections in women
9. Ectopic pregnancy
10. Oral contraceptive pills
11. Female sterilization
12. High risk approach in antenatal services
13. Dilatation and curettage
14. Antenatal care
15. Complications during pregnancy and measures to prevent them
16. Tubectomy
17. Cancer cervix
18. What are the problems met with during pregnancy. Discuss in brief their
management. Outline the principles of general guidance to the pregnant women.
19. Management of eclamptic fits
20. Bleeding in the 1st trimestic
21. Personal Hygiene in adolescent girls.

OPTHALMOLOGY
1. Ocular lens implant
2. Acute glaucoma
3. Chalazion
4. Corneal ulcer
5. Acute Iridocyclitis
6. Management of Cataract
7. Fundus examination
8. Detachment of retina
9. Hypopyon ulcer
10. Write short notes on keratoplasty
11. Panophthalmitis
12. Phlyctenular keratoconjunctivitis
E.N.T
1. Causes and management of epistaxis
2. Acute mastoiditis
3. Hoarseness
4. Quinsy
5. CSF Rhinorrhoea
6. CSOM
7. Peritonsillar abscess
8. Maxillary sinusitis

9. Retropharyngeal abscess
10. Tongue tie
11. Otoscerosis
12. Suppurative otitis media
13. Tracheal intubation
14. Deafness
SURGERY
1. Differential diagnosis and investigations of a patient with solitary thyroid module.
2. Non healing wounds
3. Diagnosis and principles of management of strangulated inguinal hernia
4. Amebic liver abcess
5. Fissure in Ano
6. Surgical shock diagnosis and management
7. Classification of burns and principles of their management
8. Differential diagnosis in acute abdomen
9. Cancer prostate
10. Chronic subdural haematoma
11. Varicocele
12. Surgical complications of filariasis
13. Complications of blood transfusion
14. Flat chest
15. Swellings in the neck

16. Techniques of vasectomy
17. Surgical interventions in cardiology
18. Cancer lung
19. Spermatocele
20. Choledochal cyst
21. Thyroglossal cyst
22. Meckel's diverticulum
23. Spina bifida
24. Frost bite
25. Mesenteric cysts
26. Hydrocele
MEDICINE
1. Drug therapy in chronic renal failure.
2. Lab investigations of a case of chronic diarrhoea
3. Diagnosis and treatment of chronic active hepatitis
4. Enumerate the poor prognostic indications of Rells Palsy
5. Heparin therapy
6. Causes of transient recurrent muscular weakness
7. Complications of haemodialysis
8. Risk factors in cardiac ailments
9. Differential diagnosis between rheumatoid arthritis and Osteoarthritis
10. Acute rheumatic fever – diagnosis and complications

11. Diagnosis of hydropneumo thorax
12. Use of skin tests in clinical diagnosis
13. Home care of a hemiplegic patient
14. Drug therapy of pulmonary TB
15. Kidney function tests
16. Food poisoning
17. Status epilepticus
18. Syncope
19. Diabetic ketoacidosis
20. Acute uremia
21. Principles of management of cardiac asthma
22. Ulcerative colitis
23. Aetiopathogenesis of anaemia.
24. Liver function tests
25. Cerebral malaria
26. Irritable bowel syndrome
27. Complications of typhoid
28. Trigeminal neuralgia
29. Management of Ectopic heart beats
30. Anaphylaxis
31. Oral anti-diabetics
32. Drug treatment of TB

33. Causes of loss of weight and principles of investigations
34. Recent imaging techniques
35. Cretinism
36. Impotence
38. Diagnosis and principles of management of acute renal failure
39. Diagnosis and treatment of thyrotoxicosis
40. Management of leprosy
41. Diagnosis and treatment of cholera
42. Acquired immune-deficiency syndrome (AIDS)
43. Principles of advice about diet in diabetes
44. Metabolism in starvation
45. Immunity
46. Principles of rehab. After acute M.I. (management of acute MI)
47. Etiology of viral hepatitis
48. Aetiopath and treatment of septic shock
49. Treatment of tetanus in elderly
50. Etiology and treatment of ac. Hypoglycemia
51. Accelerated H.T.
52. Acne vulgaris
53. Bence jones proteinuria
54. Haematuria

55. Diagnostic tests for HIV
56. Acteiology and diagnosis of acute subarachnoid haemorrhage
57. Cutaneous drug reaction
58. Fibrinolytic therapy in acute MI
59. Management of snake bite
60. Etiopathogenesis and diagnosis of Farmer’s lung
61. Management of diabetic coma
62. Etiopathogenesis and diagnosis of renal rickets
63. Biology of aging
64. Diagnosis and treatment of Migraine
65. Diagnosis and treatment of tropical pulmonary eosinophilia
66. Diagnosis and treatment of hypothyroidism in adults
67. Obesity
68. Chronic constipation in the elderly
69. Acute dyspnoea
70. Management of hyperpyrexia
71. Signs of avitaminosis-D
72. Alopecia
73. Risk factors in coronary artery disease
74. Convalescent rehab. Of a case poliomyelitis
75. Management of anaphylaxis
76. Status asthmaticus

77. Drug treatment of (L) ventricular failure
78. Endoscopy
79. Labs investigation of a case of jaundice
80. Metabolic changes during a heat wave
81. Discuss the differential diagnosis and management of recurrent headaches.
82. Discuss when will you refer a case of the following as an emergency to the
hospitals
A. Br.asthma
B. Lobar pneumonia
83. Discuss the information provided by the examination of nail of a patient
84. Discuss briefly the information gained by the following:
a. Micro exmn of urine

b. Micr exmn. Of peripheral blood smear
85. Discuss briefly physiological changes which are likely occur in the cardio
respiratory system at 70 years of age.
86. Lepromatous leprosy
87. Short term chemotherapy for pulmonary TB
88. Complications of enteric fever
89. Discuss the principles of nutrition in the following conditions:
a. Chronic renal failure

b. Hepatic coma
c. Bronchopulmonary suppuration
90. Describe the clinical manifestations of:
a. Hyponatremia
b. Hypoglycemia
c. Hypercalcemia
d. Hypocalcemia
e. Heat stroke
91. Discuss the pathophysiology, complications and management of shigellosis
92. CT scan
93. Adverse drug reaction
94. Describe the pathophysiology, CF, complication and management of DM
95. Short notes on:
a. Lab diagnosis of syphilis

b. LP as a method of investigation.
96. Hemoptysis
97. Immunoglobins
98. Cardiogenic shock
SURGERY
1. Pre hospital management of injured
2. Altered conciousness
3. Assessment of head injury
4. Uterine rupture
5. Acute cholecystitis
6. Pyloric stenosis
7. Urolithiasis
8. Surgical emphysema
9. Pneumothorax
10. Hypovolemic shock

11. Gas gangrene
12. Gangrene
13. Local anaesthesia
14. Premedication
15. Preoperative assessment
16. Traumatic paraplegia
17. Obstructive jaundice
18. Epidural anesthesia
19. Spinal anaesthesia
20. Periarthritis shoulder
21. pain heel
22. Osteoporosis
23. Approach to back pain
24. Supra condylar fracture of humerus
25. Sprain
26. Fracture healing
27. Congenital talipes Equino varus
28. Dislocation of shoulder
29. Fracture pelvis
30. hallux valgus
31. Arthritis
32. Septic arthritis

33. Cervical spondylosis
35. Colles fracture
36. Osteosarcoma
37. TB spine
38. Chronic osteomyelitis
39. Acute osteomyelitis
40. Colostomy
41. Fracture ribs
42. Flail chest
43. Cystic hygroma
44. Pancreatitis
45. management of acute pain
46. Acute cholangitis
47. Primary sclerosing cholangitis
48. Hematemesis
49. Peptic ulcer bleed
50. Types of wounds
51. Factors influencing would healing
52. Dentigerous cyst
53. Appendicitis
54. Breast infection

55. Melanoma
56. Malignant melanoma
57. Staging of breast cancer
58. Frost bite
59. Vasectomy
60. Classification of burns
61. DD in acute abdomen
62. Amoebic liver abscess
63. Spina bifida
64. Raspberry tumour
65. Dysphagia
66. Infection of the palmar space
67. Whitlows
68. Lymphnodes in axilla
69. Haemorroids
70. Undescended testis
71. Assessment of burns areas
72. Fissure in ANO
73. Varicocoele
74. Evaluation of acute abdominal pain DD of scrotal swellings Hydrocoele
75. History of breast lump
76. Crush syndrome

77. Neck swelling strangulated hernia
78. Nodular goiter
79. Classification of thyroid swelling
80. Torsion testis
81. Umbilical hernia
82. Choledochal cyst
83. Spermatocoele
84. Ectopia vesica
85. Inguino scrotal swelling
86. Thyroglossal cyst
87. Meckels diverticulam
88. Mesenteric cyst
89. Gynaecomastia
90. Fistula in ANO
91. Ranula
92. Tuberculous cervical lympadenitis
93. Ca prostate
94. Retention of urine Oral leukoplakia
95. BPH
96. Complication of blood transfusion

PEDIATRICS
1. GBS in children
2. Jaundice in newborn
3. When to ventilate preterm
4. Ventilate term
5. Physiological jaundice in new born
6. Neonatal reflexes
7. Resuscitation in delivery room
8. Approximate daily weight gain in infants
9. Necrotizing Enterocolitis
10. Scoring system for GA
11. Sepsis in neonate
12. Glycogen storage disorders
13. Inborn errors of metabolism
14. perinatal hypoxia
15. Functions of phenobarbitone
16. Meningitis in new born
17. Metabolic disorders
18. Diabetic babies
19. Hirschsprung disease
20. Habitual constipation after 2 years / in neonates
21. Delayed milestones

22. ORS
23. Diarrhoea
24. MAS syndrome
25. Rectal bleeding in neonate / 1½ years / preschools / older children
26. Intusussuption
27. Meckels diverticulam
28. Duplication of gut
29. Breathlessness in neonates
30. Anemia at birth
31. Hydrops foetalis
32. Cyanosis in newborn
33. Bleeding in newborn
34. Neonatal seizures
35. Basic fluid therapy in neonates
36. Neurological assessment
37. Growth chart
38. Percentile urve
39. Short stature – causes, approach to diagnosis
40. Learning disabilities
41. Dyslexia
42. Attention deficit hyperactivity disorder
43. Failure to thrive

44. Enuresis
45. Preterm – causes
46. LBW – causes, problems, management
47. Neonatal transport
48. Tetanus neonatorum
49. Hydrocephalus
50. Obesity
51. Assessment of severity of dehydration, treatment
52. Advantages of breastfeeding
53. Baby friendly hospital initiative
54. PEM
55. Anemia in children / in newborn
56. Clinical approach to a child with anemia
57. Intra uterine infections
58. Poliomyelitis
59. Vit.D & Rickets
60. Acute glomerulonepritis
61. Nephrotic syndrome
62. Bronchial asthma
63. Physical and behavioural changes in adolescence
64. Juvenile delinquency
65. Principles of nutrition in neonates – breastfeeding, artificial feeding,

complimentary feeds
66. Undeclaration of right of the child
67. Rights of a child in India
68. Febrile convulsions
69. Vit.A deficiency
70. Iodine deficiency disorders
71. Iron deficiency anemia
73. National immunization schedule
74. Cold chain
75. Cerebral palsy
76. Mental handicap
77. Urinary tract infection
78. TB in childhood
79. Anuria – acute renal failure
80. Shock
81. Coma
82. Fever in childhood
83. Fever with rash

FAMILY MEDICINE QUESTION BANK
Reference Books
A Practical Guide to Operative Surgery. S. Das 2nd ed. 1985.

An Introduction to Biostatistics. Sundar Rao, Richard, 3rd ed.(Biostats)
Clinical Methods in Surgery. K.Das, 12th ed.(Das)
Clinical Ophthalmology. Kanski. 3rd ed. (K)
Current Medical Diagnosis and Treatment 37th ed. 1998.
Current Obstetrics and Gynaecology Diagnosis and Treatment 7th ed.
Davidson’s Principles and Practice of Medicine. 17th ed. (D)
Essentials of Forensic Medicine and Toxicology. Narayana Reddy 13th ed.
Essential Paediatrics. O.P. Ghai,4th ed. (OPG)
Essentials of Medical Pharmacology. K.D. Tripathi, 3rd ed.(Tripathi)
Family Medicine. Rakel (CHTC library)
Gynaecology by Ten Teachers (Chamberlains’s) 16th ed. (TT)
Hall and Colman’s Diseases of the Nose, Throat, Ear, Head and Neck. (HC)
Harrison’s Principles of Internal Medicine. 14th ed. (H)
Lecture Notes on General Surgery. Harold Ellis, Sir Roy Calne, Christopher Watson,
9th ed. (L.N. on G.S.)
Lecture Notes on Urology. John Blandy. 4th ed.
Outline of Fractures. John Crawford Adams, David L. Hamblen. 10th ed (OF)
Outline of Orthopaedics. John Crawford Adams. 12th ed. (OO)
Medicine in Old Age. S.C. Allen 4th ed.
New Short Textbook of Otolaryngology. McCormick, Primrose, McKenzie, 3rd ed.
(MPM)
Obstetrics by Ten Teachers. (Chamberlain’s) 16th ed.(TT)
Park’s Textbook of Preventive and Social Medicine 15th ed.(P&P)
Parson’s Diseases of the Eye. 18th ed. (P)

Primary Anaesthesia. Edited by Maurice King. 1996.

Scott: an aid to Clinical Surgery. Robin C.N.Williamson, Bruce P Waxman.(Scott)
Short Practice of Surgery. Bailey and Love, 21st ed.(B&L)
Te Linde’s Operative Gynaecology. 7th ed.
Textbook of Medical Parasitology. C.K.J. Paniker, 2nd ed.
Textbook of Obstetrics. D.C. Dutta (Dutta), 3rd ed.
COMMUNITY MEDICINE
1. Describe the impact of environmental pollution on health and survival. (also

environment and health ) P&P 468-514.
2. National Health Policy and its goals by 2000 AD. P&P 597/613.
3. Criteria of assessment of safe drinking water. P&P 403, 479-86.
4. Social and cultural factors in disease and health. P&P 13, 16, 32.
5. Dimension in the specialty of Family Medicine. P&P 9.
6. Health Care during calamities. B&L 29.
7. International Health Agencies in India P&P 623-9.
8. Importance of record-keeping in family medicine. Rakel 1609. (CHTC)
9. Consumer Protection Act in relation to medical practice. P&P461.
10. School Health Programme. P&P 380.
11. Cafetaria approach in birth control programme.
12. Role of Anganwadis in MCH services. P&P 369, 618.
13. Role of Anganwadis in medical services.
14. Cold chain. P&P 94.
15. Patterns of health care delivery in India. P&P 25, 611, 616.
16. Essentials of teaching of family medicine at under-graduate level. Rakel 3.
17. National programme for the control and eradication of malaria P&P 302.
18. Role of voluntary health agencies (VHAs) and Non-governmental Organisations in
health care. P&P 621.

19. Blood-borne diseases. Harrison’s 723, 1164. HIV/AIDS P&P 259-64. Hepatitis
P&P 157-62. CMV Davidson’s 109. Syphilis . Malaria . Toxoplasmosis .
Brucellosis .
20. Nutritional requirements of special groups. P&P 392,411.
21. Role of computers in Health and Medical care. Rakel 1632-4. CHAD example.
22. Noise pollution and its effects on health. P&P 498-9.
23. Helminthiasis. Davidson’s 163-81. P&P 181-5, 230-1.
24. Dimensions of HIV infection in India and its control. P&P 259-64.
25. Epidemiology and prevention of RHD in school children. P&P 279-81.
26. Health Management Information Systems. P&P 572.
27. Concept of comprehensive health care. P&P 25, 612.
28. Give a profile of silent killer diseases.
29. Enumerate the National Health Programmes to control or eradicate disease. P&P
305-306.
30. Drug abuse – its prevalence and suggested plan to control it. P&P 568-71.
31. Management of a suspected case of TB reporting to a PHC OPD.
32. Drug treatment regimens in TB.
33. Role of N.G.O.s in health care of the aged. P&P 388, 628.
34. Complications and management of malaria during pregnancy. Dutta 302. P&P 199.
35. Control of occupational cancers. P&P 547.
36. Medical and social aspects of amniocentesis. Dutta 112.
37. Precautions during immunisation procedures in infants. P&P 96.
38. Family physician as a health educator.
39. Family physician as doctor, philosopher and guide.
40. Family physicians role as a psychiatrist. Rakel 1480, 1482, 1495, 1506, 1545.
41. Important health legislations in the country. P&P 464.
42. Broad outline of a practical model of family health care. P&P 451-4.
43. Principles of drug prescribing in the elderly. Davidson’s 1123.
44. Tobacco and alcohol are health hazards – justify the statement. P&P 569.

45. Health education. P&P 586-92.

46. Rabies. P&P 207-14. CHAD rabies protocol.
47. Prophylaxis for rabies. P&P 211-3.
48. Infant mortality. P&P 374-8.
49. Scabies. P&P 534.
50. Why is disposable needles and syringes preferred.
51. Medico-legal problems in private practice. Rakel chapter starting on 1675.
52. National Pharmacopoeia.( published by Govt. of India – 3rd ed. Of National
Formulary, 1979 )
53. Functions of Medical Council of India. Essentials of Forensic Medicine and
Toxicology by Narayana Reddy, 13th ed. 18-9.
54. Food poisoning. P&P 177.
55. Principles of control of non-communicable diseases. P&P 268-301.
56. Dimensions of non-communicable diseases in India. (see above)
57. Alternate systems of medicine.
58. Vital Health Statistics. Biostats 121-36.
59. Common parasitic infestations. P&P 181-4, 230-2.
60. PEM in women – prevention and management. Davidson’s 554-5.
61. Prevention of HIV infection in women. P&P 261, 264.
62. Role of Family Physician in MCH care. Rakel 528-34.
63. Problems of the elderly. P&P 388-90.
64. Role of ICMR in control of AIDS. P&P 602.
65. Measurement of morbidity. Biostatistics 143-4.
66. Employees State Health Insurance Scheme. P&P 553-6.
67. Arthropods of medical importance. P&P 520-35.
68. Factors affecting fertility. P&P 316-7.
69. Referral services in Primary Health Care. P&P 619. (G.K.)
70. School Health Programme. P&P 380.
71. Complete cure of falciparum malaria. P&P 198, Harrison’s 1182.

72. National Programmes for prevention of nutritional deficiency disorders in pre-

schoolers. P&P 435.
73. Prevention of mortality in ARI in children. P&P 132-8.
74. Population Explosion and National Family Welfare Programmes. P&P 339, 312-3.
75. Role of joint family system in MCH care. (G.K.)
76. National Programme for control of blindness. Causes of blindness in India. P&P
307, 295-7.
77. Role of Family Physician in prevention of AIDS. Rakel 175-6.
78. Multiple drug therapy in multibacillary leprosy. See leprosy sheets. P&P 248-50.
79. Prevention of accidents at home. (G.K.)
80. Soil-transmitted helminths. Paniker’s. P&P 181, 230. (thro’ ingestion – Tape
worms. Ascaris, T..trichiura. thro’ bare feet – Hookworms, Strongyloides.)
81. Rehabilitation of mentally handicapped children. P&P 384-5.
82. Discuss the social problems of a family having a mentally retarded child. See
above.
83. Health problems in urban slums. (G.K.)
84. Role of Family physician in control of population of India.
85. Balanced diet. P&P 414, 437. Also see table in annex.
86. Water-borne diseases. P&P 473.
87. Mortality rates. P&P 49-51.
88. Life-style illnesses. P&P 16, G.K.
89. Blood-transfusion services set-up. WHO ’94. AIDS images of the epidemics
(Dodd)
90. Prevention of occupational diseases. P&P 550-2.
91. Immunizing agents. P&P 91-4.
92. DPT vaccination. P&P 131.
93. Primary Health Centre. P&P 619.
94. Oral rehydration therapy. P&P 167.
95. Family Physician’s relationship with consultants. Rakel 214-9.

96. Principles of nutrition in the elderly. Medicine in Old Age 162-5. (Dodd)
97. Holistic Medicine. P&P 12.
98. Certification by a doctor. Essentials of Forensic Medicine and Toxicology 13th ed.,
10.
99. Causes of infant mortality and their prevention. P&P 374, 376, 378.
100. Epidemiology of cancers. P&P 285-9.
101. Primary Health Care complex. P&P 612-3, 619.
102. Methods of population control. P&P 321-2.
103. Medical Ethics. P&P 460, Rakel 153-61.
104. Breast-feeding. O.P.Ghai 43, 96-7. P&P 351, 355-6.
105. Health education for promotion of immunisation in a community. P&P 590-2.
106. Organising medical and health care programmes in slums. G.K.
107. E.S.I. scheme. P&P 553-6.
108. Social and cultural factors in the epidemiology of malnutrition in
India.P&P415-6, 427-9.
109. Health hazards in slums. G.K.
110. Causes of air pollution. P&P 492-5.
111. Physicians role in health service research.
112. Manifestations and treatment of plague. P&P 224.
113. Role of Integrated Child Development Scheme (ICDS) in achieving mother and
child health goals in India. P&P 369, 388.
114. Principle features of Medical Termination of Pregnancy Act. Discuss its effects
on maternal health P&P 332.
115. Diseases spread by rodents. P&P 179, 221, 226,228-30, 232,539.
116. Role of the WHO. P&P 624-5.
117. How will you organise the medical health care of the elderly in your city? P&P
388-90.
118. What is hospital infection? How can its prevention be planned? CMCH
Infection Control Manual.

119. A young mother comes to you with a 3 month old baby. Discuss how you will
health educate the mother as to
a) prevent the common childhood diseases in her baby
b) promote infant nutrition i.e. weaning.
120. Discuss breast cancer and its prevention. P&P 285-7.
121. What do you understand by chemoprophylaxis? Discuss the role of
chemoprophylaxis in
a) Malaria P&P 199.
b) Leprosy P&P 250.
c) Rh. Fever P&P 281.
d) T.B. P&P 148.
122. Write short notes on oral rehydration therapy in a village home.
123. Central Birth and Death Registration Act of 1969. P&P 573.
124. Discuss the problems of short term measures to improve child survival in India.
P&P 376-9.
125. Discuss the pattern of deliveries in rural areas. Discuss the organisation of
health services to reduce the hazards associated with the above pattern of
deliveries. P&P 370-3.
126. Short notes on leprosy research. International Journal of Leprosy June 1998.
Pgs. 218-21. CHTC library.
127. Periodic abstinence as a method of family planning. P&P 333.
128. Limitations of baby food in developing countries.
129. Mass therapy in disease control. P&P 37, WHO technical report series No. 736
pg. 86.
130. Community participation in health programmes. P&P 17-8.
131. Describe the role of general practitioners in
a) Primary health care in the population. Rakel 225-31. P&P 10, 26, 612-3, 617.
b) sex education. Discuss under school health programme, family practice and
newly married couples meeting in the communtiy.

c) Population control. Rakel 715-28. P&P 322-3.

132. Occupational therapy.
133. How will you organise minimum perinatal care in a PHC? P&P 372.
134. Steps taken to decrease IMR. P&P 377.
135. Promotion of measures for healthy child growth. P&P 357-63.
136. Efficacy of measles vaccine and prevention of adverse effects of the
vaccination. P&P 120-1.
137. Prevention of mortality in under-fives. P&P 376-9.
138. Pulse polio immunisation. P&P 152.
139. Periodic medical examination of vulnerable groups. Describe 3 major health
related areas where periodic examination could prove beneficial.
140. NMEP – points of failure. P&P 302. Also see community medicine registrars
notes.
141. How does avitaminosis manifest? P&P 396-402.
142. Autoclaves. P&P 102.
143. “Target free approach” in Indian Family Welfare Programme. P&P 322, 339.
144. Crimes against women. G.K.
145. Management of flood situation.
146. Health problems due to fire in a closed area.
147. National A.I.D.S. Control Programme. P&P.
148. H.I.V. in Indian scenario.
149. Sources of Health Information.
150. Fluorosis. P&P.
151. Universal Immunisation Programme.P&P.
152. Medico-legal problem of suicide.
153. Advertising in medical practice.
DERMATOLOGY

1) Acne. H 303.
2) Acne vulgaris
3) Diagnosis and management of psoriasis. H 300-1, 311.
4) Scabies. P&P 534, H 2548.
5) Herpes zoster. H 1087-8.
6) Management of chronic urticaria. H 1865-6.
7) Alopecia. H 312-2.
8) Dry management of STDs. See WHO publication.
9) Cutaneous drug manifestations. H 305-7.
10) Adverse drug reaction. Tripathi 65-71.
11) Dandruff management. H 300, Tripathi 778-9.
12) Fungal infection of nails. H 1149, 1159.
E.N.T.
1. Causes and management of epistaxis. MPM 96-7.

2. Acute mastoiditis. MPM 29.
3. Hoarseness. MPM 182-92.
4. Quinsy (Peritonsillar abscess).HC 105-6.
5. CSF Rhinorrhoea.
6. CSOM. HC 233-40.
7. Maxillary sinusitis. MPM 109-16.
8. Retropharyngeal abscess. HC 107-8.
9. Tongue tie. MPM 136.
10. Otosclerosis MPM 45, HC 262-4.
11. Suppurative otitis media. Acute – HC 223-9. Chronic – HC 233-40.
12. Tracheal intubation. Primary Anaesthesia 96-7.
13. Deafness. D 1053-4.
14. Nasal Polyp.
15. Tracheostomy. HC 135-7.
MEDICINE
1. Drug therapy in chronic renal failure. H 414-6.
2. Adverse reactions to blood transfusions
3. Staphylococcal food poisoning.
4. Lab investigations of a case of chronic diarrhoea. D 413-47. H 241-2.
5. Diagnosis and treatment of chronic active hepatitis. D 522.
6. Enumerate the poor prognostic indications of Bell’s palsy. D 1052.
7. Heparin therapy. Tripathi 548-51,556-7.
8. Causes of transient recurrent muscular weakness. Current Medical Diagnosis and
Treatment 37th ed. 1998. 968-70.
9. Complications of haemodialysis. H 1522-3.
10. Risk factors in cardiac ailments. H 1349,1370. P&P.
11. Differential diagnosis between rheumatoid arthritis and osteoarthritis. H 1883-4,
1937-8.
12. Pyrexia of unknown origin
13. Temporal arteritis
14. Acute rheumatic fever – diagnosis and complications. D 281-4. H 1310-1.

15. Diagnosis of hydropneumothorax. D 318. Golwalla 16th ed. 250.
16. Use of skin tests in clinical diagnosis. H 296-7, 1009,1017.
17. Home care of a hemiplegic patient. MOA 174-7.
18. Drug therapy of pulmonary TB. See TB sheets.
19. Kidney function tests. D 615-20.
20. Food poisoning. P&P.
21. Status epilepticus. D 1069-70.
22. Syncope. H 100-3.
23. Diabetic ketoacidosis. D 729, 748-51.
24. Acute uremia. D 626-31, H 1504-12.
25. Principles of management of cardiac asthma. H 1289-94.
26. Ulcerative colitis. D 456-64. H 1633-40.

27. Aetiopathogenesis of anaemia. How will you manage a case of iron deficiency
anaemia. D 782-6. H 335-8,638-43.
28. Liver function tests. D 488-98.
29. Cerebral malaria. H 1182-7.
30. Irritable bowel syndrome. D 470-1. H 1646-8.
31. Role of diet in I.H.D. D 247,581.
32. Management of case of moderate hypertension
33. Management of obesity
34. Complications of typhoid. H 952. Manson’s 20th ed. 851-2.

35. Trigeminal neuralgia. D 1049-50.
36. Management of ectopic heart beats. D 227-8,231. H1261-3.
37. Anaphylaxis. D 42-3,49,50. H 1862-3.
38. Oral antidiabetics. H 2070-1. D 738-40.
39. Drug treatment of TB. See TB sheets.
40. Causes of loss of weight and principles of investigations. H 245-6.
41. Recent imaging techniques. D 318-9, 410, 494-5, 618-9, 1035.
42. Cretinism. OPG 370.
43. Impotence. H 286-9.
44. Genetic counseling. H 393, 407-8.
45. Diagnosis and principles of management of acute renal failure. D 626-31. H 1504-
12.
46. Diagnosis and treatment of thyrotoxicosis. H 2023-7.
47. Management of leprosy. See sheets and WHO small book.
48. Diagnosis and treatment of cholera. P&P. H 962-6.
49. Acquired Immunodeficiency syndrome. H 1791-854.
50. Drug treatment of H.I.V. infection.
51. Principles of advice about diet in diabetes. H 2066. D 734-8.
52. Metabolism in starvation. H 452-3.
53. Immunity. D from p.28.

54. Principles of rehabilitation after acute myocardial infarction. D 259-66.
55. Management of acute M.I.
56. Risk factors for atherosclerosis
57. Fibrinolytic therapy in acute M.I. H 1357-8.

58. Etiology of viral hepatitis. D 513-5. H 1682-6.
59. Etiopathology and treatment of septic shock. H 776-80.
60. Treatment of tetanus in elderly. 901-4.
61. Etiology and treatment of acute hypoglycemia. H 2082-4.
62. Accelerated H.T. H 203,1393.
63. Acne vulgaris. H 260,716.
64. Insomnia. H 154-5.
65. Hypokalemia. H 272-4.
66. Complications of parenteral hyperalimentation. H 477-8.
67. Haematuria. H 261.
68. Aetiology and diagnosis of acute subarachnoid haemorrhage. H 2345-6.
69. Cutaneous drug reaction. H 304-7.
70. Management of snake bite. H 2544-6. Also see Forensic Medicine.
71. Etiopathogenesis of Farmer’s lung. H 1426-8, P&P.
72. Management of diabetic coma. D 746-51.
73. Biology of aging. H 37.
74. Diagnosis and treatment of Migraine. H 2307-10.
75. Diagnosis and treatment of tropical pulmonary eosinophilia. H 1214.
76. Diagnosis and treatment of hypothyroidism in adults. D 692-6.
77. Obesity. D 578-84.
78. Chronic constipation in the elderly. D 472-3. H 242-3,1651.
79. Acute dyspnoea. H 190-4.
80. Management of hyperpyrexia. H 88-9.
81. Signs of avitaminosis D. H 2254.

82. Alopecia. H 312.

83. Risk factors in coronary artery disease. H 1348-50. D 245-7.
84. Convalescent rehabilitation of a case of poliomyelitis.
85. Status asthmaticus. D 339, 342-4. H 1419-27.
86. Microalbuminuria. D 622.
87. Manifestation and treatment of plague. P&P 224-5.
88. Drug treatment of left ventricular failure. D 222-3.
89. Endoscopy. H 1583-8, 1418-9.
90. Lab. Investigation of a case of jaundice. H 254.
91. Metabolic changes during a heat wave. P&P 503.
92. Discuss the differential diagnosis and management of recurrent headaches. H 68-
72.
93. Discuss when you will refer a case of the following as an emergency to the
hospital:
a) Bronchial asthma. D 342-3. H 1425.
b) Lobar pneumonia. D 352. H 1441.
94. Discuss the information provided by the examination of the nails of a patient. D
964-966.
95. Discuss briefly the information gained by the following:
a) Microscopic examination of urine. Hutchison’s 19th ed 166-72.
b) Microscopic examination of peripheral blood smear. Hutchison’s 19th ed.
472,474-7.
89) Beclomethasone. Tripathi 210,782.
90) Prostaglandins. Tripathi 185-91.
91) A 50 year old man reports to the medical OP clinic with pain in the right lower
chest of one week duration. O/E Pulse 100/min., regular, Temp. 100 degrees
F, impaired note with distant breath sounds in the right base. Discuss the differential
diagnosis. What investigations will you suggest to arrive at the correct diagnosis?

92) Discuss briefly the physiological changes which are likely to occur in the
cardiorespiratory system at 70 years of age. H 38.
93) Lepromatous leprosy. See small book by WHO. H 1016.
94) Discuss the principles of nutrition in the following conditions:
a) Chronic renal failure. H 1519-20.
b) Hepatic coma. H 1716-7.
c) Bronchopulmonary suppuration. (increased protein, plenty of fluids and
chest physio before food to prevent vomiting of ingested food)
95) Describe the clinical manifestations of:
a) Hyponatremia. H 269.
b) Hypoglycemia. H 2081-2.
c) Hypercalcemia. H 2228.
d) Hypocalcemia. H 2241.
e) Heat stroke. H 88. P&P 503.
96) Surgical interventions in Cardiology. D 206-8, 287, 292, 295, 296.
97) Diagnosis of a case of dehydration. D 594. OPG 196-7. P&P.
98) Discuss the pathophysiology, complications and management of shigellosis. D
126. H 957-9.
99) C.T. scan. H 2287-8.
100) Adverse drug reaction. Tripathi 65-71.
101) Describe the pathophysiology, clinical findings, complication and management
of D.M. D 724-64. H 2060-80.
102) Short notes on:
a) Lab diagnosis of syphilis H 1029-31.
b) L.P. as a method of investigation.H 2281.
103) Haemoptysis. H 196-7.
104) Immunoglobins. D 32-5. H 1768-8.
105) Cardiogenic shock. D 212-8. H 1360-1.
106) Impotence. H 286-9.

107) Dengue Shock Syndrome. H 1145. P&P 187.

108) Anti-oxidants. ( Vit. E H 486. Others – B-carotene, Vit. C and Selenium )
109) Barbiturate poisoning. H 2531.
110) Herpes zoster. H 2445-6.
111) Alzheimer’s disease. H 142-9, 2349-51.
112) Causes of acute stroke. H 2326.
113) Management of pleurisy with effusion. H 1472-4.
114) Diabetic autonomic neuropathy. H 2076-7.
115) Iatrogenic diseasess. H 4.
116) Holter monitoriing. H 64. D 203.
117) Hepatomegaly – differential diagnoses. D 525 + some glycogen storage diseases.
118) Interpretation of lipid profile. H 2142-5.
119) Trigeminal Neuralgia. H 2377-8.
120) Medical management of B.P.H. H 598.
121) Kala-azar. H 1189-91.
122) Complications of Mitral Stenosis. H 1312-3.
123) Shock Lung. (A.R.D.S.) D 388-9.
124) Geriatrics is now a specialised discipline. How? H 37.
125) Terminal care – role of the family physician. See Rakel.
126) Osteoporosis. D 931-2. H 2247-52.
127) Marriage counseling.
128) Gram negative pneumonias. H 939-40,943-4,952.
129) Evaluation of a case of H.T. H 202-5.
130) Falls in the elderly. H 42.

OBSTETRICS & GYNAECOLOGY

1. PEM in women – prevention and management. D 5554-5.
2. Menstrual regulation. P&P 331.
3. Complications and management of malaria during pregnancy. P&P 199, Dutta 302.
4. Amniocentesis. Dutta 112.
5. Principles of nutrition during pregnancy and lactation. Duttta 105-7, P&P 377, TT
30,33.49.
6. Maternal mortality. P&P 370-1, Dutta 614-6.
7. Cafeteria approach in birth control programme.
8. Urinary incontinence in the elderly
9. Ectopic pregnancy. Dutta 190-202.

10. Oral contraceptive pills. P&P 327-31,Dutta 556-60.
11. Female sterilisation. Dutta 564-9, P&P 334-6, Te Linde’s Operative Gynaecology,
7th ed. 343-58.
12. High-risk approach in antenatal services. P&P 345.
13. Dilatation and Currettage. Dutta 571-4.
14. Antenatal care. Dutta 104-9, P&P 344-7.
15. Complications during pregnancy and measures to prevent them.
16. What are the problems met with during pregnancy and measures to prevent them.
Discuss in brief their management. Outline the principles of general guidance to the
pregnant women.
17. Cancer cervix. TT 129-36.
18. Leucorrhoea TT 80-4.
19. Management of eclamptic fits. Dutta 243-6. See labour room protocol.
20. Bleeding in the first trimester. Dutta 170.
21. Personal hygiene in adolescent girls.
22. Colposcopy. Current O&G Diagnosis and Treatment 7th ed. 622, TT 126-8.
23. HRT. Current O&G Diagnosis and Treatment 7th ed. 1063-5, TT 32-4.
24. Important components of post-natal care.

25. Pap smear. TT 124-6.

26. Factors influencing fertility. P&P.
Other useful topics – Lamaze and Leboyer techniques for assistance in labour,
Marriage counselling.
OPHTHALMOLOGY
1. Ocular lens implant. P 307.Also learn Blumenthal technique used in CMCH.

2. Acute glaucoma. P 216-28.
3. Management of elderly patient with Glaucoma.
4. Chalazion. P 357.
5. Corneal ulcer. P 147-53.
6. Acute iridocyclitis. P 172-4.
7. Management of cataract. P 202-3.
8. Fundus examination. P 103-5.
9. Detachment of retina. P 247-50, Kanski 312.
10. Hypopyon ulcer. P 147-51 esp. 151.
11. Write short notes on Keratoplasty. P 296-7.
12. Panophthalmitis. P 179-80.
13. Phlyctenular keratoconjuncivitis. P 140, 158.
14. Colour blindness. P 269-70.
15. Exopthalmos. P 380-1, 389.
16. Management of foreign body in the eye. (Explain management of superficial
foreign bodies. Penetrating foreign bodies – P 286-90.)
Other useful topics indications for enucleation and evisceration.

PAEDIATRICS
1. Tetanus neonatorum and its prevention. OPG 107.

2. Juvenile delinquency. OPG 30, P&P.
3. Management of acute respiratory infections in children. OPG 272-83, P&P.
4. Principles of nutrition in neonates. OPG 43, 96, P&P 356.
5. Oral rehydration therapy. P&P 166.
6. Anemia in children and management hookworm infestation
7. Accidents among children and their prevention. OPG 444-5.

8. Effect of tobacco smoking by parents on children and infants. P&P 569.
9. Effects of passive smoking on mother and child.
10. Hydrocephalus in a child – diagnostic criteria. OPG 333-4.
11. Dehydration in children – diagnosis and management. OPG 196-7.
12. Low-weight babies – causes and management. OPG 89-90, P&P 353-5.
13. Promotion of measures for healthy child growth.
14. Obesity in children. OPG 368-9.
15. Management of febrile convulsions in childhood. OPG 336.
16. Problems of adolescence and guidance by the family physician. OPG 25.
17. Adolescence – physiological and behavioral changes.
18. Causes of anaemia in children. OPG 63.
19. Kopliks spots. OPG 139.
20. Resuscitation of the newborn. OPG 92-4.
21. How will you diagnose, monitor and treat a baby with perinatal asphyxia.
22. Genetic counseling. Davidson 23, OPG 418.
23. Etiopathogenesis and diagnosis of renal rickets. OPG 61-2.
24. Neonatal transport.

PSYCHIATRY
1. Dementia. D 989-92.
2. Depression in the elderly. D 1000-3. Also see psychiatry sheets by Dr. KSJ.
3. Manic Depressive psychosis. D 1000-3.
4. Diagnosis and treatment of endogenous depression. D 1000.
5. Organic brain syndrome. D 987-92.
6. Clinical picture and management of obsessive compulsive neurosis. D 1005.
7. Electro-convulsive therapy. D 987, 1002, Also read ECT sheets by Dr. P. Tharien.
8. Psycho-social disorders. P&P 32.
9. Anxiety. D 1003-4.
SURGERY
1. Differential diagnosis and investigation of a patient with solitary thyroid nodule.

B&L 741-4.
2. Non- healing wounds.
3. Discuss the a etiology of upper quardrant abdominal pain
4. Diagnosis and principles of management of strangulated inguinal hernia. B&L
1278-1279.
5. Amoebic liver abscess. B&L 1010-3.
6. Fissure-in-ano. B&L 1254-5.
7. Surgical shock – diagnosis and management. B&L 47-55.
8. Classification of burns and principles of their management. B&L 184-93. L.N.on
G.S. 31-6.
9. Differential diagnosis in acute abdomen. Das 247-51. D 442-5.
10. Cancer prostate B&L 1430-6. L.N.on G.S. 342-3.
11. Chronic subdural haematoma. B&L 568-70. L.N. on G. S. 113-4.
12. Varicocoele. B&L 1481-2.

13. Surgical complications of filariasis. Das 327-9.

14. Complications of blood transfusion. D 824-5.
15. Flail chest B&L 828.
16. Swellings in the neck. Das 204-9.
17. Techniques of vasectomy. Operative methods in Surgery, Das 375. P&P. Lecture
Notes on urology, John Blandy 316-7.
18. Cancer lung. L.N.on G.S.57-9.
19. Spermatocoele. B&L 1487.
20. Choledochal cyst. B&L 1058.
21. Thyroglossal cyst. B&L 768.
22. Meckel’s diverticulum. B&L 1132-4.
23. Spina bifida. B&L 504-5.
24. Frost bite. B&L 221.
25. Mesenteric cysts. B&L 1121-2.
26. Hydrocoele. B&L 1483-6.
27. Undescended testis. B&L 1476-8.
28. Palmar space infections. L.N.on G.S.44-5. B&L 460-4.
29. Cryosurgery. B&L 709. Kanski.( glaucoma, trichiasis, retinal tears, proliferative
retinopathy, small retinoblastomas, eyelid tumours, small basal cell carcinomas)
30. Mallet finger. B&L 328.
31. Dentigerous cyst. B&L 663.
32. Investigation of 40 year old man with obstructive jaundice. L.N. on G.S. 246.
33. Crush syndrome. B&L 55.
34. Pre-hospital management of road injuries.
35. Acute osteomyelitis. OO 69-76.
36. Osteogenic sarcoma OO 85-9.
37. Caudal block analgesia. Primary anaethesia. 53-4.
38. Whitlow. Scott 43. B&L 457-8.
39. Caries spine. B&L 383-5.

40. Hallux valgus. B&L 476-7.

41. Complications of colostomy. L.N. on G.S. 210-1. B&L 1169.
42. Raspberry tumours. B&L 1298-9.
43. L.A.T.S. B&L 750. L.N. on G.S.300.
44. Ectopia vesicae. B&L 1373-4.
45. Cystic hygroma. B&L 721-2.
46. Lumbar puncture and sub-arachnoid anaethesia. Primary Anaesthesia 56-7.
47. Umbilical hernia. B&L 1291-2.
48. Chronic retension of urine. L.N. on G.S. 344-7. B&L 1376-8.
49. Retension of urine. B&L 13766-8.
50. Head injury. B&L 542-70. Das 144-9.
51. Melanoma. B&L 175-82. L.N. on G.S. 42-6.
52. Pathophysiology and treatment of hypovolemic shock. B&L 47-55.
53. Muscle relaxants. Tripathi 126-46.
54. Treatment of breast cancer. L.N. on G.S. 286-91. B&L 815-21.
55. Enumerate the causes of haematemesis. How will you confirm the diagnosis? What
are the principles of management of peptic ulcer bleeding? D.438-40, 426-34. H
248.
56. Tuberculous cervical lymphadenopathy. Das 50-1. L.N. on G. S. 294.
57. Describe the causes of haematuria. How will you investigate such a case? Das 297-
8.
58. Cholangitis. B&L 1009,1069-72,1074.
59. Lymph nodes in the axilla.
60. Nodule in the breast of a 20 year old female. B&L 802-4.
61. Pain in the right iliac fossa. Das 214-5.
62. Gangrene. Das 41-3.
63. What is a peptic ulcer? Give in detail the management of duodenal ulcer. D 426-
34. L.N. on G.S. 164-9.
64. Discuss the management of a case of 30% burns of the body. B&L 184-92.

65. Dysphagia. Das 194-6.

66. Symptoms, signs, investigations, diagnosis, differential diagnoses of a case of acute
pancreatitis. B&L 1086-90. H 1745-6.
67. A 40 year old man has noticed a lump in the right iliac fossa for 2 months. Discuss
the differential diagnoses. Describe the treatment of any one of the conditions. Das
274-5.
68. Discuss the differential diagnosis of bleeding PR. How will you confirm the
diagnosis? Describe the treatment of carcinoma rectum. Das 283-4. B&L 1229-39.
L.N. on G.S. 220-2.
69. How will you diagnose and manage a case of dysphagia. Das 194-6.
70. Fracture of the pelvis. B&L 332-5.
71. Ranula. B&L 632-3.
72. Oral leucoplakia. B&L 638-40. L.N. on G. S. 140.
73. Breast infections. L.N. on G.S. 282. B&L 794-7.
74. Fracture clavicle. B&L 299-300. OF 110-1.
75. Anal haemorrhoids and fistula. B&L 1255-63, 1267-72.
76. Pyloric stenosis. B&L 960,981. L.N. on G.S. 162-3,169-71.
77. Monoarthritis. OO 109-26.
78. Gynaecomastia. B&l 820-1.
79. Colle’s fracture. B&L 321-4. OF 150-6.
80. Local anaesthesia. Primary Anaesthesia 23-5.
81. Fracture rib. L.N. on G.S.51-5.OF 99-101. B&L 827-9.
82. T.U.R.P. B&L 1425, 1430, 1434, L.N. on G.S. 341.
83. Electrolyte disturbances in Pyloric Stenosis. L.N. on G.S.170.
84. Blunt abdominal trauma – management plan. (diagnosis and treatment) B&L 1037-
9.
85. Role of pre-anaethetic check-up and medication.
86. Ileal perforation – physical signs and management.

87. Role of physiotherapy and rehabilitation in lower extremity fractures.(enumerate

on how to preserve muscle strength, prevent thromboembolism and limit
osteoporosis due to disuse)
88. Universal safety precautions. See Infection Manual published by C.M.C.H.
**************************************

Section III-
Family Medicine Text Books and Websites



Indian textbooks
• Family Medicine by C S MADGAONKAR- Jaypee publications

Family Medicine websites/Journals

www.aafp.org
www.fafp.org
www.mohfw.nic.in
www.stfm.com
www.wofd.com
Family practice management
Annals of family medicine
Journal of American board of family medicine
The medscope
Indian journal of clinical practice
Family medicine journal (Free)
BMC family practice (Free)
Middle east journal of family medicine (Free)
Asia pacific family medicine (Free)
Journal of family practice (Free)
Job Opportunities for Family Physician
Job opportunities- in hospitals, corporate.

Public health centers- urban and rural
Office practice-
- self
- group practice
Involve in / manage national health programmes
INDIAN COURSES
National board of Examinations- DNB family medicine- in various recognized

hospitals
FCGP- conducted by IMA’s college of GPs twice a year.
IMA Chattisgarh state branch- fellowship to GPs, certificate course, twice
yearly.
CMC Vellore- diploma in family medicine, 2 year course in partnership with
Mercy Mayo Hospital, USA.
Apollo Hospitals- diploma in family medicine, in association with royal collage
of general practioners,UK.
Annamalai university- PG diploma in health science in family medicine.
Dr MGR medical university- MD in family medicine.

What does a family physician do?
Care for people of both gender and all ages.

Diagnose and treat 90% of all patient problems, including biological and
mental health concerns.
Treat conditions of all organs systems rather than limiting their practice to
specific organ systems.
Treat the whole patient by taking into account all the medical, social and
mental health concern of the individual.
Practice disease prevention and health maintenance in addition to treating
illness.
**********
For updates or queries: [email protected]


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Family Medicine
Question Bank
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references for the National Board of
Examinations, New Delhi.

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[2008]

Mohamed Haroon Rashid

2 Question Bank| Dr Mohamed Haroon Rashid

3 Question Bank| Dr Mohamed Haroon Rashid

Dr Mohammed Haroon Rashid

4 Question Bank| Dr Mohamed Haroon Rashid

Introduction & National board of Examination----------------------------- 06

5 Question Bank| Dr Mohamed Haroon Rashid

T he specialty of Family Medicine is a discipline focused on the

DR. K. P. PARTHASARATHY on the importance of family practice as a discipline

6 Question Bank| Dr Mohamed Haroon Rashid

NATIONAL BOARD OF EXAMINATIONS

7 Question Bank| Dr Mohamed Haroon Rashid

BRIEF ON NATIONAL BOARD OF EXAMINATIONS

This information booklet is expected to provide the necessary information to

8 Question Bank| Dr Mohamed Haroon Rashid

DNB in Family Medicine (NEW REGULATIONS)

Family Medicine is defined as that specialty of medicine which is concerned with

1. Effective management of common diseases within the limited resources of family

2. Identification of complex health problems and their appropriate referral.

9 Question Bank| Dr Mohamed Haroon Rashid

5. Behavioral sciences related to family practice.

7. Domiciliary care and palliative care.

8. Conducting research, and submit it in the form of a dissertation.

9. Management of a wide range of common medical emergencies in the context of

11. Management, team work and leadership.

Knowledge and skills for life-saving procedures:

(2) Maternal and child health : prevention, screening , health education,

10 Question Bank| Dr Mohamed Haroon Rashid

Principles of anaesthesia: local, regional and intravenous sedation

(4) Paediatrics :Growth and development, infectious diseases, malnutrition,

(5) General Medicine:Initial management of all symptoms/health problems,

(6) Diseases of public health importance. e.g., - tuberculosis, leprosy,

Reproductive and sexual health problems including HIV/STD.

(9) Mental health problems in a community setting:Common psychological

(10) Orthopaedics :Reduction of simple fractures and dislocations, trauma

(11) Common ophthalmological problems, both curable and incurable.

(12) Common problems in otolaryngorhinology.

(13) Oral health: management of dental emergencies and preventive measures.

(14) Occupational health.

(15) Radiodiagnosis: Interpretation of x-rays, preparation for radiological and

(16) Hospital and practice management :Management science/organization,

(17) Basic epidemiology and clinical epidemiology.

(19) Behavioral and social sciences related to family medicine.

11 Question Bank| Dr Mohamed Haroon Rashid

(20) Research methodology – use of quantitative and qualitative research

(21) Critical appraisal of literature and evidence-based medicine.

The students are expected to acquire following skills :

(1) Anaesthesiology : endotracheal intubation; intravenous access (peripheral

(2) Medicine : cardio-pulmonary resuscitation (CPR) and advanced cardiac,

(3) Obstetrics & Gynaecology : conduction of normal delivery, making and

(4) Ophthalmology : funduscopy, removal of foreign bodies.

(5) Orthopaedics : splinting of fractures, reduction of simple fractures and

(6) Otolaryngorhinology : removal of foreign bodies from nose, syringing of ear,

(7) Paediatrics : resuscitation of the newborn; intraosseous infusions.

(8) Pathology : haemoglobin level, erythrocyte sedimentation rate, total and

12 Question Bank| Dr Mohamed Haroon Rashid

VI Eligibility criteria for candidates

Duration of Course – Full Time : 3 Years

VII INSTITUTIONS WHERE CANDIDATES CAN BE REGISTERED FOR

Internal Medicine including mental health : 10 months