Q.P. Code: 305001                                                  Reg. no.: ………………… 
Third
Professional MBBS (Part II) Degree Supplementary Examinations, 
September
2015 
General Medicine – I
Time: 3 Hours                                                                                                   Total Marks: 60 
•     
Answer all questions 
•     
Draw diagrams wherever necessary 
Essay: 
         (2x1=20) 
1.   
52 years old male who is a chronic smoker having cough
with expectoration and breathlessness comes to outpatient department with
weakness and swelling of legs for last one week.  On examination JVP is elevated and right
ventricular third heart sound heard and there is tender hepatomegaly. Answer
the following: 
- What is your diagnosis.
 - How are you going to investigate.
 - Discuss the management.
 - What are the complications. (2+2+3+3=10)
 
2.   
30 years old man comes to casualty with high fever,
chills and rigors, vomiting and headache and altered sensorium for two days. On
examination the patient is febrile, irritable and presence of signs of
meningeal irritation.  CSF shows
predominant polymorphs with increased protein and decreased sugar.   Answer the following: 
- What is your diagnosis.
 - What are the other investigations you want to do.
 - How you are going to treat this patient.
 - What are the complications
 
(2+3+3+2=10)  
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Short notes:  
3.   
  Genetic counselling.  
4.   
  Clinical features of nephrotic syndrome.  
5.   
  Name four diseases caused by sex linked disorder.  
6.   
  Name four clinical features of Down’s syndrome.   
7.   
  HLA associated diseases.  
8.   
  Smoking and health hazards.  
9.   
  Pellagra.  
10. Indications
  for haemodialysis in acute renal failure.  
11. Sildenafil
  uses.  
12. Bence
  Jones proteinuria.  
13. Hepatic
  encephalopathy  
14. List
  emergency complications of acute glomerular nephritis.  
15. List
  risk factors for acute myocardial infarction.  
16. Features
  of Fallot’s tetralogy.  
17. List
  causes for irregularly irregular pulse.  
18. Hepato-jugular
  reflux.  
19. Non
  cardiac causes of pulmonary edema.  
20. Uses
  of rifampicin.  
21. Features
  of Horner’s syndrome.  
22. Helicobacter
  pylori eradication regimen.   
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(20x2=40)  
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