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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