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Sunday 7 January 2018

GENERAL MEDICINE PAPER 2- SEPTEMBER 2016- 4TH MBBS KUHS


Q.P. Code: 306001                             Reg. no.: …………………
Third Professional MBBS (Part II) Degree Supplementary Examinations,
September 2016
General Medicine – II
(General Medicine including Dermatology, Psychiatry and Radio Diagnosis)
Time: 3 Hours                                          Total Marks: 60
• Answer all questions
• Draw diagrams wherever necessary

Essay: (2x10=20)

1. A 23 years old woman who is 34 weeks pregnant who came to emergency department
after taking 28 paracetamol (500mg) tablets two hours ago. Answer the following
  • What are your differential diagnoses.
  • What are the toxic effects paracetamol.
  • What are its complications
  • How do you treat. (2+2+3+3=10)

2. A 65 years old woman comes with general malaise, tiredness since six months and two
months history of shortness of breath on moderate exertion. She c/o, sore tongue, pins
and needles sensation in her feet. Her blood smear shows macrocytic anemia and
thrombocytopenia. Answer the following

  • What are your differential diagnosis
  • What further investigations you do.
  • Describe the peripheral and bone marrow picture of megaloblastic anemia.
  • How do you treat. (2+2+3+3=10)

Short notes: (20x2=40)

3. Mention causes of miliary mottling, in chest x-ray PA
4. Urticaria
5. Treatment of Scabies
6. Hypothyroidism
7. Hypochromic microcytic anemia
8. Clinical features of CREST syndrome.
9. Cerebral malaria
10. Complications of ulcerative colitis.
11. Side effects of insulin therapy
12. Antipsychotic drugs
13. Radiological features of mitral stenosis in chest x-ray
14. Psoriasis
15. Falls in elderly
16. Adjustment disorder
17. Alpha-Fetoprotein.
18. Traveller’s diahorrea.
19. Antimalarial drugs.
20. Modes of transmission of HIV.
21. Steven Johnson syndrome
22. Treatment of leptospirosis.