Friday, 2 March 2018

GENERAL MEDICINE PAPER 1- FEBRUARY 2018- 4TH MBBS KUHS


                               

                              Q.P. Code: 305001                             Reg. no.: …………………
Third Professional MBBS (Part II) Degree Supplementary Examinations,
February 2018
General Medicine – I
Time: 3 Hours                                          Total Marks: 60
• Answer all questions
• Draw diagrams wherever necessary

Essay: (2 x 10 =20)

1.A 20 years young female presented with history of fever, poly arthralgia, facial puffiness, pedal edema and decreased urine output. On examination she has malar rash over the cheek, anasarca and B.P. 150/100 mm Hg. Answer the following.
  • What Is your likely diagnosis
  • How will you confirm the diagnosis
  • How will you treat the disease
  • What are the complications of the disease (2+3+3+2)

2. A 45 years old man who is a chronic alcoholic presents with the history of tarry black stools and fresh blood vomiting since 2 days. On examination he is ill looking, pale and has tachycardia. He has ascites but no palpable spleen. His blood pressure is 90/60 mm Hg. Answer the following:
  • What is your likely diagnosis
  • What steps should be taken immediately in the management
  • How will you treat this condition
  • What are the complication of this condition (2+3+3+2)


Short notes: (20x2=40)

3. Scurvy.
4. ADPKD (autosomal dominant polycystic kidney disease)
5. Anti-snake venom

6. Microbiota
7. Neuro cardiogenic syncope.
8. Liver function tests.
9. Clinical features of Eisenmenger's syndrome
10. Diagnosis of obstructive sleep apnea.
11. Treatment of acute inflammatory demyelinating polyneuropathy (AIDP).
12. Newer antiepileptic drugs.
13. Clinical features of Conn's syndrome.
14. Muscarinic manifestation of organophosphorus compound poisoning.
15.Syndrome of inappropriate ADH secretion
16.Amiodarone
17.Scrub typhus.
18. Modified Paine's criteria of leptospirosis.
19. Benign increased intracranial tension (ICT)
20. Common migraine.
21.Diagnosis of osteomalacia.
22.Jones criteria of rheumatic fever.