FirstRanker Logo

FirstRanker.com - FirstRanker's Choice is a hub of Question Papers & Study Materials for B-Tech, B.E, M-Tech, MCA, M.Sc, MBBS, BDS, MBA, B.Sc, Degree, B.Sc Nursing, B-Pharmacy, D-Pharmacy, MD, Medical, Dental, Engineering students. All services of FirstRanker.com are FREE

📱

Get the MBBS Question Bank Android App

Access previous years' papers, solved question papers, notes, and more on the go!

Install From Play Store

Download RGUHS MBBS Final Year 2024 Feb 1037 Internal Medicine Paper I Rs 4 Previous Question Paper

Download RGUHS (Rajiv Gandhi University of Health Sciences) MBBS (Bachelor of Medicine and Bachelor of Surgery) 4th Year (Third Year Part II) 2024 Feb 1037 Internal Medicine Paper I Rs 4 Previous Question Paper

This post was last modified on 02 December 2024

FirstRanker.com

Rajiv Gandhi University of Health Sciences, Karnataka

MBBS Phase – III (PART II) (CBME) Degree Examination - 26-Feb-2024

Time: Three Hours Max. Marks: 100

INTERNAL MEDICINE – PAPER – I (RS-4)

--- Content provided by FirstRanker.com ---

QP CODE: 1037

(QP Contains Two Pages)

Your answers should be specific to the questions asked

Draw neat, labeled diagrams wherever necessary

LONG ESSAYS 2 x 10 = 20 Marks

--- Content provided by FirstRanker.com ---

  1. A 56-year-old gentleman, known case of hypertension and diabetes presented with history of exertional breathlessness since 1 month. On examination, jugular venous pulse was raised, there was bilateral pitting pedal edema and tender hepatomegaly. No history of asthma and COPD
    1. Discuss the probable diagnosis
    2. Describe the clinical features and outline the main pillars of pharmacological therapy in these patients.
  2. Define Cirrhosis of Liver. Discuss the etiology, clinical features and complications of Cirrhosis of Liver

SHORT ESSAYS 8 x 5 = 40 Marks

--- Content provided by FirstRanker.com ---

  1. A 65-year-old gentleman, known diabetic on treatment came with history of burning sensation of both upper limb and lower limb with decreased light touch sensation and loss of ankle reflexes. On investigations his fasting blood sugars were 200mg/dl and Hba1c was 10. Mention the possible diagnosis.
  2. Describe the acute and chronic complications of diabetes mellitus
  3. Discuss the Extra articular manifestations of Rheumatoid Arthritis
  4. Write a note on Clinical features and management of Hypothyroidism
  5. Write a note on Clinical features and management of organophosphorous poisoning
  6. --- Content provided by FirstRanker.com ---

  7. Define Acute coronary syndrome. Mention the classification of Acute coronary syndrome
  8. Describe the mechanism of action, types and adverse effects of drugs used in management of Dyslipidemia.
  9. Define Obesity and mention the measure adverse
  10. Discuss medico-legal and ethical issues aspects of assisted dying
  11. Define hypertensive Emergencies and Urgency
  12. --- Content provided by FirstRanker.com ---

SHORT ANSWERS

  1. Enumerate causes of Chronic Diarrhea.
  2. Enumerate the adverse effects of SGLT2 Inhibitors.
  3. Describe clinical features of BERI BERI
  4. Enumerate the treatment of hepatic encephalopathy.
  5. --- Content provided by FirstRanker.com ---

  6. Describe clinical features of envenoming by VIPERIDAE
  7. Enumerate the complications of ST SEGMENT ELEVATION MYOCARDIAL INFARCTION
  8. Enlist the etiologies of Atrial Fibrillation
  9. Describe the physiological mechanisms which prevent gastro-esophageal reflux.
  10. Enumerate the treatment of Irritable bowel syndrome.
  11. --- Content provided by FirstRanker.com ---

Multiple Choice Questions 10 x 1 = 10 Marks

  1. A 35-year-old man presented with palpitations and easy fatigability. After evaluation in the emergency ward, he was given injection Adenosine and he responded for the same. Of these, which arrhythmia is most likely the one for which he received the treatment
    1. Ventricular tachycardia
    2. A V blocks
    3. Supra ventricular tachycardia
    4. Ventricular Fibrillation
    5. --- Content provided by FirstRanker.com ---

  2. Which among the following is not a feature of Tetralogy of Fallot?
    1. Pulmonary Stenosis
    2. Ventricular septal defect
    3. Right Ventricular hypertrophy
    4. Aortic Stenosis
    5. --- Content provided by FirstRanker.com ---

  3. 35 year old lady presented to OPD with complaints of weight loss, diarrhea and dyspepsia. Blood investigations revealed iron deficiency anemia. Endoscopy done showed villous atrophy over duodenal and jejunal mucosa. What is the probable diagnosis?
    1. Coeliac disease
    2. Duodenal ulcer
    3. Gastric carcinoma
    4. Protein loosing enteropathy
    5. --- Content provided by FirstRanker.com ---

  4. Name the antidote used in benzodiazepine poisoning
    1. Naloxone
    2. Atropine
    3. Sodium thiosulphate
    4. Flumazenil
    5. --- Content provided by FirstRanker.com ---

  5. A known case of rheumatic heart disease complains of fever for 30 days. On examination, she had tachycardia pallor and grade 2 clubbing and had a pan-systolic murmur at the apex. What could be the likely diagnosis?
    1. Acute Myocardial infarction.
    2. Infective endocarditis
    3. Acute Pericarditis
    4. Dissection of Aorta
    5. --- Content provided by FirstRanker.com ---

  1. 40 year old male came to medicine OPD for general health checkup and was found to be hypertensive. On further evaluation he was found to have B/L renal artery stenosis. Which antihypertensive should be avoided in above case?
    1. Nifedipine
    2. Enalapril
    3. Furosemide
    4. Metoprolol
    5. --- Content provided by FirstRanker.com ---

  2. A male patient with tall stature, lean habitus small testes, gynecomastia and azoospermia was being evaluated for a cardiovascular disease. With the above signs a karyotyping was also done what is the most likely karyotype in this patient.
    1. 45 X0
    2. 47 XXY
    3. 45 XXY
    4. 47 X0
    5. --- Content provided by FirstRanker.com ---

  3. A 36 year old male patient was being evaluated for weakness of limbs and was diagnosed to have Pure motor Neuropathy. Which among the following heavy metal poisoning can result in motor neuropathy
    1. Lead
    2. Aluminum
    3. Arsenic
    4. Cadmium
    5. --- Content provided by FirstRanker.com ---

  4. A 60-year-old female hypertensive was evaluated and found to have grade 1 hypertensive retinopathy changes. Which retinal change is suggestive of the above?
    1. Macular edema
    2. Vitreal haemorrhages
    3. Silver wiring
    4. Cotton wool exudates
    5. --- Content provided by FirstRanker.com ---

  5. A 30 year old male with no prior comorbidities presented with complaints of recurrent headache, palpitations and sweating. On examination he was found to have high BP recordings. Further investigations revealed high urinary metanephrines. What is the likely diagnosis?
    1. Phaeochromocytoma
    2. Congenital adrenal hyperplasia
    3. Primary hyperaldosteronism
    4. Cushing's Syndrome
    5. --- Content provided by FirstRanker.com ---

FirstRanker.com


--- Content provided by FirstRanker.com ---