Download RGUHS MBBS Final Year 2024 Feb 1038 Internal Medicine Paper II Rs 4 Previous Question Paper

OP CODE : 1038

Rajiv Gandhi University of Health Sciences, Karnataka

MBBS Phase – III (PART II) (CBME) Degree Examination - 28-Feb-2024

Time: Three Hours

Max. Marks: 100

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

INTERNAL MEDICINE – PAPER – II (RS-4)

QP CODE: 1038

(QP Contains Two Pages)

Your answers should be specific to the questions asked

Draw neat, labeled diagrams wherever necessary

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

LONG ESSAYS 2 x 10 = 20 Marks

1. 35 year lady, with no comorbidities is brought to Emergency room with weakness of left half of the body since 1 day

   1. Discuss the differential diagnosis
   2. Describe the management

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

2. 50 year old man with no comorbidities comes to Emergency room with cough and fever since 5 days, expectoration since 2 days, dyspnea since 1 day. On examination he is febrile, respiratory rate is 30/min, BP is 80/60 mm Hg, SpO2 is 80 percent with room air, Respiratory system examination reveals bronchial breathing in right infrascapular area

   1. Discuss the diagnosis
   2. Describe the management
   3. Describe the CURB 65 criteria

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

SHORT ESSAYS 8 x 5 = 40 Marks

3. Describe the clinical features and management of Weil's disease
4. Describe the GOLD's criteria and management of chronic bronchitis
5. Describe and discuss relationship between CD4 count and risk of opportunistic infection in HIV
6. Define and Classify Pyrexia of unknown origin. Enumerate the causes.

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

7. Discuss various tests for iron deficiency anemia and its interpretation
8. Describe the differences between Acute Kidney Injury and Chronic Kidney Disease
9. Describe clinical features and management of Steven Johnson syndrome
10. Describe the clinical features and management of Depression

SHORT ANSWERS 10 x 3 = 30 Marks

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

11. Enumerate the red flags in headache
12. Enumerate the respiratory causes of clubbing
13. Describe the treatment of Urinary tract infections
14. Describe management and rehabilitation of degenerative joint disease in elderly
15. Enumerate the ethical issues in care of elderly

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

16. Describe the treatment of tension type headache
17. Describe aetiopathogenesis of HIV related malignancies
18. Enumerate the indications of lumbar puncture
19. Describe the environmental factors causing malignancy
20. Enumerate the drugs used in MDR tuberculosis

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

OP CODE : 1038

Rajiv Gandhi University of Health Sciences, Karnataka

Multiple Choice Questions 10 x 1 = 10 Marks

21. i) All are risk factors for suicide EXCEPT
    1. Unemployment
    2. Drug or alcohol misuse

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

    3. Female sex
    4. Chronic physical ill health
22. ii) All these are somatoform disorders EXCEPT
    1. Chronic fatigue syndrome
    2. Somatoform autonomic dysfunction

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

    3. Dissociative conversion reaction
    4. Eating disorders
23. iii) Circulating immune complexes causing glomerulonephritis are all EXCEPT
    1. Cryoglobulinemia
    2. Serum sickness

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

    3. Endocarditis
    4. Tuberculosis
24. iv) Which of the following is NOT a Red flag symptom of malignancy?
    1. Unexplained weight loss
    2. Change in bowel habit

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

    3. Fever
    4. Bone pain
25. v) Cause of pruritus in pregnancy are all EXCEPT
    1. Acute cholestasis of pregnancy
    2. Pemphigoid gestation

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

    3. Polymorphic eruption
    4. Porphyria
26. i) Features of intravascular hemolysis are all EXCEPT
    1. Unconjugated hyperbilirubinemia
    2. Reticulocytosis

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

    3. Increased methaemalbumin
    4. Increased haptoglobin
27. ii) Which of the following Factor does NOT suggest panic disorder?
    1. Hyperventilation
    2. Hypoventilation

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

    3. Agoraphobia
    4. Paresthesias in fingers
28. iii) Cause of intra cerebral haemorrhage are all EXCEPT
    1. AV malformations
    2. Amphetamine

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

    3. Coagulopathy
    4. Atrial fibrillation
29. iv) Chronic non pulmonary complications of pulmonary tuberculosis are all EXCEPT
    1. Empyema necessitans
    2. Enteritis

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

    3. Anorectal disease
    4. Pharyngitis
30. v) Tremors are NOT caused by
    1. Theophylline
    2. Caffeine

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

    3. Primidone
    4. Lithium

*****

FirstRanker.com

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