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

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Time: Three Hours Max. Marks: 100

INTERNAL MEDICINE – PAPER – II (RS-4)

QP CODE: 1038

(QP Contains Two Pages)

Your answers should be specific to the questions asked

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Draw neat, labeled diagrams wherever necessary

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

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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

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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

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6. Define and Classify Pyrexia of unknown origin. Enumerate the causes.
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

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SHORT ANSWERS 10 x 3 = 30 Marks

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

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15. Enumerate the ethical issues in care of elderly
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

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20. Enumerate the drugs used in MDR tuberculosis

Multiple Choice Questions 10 x 1 = 10 Marks

21. All are risk factors for suicide EXCEPT
    1. Unemployment
    2. Drug or alcohol misuse
    3. Female sex

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    4. Chronic physical ill health
22. All these are somatoform disorders EXCEPT
    1. Chronic fatigue syndrome
    2. Somatoform autonomic dysfunction
    3. Dissociative conversion reaction

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    4. Eating disorders
23. Circulating immune complexes causing glomerulonephritis are all EXCEPT
    1. Cryoglobulinemia
    2. Serum sickness
    3. Endocarditis

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

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

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    4. Porphyria

22. Features of intravascular hemolysis are all EXCEPT
    1. Unconjugated hyperbilirubinemia
    2. Reticulocytosis
    3. Increased methaemalbumin

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    4. Increased haptoglobin
23. Which of the following Factor does NOT suggest panic disorder?
    1. Hyperventilation
    2. Hypoventilation
    3. Agoraphobia

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    4. Paresthesias in fingers
24. Cause of intra cerebral haemorrhage are all EXCEPT
    1. AV malformations
    2. Amphetamine
    3. Coagulopathy

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    4. Atrial fibrillation
25. Chronic non pulmonary complications of pulmonary tuberculosis are all EXCEPT
    1. Empyema necessitans
    2. Enteritis
    3. Anorectal disease

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    4. Pharyngitis
26. Tremors are NOT caused by
    1. Theophylline
    2. Caffeine
    3. Primidone

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    4. Lithium

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