Download MBBS Final Year 2024 March 526082 General Medicine Paper II Theory Question Paper

[MBBS 0324]

MARCH 2024

Sub. Code: 6082

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M.B.B.S. DEGREE EXAMINATION

(For the candidates admitted from the Academic Year 2019-2020)

THIRD PROFESSIONAL PART II - (CBME)

PAPER II - GENERAL MEDICINE

Q.P. Code: 526082

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Time: Three hours

Maximum: 100 Marks (80 Theory + 20MCQs)

Answer all the Questions in the same Answer Booklet under separate headers Section A and Section B

SECTION - A

I. Elaborate on: (3+2+3+5+2=15)

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1. A 56 year old man presents to the Emergency Room with altered sensorium. On probing the history, his wife gave history that patient had an alcoholic binge the previous day following which patient had a massive bout of haematemesis and altered sensorium. He is a known case of chronic liver disease for the past few years on irregular medication and follows up. On Examination his Glasgow Coma Scale was 3/15, with Pulse Rate of 120/min, and Blood pressure of 80/50mmHg and on systemic examination, shifting dullness present and Plantar reflex was extensor response bilaterally.
   1. What is the complete diagnosis?
   2. What are the other precipitants that can cause altered sensorium in the given clinical condition?
   3. What is the pathogenesis leading to altered sensorium?
   4. How to manage the patient?
   5. What prophylaxis should the patient be given and what advice is given to the patient on recovery?

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II. Write notes on: (5 x 5 = 25)

1. Enumerate the causes, clinical features and management of Reactive Arthritis.
2. Acute and long term Treatment of Myasthenia Gravis.
3. DMRDs (Disease Modifying Anti Rheumological Drugs).

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4. Neurological manifestations of Vitamin B12 deficiency.
5. What is the pathogenesis of Anaemia of Chronic Disease? What are the investigations to differentiate Anaemia of chronic disease from iron deficiency anaemia?

SECTION - B

I. Elaborate on: (2+3+4+4+2=15)

1. A 20 year old female is brought to the hospital with history of avoidance of eating food. Her mother also gives history that the patient has binge eating, purging, does excessive exercise and has lost weight considerably. On Examination her Body Mass Index was 16.5kg/m².
   1. What is the probable diagnosis?

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   2. What is the Diagnostic Criteria for this condition?
   3. What are the medical consequences of this condition?
   4. How to manage this condition?
   5. What is the prognosis of this condition?

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II. Write notes on: (5 x 5 = 25)

1. A 30 year old male is tested positive for Human Immunodeficiency Virus (HIV). How to communicate it to the patient and counsel him post test?
2. Clinical features of secondary syphilis.
3. Management of Acute severe asthma.
4. Clinical features of Miliary Tuberculosis.

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5. Enumerate the clinical features and Management of Rosacea.

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