Download RGUHS (Rajiv Gandhi University of Health Sciences) MBBS (Bachelor of Medicine and Bachelor of Surgery) 4th Year (Third Year Part II) 2024 May 1038 Internal Medicine Paper II Rs 4 Previous Question Paper
Rajiv Gandhi University of Health Sciences, Karnataka
MBBS Phase ? III (PART II) (CBME) Degree Examination - 30-May-2024
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
Draw neat, labeled diagrams wherever necessary
LONG ESSAYS
2 x 10 = 20 Marks
1.
50-year-old gentleman presented with sudden onset of weakness of right upper and lower
limb. He had deviation of mouth to left side. On examination, he was unable to speak and
power in right upper and lower limb was 2/5 and extensor plantar reflex on right side.
a) Discuss the diagnosis, etiopathogenesis and management of this condition?
2.
Describe the etiology, clinical features, management, and complications of Falciparum
Malaria.
SHORT ESSAYS
8 x 5 = 40 Marks
3. 1. Discuss the clinical features, and management of Bronchial asthma.
4. 2. Describe the clinical feature and management of pulmonary tuberculosis.
5. 3. Discuss the etiology, clinical features, and management of Polycystic kidney disease.
6.
A 40-year-old gentleman presented with fatigue and generalized weakness for 4 months.
His hemoglobin was 6 gram/dL, mean corpuscular volume was 106 fL, leucocyte count, and
platelet count were normal. He had knuckle pigmentation. What is the likely diagnosis?
Describe the management of this condition.
7.
Describe the ECG changes and management of Hyperkalemia.
8.
Discuss the causes and prevention of falls in elderly.
9.
Describe the clinical features and management of Steven Johnson syndrome.
10. Describe the clinical features and management of schizophrenia.
SHORT ANSWERS
10 x 3 = 30 Marks
11. Discuss the clinical features of leprosy.
12. Discuss post exposure prophylaxis of HIV.
13. List the causes of chronic kidney disease.
14. Enumerate the causes of metabolic acidosis.
15. Describe the treatment of trigeminal neuralgia.
16. Enumerate the clinical signs of lobar pneumonia.
17. Describe the management of Alcohol dependence syndrome.
18. Enlist dermatological manifestations of internal malignancies.
19. Enlist the radiological features of Emphysema.
20. Discuss the treatment of depression.
Multiple Choice Questions
10 x 1 = 10 Marks
21 i) A 50-year-old gentleman had a long flight of 16 hours. Following the journey, he had
developed swelling of right leg, sudden onset breathlessness. Which of the following is the
first line diagnostic test for this condition?
A. High resolution CT scan of chest
B. CT Pulmonary angiography
C. Bronchoscopy
D. Trans-bronchial Lung Biopsy
21 ii
) Which of the following is a prion disease?
Page 1 of 2
QP CODE : 1038
Rajiv Gandhi University of Health Sciences, Karnataka
A. Creutzfeldt-Jakob disease
B. Huntington's chorea
C. Menke's kinki hair disease
D. Steel Richardson's syndrome
21 ii
i) Antibodies to glomerular basement membrane are seen in which of the following
condition?
A. Good pasture's syndrome
B. Membranous nephropathy
C. Wegener's granulomatosis
D. Churg Strauss disease
21 iv)
Which of the following drug is used in the treatment of Pneumocystis jirovecii pneumonia?
A. Doxycycline
B. Co-trimoxazole
C. Amoxicillin
D. Azithromycin
21 v)
A 50-year-old gentleman presented with progressive ascending paralysis of all the four
limbs for 3-4 days. On examination he had bilateral lower motor neuron type facial
paralysis. Which among the following is the preferred treatment?
A. Glucocorticoids
B. Streptokinase
C. Immunoglobulins
D. Aspirin + Statins
22 i) Which of the following vaccines should be offered to patients of COPD?
A. Meningococcal vaccine
B. Pneumococcal vaccine
C. Zoster vaccine
D. Typhoid vaccine
22
ii) "Red cell casts" are characteristic of which of the following conditions?
A. Acute glomerular nephritis
B. Chronic kidney disease
C. Nephrotoxic acute tubular necrosis
D. Interstitial nephritis
22 iii) A 25 year old lady presented with a cough with expectoration for 3 years. On examination
she had grade 3 clubbing. Chest examination revealed coarse leathery crepitations in right
intrascapular areas. Which of the following is a likely diagnosis?
A. COPD
B. Pulmonary tuberculosis
C. Bronchiectasis
D. Bronchial Asthma
22 iv)
"Koplick's spot" are seen in which of the following condition?
A. Rubella
B. Measles
C. Mumps
D. Dengue fever
22 v)
Which of the following anti-tubercular drugs can cause optic neuritis?
A. Isoniazid
B. Rifampicin
C. Pyrazinamide
D. Etham
butol
*****
Page 2 of 2
This post was last modified on 02 December 2024