Download RUHS MBBS 4th Year 2024 January General Medicine Paper I Question Paper

04-01-2024

III-MBBS (Part-II)

RUHS

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1411A1+1411A2

Third Professional M.B.B.S. Part-II (Main) Examination

January 2024

General Medicine

Paper-I

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Time: Three Hours

Maximum Marks: 100

Attempt all questions in both sections.

Section-A

1. Fill in the blanks: 6 x 1 = 06
   1. The genetic mutation associated with Wilsons disease is ......

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   2. The vasculitis most commonly associated with Hepatitis B is ......
   3. Earliest ECG change in myocardial infarction is ......
   4. Type of renal tubular acidosis associated with hyperkalcemia is ......
   5. Drug of choice in Paroxysmal Supraventricular Tachycardia is ......
   6. The site of lesion in inter-nuclear ophthalmoplegia is ......

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2. Answer the following: 4 x 1 = 04
   1. What is the definitive diagnostic test of typhoid fever?
      1. Widal test
      2. Typhidot
      3. Latex agglutination test
      4. Isolation of the organism in culture

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   2. The most effective and practical test to objectively monitor bronchial asthma is:
      1. Spirometry
      2. Peak flow meter
      3. Dyspnea visual analog scale
      4. Structured serial questionnaire

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   3. The following findings are consistent with iron deficiency anemia, EXCEPT:
      1. Low serum ferritin level
      2. Low mean corpuscular volume
      3. Low total iron binding capacity
      4. Prussian blue staining

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   4. All of the following findings support the diagnosis of Addison's disease, EXCEPT:
      1. Hyponatremia
      2. Hyperkalemia
      3. Hypertension
      4. Hyperpigmentation

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3. A patient come at hospital emergency department with following complain of right side chest pain, shortness of breath with sweating and past history of coronary artery disease: 3 x 5 = 15
   1. What is the most likely diagnosis?
   2. What is investigation you need for confirmation diagnosis?
   3. What are the complications and the management of the disease?

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4. Write briefly on (Any Five). 5x2=10
   1. Treatment of chronic hepatitis B.
   2. Complication of chronic renal failure.
   3. Write down CSF findings of viral meningitis.
   4. Describe and management of acute rheumatic fever.

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   5. Describe Pseudo-hypoparathyroidism.
   6. Describe and management of malignant hypertension.
5. Write briefly on (Any Three). 3x5=15

Section-B

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6. A 20 years old male present at hospital casualty with following complain of altered sensorium, Kussmaul breathing past history of polyphagia, polyuria, polydipsia. 4 x 5 = 20
   1. What important physical conditions to be checked in emergency department?
   2. What is probable diagnosis?
   3. What are investigation needs for confirmation diagnosis?
   4. Management of disease.

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7. Write briefly on (Any Five). 5x2=10
   1. Describe chronic non-infectious causes of diarrhea disease.
   2. Treatment of migraine headache.
   3. Pathophysiology of splenomegaly.
   4. Management of celiac disease.
   5. Management of acute gouty arthritis.

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   6. Write down diagram of circle of Willis and branches.
8. Write shorts notes on. 4x5=20
   1. What is AT-COM and describe the steps of counsel patient death to the relatives.
   2. Describe and management of myasthenia gravis.
   3. Acute and chronic blood transfusion reaction.

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   4. Primary Sjogren Syndrome.

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