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

06-01-2024

1411A3+1411A4

III-MBBS (Part-II)

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

RUHS

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

January 2024

General Medicine

Paper-II

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

Time: Three Hours

Maximum Marks: 100

Attempt all questions in both sections.

Section-A

1. Fill in the blanks: 6x1=6
   1. Most common cause of lung malignancy in smokers ......

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

   2. Cause of black water fever is ......
   3. False localizing sign involve cranial nerve ......
   4. Most common cause of rheumatic fever in IV drug abusers is ......
   5. Which wave is prominent in hyperkalemia in ECG ......
   6. Neurotoxic Poisonous Snake name is ......

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

2. Answer the following: 4x1=4
   1. The pathogens responsible for Chagas disease is spread by which of the following insect vectors?
      1. Anopheles mosquito ______
      2. Common louse ______
      3. Deer tick ______
      4. Reduviid bug ______

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

   2. In which of the following conditions would non-invasive mechanical ventilation considered to be contraindicated?
      1. Acute exacerbation of COPD ______
      2. Acute hypoxemic respiratory failure in an individual with acute respiratory distress syndrome ______
      3. Acute myocardial infarction ______
      4. Decompensated systolic heart failure without acute myocardial ischemia ______

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

   3. In an HIV infected patient, Cryptosporidium infection is associated with which of the following?
      1. Blood diarrhea ______
      2. Severe diarrhea fulminant syndrome ______
      3. Liver abscess ______
      4. Pneumonia ______

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

   4. All of the following disease are associated with gastric acid hyper secretion EXCEPT:
      1. G-cell hyperplasia ______
      2. Duodenal ulcers ______
      3. Pernicious anemia ______
      4. Zollinger Ellison Syndrome ______

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

3. A 70 years old age admitted patient in ward for right leg swelling, suddenly deteriorate with shortness of breath, tachycardia and blood pressure po recordable:
   1. What is the most likely diagnosis? 05
   2. What is investigation you need for confirmation diagnosis? 05
   3. What are the complications and the management of the disease? 05

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

4. Write briefly on (Any Five). 5x2=10
   • Treatment of acute exacerbation of COPD.
   • A COVID - 19 Pneumonia.
   • Acute porphyria.
   • Management of Vasculotoxic snake envenomation.

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

   • Describe different stages of diabetic retinopathy and its findings.
5. Differentiate between/ Explain why? (Any Three). 3x5=15
   1. GOLD guideline.
   2. Pathophysiology and management of Rheumatoid Arthritis.
   3. Pentology of Fallot (POF).

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

   4. Pathology of Celphos poisoning and management.
6. Write short notes on. 4x5=20
   1. Clinical types of Psoriasis and describe chronic plaque Psoriasis.
   2. Lab diagnosis of primary syphilis.
   3. Pathophysiology of acne and management.

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

   4. Ridley Jopling classification and describe borderline tuberculoid Hansen's disease.
7. Write briefly on (Any Five). 5x2=10
   • Chemoprophylaxis for contacts of pulmonary tuberculosis.
   • Oxygen therapy for obstructive airway disease at home.
   • Genetics of alpha 1 antitrypsin deficiency in emphysema.

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

   • Allergic and non-allergic precipitants of bronchial asthma.
   • Vaccine in COPD.
   • Treatment of multi drug resistant tuberculosis.
8. Write short notes on. 4x5=20
   1. Etiology and management of intellectual development disorders.

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

   2. Mechanism of action & side effects of antipsychotics.
   3. Non-pharmacological management of depression.
   4. Management of Psychosomatic disorders.

***

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

FirstRanker.com