SS/MBBS-III (Part-1)/1st IA/MED/07-24
2024
(July)
MEDICINE
Full Marks: 100
The figures in the margin indicate full marks for the questions
Answer all questions
1. Enumerate the causes of hyperthyroidism. Describe the clinical features and
investigations in a case of Grave's Disease. How will you treat a case of Grave's
2. What is Metabolic Syndrome? Discuss the lipid lowering agents and
management of dyslipidaemia. 5+5+5=15
3. A 45 year old male patient has come to the emergency room with history of
shortness of breath. He is a known hypertensive on irregular medications. In
and bibasilar rales and left ventricular gallop rhythm. 1+4+5=10
a) What is your diagnosis?
b) What are the investigations you will advise?
c) Outline the management of this case.
a) Refractory hypertension.
b) Role of dyslipidaemia in pathogenesis of atherosclerosis.
c) Indications of parenteral nutrition.
d) Importance of glycaemic index of food.
f) Methods of nutritional assessment in adults.
g) Iodination Program of Govt of India.
h) Complications of atherosclerosis.
5. Answer briefly: 2?5=10
is 160 mg/dl. Name the drug you would like to prescribe for lipid abnormality.
What is the target LDL level in the patient?
b) A patient has been prescribed RHEZ regime for tuberculosis. Two weeks
later, he attends the DOT centre with jaundice. Name the drug(s) which might
c) A patient has presented with red, scaly papules with well-defined edges on
the scalp, elbows and knees with mild itching. What is the likely diagnosis?
Name the bedside test to confirm your diagnosis.
d) Two symptoms of niacin deficiency.
6. Choose the correct option: 1?5=5
i. Normal PR interval is
a) 0.120.20 sec
b) 0.14 -0.4 sec
d) 0.15-0.8 sec
ii. BMI is calculated as
a) weight in kg/height in m2
b) weight in gm/height in m2
d) weight in kg/height in m
iii. All of the following are causes of secondary hypertension except
a) polycystic kidney disease
b) pregnancy
d) pancreatitis
iv. The antibody detected in Grave's Disease is
a) thyroid stimulating hormone receptor antibodies (TSHR Ab)
b) thyroglobulin antibody
d) anti CCP antibodies
v. Nutritional assessment in adults includes all of the following except
a) anthropometric assessment
b) dietary assessment
d) mental assessment
7. Roles of IMG (Indian Medical Graduate). 5
***
SS/MBBS-III (Part-I)/1st IA/MED/07-24
2024
(July)
MEDICINE
Full Marks: 100
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Time: 3 hoursThe figures in the margin indicate full marks for the questions
Answer all questions
1. Enumerate the causes of hyperthyroidism. Describe the clinical features and
investigations in a case of Grave's Disease. How will you treat a case of Grave's
--- Content provided by FirstRanker.com ---
disease? 2+4+4+5=152. What is Metabolic Syndrome? Discuss the lipid lowering agents and
management of dyslipidaemia. 5+5+5=15
3. A 45 year old male patient has come to the emergency room with history of
shortness of breath. He is a known hypertensive on irregular medications. In
--- Content provided by FirstRanker.com ---
the ER his BP is 210/110 mm of Hg with a pulse rate of 110/min, SpO2 of 80%and bibasilar rales and left ventricular gallop rhythm. 1+4+5=10
a) What is your diagnosis?
b) What are the investigations you will advise?
c) Outline the management of this case.
--- Content provided by FirstRanker.com ---
4. Write short notes on: 5?8=40a) Refractory hypertension.
b) Role of dyslipidaemia in pathogenesis of atherosclerosis.
c) Indications of parenteral nutrition.
d) Importance of glycaemic index of food.
--- Content provided by FirstRanker.com ---
e) Modifiable and non-modifiable risk factors of obesity.f) Methods of nutritional assessment in adults.
g) Iodination Program of Govt of India.
h) Complications of atherosclerosis.
5. Answer briefly: 2?5=10
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a) A patient has been admitted with acute myocardial infarction. His LDL levelis 160 mg/dl. Name the drug you would like to prescribe for lipid abnormality.
What is the target LDL level in the patient?
b) A patient has been prescribed RHEZ regime for tuberculosis. Two weeks
later, he attends the DOT centre with jaundice. Name the drug(s) which might
--- Content provided by FirstRanker.com ---
have caused jaundice in this patient.c) A patient has presented with red, scaly papules with well-defined edges on
the scalp, elbows and knees with mild itching. What is the likely diagnosis?
Name the bedside test to confirm your diagnosis.
d) Two symptoms of niacin deficiency.
--- Content provided by FirstRanker.com ---
e) Two causes of atrial fibrillation.6. Choose the correct option: 1?5=5
i. Normal PR interval is
a) 0.120.20 sec
b) 0.14 -0.4 sec
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c) 0.11 -0.6 secd) 0.15-0.8 sec
ii. BMI is calculated as
a) weight in kg/height in m2
b) weight in gm/height in m2
--- Content provided by FirstRanker.com ---
c) weight in pounds/height in cm2d) weight in kg/height in m
iii. All of the following are causes of secondary hypertension except
a) polycystic kidney disease
b) pregnancy
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c) coarctation of aortad) pancreatitis
iv. The antibody detected in Grave's Disease is
a) thyroid stimulating hormone receptor antibodies (TSHR Ab)
b) thyroglobulin antibody
--- Content provided by FirstRanker.com ---
c) anti Sm antibodyd) anti CCP antibodies
v. Nutritional assessment in adults includes all of the following except
a) anthropometric assessment
b) dietary assessment
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c) biochemical assessmentd) mental assessment
7. Roles of IMG (Indian Medical Graduate). 5
***
SS/MBBS-III (Part-I)/1st IA/MED/07-24
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