Download SSUHS MBBS 3rd Year 2024 July Medicine Question Paper

SS/MBBS-III (Part-1)/1st IA/MED/07-24
2024
(July)
MEDICINE
Full Marks: 100

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Time: 3 hours
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

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disease? 2+4+4+5=15
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

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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.

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4. Write short notes on: 5?8=40
a) Refractory hypertension.
b) Role of dyslipidaemia in pathogenesis of atherosclerosis.
c) Indications of parenteral nutrition.

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d) Importance of glycaemic index of food.

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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 level
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

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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.

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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 sec

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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

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c) weight in pounds/height in cm2
d) 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 aorta
d) pancreatitis
iv. The antibody detected in Grave's Disease is
a) thyroid stimulating hormone receptor antibodies (TSHR Ab)
b) thyroglobulin antibody

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c) anti Sm antibody
d) 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 assessment
d) mental assessment

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7. Roles of IMG (Indian Medical Graduate). 5
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SS/MBBS-III (Part-I)/1st IA/MED/07-24

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