Download VNSGU MBBS 4th Year RAN 2406000104010502 General Medicine Paper II Apr 2025 Question Paper

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RAN-2406000104010502
Third Year MBBS Part II (New Style) Examination April - 2025
General Medicine (Paper - II)

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Time: 3 Hours ]
[ Total Marks: 100
k|Q"p : / Instructions
(1) "uQ? v$ip?h?g r"ip"uhpmu rhNsp? D?fhlu `f Ah?e gMhu.
Seat No.:

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Fill up strictly the details of signs on your answer book
Name of the Examination:
Third Year MBBS Part II (New Style)
Name of the Subject :
General Medicine (Paper - II)

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Subject Code No.: 2406000104010502
Student's Signature
Section 1
Q. 1.
Long essay type questions (Any 2 out of 3)

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20
1. A 25-year-old female presents with tonic and clonic generalised seizure.
Classify seizures, investigation and management of grandmal epilepsy.
2. Describe the clinical presentation, complications, and management of
acute gastroenteritis in adults. Explain the role of rehydration therapy,

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including oral and intravenous fluids.
3. Explain the pathophysiology, stages, and treatment options for chronic
kidney disease.
Q. 2.
Answer in brief (Any 3 out of 4)

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12
1. Signs and symptoms of hyperthyroidism.
2. Etiology and risk factors for ischemic heart disease.
3. Common causes of fever of unknown origin (FUO).
4. Differences between Type 1 and Type 2 diabetes mellitus.

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Q. 3.
Reasoning type questions/short notes/applied aspects (Any 9 out of 10) 18
1. Initial management of acute severe asthma.
2. Common causes of metabolic acidosis.
3. Name two hepatoprotective drugs.

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[ P.T.O. ] P0601

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4. Define the term "Nephrotic Syndrome."

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5. Mention two key differences between viral and bacterial meningitis.
6. List two causes of upper gastrointestinal bleeding.
7. Two drugs used to treat hypertension in pregnancy.
8. Signs of vitamin B12 deficiency.
9. Mention two complications of uncontrolled diabetes mellitus.

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10. Treatment of typhoid fever.
Section 2
Q. 4. A. Long essay type question
10
Discuss the diagnostic criteria and management plan for a patient with

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generalized anxiety disorder (GAD).

B. Write short notes (Any 1 out of 2)
04
1. Management of insomnia.

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2. Psychological effects of chronic illness.

C. Objective type questions/Applied aspects (Any 3 out of 4)
03
1. Define obsessive-compulsive disorder (OCD).

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2. Mention two commonly used antipsychotic drugs.
3. Define psychosis.
4. List two non-pharmacological approaches to treat anxiety.
Q. 5. A. Long essay type question
10

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Approach to a patient presenting with a generalized skin rash and itching.

B. Write short notes (Any 1 out of 2)
04
1. Causes and management of urticaria.

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2. Treatment of fungal skin infections.

C. Objective type questions/Applied aspects (Any 3 out of 4)
03
1. Define eczema.

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2. Mention two drugs used to treat scabies.
3. List two complications of measles.
4. Define contact dermatitis.
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[ Contd. P0601

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Q. 6. A. Long essay type question
10
Discuss the clinical features, investigations, and treatment of pneumonia.

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B. Write short notes (Any 1 out of 2)
04
1. Symptoms and treatment of bronchial asthma.
2. Management of a patient with chronic obstructive pulmonary disease
(COPD).

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C. Objective type questions/Applied aspects (Any 2 out of 3)
02
1. Mention two causes of pleural effusion.
2. List two drugs used in the treatment of tuberculosis.

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3. Define obstructive sleep apnea syndrome (OSAS).
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[ 110 ] P0601

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