*RAN-2406000104110501*
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RAN-2406000104110501
Third M.B.B.S. Part II (New Style)
Examination April - 2025
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.
Fill up strictly the details of signs on your answer book
Name of the Examination:
Third M.B.B.S. Part II (New Style)
Name of the Subject :
Subject Code No.: 2406000104110501
Student's Signature
Section 1
Q.1 Long Essay type questions (Clinical problem based) (Any 2 out of 3)
1. A 50 - year - old patient presents with chronic cough, breathlessness, and
fatigue. He is a chronic smoker with a history of weight loss. Describe the
diagnostic evaluation and management of this patient with suspected COPD.
2. A 30 - year - old female complains of palpitations, weight loss, and sweating.
and management of this patient.
3. A 60 - Year - old diabetic patient has a chronic non-healing ulcer on the sole of
his foot. Outline the approach to diagnosis, management, and prevention of
diabetic foot complications.
12
1. Differences between restrictive and obstructive lung disease.
3. Causes and management of upper gastrointestinal bleeding.
4. Management of acute asthma exacerbation.
RAN-2406000104110501 ]
[ 1 ]
Q.3 Answer in very brief.
18
2. Write four clinical features of hyperthyroidism.
3. Definepolycythemia.
4. What are the indications for blood transfusion in anemia?
5. Mention the treatment of status epilepticus.
7. Definechronickidneydisease.
8. What are the side effects of methotrexate?
9. Mention the diagnostic criteria for systemic lupus erythematosus.
Section 2
20
1. A 45 - year - old male presents with chest pain radiating to the left arm.
ECG reveals ST-elevation Describe the management of acute myocardial
infarction.
investigations show pancytopenia and positive ANA. Outline the approach
to diagnosis and treatment of this condition.
3. A65-year-oldmancomplainsofprogressivememorylossanddifficulty
in performing daily tasks. Discuss the diagnosis and management of
Q.5 Write short notes (Any 3 out of 4)
12
1. Diagnosis and management of meningitis.
3. Management of deep vein thrombosis.
4. Treatment of multidrug-resistant tuberculosis.
Q.6 Reasoning type questions/Short notes/Applied Aspects (Any 9 out of 10)
18
2. Mention two causes of pancytopenia.
3. What is the drug of choice for anaphylaxis?
RAN-2406000104110501 ]
[ 2 ]
4. Write two features of chronic liver disease.
5. Definesepsisandmentiontheinitialmanagement.
6. ListclinicalfeaturesofVitaminB12deficiency.
8. Mention the diagnostic approach to pleural effusion.
9. WhatistheclinicalsignificanceofECGchangesinhypokalemia?
10. Write the management of diabetic ketoacidosis.
RAN-2406000104110501 ]
[ 110 ] P0646
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RAN-2406000104110501
Third M.B.B.S. Part II (New Style)
Examination April - 2025
--- Content provided by FirstRanker.com ---
General Medicine paper - ITime: 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.
--- Content provided by FirstRanker.com ---
Seat No.:Fill up strictly the details of signs on your answer book
Name of the Examination:
Third M.B.B.S. Part II (New Style)
Name of the Subject :
--- Content provided by FirstRanker.com ---
General Medicine paper - ISubject Code No.: 2406000104110501
Student's Signature
Section 1
Q.1 Long Essay type questions (Clinical problem based) (Any 2 out of 3)
--- Content provided by FirstRanker.com ---
201. A 50 - year - old patient presents with chronic cough, breathlessness, and
fatigue. He is a chronic smoker with a history of weight loss. Describe the
diagnostic evaluation and management of this patient with suspected COPD.
2. A 30 - year - old female complains of palpitations, weight loss, and sweating.
--- Content provided by FirstRanker.com ---
Thyroid function tests reveal hyperthyroidism. Discuss the clinical evaluationand management of this patient.
3. A 60 - Year - old diabetic patient has a chronic non-healing ulcer on the sole of
his foot. Outline the approach to diagnosis, management, and prevention of
diabetic foot complications.
--- Content provided by FirstRanker.com ---
Q.2 Shorty notes (Any 3 out of 4)12
1. Differences between restrictive and obstructive lung disease.
--- Content provided by FirstRanker.com ---
2. Clinicalfeaturesandmanagementofiron-deficiencyanemia.3. Causes and management of upper gastrointestinal bleeding.
4. Management of acute asthma exacerbation.
RAN-2406000104110501 ]
[ 1 ]
--- Content provided by FirstRanker.com ---
[ P.T.O. ] P0646Q.3 Answer in very brief.
18
--- Content provided by FirstRanker.com ---
1. Name two causes of secondary hypertension.2. Write four clinical features of hyperthyroidism.
3. Definepolycythemia.
4. What are the indications for blood transfusion in anemia?
5. Mention the treatment of status epilepticus.
--- Content provided by FirstRanker.com ---
6. Enumerate the complications of pneumonia.7. Definechronickidneydisease.
8. What are the side effects of methotrexate?
9. Mention the diagnostic criteria for systemic lupus erythematosus.
Section 2
--- Content provided by FirstRanker.com ---
Q.4 Long Essay type questions (Clinical problem based) (Any 2 out of 3)20
1. A 45 - year - old male presents with chest pain radiating to the left arm.
ECG reveals ST-elevation Describe the management of acute myocardial
infarction.
--- Content provided by FirstRanker.com ---
2. A 28 Year - old female reports fever, fatigue, and joint pain. Laboratoryinvestigations show pancytopenia and positive ANA. Outline the approach
to diagnosis and treatment of this condition.
3. A65-year-oldmancomplainsofprogressivememorylossanddifficulty
in performing daily tasks. Discuss the diagnosis and management of
--- Content provided by FirstRanker.com ---
dementia.Q.5 Write short notes (Any 3 out of 4)
12
1. Diagnosis and management of meningitis.
--- Content provided by FirstRanker.com ---
2. Diagnostic criteria and complications of metabolic syndrome.3. Management of deep vein thrombosis.
4. Treatment of multidrug-resistant tuberculosis.
Q.6 Reasoning type questions/Short notes/Applied Aspects (Any 9 out of 10)
18
--- Content provided by FirstRanker.com ---
1. Definestrokeanddescribeitsclinicaltypes.2. Mention two causes of pancytopenia.
3. What is the drug of choice for anaphylaxis?
RAN-2406000104110501 ]
[ 2 ]
--- Content provided by FirstRanker.com ---
[ Contd. P06464. Write two features of chronic liver disease.
5. Definesepsisandmentiontheinitialmanagement.
6. ListclinicalfeaturesofVitaminB12deficiency.
--- Content provided by FirstRanker.com ---
7. Describe the treatment of hyperkalemia.8. Mention the diagnostic approach to pleural effusion.
9. WhatistheclinicalsignificanceofECGchangesinhypokalemia?
10. Write the management of diabetic ketoacidosis.
RAN-2406000104110501 ]
--- Content provided by FirstRanker.com ---
[ 3 ][ 110 ] P0646