Use correct paper and MCQ codes on OMR and theory answer booklet as instructed.
SECTION B – THEORY QUESTIONS
Paper Code: 2512230011
Q.1 Long Answer Question 2 x 15 = 30 MARKS
- Define epilepsy. (3 marks)
- Discuss classification of seizures. (6 marks)
- How will you manage the case of status epilepticus? (6 marks)
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Q.2 Clinical Case Scenario based Structured Question 15 MARKS
A 62-year-old male presents to the outpatient clinic with a 5-day history of fever, productive cough with yellowish sputum, and shortness of breath. He also complains of fatigue and chest discomfort during coughing. He has a history of smoking 20 cigarettes per day for 35 years but no known chronic illnesses.
On examination: Temperature: 38.9°C, Respiratory rate: 24 breaths/min, Blood pressure: 110/70 mmHg, Oxygen saturation: 92% on room air. Auscultation: bronchial breath sounds and crackles in the right lower lung zone. Chest X-ray reveals consolidation in the right lower lobe. Laboratory investigations show: WBC count: 15,000/mm3 (neutrophilia), CRP: Elevated.
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- What is the most likely diagnosis, and how would you classify its severity? (2 marks)
- Which pathogens are most commonly associated with this condition? (3 marks)
- What diagnostic tests are required to confirm the diagnosis and identify the causative organism? (5 marks)
- Outline the empirical antibiotic therapy for this condition in both outpatient and inpatient settings. (5 marks)
Q.3 Short Note Question (Approx 500 Words) 5 x 6 = 30 MARKS
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- Myasthenia gravis
- Systemic lupus erythematosus
- Cobra bite
- Complications of Chronic Alcohol Use
- Bipolar disorder
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Q.4 Short Answer Questions (Within 100 Words) 5 x 4 = 20 MARKS
- First line anti tubercular drugs
- Psoriasis
- Dementia in elderly
- Paraneoplastic syndrome
- Gout
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