Download VNSGU MBBS Third Year Part II 2024 March-April 2306000104010102 S General Medicine Paper II Question Paper

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2306000104010102-S

EXAMINATION MARCH-APRIL 2024

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THIRD YEAR MBBS PART-2

GENERAL MEDICINE – II – LEVEL 1

[Time: As Per Schedule]

[Max. Marks:100]

Instructions:

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1. Fill up strictly the following details on your answer book
   1. Name of the Examination : THIRD YEAR MBBS PART-2
   2. Name of the Subject : GENERAL MEDICINE – II – LEVEL 1
   3. Subject Code No : 2306000104010102-S
2. Sketch neat and labelled diagram wherever necessary.

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3. Figures to the right indicate full marks of the question.
4. All questions are compulsory.

SECTION - I

Q.1 LONG ESSAY TYPE QUESTIONS (Clinical problem based) 20

(Any 2 out of 3)

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1. 56 years old male patient has presented with increased frequency of watery stool, vomiting, giddiness, diffuse abdominal pain and oliguria since 2 days. He has tachycardia, tachypnoea and hypotension. He has no significant past history. Discuss complete diagnosis for his presentation. Write diagnostic work up, complications to monitor and management in detail.
2. Discuss etiology, clinical presentation, investigations, treatment and follow up of acute hemorrhagic CV stroke.
3. Enumerate causes for cirrhosis of liver. Describe clinical features, investigations and complications of cirrhosis of liver. Discuss about treatment of hepatic encephalopathy.

Q.2 SHORT NOTES (Any 3 out of 4) 12

1. Complications of acute pancreatitis.

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2. Approach to patients with peripheral neuropathy...
3. Compressive myelopathy
4. Laboratory parameters in CKD.

Q.3 REASONING TYPE QUESTIONS / SHORT NOTES / APPLIED ASPECTS (Any 9 out of 10) 18

1. What is importance of microalbuminuria?

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2. Describe any 4 complications of Crohn's disease.
3. Describe drug therapy for hyperkalemia in ARF.
4. Describe alarming presentations in a case of acute headache.
5. Describe any 4 clinical presentations in acute viral encephalitis.
6. Describe important causes of acute cerebellar ataxia.

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7. What is transient ischemic attack (TIA)?
8. What is renal replacement therapy?
9. Describe drug therapy for focal seizure.
10. Describe medical treatment for heat stroke.

SECTION - II

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Q.4 A) LONG ESSAY TYPE QUESTIONS 10

1. Describe magnitude, etiology and treatment of major depressive disorder.

B) SHORT QUESTIONS (Any 1 out of 2) 4

1. Management of Mania.
2. Etiology and magnitude of personality disorder.

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C) OBJECTIVE QUESTIONS/APPLIED ASPECT (Any 3 out of 4) 3

1. Name any 2 feeding and eating disorder.
2. What is OCD (obsessive compulsive disorder)?
3. Name any 2 drugs to treat acute psychosis.
4. What is delusion?

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Q.5 A) LONG ESSAY TYPE QUESTIONS 10

1. Describe clinical features, management, complications and rehabilitation of Leprosy.

B) SHORT QUESTIONS (Any 1 out of 2) 4

1. Clinical presentation of psoriasis.
2. SJ Syndrome (Steven Johnson syndrome).

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C) OBJECTIVE QUESTIONS/APPLIED ASPECT (Any 3 out of 4) 3

1. Describe drug treatment for gonococcal urethritis.
2. Describe drug treatment for tinea capitis.
3. Describe risk factors for acne.
4. Describe treatment for drug induced urticaria.

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Q.6 A) LONG ESSAY TYPE QUESTIONS 10

1. Describe clinical features, investigations, treatment and complications of lung abscess.

B) SHORT QUESTIONS (Any 1 out of 2) 4

1. Indications of bronchoscopy.
2. Clinical presentations of obstructive sleep apnea (OSA).

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C) OBJECTIVE QUESTIONS/APPLIED ASPECT (Any 2 out of 3) 2

1. Enumerate any 2 important causes of bilateral pleural effusion.
2. Describe usefulness of sputum CBNAAT examination.
3. Describe any 2 indications of ICD insertion.

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