Download VNSGU MBBS Third Year Part II 2024 January-February 2306000104010102 General Medicine Paper II Question Paper

FirstRanker.com

2306000104010102

Examination January – February - 2024

--- Content provided by‌ FirstRanker.com ---

THIRD MBBS PART-2

GENERAL MEDICINE (PAPER – II) – LEVEL - 1

Instructions:

1. Fill up strictly the following details on your answer book
   1. Name of the Examination: M.B.B.S (Third Year)
   2. Name of the Subject : General Medicine (Paper-II)

   --- Content provided by‌ FirstRanker.com ---

   3. Subject Code No : 2306000104010102
2. Sketch neat and labelled diagram wherever necessary.
3. Figures to the right indicate full marks of the question.
4. All questions are compulsory.

--- Content provided by‍ FirstRanker.com ---

Section - I

1. A 66 years old hypertensive patient has presented in emergency room with breathlessness, oliguria, anasarca and weight loss since 1 month. He has uncontrolled hypertension since last 6 months. His renal profile is persistently abnormal since 6 months. CBC shows severe anemia, urinalysis proteinuria and ABG metabolic acidosis. USG finding is suggestive of small size kidneys. Explain complete diagnosis, further required investigations, treatment and prognosis for presenting illness.
2. Discuss investigations, treatment and follow up of acute ischemic CV stroke. Compare etiologies of hemorrhagic and ischemic CV stroke.
3. Discuss clinical features, differential diagnosis, management and complications of acute viral hepatitis E in pregnant patient.

1. Diagnostic criteria for IBS (irritable bowel syndrome).

--- Content provided by FirstRanker.com ---

2. Clinical examination findings in GBS.
3. Bell's palsy.
4. Investigations in acute pancreatitis.

1. Describe fluid therapy in acute diarrhea with hypovolemic shock.
2. Describe cardinal features of Parkinsonism.

--- Content provided by​ FirstRanker.com ---

3. Discuss diagnosis of drug induced hepatitis.
4. Discuss any 4 risk factors leading to NASH or NAFLD.
5. What is role of measurement of prothrombin time and INR in acute hepatitis.
6. Describe important causes of painless hematuria.
7. Discuss urinalysis in nephrotic syndrome.

--- Content provided by​ FirstRanker.com ---

8. Describe infectious causes of cirrhosis of liver.
9. Why hematemesis is common in cirrhosis of liver?
10. Discuss important indications of hemodialysis.

Section - II

1. Describe magnitude, etiology and treatment of Bipolar disorder.

--- Content provided by‌ FirstRanker.com ---

1. Treatment of alcohol use disorder.
2. Stress related psychiatric disorders.

1. Write any one indication of ECT.
2. Describe in brief any one psychiatric emergency.
3. Name any 2 drugs for treatment of anxiety disorders.

--- Content provided by‌ FirstRanker.com ---

4. What is dementia?

1. Describe clinical features, investigations, differential diagnosis and treatment of primary syphilis.

1. Describe clinical features, investigations, treatment and complications of drug resistant pulmonary tuberculosis.

1. Skin changes in vitamin deficiency.
2. Treatment of acne.

--- Content provided by‍ FirstRanker.com ---

1. Describe pathogen causing herpes zoster.
2. Describe common site of involvement in scabies.
3. Name any 2 topical antifungal commonly used.
4. Enumerate any 2 common causes of angioedema.

1. PFT in bronchial asthma.

--- Content provided by⁠ FirstRanker.com ---

2. Exudative pleural effusion.

1. Enumerate any 2 important adverse effect of Isoniazid (INH).
2. Enumerate any 2 pulmonary conditions associated with pulmonary hypertension.
3. Describe any 2 causes of pneumothorax.

--- Content provided by‍ FirstRanker.com ---