Download KUHS MBBS Final Year 2025 May 321001 General Medicine Paper I 2019 Scheme Question Paper

Q.P. Code: 321001
Reg. no.: .....................
III Professional MBBS Part II Degree Regular/Supplementary Examinations
May 2025
General Medicine Paper I

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

(2019 Scheme)
Time: 3 Hours

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

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

Total Marks: 100
Answer all questions to the point neatly and legibly ? Do not leave any blank pages between answers
Indicate the question number correctly for the answer in the margin space
Answer all parts of a single question together ? Leave sufficient space between answers
Draw table/diagrams/flow charts wherever necessary

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

1. Multiple Choice Questions
(20x1=20)
The MCQ questions (Q.No. i to Q.No. xx) shall be written in the space provided for answering MCQ
questions at page No. 51 of the answer book (the inner portion of the back cover page (PART III)).
Responses for MCQs marked in any other part/page of the answer book will not be valued

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

Question numbers i-v are case scenario-based questions
A 45-year-old female patient comes with a history of cold intolerance, constipation and menorrhagia. on
examination there was midline neck swelling with firm in consistency. The investigations revealed the
following : TSH is 28micrIU/ml,T3 is 0.03ng/dl and T4 is 0.5microgm/dl. The thyroid iodine scan reveals
reduced uptake

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

i. What is your likely diagnosis
a) Hypothyroidism
c) Subclinical hypothyroidism
b) Secondary Hyperthyroidism
d) Primary Hyperthyroidism

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

ii. What is the most common cause for the above condition
a) Hashimotos Thyroiditis
c) Subacute Thyroiditis
b) De Quervain's Thyroiditis
d) Thyroid Cyst

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

iii. What is the main pathophysiology of this condition
a) Diffuse lymphocytic infiltration of the organ
c) Diffuse basophils infiltration
b) Diffuse eosinophilic infiltration
d) Extensive neutrophilic infiltration

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

iv. what is the treatment of choice
a) Levothyroxine
b) Carbimazole
c) Corticosteroid
s

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

d) ACT
H
v.
The following is NOT a complication of this condition
a) Hypertension

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

b) High VLD
L
c) Hair loss
d) Atrial fibrillatio
n

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

Questio
n numbers vi-x consist of two statements
- Assertion (A) and Reason (R). Answer these
questions by selecting the appropriate options given belo
w

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

vi. Assertio
n (A): The loose stools lastin
g for more than 4 weeks is chroni
c diarrhe
a

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

Reaso
n (R): The most common cause is noninfectious in origin, due to GIT secretary abnormalit
y
a) Both A and R are true and R is the correct explanation of
A

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

c) A is true but R is fal
se
b) Both A and R are true but R is not the correct explanation of A
d) A is false but R is tru
e

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

vii. Assertion (A): The passing more than 3litra/day of urine is called as polyuria
Reason(R): Polyuria is due to defect in aquaporin receptors and excretion of non absorbable solutes
through kidney
.
a) Both A and R are true and R is the correct explanation of

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

A
c) A is true but R is fal
se
b) Both A and R are true but R is not the correct explanation of A d) A is false but R is tru
e

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

viii. Assertion (A): B12 deficiency is the most common reason for Megaloblastic anaemia
Reason(R): B12 deficiency is the reason for Hyper segmente
d Neutrophil
s
a) Both A and R are true and R is the correct explanation of

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

A
c) A is true but R is fal
se
b) Both A and R are true but R is not the correct explanation of A d) A is false but R is tru
e

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

ix. Assertion (A): Sulfonyl ureas are oral hypoglycemic agent
s
Reason(R): Sulfonyl urea
s increases the insulin secretion
a) Both A and R are true and R is the correct explanation of

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

A
c) A is true but R is fal
se
b) Both A and R are true but R is not the correct explanation of A d) A is false but R is tru
e

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

x. Assertion (A):
The rise in temperature of more than 37.7oC is called as fever
Reason(R): The resetting of hypothalamic set point is the reason for hyperthermia
a) Both A and R are true and R is the correct explanation of A
c) A is true but R is false

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

b) Both A and R are true but R is not the correct explanation of A d) A is false but R is true

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

(PTO)

---

Question numbers xi-x

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

v are multiple response type questions. Read the statements and mark the
most appropriate answer
xi. Most common cause
s of collapsing pulse ar
e

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

1) Aortic regurgitatio
n
2) Mitral regurgitation 3) Peripheral AV fistul
a
4) Ventricular seftal defect

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

a) 1 & 2 are correc
t
b) 1 & 3 are corre
ct
c) 3

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

& 4 are correc
t
d) 2 & 4 are correc
t
xii. Most common causes of Acute bacterial meningitis are

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

1) Streptococcus pneumonia
2) Neisseria meningitide
s
3) E coli
4) Proteus

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

a) 1 & 2 are correc
t
b) 1 & 3 are correc
t
c) 3 & 4 are correc

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

t
d) 2 & 4 are correct
xiii. Follow up drugs used in acute ischemic stroke to prevent the recurrence of stroke in future ar
e
1) Aspirin

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

2) Naproxe
n
3) Statins
4) Corticosteroid
s

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

a) 1 & 2 are correc
t
b) 1 & 3 are correc
t
c) 3 & 4 are correc

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

t
d) 2 & 4 are corre
ct
xiv. The thrombolysis is done in
1) Acute STEM

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

I
2) Acute ischemic stroke of <4.5 hours 3) Acute NSTEM
I
4) Unstable angin
a

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

a) 1 & 2 are correc
t
b) 1 & 3 are correc
t
c) 3 & 4 are correc

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

t
d) 2 & 4 are corre
ct
xv. The drugs used to treat hyperkalemia ar
e

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

1) Sodium bicarbonat
e
2) Short acting Insulin with glucose 3) Magnesiu
m
4) Sevelamer

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

a) 1 & 2 are correc
t
b) 1 & 3 are correc
t
c) 3 & 4 are correc

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

t
d) 2 & 4 are corre
ct
Questio
n numbers xvi-xx are single response type questions

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

xvi. The following are Metabolic Syndrome components, EXCEP
T
a) FBS >100 mg/d
l
c) Triglycerides >150 mg/dl

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

b) BP >130/80mmh
g
d) LDL cholesterol>150mg/d
l
xvii. The following are features of Addison's disease, EXCEP

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

T
a) Astheni
a
b) Hyperkalemi
a

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

c) Hypoglycemia
d) Hypocalcemi
a
xviii. The following are criteria of diagnosi
s of Type 2 Diabetes mellitus, EXCEP

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

T
a) HbA1c>6.5
%
c) PPBS >200 mg/d
l

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

b) FBS >126 mg/dl
d) PPBS >180 mg/d
l
xix. The following drugs have proven to be having mortality benefits in Congestive heart failure, EXCEP
T

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

a) ACE inhibitors
c) Aldosterone antagonist
s
b) Beta blockers
d) Digoxi

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

n
xx.
The following are ECG features of hyperkalemia, EXCEPT
a) Tall T waves
c) Sinewaves patter

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

n
b) Absence of p waves
d) Long QT interval
Long Essays:
(2x10=20)

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

2. Discuss about the etiopathology, clinical feature
s, investigations, treatment and complications of acute
coronary syndrom
e
(2+2+2+2+2

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

)
3.
A 50 years old male who is a chronic alcoholic and smoker, on irregular medications for
diabetes was brought to the casualty at 8.30 am with history of sudden onset unresponsiveness since
morning 7.00 am. On examination patient is drowsy with facial deviation to left side, paucity of

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

movement of right side body, with exaggerated deep tendon reflexes and extensor plantar on the same
side: BP: 170/120 mm/Hg
a) What is your anatomical and etiological diagnosis
b) What are the modifiable and nonmodifiable risk factors
c) What are the relevant investigations to be done

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

d) How do you manage the above patient

e) Define TIA and explain the significance of TIA in the above case scenario. "

(1+2+2+3+2)

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

S
hort E ssays:
(6x6=36)
4. Hypoglycemi
a

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

5. CML
6. Arterial Pulse
7. Irrit
able bowel syndrome
8. Hyponatremia

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

9. AKI
Sh

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

ort Answers:
(6x4=24)
10. Hepatitis B infecti
on
11. Role of physician in socie

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

ty
12. Status Epilepticus
13. Eisenmenger's syndrom
e
14. Acute Metabolic Acidosis

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

15. Acute Pulmonary edema
**********************

---