MEDICAL
[MBBS 0325] MARCH 2025 Sub. Code :6081
M.B.B.S. DEGREE EXAMINATION
THIRD PROFESSIONAL MBBS PART II
PAPER I - GENERAL MEDICINE
Q.P. Code: 526081
Maximum : 100 Marks (80 Theory + 20MCQs)
Answer all the Questions
I. Elaborate on:
(2 x 15 = 30)
(2+2+2+4+5)
1. A 55-year-old woman is admitted with history of fever and abdominal pain
associated with rigors. She also gave history of vomiting which was non-
bilious and non-projectile. She was a diabetic for the past one year.
On Examination patient was febrile, dehydrated. She had tachycardia and
hypotension. On systemic examination had renal angle tenderness bilaterally.
Differential count of Polymorphs 89% Lymphocytes 6% and Eosinophils 5%,
Haemoglobin of 11.2gm/dl. Her Random Blood sugar was 222mg/dl and
Blood Urea 170mg%, serum creatinine 8mg%, Sodium 137meq/l and
Potassium 4meq/l. Her past records done 2 months back showed her baseline
a) What is the diagnosis?
b) What is the aetiology and pathogenesis for the same?
c) What are the other investigations to be done in this patient to confirm the
diagnosis?
(2+3+5+5)
2. A 35-year-old female presents with history of palpitations, breathlessness and
fatigue for the past 6 months which has been gradually progressive. She also
has significant weight loss in spite of normal appetite, diarrhoea on and off and
which is not painful. On examination patient is pale, tremors and tachycardia
present, lid retraction and lid lag, diffuse goitre present.
a) What is the probable diagnosis?
b) Enumerate the differential diagnosis?
d) How to treat the patient?
II. Write notes on:
(10 x 5 = 50)
2. Clinical features and management of Severe Dengue.
3. Renal Replacement therapy.
... 2 ...
... 2 ...
5. Polycythaemia rubra vera.
6. Clinical features and management of fibromyalgia.
7. Migraine.
8. A 16-year-old boy who is morbidly obese is brought to the Outpatient
regarding Lifestyle Modifications?
9. Management of Chronic Hepatitis B infection.
10. Clinical manifestations and management of Viper Bite.
*********
[MBBS 0325] MARCH 2025 Sub. Code :6081
M.B.B.S. DEGREE EXAMINATION
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(For the candidates admitted from the Academic Year 2019 - 2020)THIRD PROFESSIONAL MBBS PART II
PAPER I - GENERAL MEDICINE
Q.P. Code: 526081
--- Content provided by FirstRanker.com ---
Time: Three hoursMaximum : 100 Marks (80 Theory + 20MCQs)
Answer all the Questions
I. Elaborate on:
--- Content provided by FirstRanker.com ---
(2 x 15 = 30)
(2+2+2+4+5)
1. A 55-year-old woman is admitted with history of fever and abdominal pain
--- Content provided by FirstRanker.com ---
especially in the loin for the past 5 days. Patient had high grade feverassociated with rigors. She also gave history of vomiting which was non-
bilious and non-projectile. She was a diabetic for the past one year.
On Examination patient was febrile, dehydrated. She had tachycardia and
hypotension. On systemic examination had renal angle tenderness bilaterally.
--- Content provided by FirstRanker.com ---
Her baseline investigations showed Total Count of 16,700 cells/cmm withDifferential count of Polymorphs 89% Lymphocytes 6% and Eosinophils 5%,
Haemoglobin of 11.2gm/dl. Her Random Blood sugar was 222mg/dl and
Blood Urea 170mg%, serum creatinine 8mg%, Sodium 137meq/l and
Potassium 4meq/l. Her past records done 2 months back showed her baseline
--- Content provided by FirstRanker.com ---
Renal Function tests and Ultrasonogram abdomen normal.a) What is the diagnosis?
b) What is the aetiology and pathogenesis for the same?
c) What are the other investigations to be done in this patient to confirm the
diagnosis?
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d) What would be the treatment approach to this patient?(2+3+5+5)
2. A 35-year-old female presents with history of palpitations, breathlessness and
fatigue for the past 6 months which has been gradually progressive. She also
has significant weight loss in spite of normal appetite, diarrhoea on and off and
--- Content provided by FirstRanker.com ---
history of heat intolerance. She has recently noticed a swelling in the neckwhich is not painful. On examination patient is pale, tremors and tachycardia
present, lid retraction and lid lag, diffuse goitre present.
a) What is the probable diagnosis?
b) Enumerate the differential diagnosis?
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c) What is the approach to evaluate the patient?d) How to treat the patient?
II. Write notes on:
--- Content provided by FirstRanker.com ---
(10 x 5 = 50)
--- Content provided by FirstRanker.com ---
1. Definition and aetiology of Cardiogenic Shock.2. Clinical features and management of Severe Dengue.
3. Renal Replacement therapy.
... 2 ...
... 2 ...
--- Content provided by FirstRanker.com ---
4. Enumerate the complications of acute pancreatitis.5. Polycythaemia rubra vera.
6. Clinical features and management of fibromyalgia.
7. Migraine.
8. A 16-year-old boy who is morbidly obese is brought to the Outpatient
--- Content provided by FirstRanker.com ---
department by his parents. How will you counsel the boy and his parentsregarding Lifestyle Modifications?
9. Management of Chronic Hepatitis B infection.
10. Clinical manifestations and management of Viper Bite.
*********
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[MBBS 0325]