0124 E592
Final Year MBBS Examination
III MBBS Part 2 Medicine Paper 1 (New)
Time: 3 hours
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Max Marks: 100Instructions:
1. Answer to the points.
2. Figure to the right indicates marks.
3. Use separate answer books for each
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section.4. Draw diagrams wherever necessary.
5. Write legibly.
Section 1
1. Write in detail (Any one out of two)
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a) Write in detail about(10)
pathophysiology, clinical features and
management of acute pancreatitis
b) Write in detail about pathophysiology
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clinical features and management of acuteliver failure
2. Case based scenario/Applied Short
notes (Any two out of three)
(12)
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a) 55 year old woman known diabetic withhistory of fever with chills and severe left
loin pain, on examination tenderness in left
renal angle a)What is the likely diagnosis?
b)Write notes on diagnostic evaluation and
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management of this patientb) 55 year old male with history of fever
and fatiguability on examination massive
splenomegaly present and peripheral blood
smear shows leucocytosis with myeloblasts
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a) What is the likely diagnosis?b) Writeclinical features and management?
c) Clinical features and management of
pellagra
3. Write short notes (Any three out of
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four)(18)
a) Causes and management of
hyponatremia
b) Renal tubular acidosis
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c) Megaloblastic anemiad) Medical Negligence
4. Answer only in 2-3 sentences (Any five
out of six)
(10)
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a) Thrombocytopeniab) Body Mass Index
c) Vitamin D
d) Name two ectopic hormones secreted by
tumors
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e) Loop Diureticsf) Wilson's disease
Section 2
5. Write in detail (Any one out of two )
a) Clinical features and management of (10)
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Acute Rheumatic feverb) Clinical features and management of
infective Endocarditis
6. Case based scenario/Applied short
notes (Any two out of three)
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(12)a) 30 years old male presented with
palpitations, diarrhoea and heat intolerance
on examination patient had tremors and
exophthalmos a) Whatis the likely
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diagnosis? b) Write Diagnostic workup andmanagement of this patient
b) 38 years old male presented with
excessive fatigue, weight gain for the past 6
months .on examination patient had moon
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face, distended abdomen with stretchmarks, buffalo hump examination patient
had moon face, distended abdomen with
stretch marks , buffalo humpand thin limbs.
a) Whatis the likely diagnosis? b) Write
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diagnostic workup and management of this
patient
c) Write short notes on newer drug for the
treatment of Type 2 Diabetes mellitus
7. Write short notes (Any three out of
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four)(18)
a) Clinical features, diagnosis and
management of Type 1 Diabetes Mellitus
b) Diagnosis and management of
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Leptospirosisc) Pathogenesis and management of Angina
Pectoris
d) Anti-Retroviral Therapy
8. Answer only in 2-3 sentences (Any five
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out of six)(10)
a) ACE Inhibitors
b) Pacemakers
c) Mid-diastolic murmur
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d) Addison's diseasee) Scrub typhus
f) Dizziness in elderly