0225 E560
Final Year MBBS Examination
III MBBS Part 2 Medicine Paper 1 (New)
Time: 3 hours
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Max Marks: 1001. Answer to the points.
2. Figure to the right indicates marks.
3. Use separate answer books for each section.
4. Draw diagrams wherever necessary.
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5. Write legibly.Section 1
1. Write in detail (Any one out of two)
1x10=10 marks (10)
a) Write about the
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etiology, clinical features and managementof chronic hepatitis.
b) Write about the causes, clinical features,
complications and management of Acute
Glomerulonephritis in the tropics.
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2. Case based scenario/Applied shortnotes (Any two out of three)
2x 6 =12 marks (12)
a) Write the cause,
clinical types, and features of beri-beri.
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b) A patient consumes unhygienic food at aroadside restaurant. Within 6 hours he
develops watery diarrhea approximately 10
episodes. He is admitted with severe
dehydration. (a) What is the diagnosis and
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what are the most probable organismsinvolved? (b) Write about the treatment and
resuscitation methods for this patient.
c) A young lady presents with anemia.
Peripheral smear examination reveals
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megaloblastosis with multisegmented
neutrophils. (a) What is the probable
etiology? (b) What other investigations need
to be done for the workup of this patient?
c) A young lady presents with anemia.
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Peripheral smear examination revealsmegaloblastosis and
multisegmentedneutrophils (i) What is the
etiology (ii) What othe rinvestigations you
will do in work up of this patient (iii) Write
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about the treatment of this condition.3. Write short notes (Any three of four)
3x6 218 marks (18)
a) Write briefly on
clinical features and treatment of
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hypocalcemia.b) Write briefly on clinical features and
investigation and treatment regimens for
Hodgkin's lymphoma.
c) A middle-aged lady has come te collect
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the liver biopsy report of her husband who isin coma. The report is suggestive of
advanced hepatocellular carcinoma. Mention
the steps in breaking the news to her.
d) Write about the clinical features and
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laboratory markers of acute viral Hepatitis A4. Answer only in 2-3 sentences (Any five
out of six)
5X 2=10 marks (10)
a) Acid base disorder caused by salicylate
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poisoning.b) Scurvy,
c) Risk factors for hepatocellular carcinoma.
d) Clinical features of hyponatremia.
e) Hereditary spherocytosis.
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f) Clinical features and complications ofacute pyelonephritis
Section 2
5. Write in detail (Any one out of two)
1x10=10 marks (10)
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a) Write about etiology,clinical presentation, acute complications
and treatment of heart failure.
b) Mention the life-threatening features of
falciparum malaria. Write about diagnostic
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aids, treatment and complications of thesame.
6. Case based scenario/Applied short
notes (Any two out of three)
2 x 6 =12 marks (12)
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a) Amiddie-aged ladypresents with acute fever for 2 days,
followed by altered mentation, photophobia
and neck stiffness... What is the likely
diagnosis? Write about laboratory evaluation
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and treatment.b) A 13-year-old girl has been presenting
with recurrent joint pain and swelling over
both knees and right ankle for 3 months. The
swelling disappears from one joint and
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appears in another. Auscultation reveals amid-diastolic murmur at apex. What is the
most probable diagnosis? Write about the
diagnostic criteria for this condition.
c) Write about the clinical features,
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laboratory investigations and treatment ofdiabetic ketoacidosis.
7. Write shart notes (Any three of four)
3 x 6 =18 marks (18)
a) Write about the
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investigation and treatment of osteoporosisin elderly.
b) Write in brief about the clinical features
and treatment of Russell's viper
envenomation.
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c) Write in brief about one gastro-intestinalinfection in HIV.
d) Write about the clinical presentation and
treatment of tetanus.
8. Answer only in 2-3 sentences (Any five
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out of six)5X 2= 10 marks (10)
a) ECG features of atrial fibrillation.
b) 3 clinical features of Grave's disease.
c) 2 drugs used for Leptospirosis.
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d) 2 complications of pituitarymacroadenoma.
e) 2 clinical features of acute gout.
f) Name 2 non-infectious complications of
HIV stage 4.
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