0424 E011
Final Year MBBS Examination
III MBBS Part 2 Medicine Paper 2 (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.
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4. Draw diagrams wherever necessary.5. Write legibly.
Section 1
1. Write in detail (Any one out of two)
a) Discuss the
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1x 10 =10 marks (10)clinical features & management of
Pneumothorax.
b) Discuss clinical features, evaluation &
management of Parkinson's disease.
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2. Case based scenario/Applied Shortnotes (Any two out of Three)-
a) A 40 yrs patient
2x6 =12 marks (12)
has history of episodes of severe
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headache, vomiting, febrile illness withalteredsensorium. (i) Evaluate the patient.
(ii) D/D of headache of the above patient.
(iii) Diagnosis & management of the
above patient.
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b) A patient in general ward givenintravenous drug, soon after he develop
generalize itching, rash & distress in
breathing having low blood pressure. (i)
Diagnose the case (ii) Management of the
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case.c) A patient came with severe acute pain
in right big toe with swelling. H/O taking
alcohol yesterday night. (i) Diagnose the
case (ii) Differential diagnosis of the
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above (iii) investigation & management ofthe case
3. Write short notes (Any three out of
four)
3x6 =18 marks (18)
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a) Management of hemorrhagic strokeb) Health hazards of alcohol abused,
counselling of the patient regarding
alcohol withdrawal.
c) C/F & management of Organo
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phosphorous (OP) poisoningd) ICP
4. Answer only in 2-3 sentences (Any five
out of six)
2x5=10 marks (10)
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a) CSF changes in GBSb) Trigeminal neuralgia
c) Name 3 autosomal recessive disorders
d) Cardioversion in supraventricular
arrhythmia
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e) Edemaf) Exudative ascites
Section 2
5. Write in detail (Any one out of two)
a) Discuss the
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ix10=10 marks (10)diagnosis & management of SLE
b) Discuss Etiopathogenesis &
management of COPD.
6. Case based scenario/Applied Short
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notes (Any two out of three)a) A patient came
2x6 = 12 marks (12)
with H/O tuberculosis in emergency with
moderate amount of blood in the sputum
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with foul smelling excessiveexpectoration, (i) Diagnose the case (ii)
Keep the Differential diagnosis of the
above case. (iii) Investigation and
management of the above case;
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b) 50 yrs old patient came with shortnessof breath, he is obese & has barrel shaped
chest. (i) Diagnose the case (ii)
Investigation and management of the case.
c) A patient came with high fever, rash,
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nodular swelling over face. He is ontreatment for chronic disease. (i)
Diagnose the case (ii) Proceed for
investigation and management of case.
7. Write short notes (Any three out of
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four)3x6 =18 marks (18)
a) Lepra Reaction
b) Enumerate bullous lesion
c) Common causes of malignant
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neuroleptic syndromed) Pathophysiology of NSAID in chronic
heart failure
8. Answer only in 2-3 sentences (Any five
out of six)
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5x2=10 marks (10)a) Delusion
b) Manic-depressive disorders
c) Meningism
d) Scurvy
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e) Cauises of constricted pupilf) Chorea