Download VNSGU MBBS Final Year 2018 June General Medicine Paper I Question Paper

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R-3729

Third Year M. B. B. S. (Part - II) Examination

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June / July - 2018

General Medicine : Paper - I

Instructions:

1. Fill up strictly the details of signs on your answer book.

T. Y. M. B. B. S. (PART - 2)

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GENERAL MEDICINE PAPER - 1

2. Answers should be brief and to the point.
3. Each section should be written in separate answer-books.
4. Draw diagrams and flow charts wherever necessary.

SECTION - I

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1. Write Short Notes: (Any 3 out of 4) 12
   1. Clinical features and diagnosis of corpulmonale
   2. Define Obesity, diseases related to Obesity and management of Obesity.
   3. Clinical features, diagnosis and management of Bronchiectasis.
   4. Etio-pathogenesis and Clinical features of Pericardial Effusion.

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2. Answer in brief: (Any 5 out of 6) 10
   1. Common hospital acquired infections and its Prevention.
   2. Write and draw Cardiac cycle.
   3. Draw a normal P, QRS and T wave and write physiological correlation with cardiac event.
   4. Common indications of Echocardiography.
   5. Radiological findings in Mitral Stenosis.

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   6. Clinical features of Systemic sclerosis.
3. Answer in one-two sentences/words/fill in the blanks: 8
   1. Four risk factors for Pulmonary Embolism.
   2. Two conditions in which Pulsus alternans may be seen.
   3. ECG findings in Acute myocardial Infarction.

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   4. Name two pathological causes of loud S 2.
   5. Drugs used in treatment of atrial fibrillation.
   6. Enlist two gastrointestinal causes of Clubbing.
   7. Which genetic test is done in Anky losing Spondylitis?
   8. Two causes of chest pain in aortic stenosis.

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SECTION - II

1. Write Short Notes: (any 3 out of 4) 12
   1. Causes, Clinical presentation and management of Iron Deficiency Anaemia.
   2. Clinical features, diagnosis and management of Dengue fever according to WHO criteria.
   3. Draw endocrine axis of Thyroid hormone. Write clinical presentation and diagnosis of Hyperthyroidism.

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   4. List anti Platelet drugs and write mechanism of action, indications and side effects of Aspirin.
2. Answer in brief: (Any 5 out of 6) 10
   1. Macrovascular complications of type 2 Diabetes mellitus.
   2. Clinical features and treatment of Chikungunya.
   3. Opportunistic infections of Respiratory system in HIV patients.

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   4. Postexposure prophylaxis of Rabies.
   5. List clinical features and Rx of Acromegaly.
   6. Overuse of NSAID's.
3. Answer in one-two sentences/words/fill in the blanks: 8
   1. Criteria for diagnosis of diabetes mellitus

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   2. Two endocrine diseases causing palpitations.
   3. Two neurological disease caused by Vitamin B12 deficiency.
   4. Laboratory features of Haemolysis.
   5. Two conditions in which target cells are seen.
   6. Antiviral drugs used for treating HBsAg positive patients.

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   7. Name two anti-diabetic drugs acting on Insulin Resistance.
   8. What is tapping apex impulse ?

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