Download VNSGU MBBS Final Year 2014 Feb General Medicine Paper I Question Paper

P-4019

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

February 2014

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General Medicine : Paper I

Time: [ Hours] [Total Marks: 60

Instructions :

1. ? ? 20 ? ? ? ? ? ?. Fillup strictly the details of signs on your answer book.
   • Name of the Examination: T. Y. M.B.B.S. (Part-2)
   • Name of the Subject: General Medicine: Paper - 1

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   • Subject Code No.: 4 0 1 9 Section No. (1, 2,.....): 1&2
   • Student's Signature
2. Answers should be brief and to the point.
3. Each section should be written in separate answer-books.

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4. Draw diagrams & flow charts wherever necessary.

SECTION I

1. Write short notes: (any 3 out of 4) 12
   1. Diagnosis and management of ST-Elevation Myocardial Infarction.
   2. Aetiology, clinical features and treatment of Mitral Stenosis.
   3. Aetiology, clinical features and management of Community- Acquired Pneumonia.

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   4. Clinical features, diagnosis & management of Rheumatoid Arthritis.
2. Answer in brief: (any 5 out of 6) 10
   1. How will you differentiate between peripheral and central cyanosis ?
   2. Give the WHO/Modified Jone's Criteria for diagnosis of Acute Rheumatic Fever.
   3. Give causes of Differential Clubbing.

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   4. Give causes of Non-cardiogenic pulmonary edema.
   5. Give the differential diagnosis of migratory polyarthritis.
   6. List drugs with dosages & route of administration for treatment of Hypertensive Crisis.
3. Answer in one-two sentences/words/fill in the blanks : 8
   1. What is the pathognomic hallmark of Rheumatic Heart disease?

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   2. Two conditions in which pulsus paradoxus may be seen.
   3. What is Wenckebach's phenomenon on ECG?
   4. Name two pathological causes of loud S1.
   5. Define Chronic Bronchitis.
   6. What is Bronchiectasis sicca?

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   7. What is the diagnostic, criteria for ARDS?
   8. Enumerate drugs used in treating Gout.

SECTION II

1. Write short notes: (any 3 out of 4) 12
   1. Clinical presentation and management of Iron deficiency Anemia

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   2. Newer diagnostic methods of malaria.
   3. Clinical presentation and management of intermittent porphyria.
   4. Clinical features and management of organophosphorus poisoning
2. Answer in brief: (any 5 out of 6) 10
   1. Write indications for bone marrow transplantation.

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   2. Give the differential diagnosis of microcytic anemia.
   3. Describe the interpretation & technique of performing the Tourniquet test.
   4. Give the formula for calculating the BMI (Body Mass Index). What is its importance?
   5. List clinical features and Rx of acromegaly.
   6. Describe on-site management of venomous snake bite & transport to health care facility.

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3. Answer in one-two sentences/words/fill in the blanks : 8
   1. Write four causes of massive splenomegaly
   2. Which is the earliest sign of Iron Deficiency Anemia?
   3. Name drugs used in prophylaxis for infective endocarditis in a patient undergoing abdominal surgery with dose & route of administration.
   4. Name the drug(s) used in treatment of Pneumocystis carinii pneumonia with dose.

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   5. Name two organisms associated with ventilator-associated pneumonia.
   6. Describe two eye-signs of Thyrotoxicosis
   7. Name two insulin analogues.
   8. Name two drugs with dose & route of administration for treatment of anaphylactic shock.

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P-4019] 3 [400]

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