Download KUHS MBBS 2019 Aug 4th Year (Final Year) 306001 General Medicine II Question Paper

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Q.P. Code: 306001 Reg. NO.:

Third Professional MBBS (Part II) Degree Supplementary Examinations August 2019

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General Medicine - I

(General Medicine including Dermatology, Psychiatry and Radio Diagnosis)

Time: 3 Hours Total Marks: 60

• Answer all questions

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• Draw diagrams wherever necessary

Essay: (2x10=20)

1. A 55 years old man presents with insomnia, lack of interest and suicidal attempts since 4 months. There is a strong family history of such ailment. On examination he is irritable, sad looking and withdrawn. Answer the following.
   • What is your possible diagnosis
   • What are the criteria to diagnose this condition
   • Describe the aetio-pathogenesis of this condition

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   • How will you treat the disease (2+3+2+3)
2. A 40 years old male, a chronic smoker presents with breathlessness and productive cough since one week. Past history of similar symptoms are present since last 4 years. He ignored Doctor’s advice to quit smoking. On examination he has pedal edema, raised JVP and bilateral scattered rhonchi. Answer the following.
   • What is possible diagnosis
   • How will you confirm your diagnosis
   • How will you treat this ailment

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   • What are the complications of this disease (2+3+3+2)

Short notes: (20x2=40)

1. Broncho pulmonary segments.
2. Second line antituberculous drugs.

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3. Treatment of chicken pox.
4. Lab diagnosis of dengue fever.
5. Immune thrombocytopenia.
6. Rat poison — complications and management
7. Silicosis.

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8. Disease Modifying Drugs (DMARDs)in Rheumatoid Arthritis.
9. Endocrine causes for Systemic Hypertension.
10. Causes of erythema multiforme.
11. Acne vulgaris.
12. Cardio-thoracic ratio.

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13. Clinical features and management of tetanus.
14. Treatment of chloroquine resistant malaria.
15. Cyanosis.
16. International normalized ratio (INR)
17. Silhouette sign in X — ray chest

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18. Granulocyte colony stimulating factor (G-CSF) therapy.
19. Vaccination strategy in elective Splenectomy.
20. Clinical features of acute intermittent porphyria.

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