Download RGUHS BNYS 2020 4th Year 2551 First Aid And Emergency Medicine Rs 3 Question Paper

LONG ESSAYS 2 X 10 = 20 Marks

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1. Management of an unconscious patient.

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Draw labeled diagrams wherever necessary.

2. Define Shock. Mention its types and add a note on hypovolemic shock.

SHORT ESSAYS 10 X 5 = 50 Marks

1. Golden hour in first aid.
2. Abdominal aortic aneurysm.

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3. Hypoglycaemia-Symptoms, causes and treatment.
4. Treatment of Paracetamol overdose.
5. Hepatic coma in liver cirrhosis- prevention and treatment.
6. Treatment option in Cardiac Arrythmias.
7. Acute Renal Failure in emergency medicine.

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8. Management of acute pancreatitis.
9. Diagnostic approach to nausea and vomiting in adults.
10. Management of Status Epilepticus in Adults.

Multiple Choice Questions 10 X 1 = 10 Marks

13. Strokes are commonly
    1. Ischaemic

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    2. Traumatic
    3. Haemorrhagic
    4. Infectious
14. Fatty change in the liver is due to the accumulation of
    1. Cholesterol

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    2. LDL
    3. VLDL
    4. Triglycerides
15. Cushing’s triad is seen in
    1. Diabetes

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    2. DVT
    3. Pancreatitis
    4. Increased ICP
16. In cardio pulmonary resuscitation (CPR). What is the desired rate of cardiac compressions per minute
    1. 100

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    2. 90
    3. 80
    4. 70

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17. Pulmonary thromboembolism is commonly diagnosed by
    1. ECG
    2. Echocardiography
    3. CT pulmonary angiogram
    4. Venous thrombosis

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18. A 24 year old woman who is 9 weeks pregnant presents with hyperemesis. She is clinically dehydrated and treatment is started with IV fluids and anti-emetics. Which one of the following is most useful as a guide to further treatment for her hyperemsis?
    1. Postural hypotension
    2. Serum urea level
    3. Serum creatinine level
    4. Urinary ketones

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19. Status asthmaticus treatment is by
    1. Antihistamine
    2. Hydrocortisone
    3. Adrenaline
    4. atropine

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20. In a patient with shortness of breath, which of the following signs indicates left heart failure?
    1. Ascites
    2. Basal crepitations
    3. Dependant edema
    4. Engorged neck veins

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21. Murphy’s triad is seen in
    1. Pancreatitis
    2. Cholangitis
    3. Appendicitis
    4. Hepatitis

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