Q.P. Code: 305001 Reg. no.

: …………………

Third Professional MBBS (Part II) Degree Supplementary Examinations,

February 2018
General Medicine – I
Time: 3 Hours Total Marks: 60
• Answer all questions
• Draw diagrams wherever necessary

Essay: (2 x 10 =20)

1.A 20 years young female presented with history of fever, poly arthralgia, facial puffiness, pedal
edema and decreased urine output. On examination she has malar rash over the cheek,
anasarca and B.P. 150/100 mm Hg. Answer the following.
 What Is your likely diagnosis
 How will you confirm the diagnosis
 How will you treat the disease
 What are the complications of the disease (2+3+3+2)

2. A 45 years old man who is a chronic alcoholic presents with the history of tarry black stools
and fresh blood vomiting since 2 days. On examination he is ill looking, pale and has tachycardia.
He has ascites but no palpable spleen. His blood pressure is 90/60 mm Hg. Answer the following:
 What is your likely diagnosis
 What steps should be taken immediately in the management
 How will you treat this condition
 What are the complication of this condition (2+3+3+2)

Short notes: (20x2=40)

3. Scurvy.
4. ADPKD (autosomal dominant polycystic kidney disease)
5. Anti-snake venom
6. Microbiota
7. Neuro cardiogenic syncope.
8. Liver function tests.
9. Clinical features of Eisenmenger's syndrome
10. Diagnosis of obstructive sleep apnea.
11. Treatment of acute inflammatory demyelinating polyneuropathy (AIDP).
12. Newer antiepileptic drugs.
13. Clinical features of Conn's syndrome.
14. Muscarinic manifestation of organophosphorus compound poisoning.
15.Syndrome of inappropriate ADH secretion
16.Amiodarone
17.Scrub typhus.
18. Modified Paine's criteria of leptospirosis.
19. Benign increased intracranial tension (ICT)
20. Common migraine.
21.Diagnosis of osteomalacia.
22.Jones criteria of rheumatic fever
Q.P. Code: 306001 Reg. no.: …………………

Third Professional MBBS (Part II) Degree Supplementary Examinations,

February 2018
General Medicine – II
Time: 3 Hours Total Marks: 60
• Answer all questions
• Draw diagrams wherever necessary

Essay: (2 x 10 =20)

1. A 20 year young male travels in two wheeler in a dusty atmosphere develops sneezing and
breathlessness He gives past episodes of wheezing. Auscultations of chest showed bilateral
polyphonic wheezes. Answer the following:
 What is your diagnosis
 How will you investigate him
 How will you manage
 Precautions to prevent further episodes (2+3+2+3)

2.A young male with high risk behaviour (alcohol) developed agitations and tremulousness on
hospitalization for medical illness
 What is your diagnosis
 How will you manage this patient
 What are the complications
 What are the hepatic complications of alcohol abuse (2+3+2+3)

Short notes (20x2=40)

3.Eating disorders
4.Causes of hematuria
5. postpartum psychosis
6. Clinical features of leprosy
7.Hazards of radiations
8.Metabolic syndrome
9. Cutaneous manifestation of HIV aids
10.Criteria for alcoholic dependence
11.Treatment of snake bite
12. Clinical features of Cushing syndrome
13.Management of eczema
14. Alpha glucosidase inhibitor
15.Dressler's syndrome
16.Amoebic liver abscess
17.Causes of end stage renal failure
18.Prognostic features in pneumonia
19.Dissociative disorder
20.Causes of hyperpigmentation
21.Radiological diagnosis of pulmonary tuberculosis
22.Radiological presentation of bronchogenic carcinoma