RGUHS MBBS General Medicine May 2024 (1037 CBME)

1037Rajiv Gandhi University of Health Sciences · General Medicine · 2024 · May · CBME

Questions (30)

1.A 32 year gentleman presents to Emergency room with sudden onset headache and diaphoresis O/E-BP-220/130 mm hg, papilloedema present, concious, oriented a. Discuss the diagnosis and treatment b. Enumerate the causes of secondary hypertension c. Enumerate the investigations of Hypertension in young
10 Marks
2.A farmer 45 years male is brought to casualty in a state of unconsciousness o/e-constricted pupil,pulse-50/min,bp-100/60 mmhg,unconcious,rr-30/min, typical smell of pesticide present a. Discuss probable diagnosis and substantiate b. Describe the management of this patient c. Enumerate common poisons and their antidotes
10 Marks
3.Describe the management of nonketotic hyperosmolar state in diabetes mellitus
5 Marks
4.Describe and discuss compensatory mechanisms involved in heart failure
5 Marks
5.Describe the clinical features and management of thiamine deficiency
5 Marks
6.Enumerate the viruses causing hepatitis, describe clinical features and treatment of acute viral Hepatitis A
5 Marks
7.Discuss medicolegal, sociocultural, professional and ethical issues pertaining to medical negligence
5 Marks
8.Describe the management of oesophageal variceal bleed
5 Marks
9.Discuss the medical emergencies in Rhuematoid arthritis
5 Marks
10.Discuss the causes of metabolic acidosis
5 Marks
11.Define and classify obesity
3 Marks
12.Describe management of thyrotoxic crisis
3 Marks
13.Enumerate the functions of liver
3 Marks
14.Describe the mechanism of action with examples for SGLT2 inhibitors
3 Marks
15.Describe the etiopathogenesis of coronary artery disease
3 Marks
16.Enumerate the indications of heart transplantation
3 Marks
17.Discuss modified Dukes criteria
3 Marks
18.Describe drug to drug interaction with examples
3 Marks
19.Describe the clinical features and treatment of hypokalemia
3 Marks
20.Describe the cardiovasular examination findings in mitral regurgitation
3 Marks
21.Factors influencing myocardial oxygen supply and demand are all EXCEPT A. Heart rate B. Blood pressure C. Duration of systole D. Hemoglobin level
1 Mark
22.Calcium channel blocker causing tachycardia is A. Nifedepine B. Verapamil C. Diltiazem D. Flunarizine
1 Mark
23.SCHOBER ‘S test is useful in A. Rheumatoid arthritis B. Ankylosing spondylitis C. Psoriatic arthritis D. Reactive arthritis
1 Mark
24.Examples of drugs associated with drawl effects are all EXCEPT A. Selective Serotonin reuptake inhibitors B. Opiods C. Barbiturates D. Amphetamine
1 Mark
25.Diseases associated with triplet expansions are all EXCEPT A. Spinocerebellar ataxia type 1 B. Machado joseph disease C. Spinobulbar muscular atrophy D. Dubin johnson syndrome
1 Mark
26.Vitamin which causes peripheral neuropathy in both deficiency and excess A. Folate B. Pyridoxine C. B 12 D. C
1 Mark
27.Causes of proximal muscle weakness are all EXCEPT A. Hypocalcemia B. Sarcoid C. Carnitine deficiency D. Polymyositis
1 Mark
28.False statement about interpretation of urea and electrolyte result is A. Chloride levels generally change in parallel with plasma sodium B. Sodium levels largely reflect changes in water balance C. Bicarbonate is normal in acid base disorders D. Creatinine can increase with increase in people with high muscle mass
1 Mark
29.Complications of obesity are all EXCEPT A. Obstructive sleep apnoea B. Osteoporosis C. Gastroesophageal reflux disease D. Coagulopathy
1 Mark
30.Causes of salivary gland swelling are all EXCEPT A. Viral infection B. Sjogrens C. Calculi D. Rhuematoid arthritis
1 Mark

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