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RGUHS MBBS General Medicine July 2025 (1037 CBME)

1037Rajiv Gandhi University of Health Sciences · General Medicine · 2025 · July · CBME

Questions (30)

  1. 1.A 50 year old male with Diabetes Mellitus and Hypertension presents to Emergency room with dyspnea of 4 months duration, which has worsened since 2 days. He often wakes up from sleep due to difficulty in breathing. On examination his JVP is 8 cm of water, he has bilateral pitting pedal edema, and has bibasal crepitations. a. Identify the condition and substantiate b. Enumerate the precipitating factors of the condition c. Describe the management
    10 Marks
  2. 2.A 70 years male is admitted in ward with diabetic ketoacidosis and is recovering, now due for discharge. Suddenly he is found unconscious in a pool of sweat by family members. On examination his pulse rate is 110/min,BP is 120/70 mm Hg. a. Identify the condition-give differentials b. Discuss the management of this patient c. Enumerate the acute and chronic complications of Diabetes mellitus.
    10 Marks
  3. 3.Classify acute coronary syndromes and describe the treatment of unstable angina
    5 Marks
  4. 4.Discuss the medicolegal, socioeconomic and ethical issues of Organ donation
    5 Marks
  5. 5.Describe the clinical features of severe under nutrition in adults
    5 Marks
  6. 6.Describe calcium homeostasis and treatment of Hypercalcemia
    5 Marks
  7. 7.Define and classify hepatic encephalopathy, describe its treatment.
    5 Marks
  8. 8.A 30 year male with history of alcohol abuse comes to Emergency room with hematemesis- describe the causes and outline the management of hematemesis.
    5 Marks
  9. 9.Describe the management of Rheumatoid arthritis
    5 Marks
  10. 10.Describe the initial approach to the stabilization of a patient who presents with poisoning
    5 Marks
  11. 11.Describe clinical features and treatment of corrosive poisoning
    3 Marks
  12. 12.Describe management of Hashimoto’s thyroiditis
    3 Marks
  13. 13.Discuss the role of Cardiac enzyme estimation in Acute coronary syndromes
    3 Marks
  14. 14.Define, classify and Grade hypertension
    3 Marks
  15. 15.Classify acid base disorders with examples
    3 Marks
  16. 16.Enumerate causes of hyperkalemia
    3 Marks
  17. 17.Describe the clinical features of Niacin deficiency
    3 Marks
  18. 18.Classify and give examples of antihypertensive drugs
    3 Marks
  19. 19.Enumerate the pituitary hormones
    3 Marks
  20. 20.Describe the treatment of acute gout
    3 Marks
  21. 21.In root causes of diagnostic error in studies-examples of system error are all EXCEPT A. Inadequate diagnostic support B. Error prone processes C. Error in reasoning D. Poor team communication
    1 Mark
  22. 22.All are mediators in key regulation of bone remodelling EXCEPT A. PTH B. Thyroid hormone C. Rankl D. Testosterone
    1 Mark
  23. 23.Which is false statement about RA factor A. Normal healthy people cannot be positive for RA factor B. In Primary Sjogrens, 90 percent are RA positive C. In Infective endocarditis 40 percent are RA positive D. In Tuberculosis 15 percent are RA positive
    1 Mark
  24. 24.All of the following are imprinting disorders EXCEPT A. Beck with Wiedemann syndrome B. Praderwilli syndrome C. Angelman syndrome D. Hypoparathyroidism
    1 Mark
  25. 25.Which of the following is true about functions of macrophages A. Stimulate the chronic phase response B. Stimulate the monocyte maturation and chemotaxis C. Microbial killing through oxidative and nonoxidative mechanisms D. Up regulation of inflammatory cytokine
    1 Mark
  26. 26.Which is NOT the lab marker of inflammation A. ESR B. CRP C. Plasma viscosity D. Red cell distribution width
    1 Mark
  27. 27.The normal Pulmonary artery systolic pressure is A. 10-14 mm Hg B. 15-30 mm Hg C. 40-50 mm Hg D. 100-120 mm Hg
    1 Mark
  28. 28.All are causes of atrial fibrillation EXCEPT A. Sinoatrial disease B. Pericardial disease C. Chest infection D. Hypothyroidism
    1 Mark
  29. 29.ECG features more in favour of ventricular tachycardia are all EXCEPT A. Extreme right axis deviation B. Capture /fusion beats C. Very broad QRS complexes D. AV dissociation
    1 Mark
  30. 30.High anion gap in toxin consumption-examples include all EXCEPT A. Ethanol B. Iron C. Lead D. Cyanide
    1 Mark

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