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RGUHS MBBS General Medicine May 2024 (1038 CBME)

1038Rajiv Gandhi University of Health Sciences · General Medicine · 2024 · May · CBME

Questions (30)

  1. 1.50-year-old gentleman presented with sudden onset of weakness of right upper and lower limb. He had deviation of mouth to left side. On examination, he was unable to speak and power in right upper and lower limb was 2/5 and extensor plantar reflex on right side. a) Discuss the diagnosis, etiopathogenesis and management of this condition?
    10 Marks
  2. 2.Describe the etiology, clinical features, management, and complications of Falciparum Malaria.
    10 Marks
  3. 3.Discuss the clinical features, and management of Bronchial asthma.
    5 Marks
  4. 4.Describe the clinical feature and management of pulmonary tuberculosis.
    5 Marks
  5. 5.Discuss the etiology, clinical features, and management of Polycystic kidney disease.
    5 Marks
  6. 6.A 40-year-old gentleman presented with fatigue and generalized weakness for 4 months. His hemoglobin was 6 gram/dL, mean corpuscular volume was 106 fL, leucocyte count, and platelet count were normal. He had knuckle pigmentation. What is the likely diagnosis? Describe the management of this condition.
    5 Marks
  7. 7.Describe the ECG changes and management of Hyperkalemia.
    5 Marks
  8. 8.Discuss the causes and prevention of falls in elderly.
    5 Marks
  9. 9.Describe the clinical features and management of Steven Johnson syndrome.
    5 Marks
  10. 10.Describe the clinical features and management of schizophrenia.
    5 Marks
  11. 11.Discuss the clinical features of leprosy.
    3 Marks
  12. 12.Discuss post exposure prophylaxis of HIV.
    3 Marks
  13. 13.List the causes of chronic kidney disease.
    3 Marks
  14. 14.Enumerate the causes of metabolic acidosis.
    3 Marks
  15. 15.Describe the treatment of trigeminal neuralgia.
    3 Marks
  16. 16.Enumerate the clinical signs of lobar pneumonia.
    3 Marks
  17. 17.Describe the management of Alcohol dependence syndrome.
    3 Marks
  18. 18.Enlist dermatological manifestations of internal malignancies.
    3 Marks
  19. 19.Enlist the radiological features of Emphysema.
    3 Marks
  20. 20.Discuss the treatment of depression.
    3 Marks
  21. 21.A 50-year-old gentleman had a long flight of 16 hours. Following the journey, he had developed swelling of right leg, sudden onset breathlessness. Which of the following is the first line diagnostic test for this condition? A. High resolution CT scan of chest B. CT Pulmonary angiography C. Bronchoscopy D. Trans-bronchial Lung Biopsy
    1 Mark
  22. 22.Which of the following is a prion disease? A. Creutzfeldt-Jakob disease B. Huntington’s chorea C. Menke’s kinki hair disease D. Steel Richardson’s syndrome
    1 Mark
  23. 23.Antibodies to glomerular basement membrane are seen in which of the following condition? A. Good pasture’s syndrome B. Membranous nephropathy C. Wegener’s granulomatosis D. Churg Strauss disease
    1 Mark
  24. 24.Which of the following drug is used in the treatment of Pneumocystis jirovecii pneumonia? A. Doxycycline B. Co-trimoxazole C. Amoxicillin D. Azithromycin
    1 Mark
  25. 25.A 50-year-old gentleman presented with progressive ascending paralysis of all the four limbs for 3-4 days. On examination he had bilateral lower motor neuron type facial paralysis. Which among the following is the preferred treatment? A. Glucocorticoids B. Streptokinase C. Immunoglobulins D. Aspirin + Statins
    1 Mark
  26. 26.Which of the following vaccines should be offered to patients of COPD? A. Meningococcal vaccine B. Pneumococcal vaccine C. Zoster vaccine D. Typhoid vaccine
    1 Mark
  27. 27.“Red cell casts” are characteristic of which of the following conditions? A. Acute glomerular nephritis B. Chronic kidney disease C. Nephrotoxic acute tubular necrosis D. Interstitial nephritis
    1 Mark
  28. 28.A 25 year old lady presented with a cough with expectoration for 3 years. On examination she had grade 3 clubbing. Chest examination revealed coarse leathery crepitations in right intrascapular areas. Which of the following is a likely diagnosis? A. COPD B. Pulmonary tuberculosis C. Bronchiectasis D. Bronchial Asthma
    1 Mark
  29. 29.“Koplick’s spot” are seen in which of the following condition? A. Rubella B. Measles C. Mumps D. Dengue fever
    1 Mark
  30. 30.Which of the following anti-tubercular drugs can cause optic neuritis? A. Isoniazid B. Rifampicin C. Pyrazinamide D. Ethambutol
    1 Mark

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