RGUHS MBBS General Medicine July 2025 (1038 CBME)

1038Rajiv Gandhi University of Health Sciences · General Medicine · 2025 · July · CBME

Questions (30)

1.A 50 year female comes to Emergency room with acute onset of breathlessness and cough from 2 days. She gives history of exposure to biogas fuel and repeated episodes of such cough and dyspnea during rainy and winter seasons for last 3 years a. Discuss the differential diagnosis with supporting points b. Describe the management c. Enumerate the complications
10 Marks
2.A 30 year old male, farmer comes to OPD with fever, body pains and fatigue of 5 days duration. On examination he is febrile, looks toxic, Hess test is positive, conjunctiva is congested, he has mild hepato splenomegaly. a. Discuss the differential diagnosis with supporting points b. Describe the management c. Discuss the differentials for fever with rashes.
10 Marks
3.Define and classify Migraine. Describe the treatment
5 Marks
4.Classify Pneumonia and discuss its complications
5 Marks
5.Describe the principles of Highly Active Antiretroviral Therapy (HAART)
5 Marks
6.Describe the management of Acute ischemic stroke
5 Marks
7.Describe and classify pathophysiological causes of Acute kidney injury
5 Marks
8.Describe the indications of Bone marrow aspiration and biopsy. If the bone marrow biopsy showed pancytopenia, discuss its causes.
5 Marks
9.Discuss aetiopathology, management and rehabilitation of visual loss in elderly.
5 Marks
10.Describe clinical features and management of Bipolar disorder
5 Marks
11.Enumerate the causes of stroke in young
3 Marks
12.Classify PUO(Pyrexia of unknown origin) and enumerate the causes.
3 Marks
13.Describe the components of Nephritic syndrome
3 Marks
14.Enumerate the indications of invasive ventilation
3 Marks
15.Discuss the management of MDR TB
3 Marks
16.Describe the relationship between infections and cancer
3 Marks
17.Describe the treatment of leprosy
3 Marks
18.Describe the clinical features of Steven Johnson syndrome
3 Marks
19.Describe the complications of blood transfusion
3 Marks
20.Describe the treatment of alcohol abuse disorder
3 Marks
21.Which of the following represents the tumor burden of necrosis A. CEA B. Ferritin C. LDH D. ESR
1 Mark
22.Macrocytic picture in peripheral smear is seen in all EXCEPT A. Vit B12 deficiency B. Hypothyroidism C. Methotrexate toxicity D. Autoimmune hemolytic anemia
1 Mark
23.Pharmocological prophylaxis for Venous thromboembolism are all EXCEPT A. Low molecular weight heparin B. Fondaparinux C. Apixaban D. Aspirin
1 Mark
24.Which is True about sterile Pyuria A. Neutrophils in urine with culture negative B. Tuberculosis does not cause sterile pyuria C. Lymphocytes in urine with culture negative D. Urine routine normal but culture positive
1 Mark
25.Miliary diffuse shadowing is seen in all EXCEPT A. Sarcoidosis B. Tropical pulmonary eosinophilia C. Malignancy D. Bacterial pneumonia
1 Mark
26.Risk factors for fall in elderly are all EXCEPT A. Postural hypertension B. Parkinson’s disease C. Visual impairment D. Age more than 80 yrs
1 Mark
27.In Erythema nodosum -provoking factors are all EXCEPT A. Pregnancy B. Oral Contraceptive Pills C. Bacteria D. Cephalosporins
1 Mark
28.Which is not a feature of Acanthosis nigricans A. Indicates insulin resistance B. Can be associated with malignancy C. Does not regress with weight loss D. Seen in flexures
1 Mark
29.Examples of hyperkinetic movement disorders are all EXCEPT A. Tremor B. Athetosis C. Tic D. Catatonia
1 Mark
30.Which is NOT a feature of Restless leg syndrome A. Symptoms can spread to upper limbs B. All of them need treatment with dopamine agonists C. Secondary Restless leg syndrome needs treatment of cause D. Affects 10 percent of adults
1 Mark

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