RGUHS MBBS General Medicine February 2022 (1094 RS3)

1094Rajiv Gandhi University of Health Sciences · General Medicine · 2022 · February · RS3

Questions (22)

  1. 1.A 58-year-old male chronic smoker has presented with progressive exertional breathlessness, orthopnea and episodes of paroxysmal nocturnal dyspnea since 1 month. On examination he has bilateral pedal edema, tachycardia, gallop rhythm and fine basal crackles. What is the most probable diagnosis? Mention four important conditions leading to this condition. Discuss diagnostic investigations and outline treatment of above patient.
    10 Marks
  2. 2.A 45-year-old man presents with history of fever, dry cough and chest pain on the right side since three weeks. His examination reveals tracheal shift to left, reduced movement and dull note on percussion in right side of chest. What is the most probable diagnosis? How to confirm diagnosis? Discuss his treatment.
    10 Marks
  3. 3.Aetiology and clinical features of basal cell carcinoma of skin.
    5 Marks
  4. 4.Inheritance and genetic counseling of haemophilia.
    5 Marks
  5. 5.What is the clinical manifestation of mania? Write a note on lithium carbonate.
    5 Marks
  6. 6.Clinical features and treatment of pulmonary embolism.
    5 Marks
  7. 7.Clinical features and treatment of cobra bite.
    5 Marks
  8. 8.What are the treponemal and non treponemal tests for syphilis? And mention differences between them.
    5 Marks
  9. 9.Aluminium phosphide poisoning, clinical features and treatment.
    5 Marks
  10. 10.What is T score? And mention its clinical utility.
    5 Marks
  11. 11.What is lung compliance and give examples of respiratory diseases with increased and reduced compliance.
    5 Marks
  12. 12.What are the causes of haemoptysis in mitral stenosis?
    5 Marks
  13. 13.What is panic disorder? Which phobia is often associated with panic disorder?
    3 Marks
  14. 14.Which clinical sign demonstrates severity of epithelial detachment in toxic epidermal necrolysis and how to elicit it?
    3 Marks
  15. 15.What is Dressler syndrome? How to treat it?
    3 Marks
  16. 16.What are the complications of atrial fibrillation?
    3 Marks
  17. 17.Which congenital heart disease is associated with wide fixed splitting of second heart sound and why?
    3 Marks
  18. 18.What is the causative organism of condyloma acuminatum and how to treat it?
    3 Marks
  19. 19.What are the sexually transmitted diseases presenting with painful genital ulcers and lymphadenopathy?
    3 Marks
  20. 20.How can antibody measurement be used to indicate an active infection?
    3 Marks
  21. 21.Mention three clinical features of organophosphorus poisoning.
    3 Marks
  22. 22.What stages of HIV life cycle are targets for therapy?
    3 Marks

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