Final Prof MBBS nov 2021 (RU): Medicine Paper-1 Question

Full Marks: 70
Time:2 hours 30 minutes
(N.B. Each question carries equal marks. Answer any SEVEN questions from each group. USE SEPARATE ANSWER
SCRIPT FOR EACH GROUP.)

Group-A:(5×7=35marks)

1. A 40-year-old man presented with generalized swelling of the body for 15 days.
   (a) What are the possibilities?
   (b) How will you investigate him?
2. A 20-year-old man had a BP of 180/120 mm Hy.
   (a) Mention the physical signs you will look for in this patient.
   (b) How would you investigate him?
3. A 25-year-old man presented with fever, gum
   bleeding & progressive pallor for one month
   (a) What are the differentiate diagnoses?
   (b) How will you investigate him?
4. A 20-year-old man presented with left knee pain & swelling for 10 days
   (a) Mention 5 important differential diagnoses.
   (b) What is your plan of investigations?
5. (a) What clinical information can be obtained by examining the pulses?
   (b) Briefly discuss the role of echocardiography in the evaluation of cardiac diseases.
6. A35-year-old female presented with nausea, vomiting & yellow coloration of eyes, and urine for 10 days. On examination, there was tender hepatomegaly,
   (a) What are the points to be noted in history to reach your clinical diagnosis?
   (b) Write down complications of this condition.
7. A 35-year-old woman presented with multiple joint pain for three months
   (a) What are the points to be noted in history to narrow down your differential diagnoses?
   (b) How would you investigate her?
8. A 40-year-old male presented with abdominal swelling for one month. Shifting dullness was positive
   (a) How will you evaluate him clinically?
   (b) How will you investigate hirn?

Group – B (5×7=35marks)

1. A 50-year-old female presented with weight gain, cold intolerance, and constipation-
   (a) What is your diagnosis? What other physical signs will you look for?
   (b) How will you investigate and treat this patient?
2. A 45-year-old woman collapsed and became hypotensive after receiving penicillin injection
   (a) What is the most likely diagnosis?
   (b) How would you manage the patient?
3. A 50-year-old female presented with acute severe upper abdominal pain for 6 hours.
   (a) How will you clinically evaluate the patients?
   (b) Write down your planned investigations with expected findings.
4. A 45-year-old man presented with fever for ten days, cough and shortness of breath for two days. On examination, his SPO2 is 88%
   (a) How will you investigate him?
   (b) How will you treat him?
5. 38-year-old male presented with increased thirst, the passage fo a large volume of urine and weight loss
   (a) How will you investigate to establish your diagnosis?
   (b) How will you manage him?
6. (a) How will you differentiate haemolytic, hepatocellular and obstructive jaundice clinically?
   (b) What are the indications and contraindications of upper GI endoscopy?
7. A 60-year-old male presented with severe shortness of breath and wheezing.
   (a) Ilow will you differentiate severe acute asthma from cardiac asthma?
   (b) How will you manage acute exacerbation of COPD?
8. Write short notes on-
   (a) DVT (b)Hyperkalaemia.