Final Professional MBBS Examination of (Nov) 2019 DU: Medicine -I
Subject: Medicine Paper-I
Medicine Paper-I (SAQ)
a) Write down the clinical importance of taking drug history of patient.
b) What is the clinical importance of auscultating the precordium?
a) How would you differentiate chest pain of angina pectoris from that of acute
b) How would you investigate a patient with stable angina with expected findings?
a How would you differentiate rheumatoid arthritis from ankylosing spondylitis?
b Write down the principles of management of a case of rheumatoid arthritis.
a) A 45 years old man presents with severe abdominal pain for 2 days and you are
suspecting him as a case of acute pancreatitis. Write down clinical information you would search for its aetiology.
b) How would you manage a case of acute pancreatitis?
a) A 53 years old patient with hypertension. Write down clinical information you
would search for identification of underlying causes of secondary hypertension.
b) Mention the comorbidities which influence the selection of antihypertensive
medication with example ?
a) Quantify obesity with body mass index.
b) Write down the complications of obesity?
a) A 35 years old woman presents with diarrhoea for 6 months. Write down clinical
information you would search for its aetiology.
b) A 55 years old female presents with haematemesis and melaena for one day. How would you manage the case ?
a) How would you differentiate vascular claudication from neurogenic claudication of
b) Write down the features of vitamin D deficMedicine
a) A 25 years old woman presents with recurrent purpuric spots
for Imonth. Write
down clinical information you would search in favour of diagnosis.
b) Write down the principles of management of a case of thalassemia.
a)What information would you gather from analysis of pleural fluid?
b) A 65 years old man presents with cough for 3 months. What clinical information
would you search for identification of aetiology.
a) How will you differentiate bronchial asthma from chronic obstructive pulmonary
b) How will you mange a case of severe bronchial asthma?
a) A 25 years old man presents with jaundice for 15days. What clinical information you
would ask for identification of its aetiology
b) How would you mange a case of ascites due to cirrhosis of liver?
a) A 45 years old woman presents to you with generalized weakness and palpitation. Her
Hb is 7.5 gm/dl. Make a check list of clinical signs to find out the cause.
b) How would manage a case of megaloblastic anaemia.
a) A 25 years old woman attends to outpatient department with history of weight gain,weakness and constipation. You are suspecting her as a case of hypothyroidism.Make a check list of clinical signs you would look in favour of your diagnosis.
b) Mention the investigations you would advice for her with reasons.
a) A 40 year old man presents with a report having serum potassium level 6.8 mmol/L.What clinical information you would search for its aetiology ?
b) How would you manage this case ?
a) A 20 years old man presents with proteinuria. Write down clinical information you
will search to find out the aetiology.
b) How would you manage a case of adrenal crisis?