MCPS Question Medicine July 2021
SUBJECT: MEDICINE
PAPER I
01) A 55-year-old man suffering from hypertension, type Il diabetes mellitus presented with weakness, lethargy and drowsiness. He was dehydrated & blood pressure was 180/110 mmHg. His RBS was 25 mmol /1 & s. creatinine was 3.4mg/dl.
a) What are the immediate measures you should take for this patient?
b) Mention the investigations with clinical reasoning.
c) Discuss further management for this patient
2) Write short answers to the following questions:
a)How will you evaluate a 40-year-old man presented with palpitation and shortness
of breath after recent recovery from COVID-19?
b) How will you evaluate a 60-year-old woman presented with dementia?
c) Myths versus facts against COVID-19 vaccination.
d) Mention the factors influencing in the management of bronchial carcinoma.
e) How will you evaluate and manage anemia in CKD?
3) A 25-year-old woman presented with vomiting and diarrhoea for 2 months. She
became unconscious for 2 hours and her BP was 85/60 mmHg.
a) Make a checklist of clinical information to evaluate her.
b) Mention the investigations with clinical reasoning.
c) How will you manage this patient?
4) Write short notes on:
a) How will you evaluate a 50-year-old man presented with spontaneous hypoglycaemia?
b) What factors to be considered before prescribing anti-epileptie drug in epilepsy
patient?
c) How will you approach a 25-year-old woman presented with recurrent jaundice?
d) Enumerate the local and systemic effects of venomous snake bite.
e) Make a checklist of clinical information of 20-year-old woman presented with short
stature.
PAPER : II
Q.1. A 32-year-old woman presented with complaints of generalized weakness, difficulty in swallowing and double vision. Her muscle tone and power with all reflexes were diminished.
Her planter was equivocal on both sides.
a) Make a checklist of clinical information to evaluate her.
b) Mention the investigations with clinical reasoning.
c) How will you manage her and what advice will you give her during discharge from hospital?
Q.2. Write short answers to the following questions:
a) Discuss the step care management of neuropathic pain.
b) How will you evaluate a patient presented with excessive sweating?
c) Mention the steps in breaking bad news.
d)How will you evaluate a case of recurrent haemoptysis with normal chest X-ray?
e) A 30-year-old woman presented with recurrent jaundice. How will you evaluate her?
3) A 34-year-old man was brought in OPD with blackening of tips of toes with tingling and numbness in his lower limbs. He was diagnosed as a case of asthma and on treatment.
a) Make a checklist of clinical information to evaluate him.
b) Mention the investigations with clinical reasoning,
c) How will you manage him?
4) Write short notes on:
a) Write down the differences between neurogenic and vascular claudication.
b) How will you investigate and manage a 30-year-old woman with recurrent urinary tract infection?
c) Roll of SGLT 2 inhibitors in cardiovascular disease.
d) How will you evaluate a case of erectile dysfunction?
e) What are the risk factors for suicide? How will you assess a patient after attempted suicide?
