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medgag.com PRESENT
2008 TO 2018 CHAPTER WISE
QUESTIONS PAPERS OF WBUHS
REGULAR AND SUPPLEMENTARY
& Recent Marks Distributions
FOR
3RD PROFESSIONAL MBBS PART II
MEDICINE
By- ASHIS RONG
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CARDIOLOGY
Group – A
1) Define heart failure. Enumerate the causes of left heart failure. How will you diagnose and treat a case of
left heart failure? 2+2+6 (2015 regular; P-1)
2) Enumerate causes of hypertension. How will you investigate and treat primary hypertension? 3+4+3 (2015
supplementary; P-1)
3) What is acute coronary syndrome? How do you manage a case of acute myocardial infraction in a 65 years
old hypertensive patients? 3+7 (2014 regular; P-1)
4) What do you mean by arterial fibrillation (AF) and lone AF? What are the common causes and usual
consequences of AF? Enumerate the drug used in the treatment of AF. 2+6+2 (2014 supplementary; P-1)
5) Define heart failure. Describe its pathophysiology. Outline the management of acute left ventricular
failure. 2+4+4 (2013 regular; P-1)
6) Define unstable Angina. How will you examine, investigate and management a case of unstable Angina
in a 50 years old patient? 2+8 (2012 regular; P-1)
7) Describe the first 12 hours of management of a case of acute myocardial infarction in a 60 years old
patient. 10 (2012 supplementary; P-1)
8) Define heart failure. Enumerate the clinical features of different types of heart failure. 2+8 (2011 regular;
P-1)
9) Discuss the management of the heart failure. 10 (2011 supplementary; P-1)
10) What are the causes, clinical features and diagnostic features of Acute Pericarditis? 4+3+3 (2010 regular;
P-1)
11) Describe the clinical features and management of a patient with acute myocardial infraction. 10 (2010
supplementary; P-1)
12) Discuss the etiopathogenesis, clinical features and treatment of Acute Rheumatic fever. 3+4+3 (2009
regular; P-1)
13) Draw a diagram of the conduction system of the heart. Mention aetiology of the irregular pulse. Outline
management of atrial fibrillation. 3+3+4 (2009 supplementary; P-1)
Group – B
1) How to approach to a 35 years old female patient suffering from multivalvular rheumatic heart disease
come to emergency with severe breathlessness. Outline the management strategy of such a patient. 6+4
(2018 regular; P-1)
2) A 35 years old female patient come to emergency department with severe and sudden onset of chest pain.
Enumerate the cause. How can you investigate this patient (including radiological investigation)? 3+7
(2018 supplementary; P-1)
3) Discuss how you will approach a case of fever with polyarthritis with skin rash of about 2 weeks duration
in a young female? 10 (2012 regular; P-1)
4) A 55-year old female has come to the Emergency with acute precordial chest pain. How do you proceed
to diagnose the ease? 10 (2011 regular; P-1)
5) What is the clinical and laboratory (including ECG) feature of acute myocardial infarction? Discuss it’s
management in firs six hours. 2+3+5 (2008 regular; P-1)
6) What are the causes of secondary hypertension? Discuss the treatment and complication of malignant
hypertension. 3+4+3 (2008 regular; P-1)
7) What are the clinical manifestation of infective endocarditis? What are the diagnostic tests done for this?
Discuss the principles of the treatment of infective endocarditis? 3+3+4 (2008 supplementary; P-1)
8) What are the common causes of the chest pain in a 40 years old male? What are the diagnostic tests for
acute myocardial infraction? 6+4 (2008 supplementary; P-1)
Group – C
1. Diagnostic criteria of Rheumatic fever. (2018 regular; P-1)
2. Cardiac tamponade. (2018 regular; P-1)
RESPIRATORY MEDICINE
Group – A
1) Define Pneumothorax. Enumerate types of Pneumothorax. Discuss the clinical features, diagnosis and
management of tension Pneumothorax. 1+3+6 (2018 supplementary; P-2)
2) Define community acquired Pneumonia. Mention the causative organism. Discuss briefly the
management. 3+3+4 (2017 supplementary; P-2)
3) What is bronchial asthma? How do you clinically diagnosed between bronchial asthma and Cardiac
asthma? Discuss the management of a case of acute severe bronchial asthma. 2+3+5 (2016 supplementary;
P-1)
4) Define Pneumonia. Classify Pneumonia. How will you treat a case of community acquired Pneumonia?
2+3+5 (2014 regular; P-2)
5) A 60 year old presents with haemoptysis. What are the likely causes? How will you manage such a case?
2+8 (2014 supplementary; P-2)
6) Describe in brief the management of Acute severe asthma in an adult patient. 10 (2013 regular; P-2)
7) Define respiratory failure. Discuss the management of acute exacerbation of chronic obstructive lung
disease. 3+7 (2012 regular; P-2)
8) Describe the etiopathogenesis and management of bronchial asthma. 5+5 (2009 supplementary; P-2)
9) Enumerate respiratory function tests. Name three obstructive and three restrictive lung diseases. How will
you differentiate obstructive and restrictive lung diseases by respiratory function tests? 5+3+2 (2008
regular; P-2)
10) Define haemoptysis. What are the differential causes of haemoptysis? Discuss the treatment of
haemoptysis. 2+4+4 (2008 supplementary; P-2)
Group – B
1) A 31 years old woman complained of sudden onset right sided chest pain with shortness of breath. The
pain made worse by deep breath and coughing. Breathlessness persisted and she was rushed to emergency.
How will you proceed to arrive at a diagnosis? How will you manage? 5+5 (2017 regular; P-2)
2) 65 years female presented with right side plural effusion. Enumerate the cause. How will you proceed to
diagnosis the case? 4+6 (2017 supplementary; P-1)
3) A 65 years old male presents with cough and intermittent haemoptysis. Enumerate the differential
diagnosis and outline the management of this case. 3+7 (2016 regular; P-2)
4) A 65 years old male patient, chronic smoker, presented with cough, fever and respiratory distress. What
are probable causes? What investigations would help your diagnosis? How will you manage this patient?
2+4+4 (2015 regular; P-2)
5) A 50 years old male came to the emergency department with shortness of breath of acute onset. He has
past history of severe similar attack. What are will be your management strategy in this patient? 3+7 (2015
supplementary; P-2)
6) Define bronchial asthma. State the aims of therapy and principles of the therapy in acute severe asthma.
2+4+4 (2012 supplementary; P-2)
7) What are the poor prognostic clinical features of acute severe asthma? How will you manage such a
patient? 3+7 (2011 regular; P-2)
8) A 50 years old male patient is referred from a peripheral hospital with history of fever, difficulty in
breathing of recent onset and dullness on percussion over the right side of chest. How do you proceed to
a clinical diagnosis in the Emergency department? How will you manage such a case? 4+6 (2011
supplementary; P-2)
9) What are the clinical manifestation of a patient with lobar pneumonia? What are the diagnosis test and
treatment for lobar pneumonia?3+3+4 (2008 supplementary; P-2)
Group – C
1. Complications of pneumonia. (2018 supplementary; P-2)
2. Solitary Pulmonary nodule. (2017 supplementary; P-2)
3. Acute Respiratory Distress Syndrome (ARDS). (2016 regular; P-2)
4. Pulmonary function test. (2016 supplementary; P-2)
5. Management of acute severe bronchial asthma. (2015 regular; P-2)
6. Broncho-pulmonary segment. (2015 supplementary; P-2)
7. Tension Pneumothorax. (2013 supplementary; P-2)
8. Solitary pulmonary nodule. (2012 regular; P-1)
9. Management of community acquired pneumonia. (2012 supplementary; P-2)
10. Acute exacerbation of COPD. (2011 supplementary; P-2)
11. Management of Community acquired Pneumonia. (2010 regular; P-2)
12. Tension Pneumothorax. Cause and management. (2010 supplementary; P-2)
13. Management of acute severe bronchial asthma. (2009 regular; P-2)
Group – D
1. Pulmonary function test. (2018 supplementary; P-2)
2. Pulmonary Nodule. (2017 supplementary; P-1)
3. Tension pneumothorax. (2017 supplementary; P-1)
4. Treatment of acute severe asthma. (2017 supplementary; P-2)
5. Pneumothorax. (2016 regular; P-1)
6. Arterial Blood Gas (ABG) analysis. (2016 regular; P-2)
7. Paraneoplastic syndrome in bronchogenic carcinoma. (2015 regular; P-2)
8. Management of COPD. (2016 supplementary; P-2)
9. Exudate pleural effusion. (2016 supplementary; P-2)
10. Management of haemoptysis in an young patient. (2015 regular; P-2)
11. Post primary pulmonary tuberculosis. (2015 supplementary; P-2)
12. Management of tension pneumothorax. (2015 supplementary; P-2)
13. Coin lesion in chest X-ray. (2014 regular; P-2)
14. ARDS. (2014 supplementary; P-2)
15. Bronchiectasis. (2013 regular; P-2)
16. Cavitary lesions of the lung. (2012 supplementary; P-2)
17. Nosocomial pneumonia. (2011 regular; P-2)
18. Non-metastatic complications of bronchogenic carcinoma. (2009 regular; P-2)
ENDOCRINOLOGY
Group – B
1) A 44 years female presented with palpitation, weight loss, and fatigue for last 2 months with a progressive
swelling in anterior part of neck for last one month. What is your diagnosis? Discuss the investigation and
management. 2+4+4 (2018 regular; P-2)
2) A 35 years old female complains of weight loss with good appetite, tremor and palpitation. What is
probable diagnosis? How do you confirm the diagnosis? Discuss the management. 1+3+6 (2017 regular;
P-2)
3) A 30 years old female presented with lethargy, constipation, weight gain and menorrhagia. What is the
most likely diagnosis? How will you procced to diagnose it? Give its treatment. 1+5+4 (2017
supplementary; P-2)
4) A 38 years old man presented with painless lump on the right side of his neck. This is present for about 2
months and seems to be enlarging. He has lost about 4 kg. weight during this period. Simultaneously he
has noticed generalised itching and night sweat. How will you proceed to arrive at a diagnosis? What are
the differential diagnosis? Outline the management of most probable diagnosis. 4+3+3 (2016 regular; P-2)
5) A lady of 30 years has presented with Goitre. How do you priced to come to an aetiological diagnosis? 10
(2011 supplementary; P-2)
6) Discuss the clinical and laboratory features of hypothyroidism. How will you manage myxoedema coma?
5+5 (2008 regular; P-2)
Group – C
1. Myxoedema coma. (2018 regular; P-2)
2. Hypogonadism. (2018 supplementary; P-2)
3. Medical treatment of Graves’ disease. (2016 regular; P-2)
4. Myxoedema Coma. (2014 regular; P-2)
5. Clinical features of thyrotoxicosis. (2014 supplementary; P-2)
6. Hypogonadism. (2013 regular; P-1)
7. Thyrotoxic crisis. (2013 supplementary; P-2)
8. Dwarfism. (2012 regular; P-1)
9. Clinical features of hyperthyroidism. (2012 regular; P-2)
10. Hirsutism: Definition and causes. (2011 regular; P-1)
11. Signs and symptoms of Thyrotoxicosis. (2010 regular; P-1)
12. Addison’s disease. (2010 regular; P-2)
13. Dwarfism. (2010 supplementary; P-2)
Group – D
1. Adrenal crisis. (2018 regular; P-2)
2. Diagnostic workup of Acromegaly. (2018 supplementary; P-2)
3. Treatment of Thyrotoxic crisis. (2017 regular; P-2)
4. Dwarfism. (2017 supplementary; P-2)
5. Addisonian crisis. (2016 supplementary; P-2)
6. Hypothyroidism- treatment strategy. (2015 supplementary; P-2)
7. Sheehan’s Syndrome. (2014 regular; P-2)
8. Dwarfism. (2014 supplementary; P-2)
9. Addisonian crisis. (2013 regular; P-2)
10. Gynecomastia. (2013 supplementary; P-1)
11. Subacute thyroiditis. (2012 supplementary; P-2)
12. Diagnosis of Addison’s disease. (2011 supplementary; P-2)
13. Clinical sign of Hyperthyroidism. (2010 supplementary; P-1)
14. Myxoedema coma. (2009 regular; P-2)
15. Myxoedema coma. (2008 supplementary; P-2)
DIABETOLOGY
Group – A
1) How do you differentiate different causes of coma in an elderly diabetic patient? Outline the management
of diabetic ketoacidosis. 5+5 (2015 supplementary; P-2)
2) A 60 year old diabetic patient on insulin therapy was bought to casualty department with history of sudden
onset altered level of consciousness. What are the likely possibility here? How will you investigate and
manage this case? 2+4+4 (2013 supplementary; P-1)
Group – B
1) 60 years old diabetic patient came in the emergency in unconscious state. Discuss the differential
diagnosis. How you will investigate the case. 5+5 (2018 regular; P-2)
2) A 50 years old diabetic patient has been brought to the emergency room in a comatose condition. How do
you differentiate the different causes? Briefly outline the management of diabetic ketoacidosis. 5+5 (2016
regular; P-1)
3) A 16 years boy presents with low grade fever, cough and expectoration for 7 days and is having deep
breathing with pain abdomen for one day. He has history of weight loss with polyuria for the past three
months. On examination he is slightly disoriented and dehydrated. Explain the clinical condition and
discuss your management protocol. 3+7 (2015 regular; P-2)
4) A 68 years old man presented with semi-consciousness state, known diabetic alone in a village. How will
you investigate and manage the patient? 4+6 (2014 supplementary; P-2)
5) A 60 years old diabetic patient on insulin therapy was brought to casualty department with history of
sudden onset altered level of consciousness. What are the likely possible here? How will you approach
this case? 3+7 (2013 regular; P-1)
6) A young patient presents in the emergency with unconsciousness and deep breathing. He has a history of
weight loss and polyuria. Discuss how will you manage the case? 10 (2012 regular; P-2)
7) A 14-years old male was admitted in the emergency with History of Weight loss and polyuria. He was
having deep breathing. How will you manage this patient? 2+8 (2010 regular; P-1)
8) Discus the treatment of hyperosmolar, non-ketotic coma. Describe its complications. 6+4 (2010 regular;
P-2)
9) A 60 years old diabetic patient has been brought to casualty department in unconscious stale. What are the
possible causes? How will you approach the ease to arrive at a diagnosis? 3+7 (2009 regular; P-2)
10) Mention common causes of coma in diabetic patients. How will you diagnose and manage a case of
diabetic ketoacidosis. 3+7 (2009 supplementary; P-2)
11) What are the clinical features and diagnostic test in a patient with diabetic ketoacidosis. Discuss the
principle of treatment of diabetic ketoacidosis. 4+3+3 (2008 supplementary; P-2)
Group – C
1. Diabetes Mellitus. (2017 supplementary; P-2)
2. Gestational diabetes. (2016 regular; P-2)
3. Microalbuminuria in a diabetic patient. (2015 supplementary; P-2)
4. Classification of Diabetes mellitus. (2014 regular; P-2)
5. Diabetic nephropathy early diagnosis. (2014 supplementary; P-2)
6. Management of diabetic ketoacidosis. (2013 supplementary; P-2)
7. Non-Ketotic hyper-osmolar diabetic coma. (2011 regular; P-2)
8. Indication of insulin therapy. (2011 supplementary; P-2)
9. Classification of Diabetes mellitus. (2010 supplementary; P-1)
10. Cause of peripheral neuropathy. (2010 supplementary; P-2)
Group – D
1. Gestational diabetes. (2017 regular; P-2)
2. Hyperglycemia hyperosmolar state. (2016 supplementary; P-2)
3. Management of diabetic retinopathy. (2015 regular; P-2)
4. Insulin sensitizer. (2015 regular; P-2)
5. DPP-4 inhibitor: current status. (2014 supplementary; P-2)
6. DDP-4 inhibitors. (2013 regular; P-2)
7. Diabetic retinopathy. (2013 regular; P-2)
8. Clinical features of diabetic neuropathy. (2013 supplementary; P-2)
9. Diagnosis of Diabetic neuropathy. (2012 regular; P-2)
10. Diabetic foot. (2010 regular; P-1)
11. Diabetic retinopathy. (2009 supplementary; P-2)
GASTROENTEROLOGY
Group – A
1) Enumerate the causes of acute Pancreatitis. Describe the clinical feature and relevant investigation of acute
Pancreatitis. Enumerate complications of acute Pancreatitis. 2+3+3+2 (2018 supplementary; P-1)
2) Enumerate the causes of dysphagia. How will you clinically differentiate between them? Describe barium
swallow appearance of oesophagus in different causes of dysphagia. 2+4+4 (2017 regular; P-1)
Group – B
1) Describe the clinical feature, complication and management of ulcerative colitis. 3+3+4 (2018
supplementary; P-1)
2) How to approach a 40 years old female patient suffering from diarrhoea since last 1 year? Outline the
management strategy of such a patient? 6+4 (2017 regular; P-1)
3) A 30 years alcoholic male presents with severe pain in epigastrium and vomiting. What are likely causes?
How will you approach to diagnose and treat the case? 3+7 (2015 regular; P-1)
4) A 30 years alcoholic patient presents with hematemesis and melena. How will you manage the case? 10
(2014 supplementary; P-1)
5) How do you approach in a 60 years old male patient presenting with chronic diarrhoea mixed blood with
evidence of malabsorption for last 6 months?10 (2013 regular; P-1)
6) A man aged 33 years presents with severe haematemesis. What may be the likely causes? How will you
processed to diagnose the case? 4+6 (2013 regular; P-2)
7) A man aged 70 years presented with lower GI. bleeding. What may be the likely causes? How will you
proceed to come to a diagnosis? 4+6 (2012 regular; P-2)
8) A 46 years old male patient has come to the Emergency with acute upper abdominal pain with vomiting.
How do you proceed to diagnose the case? 10 (2012 supplementary; P-1)
9) A 30-year old male has come to the Emergency with severe epigastric pain and vomiting. How do you
proceed to diagnose the case? 10 (2011 regular; P-1)
10) A 40 years alcoholic male presents with severe pain in the epigastrium. When are the likely causes and
how would you proceed to arrive at diagnosis? Give in management plan. 2+4+4 (2009 regular; P-1)
11) An adult brought to emergency department with fever, vomiting and diarrhoea. How will you manage the
case? 10 (2009 supplementary; P-1)
12) A 45 years old male alcoholic presents with vomiting of blood. How will you process to diagnose the
cause? 10 (2009 supplementary; P-1)
Group – C
1. Steatorrhea. (2017 regular; P-1)
2. Clinical features differentiating small and large bowel diarrhoea. (2016 regular; P-1)
3. Extra intestinal manifestation of IBD (inflammatory bowel disorder). (2016 supplementary; P-1)
4. Clinical features of ulcerative colitis. (2014 supplementary; P-1)
5. Fluid replacement therapy in acute diarrhoea. (2013 regular; P-1)
6. Prognostic parameters of acute pancreatitis. (2013 regular; P-1)
7. Diagnosis of Crohn's disease. (2013 supplementary; P-2)
8. Proton-pump inhibitors. (2012 regular; P-1)
9. Tropical Sprue. (2012 regular; P-2)
10. GERD. (2012 supplementary; P-1)
11. Drug therapy of Acute Peptic Ulcer. (2011 regular; P-1)
12. Blind loop syndrome. (2011 supplementary; P-1)
HEPATOLOGY
Group – A
1) Enumerate the causes of ascites. Write in short evaluation and treatment of ascites. 2+4+4 (2018 regular;
P-1)
2) Define cirrhosis of liver. Enumerate the stigma of chronic liver disease. Enumerate the complications of
3) Chronic liver disease. How will you manage a patient of severe haematemesis due to portal hypertension?
2+2+2+4 (2016 regular; P-1)
4) Define ascites. Enumerate various cause of ascites. What are the treatment option for ascites? 1+3+6 (2008
supplementary; P-1)
Group – B
1) A young male patient is having low grade fever, anorexia nausea for several days, followed by yellowish
discolouration of eyes and high coloured urine. What is the probable diagnosis? How will you investigate
the case? How will you manage the ease? 2+4+4 (2018 regular; P-1)
2) A 20 years old male presents with malaise, fever, nausea, upper abdominal pain and yellowish
discoloration of eye and urine for last 2 weeks. How will you evaluate the case? Discuss the treatment of
most probable diagnosis.7+3 (2015 supplementary; P-1)
3) A male patient aged 22 years has been admitted due to sudden onset of convulsion with fever and jaundice
of 5 days prior to admission. What are the possibility? How routine and specialised test will help you to
arrive at a diagnosis? 4+3+3 (2014 regular; P-1)
4) A 60 years old female presents with anasarca. How will you proceed to diagnosis and treat the patient?
5+5 (2014 supplementary; P-1)
5) A 19 year old student presents to you with a history of jaundice, high yellow coloured urine for 3 days
proceeded by fever, nausea, malaise and myalgia for 4 days. He gives a history of academic tips for one
month before his present illness. What are the differential diagnosis? Briefly discuss the investigations
and management of the case. 2+4+4 (2013 supplementary; P-1)
6) Discuss the clinical and laboratory approach to a case of ascites. 5+5 (2012 regular; P-1)
7) A 40 years old male patient with chronic liver disease and ascites was otherwise doing well to have his
ascites increase suddenly in last 7 days. Discuss the approach. 10 (2011 supplementary; P-1)
Group – C
1. Hepatic encephalopathy. (2018 regular; P-2)
2. Hepatorenal syndrome. (2018 supplementary; P-1)
3. Signs of portal hypertension. (2017 supplementary; P-1)
4. Ascites. (2016 supplementary; P-1)
5. Amoebic liver abscess management. (2015 regular; P-1)
6. Serological markers of Hepatitis B. (2015 regular; P-2)
7. Complication of ascites. (2014 regular; P-1)
8. Diagnosis of acute Hepatitis B. (2012 supplementary; P-2)
9. Serum ascites-albumin gradient. (2011 regular; P-1)
10. Complication of cirrhosis. (2010 regular; P-1)
11. Management of acute hepatic encephalopathy. (2009 supplementary; P-1)
Group – D
1. Refractory ascites. (2018 supplementary; P-1)
2. Classification of portal hypertension. (2018 supplementary; P-1)
3. Vertical transmission of Hepatitis B. (2017 regular; P-1)
4. Post exposure prophylaxis of Hepatitis B. (2017 supplementary; P-1)
5. Post exposure prophylaxis of Hepatitis B. (2016 regular; P-1)
6. Post exposure prophylaxis of hepatitis B infection. (2014 supplementary; P-1)
7. Hepatorenal syndrome. (2013 regular; P-1)
8. Refractory Ascites. (2013 supplementary; P-1)
9. Refractory ascites. (2011 regular; P-1)
10. Amoebic liver abscess. (2011 regular; P-2)
11. Drug and liver. (2010 supplementary; P-1)
12. Drug induced liver disease. (2009 regular; P-1)
13. Analysis of ascetic fluid. (2009 supplementary; P-1)
14. Exudative ascites. (2008 regular; P-1)
15. Causes of chronic liver disease. (2008 supplementary; P-1)
NEUROLOGY
Group – A
1) Discuss causes, clinical features and management of Guillain-Barré syndrome. 2+6+2 (2018 regular; P-2)
2) Define seizer and epilepsy. Classify seizures. Discuss the management of a case status epilepticus. 2+2+6
(2017 supplementary; P-1)
3) Discuss the etiopathogenesis, diagnosis and management of acute bacterial meningitis. 3+3+4 (2016
regular; P-2)
4) Classify the causes of spastic paraplegia. Discuss the clinical features and management of a case of Pott's
paraplegia. 3+3+4 (2016 supplementary; P-2)
5) Define stroke. Enumerate risk factors of stroke. Outline the management of acute ischaemic stroke. 2+3+5
(2015 regular; P-2)
6) Describe etiopathogenesis of Parkinsonism. Discuss clinical features and management of parkinsonism.
2+4+4 (2013 supplementary; P-2)
7) Describe the clinical features and management of subarachnoid hemorrhage. 5+5 (2012 supplementary; P-
2)
8) Discuss the etiology, clinical features and management of a case of GB syndrome. 3+3+4 (2011 regular;
P-2)
9) Outline the clinical features, diagnosis and management of subarachnoid haemorrhage 3+3+4 (2011
supplementary; P-2)
10) Discuss the aetiology, management and complication of status epilepticus. 3+4+3 (2010 regular; P-2)
11) Describe the aetiology and management of cerebro-vascular accident (stroke). 10 (2010 supplementary; P-
2)
12) Draw a diagram of myoneural junction. Discuss pathogenesis, clinical features, diagnosis and management
of a disease of myoneural junction. 3+5+2 (2009 regular; P-2)
Group – B
1) A 50 years male brought to Emergency with fever, vomiting, headache and photophobia for last 3 days.
He give a history of otitis media. What is the diagnosis? Discuss investigations and Management. 1+3+6
(2018 supplementary; P-2)
2) 16 years old boy with high fever, photophobia, skin rash and headache. Suddenly he develops hypotension
and shock. What is the provisional diagnosis? How do you proceed and treat the case? 4+6 (2017
supplementary; P-1)
3) A 65 years old male presented with shaking of limb, getting slowed down and repeated postural imbalance.
What is the most likely diagnosis? How will you proceed for diagnosis? How will you treat it? 1+5+4
(2017 supplementary; P-2)
4) A 70 years old male patient smoker for last 50 years, has developed ataxia of gait for last 15 days along
with cough and low grade fever. How will you evaluate the case to arrive at a diagnosis? 10 (2016
supplementary; P-1)
5) A 20 years old girl has been brought to the emergency with generalized conversion. What necessary
history will you take from her father to know the case of this episode? How will you manage this case?
What special precautions you need to address during discharge of these present? 2+6+2 (2016
supplementary; P-2)
6) What is status epilepticus. Describe the management of status epilepticus. 3+7 (2014 regular; P-2)
7) A forty years old male patient presents with history of gradual onset weakness of both lower limb. How
will you approach the case for diagnosis? 10 (2014 supplementary; P-2)
8) An older patient is admitted with acute stroke. What may be the important causes? Outline the
management strategy in 1st 24 hours. 3+7 (2013 regular; P-2)
9) A young male was admitted in an emergency ward with fever and headache. He has neck stiffness- discuss
the salient investigations, differential diagnosis and management. 10 (2010 supplementary; P-1)
10) Discuss risk factors for acute stroke. What are the steps in the management of patient with acute ischemic
stroke? 5+5 (2008 regular; P-2)
Group – C
1. Cranial Nerve palsy. (2018 regular; P-2)
2. Aphasia. (2018 supplementary; P-1)
3. Causes of parkinsonism. (2018 supplementary; P-2)
4. Gait disorders. (2017 regular; P-1)
5. Clinical features of Parkinson disease. (2017 regular; P-2)
6. Chorea. (2017 supplementary; P-2)
7. Bell’s palsy. (2015 regular; P-2)
8. Management of Guillain-Barre syndrome. (2015 supplementary; P-2)
9. Anti-epileptic drug. (2015 supplementary; P-2)
10. Heat stroke. (2014 regular; P-1)
11. Types of tremor. (2014 supplementary; P-1)
12. Clinical features of Parkinsonism. (2013 regular; P-2)
13. Extensor Planter response. (2013 regular; P-2)
14. Patellar clonus. (2013 supplementary; P-1)
15. Clinical features of third cranial nerve palsy. (2013 supplementary; P-2)
16. Hypertonia. (2012 regular; P-2)
17. Chorea. (2012 supplementary; P-2)
18. Management of migraine. (2011 supplementary; P-2)
19. Management of Status Epilepticus. (2010 regular; P-1)
20. Clinical features of 3rd Cranial nerve palsy. (2009 regular; P-2)
21. Treatment of Status epilepticus. (2008 regular; P-2)
22. Vitiligo. (2008 regular; P-2)
23. Intracranial haemorrhage. (2008 supplementary; P-2)
24. Treatment of acute pyogenic meningitis. (2008 supplementary; P-2)
Group – D
1. Obstructive Sleep apnea. (2018 regular; P-1)
2. Amyotrophic lateral sclerosis. (2018 regular; P-2)
3. Rheumatic chorea. (2018 regular; P-2)
4. Gait disorders. (2017 supplementary; P-1)
5. Vitiligo. (2016 regular; P-1)
6. Ptosis. (2016 regular; P-2)
7. Chorea. (2016 regular; P-2)
8. False localizing signs in neurology. (2016 supplementary; P-1)
9. Myasthenia gravis. (2014 regular; P-1)
10. Transient Ischaemic Attack (T/A). (2014 regular; P-2)
11. Horner's syndrome. (2013 supplementary; P-2)
12. Management of Pyogenic Meningitis. (2012 regular; P-2)
13. Management of Migraine. (2012 regular; P-2)
14. Management of tuberculous meningitis. (2012 supplementary; P-2)
15. Bell's palsy. (2011 regular; P-2)
16. Chorea. (2011 supplementary; P-2)
17. Differential diagnosis of meningitis. (2010 regular; P-1)
18. Hemiplegia in young. (2010 regular; P-1)
19. Sign of cortico-spinal tracts lesion. (2010 regular; P-2)
20. Causes of Papilloedema. (2010 regular; P-2)
21. Acute loss of vision of one eye. (2010 supplementary; P-2)
22. Aetiology of Parkinson's disease. (2009 regular; P-2)
23. Bell’s palsy. (2009 supplementary; P-2)
24. Management of TB meningitis. (2009 supplementary; P-2)
NEPHROLOHY
Group – B
1) Discuss diagnosis and management of a case of 15 years old boy presenting with severe breathlessness,
puffiness of face with hypertension and active urinary sediments on urine analysis. 4+6 (2014 regular; P-
1)
2) What is acute Nephritic Syndrome? Outline the management strategies of a boy aged 18 years suffering
from Nephritic syndrome. 4+6 (2013 supplementary; P-2)
3) What is Nephrotic syndrome? How will you investigate and manage a patient of Nephrotic syndrome
having normal serum creatinine? 3+7 (2012 supplementary; P-1)
4) Following severe Gastroenteritis a patient develops oliguria. Discuss features how will you manage him.
10 (2010 supplementary; P-1)
5) How will you stage chronic kidney disease (CKD)? How will you manage CKD stage IV? 5+5 (2010
supplementary; P-2)
6) A 32 years female present with high rise of temperature, haematuria and right sided flank pain. Discuss
how would you proceed to arrive at a diagnosis. Give its management plan for medical causes. 4+6 (2009
regular; P-1)
Group – C
1. Anaemia in CKD. (2018 regular; P-2)
2. Chyluria. (2018 supplementary; P-1)
3. Microalbuminuria. (2018 supplementary; P-1)
4. Pyuria. (2017 regular; P-1)
5. Nephrotic syndrome. (2017 supplementary; P-1)
6. Peritoneal dialysis. (2017 supplementary; P-2)
7. Urinary casts. (2016 regular; P-1)
8. Biochemical changes in chronic renal failure. (2016 supplementary; P-1)
9. Haematuria. (2016 supplementary; P-1)
10. Proteinuria. (2016 supplementary; P-2)
11. Indications of dialysis. (2014 regular; P-1)
12. Peritoneal dialysis. (2014 supplementary; P-2)
13. Micro-albuminuria. (2012 regular; P-1)
14. Significant of proteinuria. (2011 supplementary; P-1)
15. Indication of dialysis. (2010 regular; P-1)
16. UTI- aetiology and management. (2010 regular; P-1)
17. Drug and kidney. (2010 regular; P-2)
18. Diagnosis of acute post streptococcal glomerulonephritis. (2010 supplementary; P-1)
19. Differential diagnosis of Haematuria. (2010 supplementary; P-1)
20. Treatment of UTI in female. (2008 regular; P-1)
21. Complication of the nephrotic syndrome. (2008 supplementary; P-1)
Group – D
1. Classification of Lupus Nephritis. (2018 regular; P-1)
2. Dialysis disequilibrium syndrome. (2018 supplementary; P-1)
3. Polyuria. (2018 supplementary; P-1)
4. Urinary findings of proliferative lupus nephritis. (2017 regular; P-1)
5. IgA Nephropathy. (2017 supplementary; P-1)
6. Acute kidney injury. (2017 supplementary; P-1)
INFECTIOUS DISEASE
Group – A
1) Discuss the pathogenesis, complications and management of Falciparum malaria. 2+3+5 (2008 regular; P-
1)
Group – B
1) A young male patient has been admitted with high fever with chill and rigor since last 5 days and has
become drowsy since last night. What is the likely diagnosis and how will you manage the patient? 2+8
(2016 regular; P-1)
Group – C
1. Post Kala-azar dermal Leishmaniasis. (2018 regular; P-1)
2. Leptospirosis. (2018 regular; P-2)
3. Treatment of malaria in pregnancy. (2017 regular; P-2)
4. Treatment of resistant Kala azar. (2017 supplementary; P-1)
5. Clinical features of Dengue Fever. (2017 supplementary; P-2)
6. MDR TB. (2016 regular; P-2)
7. Treatment of enteric fever. (2015 regular; P-1)
8. Drug treatment of multibacillary Leprosy. (2015 supplementary; P-1)
9. Treatment of Herpes Zoster. (2014 regular; P-1)
10. Stages of HIV infection. (2014 regular; P-2)
11. Universal Prophylaxis. (2014 regular; P-2)
12. Treatment of P. falciparum malaria. (2014 supplementary; P-1)
13. HIV- Post exposer prophylaxis. (2014 supplementary; P-2)
14. Neurologic complication of diphtheria. (2014 supplementary; P-2)
15. Dengue shock syndrome. (2013 regular; P-1)
16. Treatment of vivax Malaria. (2013 regular; P-1)
17. Management of leprosy. (2013 regular; P-2)
18. Tetany. (2013 supplementary; P-2)
19. Diarrhoea in HIV infected patients. (2013 supplementary; P-2)
20. Clinical presentations of neurological tuberculosis. (2012 regular; P-2)
21. Tetany. (2012 supplementary; P-1)
22. HAART treatment. (2012 supplementary; P-2)
23. Differential diagnosis of Mumps. (2011 regular; P-1)
Group – D
1. Complication of Dengue fever. (2018 regular; P-2)
2. Dengue shock syndrome. (2018 supplementary; P-1)
3. Immunization against Rabies. (2018 supplementary; P-2)
4. Severe falciparum malaria. (2018 supplementary; P-2)
5. Diagnosis of HIV infection. (2017 regular; P-2)
6. Neurological complication of Diphtheria. (2017 supplementary; P-2)
7. Dengue shock syndrome. (2016 regular; P-1)
8. Leptospirosis. (2016 regular; P-2)
9. HAART. (2016 regular; P-2)
10. Management of Dengue fever. (2016 supplementary; P-1)
11. Tetany. (2016 supplementary; P-2)
12. Treatment of Hansen’s disease. (2015 regular; P-1)
13. Gastrointestinal infections in HIV diseases. (2015 regular; P-2)
14. Direct observation and treatment short course chemotherapy (DOTS). (2015 supplementary; P-1)
15. Treatment of vivax malaria. (2015 supplementary; P-1)
16. Diagnosis of Japanese Encephalitis. (2015 supplementary; P-2)
17. AIDS defining conditions. (2015 supplementary; P-2)
18. Drug treatment of Kala-azar. (2014 regular; P-1)
19. Tetany. (2014 supplementary; P-1)
20. Treatment of leprosy. (2014 supplementary; P-2)
21. Anti malarial drug in Falciparum Malaria. (2013 regular; P-2)
22. HIV-Post exposer prophylaxis. (2013 regular; P-2)
23. DOTS in tuberculosis. (2013 supplementary; P-1)
24. Laboratory diagnosis of Kala-azar. (2012 regular; P-1)
25. Treatment of uncomplicated falciparum malaria. (2012 regular; P-1)
26. Common AIDS defining conditions. (2012 regular; P-2)
27. Prophylaxis of Rabies. (2012 supplementary; P-2)
28. Tetany. (2011 regular; P-2)
29. Dengue haemorrhagic fever. (2011 regular; P-2)
MEDICAL PSYCHIATRY
Group – C
1. Obsessive compulsive disorder. (2018 regular; P-2)
2. Treatment of bipolar disorder. (2018 supplementary; P-2)
3. Manic depression. (2017 regular; P-2)
4. Delusion. (2016 regular; P-1)
5. Anxiety neurosis. (2016 regular; P-2)
6. Schizophrenia. (2016 supplementary; P-2)
7. Bipolar disorders. (2015 regular; P-2)
8. Obsessive compulsive disorder. (2015 supplementary; P-2)
9. Manic depressive psychosis. (2013 regular; P-2)
10. Anxiety neurosis. (2012 regular; P-2)
11. Causes of reversible dementia. (2011 supplementary; P-2)
12. Manic depression. (2011 supplementary; P-2)
13. Treatment of Manic Depressive Psychosis. (2010 supplementary; P-2)
14. Acute Dementia. (2010 supplementary; P-2)
15. Manic depression (Bipolar disorder). (2009 regular; P-2)
16. Obsessive compulsive disorder. (2009 supplementary; P-2)
17. Management of a patient with depression. (2008 regular; P-2)
18. Delirium. (2008 supplementary; P-2)
Group – D
1. Clinical feature of schizophrenia. (2018 regular; P-2)
2. Schizophrenia. (2017 supplementary; P-2)
3. Dementia. (2014 regular; P-2)
4. Schizophrenia. (2014 supplementary; P-2)
5. Anorexia nervosa. (2013 regular; P-1)
6. Depression management issues. (2013 supplementary; P-2)
7. Management of Depression in elderly. (2012 regular; P-2)
8. Phobia. (2012 supplementary; P-2)
9. Alcohol dependence syndrome. (2012 supplementary; P-2)
10. Generalised anxiety disorder. (2011 regular; P-2)
11. Drug abuse. (2011 supplementary; P-2)
12. Generalised anxiety disorder. (2009 regular; P-2)
13. Dementia. (2009 supplementary; P-2)
14. Anorexia nervosa. (2008 regular; P-2)
DERMATOLOGY
Group – C
1. Purpuric rash. (2018 regular; P-1)
2. Hyperpigmentation. (2018 regular; P-1)
3. Cutaneous manifestation of SLE. (2018 supplementary; P-2)
4. Erythema nodosum. (2018 supplementary; P-2)
5. Feature of Psoriatic skin rash. (2017 regular; P-2)
6. Erythema multiforme. (2017 supplementary; P-1)
7. Erythema nodosum. (2017 supplementary; P-2)
8. Stevens- Johnson syndrome. (2016 regular; P-2)
POISONING
Group – C
1. Indications of Anti Snake Venom in Snake bite. (2018 supplementary; P-2)
2. Management of neurotoxic snake bite. (2017 regular; P-2)
3. Management of organophosphorus poisoning. (2016 regular; P-1)
4. Principles of management of acute poisoning. (2015 regular; P-1)
5. Management of benzodiazepine poisoning. (2015 supplementary; P-1)
6. Management of organophosphorus poisoning. (2014 regular; P-1)
7. Neurotoxic snake bite. (2014 supplementary; P-1)
8. Management of viper bite. (2013 supplementary; P-1)
CLINICAL IMMUNOLOGY
Group – C
1. Anaphylactic hypersensitivity reaction. (2017 regular; P-1)
2. Anaphylaxis. (2015 supplementary; P-1)
3. Drugs used in SLE. (2012 supplementary; P-1)
4. Anaphylaxis. (2012 supplementary; P-1)
5. Type IV hypersensitivity reaction. (2011 supplementary; P-1)
6. Diagnostic work up of SLE. (2010 regular; P-2)
7. Diagnostic criteria of SLE. (2008 regular; P-1)
8. Anaphylaxis. (2008 regular; P-1)
Group – D
1. Diagnostic criteria of S.L.E. (2016 regular; P-1)
2. Anti DsDNA antibody. (2016 supplementary; P-1)
3. Antiphospholipid antibody. (2014 supplementary; P-1)
4. Cytokines. (2012 regular; P-1)
5. Renal manifestation of SLE. (2009 regular; P-1)
6. Innate immune system. (2008 regular; P-1)
7. Clinical manifestation of SLE. (2008 supplementary; P-1)
GENETIC DISORDER
Group – C
1. Genetic linkage. (2013 supplementary; P-1)
2. Sex-linked inheritance. (2011 supplementary; P-1)
3. HLA linkage. (2011 supplementary; P-1)
4. Gene therapy. (2010 regular; P-1)
5. Genetic mutation. (2009 regular; P-1)
Group – D
1. HLA-B27. (2018 regular; P-1)
2. Characteristics of autosomal recessive disorders. (2017 regular; P-1)
3. Gene therapy. (2015 supplementary; P-1)
4. X-Linked disorders. (2014 regular; P-1)
5. Down syndrome. (2013 supplementary; P-1)
6. Oncogene. (2011 supplementary; P-1)
MISCELLANEOUS
Group – B
1) A 30 years old doctor while working in hospital ward got a needle stick injury in right hand. How will you
manage this case? 10 (2018 supplementary; P-2)
2) A 50 years old female patient present with low grade fever for 1.5 month along with malaise and anorexia.
On general examination there is generalized lymphadenopathy. How do you approach the case clinically
and with investigations? Outline the management strategy for such a patient. 7+3 (2016 supplementary; P-
1)
3) A 25 years old female presented to the casualty with complaints of fever, body ache for 3 days and
generalized rash for the last one day. What are the differential diagnosis in this case? How do you process
to manage the case? 4+6 (2016 supplementary; P-2)
4) A 40 years old male had history of decreased urine output for last 3 months, now the patient has presented
to emergency department with breathlessness and edema feet. How will you approach the case clinically
and with investigations? Outline the management strategy of such a patient. 7+3 (2015 supplementary; P-
1)
5) Enumerate the cases of generalized lymphadenopathy. How will you proceed to diagnosis a case of
lymphadenopathy? 3+7 (2014 regular; P-2)
6) How do you approach in a 26 year female patient with bipedal swelling and anaemia with history of fever
for last 3 month? 4+6 (2013 supplementary; P-1)
7) A 19 years male patient was referred from a rural hospital to your hospital with fever and altered sensorium
for 5 days duration. What might be the possible causes? Describe your plan of approach to the problem in
terms of diagnosis and management. 2+4+4 (2013 supplementary; P-2)
8) A man aged 50 years is losing weight for sometime, what may be the possible causes? How will you
proceed for diagnosis? 3+7 (2011 regular; P-2)
9) A 50 years old male presents with loss of weight. What are the possible causes? How will you approach
the case to arrive at a diagnosis? 3+7 (2009 regular; P-2)
Group – C
1. Clubbing. (2017 supplementary; P-1)
2. Tropical splenomegaly. (2015 regular; P-1)
3. Adverse effects of corticosteroids. (2015 regular; P-1)
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