Rawalpindi Medical College (RMC), Rawalpindi Send UP Examination Final Year MBBS 2010

1. A 56 years old banker executive c/o indigestion and becomes short of breath on exertion. He is obese, smokes cigar and spends a sedentary life. a) What two relevant questions would you ask? b) Name three investigations that need to be done? c) What is most likely diagnosis? 2. Write short notes on a) Bronchial Asthma b) Acute LVF 3. Write notes on dermatological, neurological and renal complications of diabetes? 4. A 55 years old female presents with abdominal distension, pedal edema and passage of black tarry stools for the last 3 to 4 days. On examination she appears pale and drowsy. Accordant to attendants she had blood transfusion about then years back during a C-Section. a) What is the differential diagnosis? Mention at least3? b) What relevant investigation will you carry opt c) how will you manage this case? 5. A 16 year old girl comes to the hospital with complaints of excessive fatigue, palpitations and shortness of breath on exertion. She appears markedly pale and brought in CBC report which shows an Hb of 3gm/dl a) what is the most likely diagnosis? b) What other hematological tests will you order? c) What would be your management?

With Courtesy from Bilal Bashir Final Year MBBS Rawalpindi Medical College, Rawalpindi (www.xraheel.20m.com)