MIS YEAR V FROFESSIONAL EXAMINATION , AIMST . .V , AIMST UNIVERSITY, FACULTY OF ME MCTESS101-A, MEDICINE & ALLIED SUBJECTS-THEORY aaa INDEX NO Desk No. AIMST UNIVERSITY FACULTY OF MEDICINE MBBS YEAR V, PROFESSIONAL EXAMINATION-V ACADEMIC SESSION 2020-2021 Batch 22, Year 5 [AUGUST 2016 Intake] Title of the Paper: MEDICINE AND ALLIED SUBJECTS- THEORY Subject Code: MCTE 35101-A SECTION B Date: 5 January 2022 ( Wednesday) Time: 9.00 am to 12.30 pm ‘Maximum marks: 50 INSTRUCTIONS: Please ensure that this examination booklet (SECTION B) consists of 34 pages before the examinati begins. ‘This question paper cum answer booklet consists of the second section( section B), and the marks and timing are summarized below. Section ‘Type of Question ee Maximum time B__| Short Answer Questions 50 ‘To be completed by 12.30 pm 2. Instructions common for B a. Write your INDEX No. and Desk Number on each page of the answer booklet. a. If your INDEX No is not written on any page of the answer booklet, the paper may not ‘be evaluated and no marks awarded. a. Draw diagrams, flow charts, tables wherever appropriate. FOR EVALUATORS' USE ONLY i Medicine | Psychiatry | Paediatrics | QNo | Marks Sign Sign | pa | | B2 | fiat B3 | Family Medicineee i din Wie or Each question must be answere : 2. at . Each question aries a mm os ne for each are indicated in parentheses. Wh re there are sub-questions, the ‘maximum marks for 1 . . d Use diagrams, flowcharts or tables wherever ear Write your INDEX number on all pages of the boo! Maximum marks in this Section: 50 marks. MEDICINE Instructions: i. This section consists of THREE questior Each question carries a maximum of 5 marks. Maximum marks in this part of the Section: 15 marks. ns. Answer ALL THREE ‘ociated with little shortness ents with a low-grade evening rise of fever ass: " r ‘There is no cough or sputum production. The physical n, dullness on percussion, decreased. scapular, infra-axillary BI. | A 45-year-old man pres of breath and malaise for the past month. e reduced chest expansiot findings of his respiratory system ar vocal fremitus, vocal resonance and absent breath sounds in the right infra- and infra-mammary areas. State the most likely diagnosis. (1 mark J List FOUR clinical features in support of the diagnosis. [1 mark J List TWO investigations with the expected outcomes to confirm the diagnosis. | [ 1 mark ] [2 marks] Formulate a treatment plan for the stated diagnosis. SoleMBBS YEAR v MOFESSIONAL EXAMINATION-V , AIMST UNIVERSITY, FACULTY OF MEDICINE, E3S101-A, MEDICINE & ALLIED SUBJECTS-THEORY ° [NDEXNO TT TTT Desk No. | i | { | | B2. A 65-year-old man, a chronic smoker, has a history of hypertension and diabetes mellitus of 15 years with poor glycemic control and has reported a yearly checkup. Off late, he complained of pain and tingling of his lower limbs. A. | State FOUR points of clinical evaluation of his lower limb. {1 mark} B. | State FOUR points of advice regarding feet care to prevent diabetic foot. {2 marks] C._| State FOUR points of counselling regarding the problems stated in the history {2 marks}INDEX NO Desk No. B3. Regarding secondary hypertension: A. | List four causes. [mark] B. | List four investigations with expected results. [2marks] C. | List four complications [mark] | D. | List four groups of drugs used for treatment [mark]MBBS YEA) RV PROFES: SIONAL EXA\ MCTE3S5101., ‘MINATION-V , AIMST UNIVE] v 101A, MEDICINE & ALLIED SURIEC IS TREORY nF EDIE: . PSYCHIATRY Instructions: i. This section consists of TWO questions. Answer ALL TWO. Each question carries a maximum of 5 marks. Maximum marks in this part of the Section: 10 marks. ii, B4. | A | Define Psychiatric emergency. | [i mark] | B | List any four Psychiatric emergencies. | {1 mark] \ © | Describe the steps in managing a violent patient. \ [B marks] \MBBS YEAR V PROFESSIONAL EXAMINA LIUIN-Y , AuvEO 1 Wins y seamen eos oo MCTE3S5101-A, MEDICINE & ALLIED SUBJECTS-THEORY INDEX NO Desk No. Eat BS List any four ICD-10 or DSM V criteria for Diagnosis of Depression [2 marks] | Describe the steps of managing a severely depressed patient as per Clinical Practice Guidelines (Malaysia). [3 marks] |MBBS YEAR y ,PROFESSI Onna EXAMINATION-V , AIMST UNIVERSITY, FACULTY OF MEDICINE, MCTE35101.; S101-A, MEDICINE & ALLIED SUBJECTS-THEORY INDEXNO | Desk No. | PAEDIATRICS Instructions: This section consists of THREE questions. Answer ALL THREE. viii. ix. Each question carries a maximum of 5 marks. x. | Maximum marks in this part of the Section: 15 marks. B6 List three symptoms and three signs of asthma in a 5-year-old child. | [1.5 mark] {1 mark} Describe the pathophysiology occurring in an asthmatic child. State the instrument that can monitor the clinical status of an asthmatic child in the outpatient clinic. 9] alp}> Describe four aspects of the management of the above child if she presents with acute asthma. | [0.5 mark] | eSINATION-V , AIMST UNIVERSITY, FACULTY OF MEDICINE, LIED SUBJECTS-THEORY INDEX NO | Desk No. | MBBS YEAR V PROFESSIONAL EXAM) ‘MCTE35101-A, MEDICINE & AJ @ abdominal pain. His mother er T 7 B7. | A 10-year-old boy is referred from a nearby clinic with seve says of late, in the last three months, his appetite has increased markedly. In the last month, he passes urine more than usual, 8-10 times in the day, and he wakes up 3 to 4 times at night. Urine analysis shows glycosuria On examination, he is dehydrated and acidotic in breathing. and ketones. A. State the most likely diagnosis. 1 mark! * List and justify four investigations that are essential for this patient. 2 marks] | Outline the management of the above-described patient. {2 marks] _SSE eeE eer reer a INDEX NO Desk No. B8. | A9- mo mn — a mua boy presents to the clinic today for his regular checkup. He is generally well ae ‘aving a cough and runny nose over the last three days. He has no fever and behaves s a self. His mother voices some concern regarding his size compared to his cousins, 10 all appear to be relatively bigger at the same age. The measurements available regarding his growth parameters are [Age Weight Length (month) (Kg) (Cm) At birth 3.0 48 1 3.95 52 2 45 55 3 34 57.5 5 6.6 61.5 6 7.0 63 9 Tl 68 A. | Please plot the above readings on the growth chart provided and explain | [ 3.5 marks ] the growth pattern that you have plotted. B. | Please state three specific areas that you would like to explore in your [1.5 marks] history taking to explain the pattern in the plotted growth chart.4zo-me Birth to 36 months: Boys 1518 2 [AGE (MONTHS) — Ace (MONTHS). [a7 esto a 5 2 30 Mothers Sta. Father's Sate. 18 Weeks. Tas Cae 2 1 kg Bins 3 09 fred e220 ote 7001 SOURCE Derioedy hear Crm Heth Sie. al ‘etic Cen Car One Prana pwns grew Z4o0zme Azo-ms 33INDEX NO LLL Desk No. l | Family Medicine Instructions: i. ae section consists of TWO questions. Answer ALL TWO. ch question carries a maximum of 5 marks. Maximum marks in this part of the Section: 10 marks. B9. | A 75-year-old man presents with acute ‘abdominal pain and acute urinary retention for two days. On | examination, he is pale; BP 160/100. Pulse is 110/min. The bladder is palpable to the level of the umbilicus. A. | List and justify four relevant investigations required in this patient to [4 marks] | determine the diagnosis and any complications. B. | State the immediate management of this patients condition. {2 mark] \-V ye ae cTST {INATION- BJECTS-THEORY E & ALLIED SU INDEX NO Desk No. MBBS YEAR V PROFESSIONAL EXAM ‘MCTE3S101-A, MEDICIN) for the last one week. Mild bleeding is takes laxatives regularly. She is ‘A 72-year-old lady presents with painful defaecation present. She has had constipation for many years and otherwise well with no other medical condition. Examination reveals an ulcer in the posterior aspect of the anus and mild bleeding. She does not allow a rectal examination due to the pain. [1 mark] [3 marks] A. | State the most likely diagnosis. List three points of symptomatic treatment /advice for the above-described [I mark] | patient. List any two complications that the above patient may develop.