SMT NHL MUNICIPAL MEDICAL COLLEGE Medicine Examination, Paper { Preliminary 0/2023; 12:30 to 3:30 PM; Total Marks: 100 3rd MBBS, IX semester;09/1 Instructions: 1) Write legibly with blue or black ink only and answer to the point 2) Both sections | & Il are to be written in separate answer sheets 3) Figures on the right indicate maximum marks, Section I (10) Q-1 Write notes on any 1 (Out of 2 questions ) ; a)Describe etiology, clinical features, diagnosis & treatment of Acute Viral Hepatitis. b) Describe the Kidney structure & functions. Write in brief about ‘Acute Nephritic syndromes. Q-2 Write notes on any 2 (Out of 3 questions ) (12) a),A 78 yr old male patient is brought to the ER in a state of altered sensorium with vocal neurological deficit. His preliminary workup shows a normal CT Brain, Hb of 8.0gm, WBC count 18000, Serum Sodium of 114mmol/L. Discuss approach to this patient. b) A 67yr old femal hospital with Fever, preliminary blood reports were sui creatinine. Her ABGA shows metabolic acidosis. Discuss your probable diagnosis & management. to worsening in CKD c) A 42yr old male who has a histary of admitted to the ER with a bout of Hematemesis, presence of jaundice distended abdomen. What is your probable diagnosis and discuss further management. Je with a H/0 CKD(Chronic Kidney Disease) is admitted to the decreased urine output, pedal edema & breathlessness. Her gestive of an elevated blood urea & serum ECG is suggestive of Hyperkalemia. Write a few causes which can lead alcohol intake since last 20 years is anda grossly Q-3 Write short notes on any 3 (Out of 4 questions) (28) a) Polycythemia Vera b) Approach to a patient with Megaloblastic anemia ¢) Adult Vaccination d) Importance of screening for Thalassemia in adults and subsequent counseling Q-4 Answer in 2-3 sentences on any 5 (Out of 6 questions) - (10) _a),Treatment options for a patient presenting with Hyperkalemia -6) Name a few Pancreatic Neuroendocrine Tumors ‘ew causes of Folate deficiency ixtraintestinal manifestations of Inflammatory Bowel Disease hat is the mechanism of Hepato Renal Syndrome ga Triad in Wernicke-Korsakoff Syndromedl _—— Section I] Q-1 Write notes on any 1 (Out of 2 questions ) a) Classify Pulmonary Hypert aon testmane ‘yPertension. Write its Clinical features, diagnosis & b)-Write in brief about all the Th: Diagnosis & treatment of Hypot 'yroid function tests, Describe the Clinical features, hyroidism ga Wiis holes on any 2 (Out of 3 questions ) a2) a P te a see wih a history of Type 1 DM was unwell & hence omitted her last few days. She is brought to the ER in a drowsy state with her stat reports showing RBS of 440m, s 8/AL & Serum Acet j Probable diagnosis & how will you manage the pales orsimes ce Whats your pe A ent male i brought to the ER with recent onet severe chest pain. While ining he suddenly becomes unresponsive with no breathing & absent carotid pulsation. Discuss . your approach for the pati ite i i You counsel the relanss patient & write in brief how would Q-3 Write short notes on any 3 (Out of 4 questions) : (18) a) Describe the components of The Metabolic Syndrome & its complications b) Write in brief about the Opportunistic infections seen ina patients living with c) Atrial Fibrillation d) Describe the types of Influenza, its Clinical features & treatment Q-4 Answer in 2-3 sentences on any 5 (Out of 6 questions) (10) a) Define Pulsus Paradoxus & 2 conditions where itis present b) What is Tertiary Hyperparathyroidism & mention the most common condition where it can be present ¢) Mention a few risk factors for developing Mucormycosis & mention any 1 drug used for its treatment — 4) Mechanism of action & uses of Dapagliflozin 2) Causes of Systolic HTN with wide pulse pressure , - 3Mention tests for Primary prevention screening for any 2 specific diseases in olde adultsa SMT NHL MUNICIPAL MEDICAL COLLEGE Preliminary Medicine Examination, Paper [1 3x MBBS, IX Semester; 10/10/2023; 12:30t03:30 pm;Total Marks:100 Instructions: 1) Write legibly with blue or black ink only and answer to the point 2) Both sections , I & II are to be written in separate answer sheets 3) Figures on the right indicate maximum marks. Section I Q-1 Write notes on any 1 (Out of 2 questions ) a) Write the functions of the Lung. Describe etiology, clinical features & management of ARDS ( Acute Respiratory Distress Syndrome) b) Describe the pathophysiology, Clinical features, Diagnosis & treatment of Myasthenia Gravis (10) Q-2 Write notes on any 2 (Out of 3 questions ) (12) a)-A SOyr old male who is a chronic smoker is admitted to ER with complaint of progressive breathlessness & coughing since last week . On admission his Pulse is 110/min, BP is 110/70 & SpO2 is 91% on room air. Discuss your Differential Diagnosis & approach for this patient i b) A 65yr old female with a history of Hypertension is brought to the ER with her husband complaining that she suddenly developed weakness of Right side of her body and has difficulty in speaking since last Lhour.On examination she is consciou: with BP 180/110. Discuss your immediate management & long term goals in treatment 4.9) young male is brought to you by local villagers who give an alleged history of nake bite. He is drowsy with some respiratory difficulty & bilateral ptosis. Discuss your probable diagnosis & treatment. Q-3 Write short notes on any 3 (Out of 4 questions) (18) a) Clinical features & Diagnostic criteria for Rheumatoid Arthritis by How do you suspect Organophosphorus poisoning in a patient & write its management S$} Clinical features & Management of Migrane headache “A Counseling on healthy behaviors in Disease prevention Q-4 Answer in 2-3 sentences on any 5 (Out of 6 questions) (10) a) Mention a few indications for putting a patient on BiPAP b) Mention a few indications for doing Lumbar Puncture cyName two X-linked disorders d) Different means to treat elevated Intracranial Pressure .£) Why do we give Primaquine to patients with P.Falciparum malaria f) Drug of choice in Anaphylaxis & its route of administrationp Section II Q-1 Write notes on any 1 (Out of 2 questions ) (10) fine Hospital acquired pneumonia. Enlist the organisms causing HAP. Write management & preventive measures of HAP b) What are the cardinal signs of Leprosy ? Discuss the reactions occurring in Leprosy. )-2 Write notes on any 2 (Out of 3 questions ) (12) ) A 45yr old man with a 20yr history of progressive asthma is seen in the clinic for ngoing wheezing, shortness of breath & chest pain, His current regimen includes a ‘udesonide/Formoterol inhaler. What could be the causes to difficult to control sthma ? What are the steps of Asthma management? ) A 32yr old female presented with complaint of blue discoloration of fingers on ald exposure associated with skin tightening. What is the line of evaluation for her? en ee | A 25yr old female on Psychiatric medicines since last 3 months is brought to sychiatry OPD by relatives with complaint of not sitting at one place, sleep isturbance, high grade fever. On examination she is slightly confused, has . chycardia & ankle clonus. Discuss the probable diagnosis & management of this’ atient -3 Write short notes on any 3 (Out of 4 questions) (18) Define MDR TB ,discuss the investigations done to support the diagnosis & the eatment options Impact of acne on quality of life Pharmacological Management of Obsessive Compulsive Disorder Yanagement of Scabies 4 Answer in 2-3 sentences on any 5 (Out of 6 questions) (10) Name the causative organism of Hydatid disease. What is the usual manifestatio: the disease What is NTEP ? What are its goals ? What are Koplik spots ? What is the historical triad of Tuberous Sclerosis Complex Cognitive triad of Depression Mechanism of action of Benzodiazepines.sant, WALL. MUNICIPAL NIEDICAL COLLEGE, AHMEDABAD PRELIMINERY EXAMINATION GENERAL SURGERY PAPER 1 ses. IX Semester: 12/10/2023: 12.30 PM- 03.30 PM tructlone: (1) wate legibly with blue or black Ink onty and answer to the polnt (2) Both sections 4 and 2 are to be written In separate answer sheats Max. Marks: 100 (3) Figures to the right Indicate maximum Marks SECTION 4 E.1. Write notes on (any ONE) (a) Write staging of Carcinoma of Rectum and write In detall surgical management of Carcinoma of Rectum vn 10 Disease (b) Write In detail clinical features and management of Peptic Ulcer 412 E.2. Write in brief (any TOK a) Write management of Umbilical Herma. b) Write pathophysiology and management of Follicular Carcinoma af Thyrold. c) Write Complications of Cholecystectomy and thelr management E.3. Write short notes on (any THREE): a) Enumerate different premalignant conditions of Carcinoma of Penis. Write In detall about staging and surgical management of Carcinoma of Penis b), Describe clinical features and management of Cystosarcoma Phytloides, €) Write clinical features and management of Amoebic Liver Abscess 1) Describe etiopathology, complications and management of Chronic icreatitts E.4 Answor in 2-3 sentences (any FIVE): 40 2) Courvolsior's Law b) Hyperparathyroldism 2) Goodsall's rule for Fietula In Ano 18 d) Sliding Hernia 8) Soiltary Rectal Ulcer 1) Multiple Endocrine Neoplasia Syndrome - 1(MEN-1 SYNDROME) y SECTION 2 1 )ies, write notes on (esty OWE) perine Hydroneptrosls. Write different etiologies of Untnecc Sarploal management of Upper Ureteric Calcul! (0) Fiydroneptroste. Write ey Wate a datall llafcalfeatores, atiopmthology and management of owt Arterial Exebollem 10 £.6. Write short notes on (amy TWO}: 12 premalignant conditions of Carcinoma of Penis and write cal management of Carcinoma of Penis. b) Wite clinical features and Management of Renal Tuberculosis 2) a i . Write short notes on (ary THREE}: (0). Write different etiologies and management of Venous Gangrene @) Describe In detail ‘Triage’ In management of trauma patients. © Describe different causes of Homaturia. Describe surgical management of 2 em size Urinary Bladder Stone In adult. @ Write classification, staging and management of Testicular ‘Terktome. £6 Answer In 2-3 sentences (any FIVE; is) Wet gangrene +b) Extra Dural Hematorma ©) Varicocele d) Reynaud’s phenomenon ‘e) Epididymal cyst ‘f) No scalpel vasectony 1 410‘Smt. N.H.L. MUNICIPAL MEDIGAL GOLLEGE, AHMEDABAD PRELIMINERY EXAMINATION GENERAL SURGERY PAPER 2 3rd MBBS.IX Somoster; 13/10/2023: 12.30 PM - 93.90 PM Max. Marks: 100 Instructions: (1) write legibly with blue or black Ink only and answer to the pola’ (2) Both sections 1 and 2 are to be written in separate answor sheets (3) Figures to the right Indicate maximum Marks: Veyente gy Me s SECTION 1 (bene Aspen! My QUE.1. Writa notes on (any ONE) (a) Define shock and write management of Septic Shock {b) Describe pathophyslology, clinical features and management of Pnoumothor ‘due to trauma Rudash. a) Ded suger > wed QUE.2, Write In brief (any TWO): yd wee {a) Describe medical management end universal precautions for patients |: suffering with Hepatitis B ee (b) Describe different factors affecting wound healing in detail. a ” S Coal 4 2 (c)Write In detail about different stages of Tuberculous Servcal esac and Its management qui short notes on (any THREE): (2) Describe different methods of Respiratory Resuscitation (b) Tracheostomy €) Compartment Syndrome Clinical and pathological classification of Ulcer. Describe Arterial ulcers ‘detail, QUE.4 Answer In 2-3 sentences (any FIVE): (2) Necrotizing Fasciitis {b) Ranula (¢} Compartment Syndrome {d) Define Autoclaving. {e) Primary Syphilis (f) Duplex UltrasoundSECTION 2 Orthopedicg QUE.S. Write notes on (any ONE) (wy Discuss ctlology, pathogenesis, diagnosis and troatment of Acute Ostaomyelit oR () Describe clinical features, complications and treatment of Sypracondytar fract of humerus. QUES. Write short notes on (any TWO): Gey Congenital Talipes Equinovarus 5 (6) Volkmann Ischemic Contracture terior disiocation of Shoulder ‘QUE.7. Write short notes on (any THREE): 1.Colles' Fracture 4b} Tennis Elbow ‘cy Osteoarthritis of Knee “gy Stages of Fracture Healing ‘QUE.8 Answor In 2-3 sentences (any FIVE): (2) De Quervain's Tenosynovitis {b) Bennett's Fracture (¢) Non-union (d) Foot Drop (e) Galeazzl Fracture (f) GoutNHL MUNCIPAL MEDICAL COLLEGE \ \RY EXAMINATION THIRD MBBS PART 11 t OBSTETRICS ‘TOTAL MARKS 100 DATE: 16/10/2023 TIME: 3 HOUR! INSTRUCTIONS A. FIGURE TO THE RIGHT INDICATES FULL MARKS. B. USE SEPARATE ANSWER BOOK FOR EACH SECTION C DRAW DIAGRAM WHENEVER NECESSARY. SECTION Q.1 Write In detail on any one of two 10 marks ' 1.Define induction of labour. What are indications ,contraindications and methods of induetion labour 2. Define preterm labour. Describe management of pre term labour at 32 wks of gestation. Q.2 Write in detail on any two of three. 12 marks 1.21 year old patient with 30 weeks of amenorrhoes , with complaint of pedal edema and mild headache. On examination her blood pressure was 146/96mmhg What is your diagnosis and management of this patient ? 2. 25 years old patient G3P1A1 with 2 months amenorrhoea , presented with complain of pain ‘bdomen and mild spotting since yesterday night. Urine pregnancy test is positive. ‘Vhat is your differential diagnosis? 3. 24 years old registered patient with 34 weeks of amenorrhoea , came with chief complaint 0 leeding P/V since last 2 hours. On examination her blood. Pressure was150/100 mmHg, aild tachycardia, uterus tonically contracted on per abdominal examination . ‘Mhatis your diagnosis and managemant? -3. Write short notes on any three of four 18 marks L. Role of USC in pregnency 2-Managemient of eclampsia 3. Prevention of vertical transmission of HIV §: Physiology of Lactation 4 Write 2-3 sentences for any five of six 10 marks Lcauses of edema in pregnancy !. Components of triple marker tests and its importance {Define MMR and enumerate its causes4. APGAR wore} B. RUolagy and types of breech presentation 6. Different types of pelvis in obstetrics and importance of ischial spine, SECTION 11 2:1 Write in detatl on any one of two 10 marks 1. Write about [ron metabolism in pregnancy . Define anaemia and Describe parental Iron therapy © primi gravida patient of anemia at 32 weeks of pregnancy. (° ‘0 2.Dofine PPH and management of atonic Post Partum hemorrhage. 2.2 Write in dotall any two of three 12 marks 1, Write In brief management of gestational diabetes In second gravida with 30 weeks of srfegnancy and having RBS 290mg/dl. 2, 20 years old female with 3 month of amenorrhoea came with complaint of excessive vomiting . Jn examination her Pulse-100/min, BP-100/60 mmHg. Nhat is your differential diagnosis and management 3.26 years old patient G2P1A0L1 with 26 wees of gestation came in OPD for Examination . Her alood group Is O negative and husband is B positive. She has not taken anti D in first pregnancy . iow will you investigate and manage thts patient ? 2.3 Write short notes on any three of four 18 marks 1s Physlological changes In CVS in pregnancy 2. Complications of monoamniotic twin pregnancy 3. Biophysical Profile 4, Abnormalities of Placenta and its clinical importance. 24 Write 2-3 sentences for any five of six 10 marks 1. Recent amendment of MTP ACT in 2021 2. Episiotomy 3. Role of beta HCG in obstetrics 4 “4. Features of Down Syndrome 5, Causes of polyamnios 6. Hydrops foetalisSMT. NIL MUNICIPAL MEDICAL COLLEGE ELIMINARY EXAMINATION THIRD MBHS PART IT GYNECOLOGY TOTAL MARKS 100 DATE 17/10/2023 TIME 3 HRS INSTRUCTIONS A. FIGURE TO THE RIGHT INDICATES FULL MARKS. 8, USE SEPARATE ANSWER BOOK FOR EACH SECTION €_ DRAW DIAGRAM WHENEVER NECESSARY, SECTION QoL. WRITE IN DETAIL ON ANY ONE OF TWO. 10 marks nt ofabnormal uterine blee 1. Define abnormal uterine bleeding. Describe classification and manag 2. FIGO staging of carcinoma cervix. Describe management of stage IA in case of carcinoma cervix 12 marks ALL ON ANY TWO OF THRE Q.2. WRITE IN DE’ 1. 50 years old obese patient came with chief complaint of abnormal uterine bleeding with occasional pain in the abdomen, She is known case of diabetes and hypertension since last 5 years. USG shows endometrial thickness of 15 mm. What is your diagnosis and management in this case? 2. 45 years old pauent with P4L4 has chief complaint of something coming out per vaginum On examin had 3rd degree of uterovaginal prolapse What is your management? 3A couple came to the hospital with the complaint of primary infertility. Her active married life is 6 yea How will you investigate this couple? HORT NOTE ON ANY THREE OF FOUR. 18 marks Q.3. WRITE 1. Emergency contraception , Management of OHSS 3. Management of PID. 4. Various methods of Tubal ligation, Q.4. WRITE 2-3 SENTENCES FOR ANY FIVE OF SIX. 10 marks Mention ovulation induction agents. Asherman’s syndrome 3. Hystero-salpingo-graphy (HSG) 4. Types of Hysterectomy : 5. Anovulatory bleeding 6, Pearl's indexSECTION x Q.1. WRITE IN DETAIL ON ANY ONE OF TWO. 10 marks 1. Describe diagnosis and management of endometriosis 2, Physiology of menstruation, Management of puberty menorrhagia in adolescent girl. ext Q.2. WRITE IN DETAIL ON ANY TWO OF THREE, 12 marks 1. A couple came to the family planning OPD for Contraceptive advice. They have a male child of 1 ye: What are the different methods of contraception you will offer to them? 2,47 years old female patient came to the OPD with history of menopause since 1 year with the chief hot flushes, How will you counsel the patient and what treatment option would you like to advice? 3,A 32 years old nulligravida patient came to OPD with chief complaint of heavy periods. TVS shows 7*6 cms fibroid in the anterior wall of uterus. How will you manage this patient? Q.3. WRITE SHORT NOTE ON ANY THREE OF FOUR. 18 marks 1Dysmenorthea 2-Management of PCOD 3. Anatomy and blood supply of uterus. 4. Medical management of Ectopic pregnancy. 10 marks Q.4. WRITE 2-3 SENTENCES FOR ANY FIVE OF SI 1. Types of sling surgeries. 2. Barrier contraceptives. 3. Enumerate different techniques of ART. 4. Tumour markers for ovarian tumour. 5. Peivic diaphragm 5. CuT-380A.« SMT. NHL MUNICIPAL MEDICAL COLLEGE 3 MBBS MAJOR BATCH Pralimin cs Examination, 9™ SEMESTER ” ‘Total Mi ave: 18/20/23 Durstion- B hours SECTION =L Q.1 write notes on the following. (Any 1 out of 2) assessment of growth and development In one clinical features and management of Nutritional an “Tume-12:80 pm to 8:80 pm {10} year old normal child. emia In childrer (12) 1) Describe 2) Describe etiology, Q.2 Write short notes. (Any 2 out of 3) 4) Approach to child with pyraxia of unknown origin. 2) Xerophthaimia 3) Clinical foatures and management of severe del (Any 3 out of 4) hydration In 2 years old child. Q.3 Write short notes. 4) Adverse Event Following Immunization (AEF!) 2) Counselling of parents of child with Down's syndrome 3) Hyperkalemia — Definition, ECG changes and Treatment 4) POSHAN ABHIYAAN Q.4 Answer in 2-3 sentences. 1) Rotavirus Vaccine 2) Radlological findings In scurvy 3) Autism Spectrum Disorder (Any 5 out of 6) a 4) Definition end causes of failure to thrive 5) Role of ASHA worker 8) Diagnostic erttaria of SAMa __—s— eee -secriON =i @.1 Write notes on following. (Any 4 out of 2) {10 A) Describe atiopathogenesis, clinical features and management of Reeplratory Dietrest ‘Syndrome In neonate. 2) Describe etiopathogenesis, clinical features and management ‘of Neonatal “hyperbliubinemia. Q2Write short notes. (Any 2out of 3) [12] 4) Approach to bleeding child. 2) Congestive Cardiac fallure In children 3) Congenital hypothyroidism. Q3 Write short notes. (Any 3 out of 4) te 4) Status Asthematicus 2) Acute Pyogenic Meningitis 3) Steroid Sensitive Nephrotic Syndrome 4) Prevention of Genetic disorders in children Q.4 Answer In 2-3 sentences (Any 5 out of 6) + 4), APGAR Score In newbom resuscitation 2) Define Persistent and Chronic diarrhoea 3) Stages of hepatic encaphalgpathy in chtrae 4) Mik ejection reflex. J- 5) Definition and causes of delayed puberty 6) Sickle cell crisis