Medicine Preliminary Examination pate: 16/10/2023 Paper 1 maximum Marks 100 Time duration: 3 hours: 1.30pm to 4.30pm Instructions: Write legibly. Answer to the point, r Time management for each questio” onsen Numbers to the right indicate mar" 00" section 2 Q.1. Answer any one out of two. las 2. Write in brief causes, symptoms Uleer. « b. Define Nephrotic Syndrome treatment of Nephrotic syndrome. «gens, vestigations, complications, and treatment of Peptic write in brief symptoms, signs, investigations, complications, and Q.2. Answer any two of the three questions. , (12) a) Vitamin B12 deficiency. + b) Importance of AETCOM in Medicine.. » c) Approach toa case of generalised oedema. Q.3 Write short notes, any three out of four. CS a. Hyperkalemia. « b. Microcytic Anaemia. « c. Clinical importance of Urine Routine and Microscopic Examination. d. Adverse effects of Blood transfusion. Q.4, Answer only in 2-3 sentences. Attempt any five out of six. (20) a. Types of Urinary Stones. + b. Define Oliguria » c. Names of Blood components used in blood transfusion. d. Occult blood in stool, « e. Alfa-feto protein, * f. Enumerate nutritional deficiencies ca used by chronic alcohol intake.Section 2 any one’out of two. (10) s, symptoms, nswel ok , at.A Signs, Investigations, complications, and treatment of Acute a. Write in brief cause: cardial Infarction. * “ nent causes, symptoms, signs, Investigations, complications, and treatment of b. Write Hypothyroidism. ‘Answer any two of the three questions, (2) Q.2.An a. Amoebic Liver Abscess. b. Clinical types, Clinical featul c. Metronidazole res, Diagnosis and treatment of Dengue fever. - Q.3 Write short notes, any three out of four. (ag) a. Treadmill Stress test. * b. Complications of Diabetes Mellitus. * c. Mitral Valve Prolapse. d. Define Hypertension. Mention briefly Hypertension stages. Classification of antihypertensive drugs and classification of antihypertensive drugs... ~ Q.4, Answer only in 2-3 sentences. Attempt any five out of six, a. White-Coat Hypertension * b. Honey Moon Diabetes. c. Enumerate causes of systolic murmur at the cardiac apex. « d. Define Dyphagia and Odynophagia. * e. Enumerate Indications of Insulin Therapy. « f, Pro-Calicitonin test. (10)Medicine Preliminary Examination Paper 2 Time duration, 3 hours Date: 17/10/202 Instructions: Maximum Marks 1 Separate answer sheets for each Section 1 & 2 Write iegibly &Answer to the point. Time management for each question's answer. Numbers to the right indelicate maximum marks. Section 1 Q.1. Answer any one out of two. a.Write in brief causes, symptoms, signs, investigations, complications, and treatment of Thrombotic CV Stroke. b.Write in brief symptoms, signs, investigations, complications, and treatment of Methyl-Alcohol Poisoning. - Q.2. Answer any two of the three questions. a) Tocilizumab * b) Cerebellar Signs. c) Cerebro-Spinal Fluid Analysis” Q.3 Write short notes, any three out of four. a. What is Blood Brain Barrier? Describe its clinical importance. - b. Write in brief clinical manifestations and treatment of Systemic Lupus Erythematosus. c. Definition, Clinical features, Investigations, Diagnosis of Bronchial Asthma. « d. Cyanosis. « Q.4. Answer only in 2-3 sentences. Attempt any five out of six. a. Drug Tachyphylaxis, + 3 00 (10) (22) (18) (10) b. What is Superior Vena Cava Syndrome? + ©. What is an Autosomal Dominant and Recessive disorder definition? ¢ d. Describe Grades of Muscle Power in tabular form. e. Saturday Night Palsy. - f. Describe Immune Globulin G (IgG)and Immune Globulin M (IgM) with clinical importance of each one in a sentence or two. *Section 2 Q.1. Answer any one out of two. (10) a. Describe the aetiology and management of Bipolar Disorder. b. Discuss the D/D (Differential Diagnosis) and Management of Scizophrenia. Q.2. Answer any two of the three questions. (12) a. Describe clinical features and management of Impetigo, Folliculitis and Cellulitis. b. Describe clinical features and management of Tineasis. c. Write in detail about herpes Labialis... Q.3 Write short notes, any three out of four. (ag) a. Write in brief about Primary Anti-Tubercular drugs and their Adverse Drug Reactions. b. Spirometry c. Mention aetiology and classification of pneumonia. Write detained treatment of Community Acquired Pneumonia. d. Write in brief Clinical Approach, Causes, Clinical features, and Management of Pleural Effusion. Q.4. Answer only in 2-3 sentences. Attempt any five out of six. (10) a. Define dependence; enumerate the pharmacological basis of treatment for Tobacco Addiction Disorders. b. Write in brief about Panic Attacks. c. Enlist the Symptoms and Signs of Major Depressive Disorder. d. Describe structure of skin. e. Enlist primary skin lesions and define one. f. Write in brief about classification of anti-Viral drugs.NERAL SURGERY [PAPER 1 can be given for irrelevant writing. INSTRUCTION! no marks 1. Write legibly and to the po! 2) Operative technique is not required unless asked. 3. Draw diagram wherever necessary. 4. Answer each section in separate answer book. 5. Figure on right indicates full marks. SECTION I [50 Marks] [1*10= 10 Marks] Q.1: Answer any 1 in detail: (a) Causes, clinical features and Management of Upper Gastro-Intestinal bleeding. OR ical features of Acute Cholecystitis. - (a) Etiology and C! [2*6= 12 Marks] Q.2: Answer any 2 out of 3 given case scenarios: “ (@)A55 years old male patient having Inguinal swelling which reduces on lying down position. = What is your clinical diagnosis ~ What tests would you like to confirm diagnosis «What is your advice to this patient regarding different kind of surgery (b) A'S years old child presented with scrotal swelling. = What is your differential diagnosis ~ How will you arrive at final diagnosis |, (€)A20 years old fernale presented with painless bilateral breast swelling which is freely mobile. «How will you arrive to your clinical diagnosis with History and Examination of the patient. = How will you confirm clinical diagnosis : Write short notes on any 3 out of 4:- [3*6= 15 Marks} + (a)physiology of Thyroid gland (b) Obstructive Jaundice due to Non malignant conditions ‘of Acute Pancreatitis Q.. (6) Clinical features and pathogenesis (@) Clinical features of Pheochromocytoma . [5*2= 10 Marks] Q.4: Answer in 2 to 3 sentences, any 5 out of 6:- - (a) Neurological complications of Thyroid surgery (b) Carbuncle « (c) Tongue tie, *(@) Goodsall’s Rule =(€) Thyroglossal fistula +(f) Triple assessment in Breast lumpSECTION II [50 Marks] a5: Attempt any | out of 2: [1*10= 10 Marks} (a) Narate etiology of Urolithiasis. Discuss briefly Clinical features, Investigations and Treatment of Unilateral Staghorn calculus, . OR + (a) Discuss management of a Polytrauma patient following Road Traffic Accident, Q.6: Answer any 2 out of 3 given case scenarios: [2*6= 12 Marks} ~ (2) 465 years old Hypertensive male with past history of Coronary Artery Stenting, Grade 3 claudication pain involving whole of the Right Lower limb since 6 months, presents with Non progressive shrivelled and blackened 1°" and 2 toes of right foot since 3 weeks, On Examination all pulsations in the involved limb are absent or feeble. - Discuss likely clinical diagnosis - Investigations necessary ~ Overall management (©) A 12 years old girl falls astride from bicycle, presents with Dyspnea, Pain in left upper abdomen with Guarding and distension. Examination reveals significant pallor and hypotension, also bruises over left lower chest and left hypochondrium. ~ What are likely internal damages - How will you investigate further - Discuss necessary management protocols (©) A34 years old male had fall from height of 12 feet, landing on his one foot first, presents with chief complaint of Inability to pass urine following fall which happened 8 hours back. ~ Discuss how will yourexamine this patient clinically and likely findings ~ What investigations you will ask for ~ How will you treat this patient Q.7: Write short notes on any 3 out of 4:- having progressive [3*6= 18 Marks} «¢ (a) Hutchinson's pupils + (b) Raynaud’s phenomenon «(c) Nephroblastoma (4) Cavernous Sinus thrombosis Q.8: Answer in 2 to 3 sentences, any 5 out of 6:- {5*2= 10 Marks] + (a) Brodie Trendelenburg’s test + (b) Feminizing tumor in men « (©) Lucid Interval (A Dietl’s Crisis « (€) Foam Sclerotherapy (f) Circle of Willis“ wa soe rove nt FALE? LU-LU-25, ‘Time: 12 ) pNERAL SUR Y [PAPER 2 Total marks:100 NSTRUCTIONS:- point, no marks can be given for irrelevant wrti rite ley \d to the P n oe on = Rieoee aia is not required unless asked. perati ale Draw diagram wherever necessary, Answer each section in separate answer book. Le are Figure on right indicates full marks, yawn SECTION I (50 Marks] Q.1: Answer any 1 in detail:- {1*10= 10 Marks] (a) Describe classification of thermal burns. Deseribe initial resuscitation and subsequent management of a 25 years of male with 50 kg, having second degree burns over 40%of body surface area including face and neck. OR (@) Describe vatious types of wound infection. Describe mechanism and various factors affecting wound healing. Q.2: Answer any 2 out of 3 given applied short not. . [26-12 Marte (a) Pre-malignant conditions of tongue (b) Flail Chest (© Collar-stud abscess in neck Q.3: Write short notes on any 3 out of 4:- [3*6= 18 Marks (@) Complications of blood transfusions (©) CSF circulation and management of Hydrocephalus (c) Empyema of thorax (@) Pre operative preparations of a patient for an elective Major Abdominal surgery. Q-4: Answer in 2 to3 sentences, any 5 out of 6:- [5*2= 10 Marks} (a) Investigaticn and management of Cystic Hygroma of neck © (b) Mucous retention cyst of lip * (©) Single incision Laproscopié surgery * (a) Virchow’s node (e) Subclavian steal syndrome () VACTERL anomaliesSECTION TI [50 Marks} © WI 0= 19 Q.5: Answer any 1 in detail:- Ma ‘ f pathology, clinical features, investigation & management of fracture of lower end of rag; Q j It. © the complication of fracture and their managemen! OR i ickets. ~ (@) Etiopathology, clinical and radiological features and management of nutritional rickets. Han (a) Etiolog ie Des Q.6: Answer any 2 out of 3 given case scenarios:- [2*6= 12 Marks} (@) A25 year old male presents to the Emergency Department vith a Road Traffic Accident having pain in the left arm and inability to extend the wrist and fingers. X ray'SHows a fracture of the left shaft of humerus. Describe the complication of fracture he has suffered a (©) A year old child presents to the Emergency Department with complaint to move the right elbow, Patient’s mother gives a history that the patient helped the child to get up by lifting the child by grabbing the forearm afte this complaint. Identify the condition described and describe its mechanism management. - (©)A 30 year old male presents to the Emergency Department with a Road Traffic Acca his right leg. There is a 10x10 cm-wound over the is not palpable, Xray shows a comminuted ri fractures, identify the grade of open facture injuries, \ in in elbow with inability mn while playing and she he patient developed tent posteromedial aspect of leg in lower iy ight tibial shaft fracture. Describe classification, described here and describe primary managemeit Q.7: Write short notes on any 3 out of [3*6=18 Marks} (a) Compartment Syndrome in Extremities + (b) Pharmacological management of Rheumatoid Arthritis ~ *(©) Epidural Anaesthesia + (d) Mammography Q.8: Answer in 2 to 3 sentences, any 5 out of 6:- [S*2= 10 Marks} + (a)Radiological signs of Chronic Osteomyelitis (b) Dentigerous cyst (©) What is Triad of General Anaesthesia * (@) Doppler Ultrasound findings in lower limb Varicose vein ~ (©) Definition of Sequestram (f) Enumerate Local Anaesthetic AgentsDR. M. K. SHAH MEDICAL COLLEG! E AND AHINMIE A AND RESEARCH CENTRE DEPARTMENT OF PEDIATRICS Time Duration : 3 hours Instructions : Marks : 100 1. Write down section 1 and 2 in different answer sheets, Answer to the point and legibly, irrelevant answer will not get any marks. Figures to the extreme right denotes maximum marks for the concerned question. 2. 3. 4, Mobile phones, smart watches and calculators are not allowed in exam room. Section 1 Qi. Answer any 1 out of 2. 1x 10 marks = 10 marks 1, What do you mean by Vaccine ? Name (only ) types of Vaccines. Describe National Immunization Programme of India. +2. Define Infant Mortality Rate. What are the common causes of IMR. Mention various steps to decrease IMR Q2. Answer any 2 out of 3. 2x6 marks =12 marks 1. 1year old child presented with high grade fever, cough and cold for 1 day. He is playful, active during inter-febrile phase. TC 10000/cc, DC 50/48/1/1/0. A. How will you manage this child? B. Will you start antibiotics? If yes which antibiotics? C. How will you counsel the parents. 2 year old child presented with complain of not growing well, picky eater, still on ” breastfeeding. Weight is 9 kg, Length 72. cm On Examination : Frontal bossing, wrist widening, wide open anterior fontanelle. ‘A. What is your probable diagnosis ? B. How will you investigate ? C. What treatment will you start? 3 year old female child admitted with the complain of not eating well since 2 to 3 ld did not have any other complain. Height- 85cm MAC- 10 cm. 1 months . CI Weight -7 kg A. What is your diagnosis? B. How will you manage this child ? 3 x 6 marks = 18 marks Q3. Write short notes. Any 3 out of 4. hild to break a bad news. Nocturnal enuresis tt of calcium deficiency. Counselling parents of dangerously ill/terminally ill cl Describe Clinical features, diagnosis and managemen' Describe common health problems during adolescence. PwneDR. M. K. SHAH MEDICAL COLLEGE AND RESEARCH CENTRE AHMEDABAD DEPARTMENT OF PEDIATRICS 5 x 2marks = 10 marks Q4, Answer in 2 to 3 sentences Any 5 out of 6 +1, What are ECG changes in Hyperkalemia. +2. What are differences between Rachitic rosary and Scorbutic rosary? - 3. Whyis it difficult to assess dehydration in SAM children? 4, What is dose and duration of iron therapy in iron deficiency anaemia? +5. Name 5 opportunistic infections in child with HIV infection. 6. How will you classify pneumonia and give treatment as per IMNCI Section 2 Q1. Answer any 1 out of 2. 1x 10 marks = 10 marks How will you resuscitate a newborn who is not having any breathing efforts at birth. Write 1 NRP algorithm. ‘What do you mean by Hyaline membrane disease. How will you manage a case of Respiratory Distress Syndrome in preterm neonate. 2x6 marks = 12 marks Q2. Answer any 2 out of 3. 1. 7years old girl presented with complaint of recurrent leg pains. On examination, she had pallor, Icterus and splenomegaly. What's your diagnosis, Investigation and treatment. 3 years old male presented with complaint of cold, cough, high grade fever and breathlessness since 2 days. On examination, his respiratory rate was 44 per min, oxygen saturation was 80% ‘And air entry was decreased on right side and also had crepitations. Diagnosis , Investigation, and Management. +3. 8 months old child presented with complaints of watery Diarrhoea since 2 days. On examination, child has lethargy, refusal to feeds, sunken eye balls. Write causes, clinical features and management. Q3. Write short notes. Any 3 out of 4, 3 x6 marks = 18 marks «1. 1.Nephrotic Syndrome (Definition, Investigation and treatment of steroid sensitive Nephrotic Syndrome) ~2. Tetralogy of fallot's 3. Febrile Convulsions 4, Acute viral hepatitis (hepatitis A) 5x2 marks = 10 marks, Q4. Answer in 2 to 3 sentences. Any 5 out of 6 Mention 4 causes of Neonatal seizures. Drug of choice in management of neonatal seizure. 2 2. What is Persistent Diarrhea and give 2 causes. +3. Classical features of congenital hypothyroidism «4. What are the indications of Renal biopsy in nephrotic syndrome? «5, Antenatal screening of Downs Syndrome. 6. Mantoux Test.esi : and research centre, chandkheda, Ahmedabad Dr. MK Shah Medical college grtMBB5 P2Tt (2029.20 batch) ‘ preliminary Examination- Obstetrics ang Gynecology- October 2023 + 1:30 PM to 4:30 PM Total marks 100 Date: 25/10/2023 Paper |! ~~ Section’ Ariy 1 out of 2 1x10 marks = 10 marks Q1 Long Question (A) Define Normal Labour. Discuss Physiology of Normal labour and Mechanism of Normal Labour. (B) Discuss Physiology of Menstrual cycle Any 2 out of 3 2.x 6 marks = 12 marks Q-2 Write short notes. * (A) Role of USG in routine antenatal care. (8) Discuss Fetal heart circulation during antenatal period and changes occur after delivery. + (C) Indications and Complications of Magnesium sulphate in obstetrics. Any 3 out of 4 3x 6 marks = 18 marks Q-3 Write short notes. » (A) Discuss anatomy of normal Placenta and abnormalities of placenta and its significancé (8) Anencephaly (C) Discuss Differential diagnosis of Bleeding during early pregnancy and describe management of incomplete abortion. (D) Etiopathology of Placenta Previa Q-4 Answer in only 2-3 sentences Any 5 out of 6 5 x 2 marks = 10 marks - (A) Define Abruptio Placenta ‘(B) Management of 4" stage of labour. . (C) Define Crowning during Labour. (D) Deep Transverse arrest .(E) Double surface phototherapy «(F) Anatomy of Ovarian arterySection 2 Any 1 out of 2 1x20 marks = 10 marks Q-1 Long Question (A) A Primigravida with 34 weeks pregnancy with singleton gestation admitted with latent pre term labour. Describe etiology, management and feto-maternal complications. «= (8) Define Pre-eclampsia. How will you manage a case of 24 years old primigravida with severe preeclampsia at 35 weeks of pregnancy? Discuss feto-maternal complications of severe Pre-eclampsia Any 2 out of 3 2.x 6 marks = 12 marks Q-2 Write short notes. * (A) Discuss Various signs and symptoms of normal pregnancy during first trimester (B) Dicuss Oxytocics- Use, pharmacological action, Dosage, Route, Side effects. @ (C) Discuss anatomy of Fallopian tube. Q-3 Write short notes. Any 3 out of 4 3.x 6 marks = 18 marks a (A) Define ectopic pregnancy, enumerate types of pregnancy and discuss management of Tubal ectopic pregnancy (8) Vesicular mole (C) Caput succedaneum (D) Indications, Pre requisites, and complications of Forcep delivery Any 5 out of 6 5.x 2 marks = 10 marks Q-4 Answer in only 2-3 sentences « (A) Define Episiotomy and Write types of Episiotomy . (B) AMTSL . «(C) Enumerate 4 common causes of Polyhydramnios (D) Maternal Causes of Breech presentation (E) Define Lochia and enumerates types of it. (F) Name Engaging Diameter in Vertex, Face and Brow presentation.MBBS 111/11 20192020 BATCH DR M.K.SHAH MEDICAL CoLLeGe AND RESEARCH CENTER AHMEDABAD OB&Gy pAPER TOTAL MARKS 100 TIME:THREE HOURS Section: Section: Question : Structured Long Question 10 marks (Any 1 out of 2) 1, 25 year old unmarried girl visited gynae OPD with irregular cycles, hirsutism with BMI of 20 ~ &her trans abdominal scan shows pear! necklace appearance. What could be the most probable diagnosis? Enumerate the signs & symptoms Discuss the management option. 2. What are the signs & symptoms of uterine fibroids ? Discuss the types & management of uterine fibroid in 28 year married female. Question : Case based scenarios/applied short notes 12 marks (answer 2 out of 3) + 1. 30 year old married female visited gynae opd with chief complaint of postcoital bleeding. Enumerate the causes & necessary tests to evaluate it further. » 2. 22year married female came with chief complaint of excessive vaginal discharge with itching. Enumerate the causes behind the same and management. 3. 15 year old girl has not achieved her menarche yet , she’s having cyclical abdominal pain. Enumerate the differential diagnosis points & management options in brief. Question:3 Write short notes. 18 marks (any 3 out of 4] 1. Intrauterine contraceptive devices. +2. MTP act and Counseling of a patient with retained products after MTP. * 3. Tubal factors of infertility. 4. Supports of uterus. Question:4 Answer only in 2-3 sentences. 10 marks (any 5 out of 6) 1. Differential diagnosis of post-menopausal bleeding. 2. Define adenomyosis & Differential Diagnosis of fibroids. * 3, Side effects & complications of OCPills. +4. Signs of ovulation. +5. Define AUB. _ 6. Define ovarian dermoid cysts.Section- 2 Question: 5 Structured long questions. 10 marks (any one out if two) «1. 25 year old female patient came to gynae opd with history of unprotected intercourse last night. Enumerate emergency contraceptive options and counselling for the same. 35 year old female P3L3 came with lower abdominal pain , irregular cycles on diagnosing - further she found out to be having-right ovarian 6/7cm cyst, Enumerate causes & differentiating features between benign & malignant cysts & tumour marker tests for the same. Question: 6 Case based scenarios/applied short notes 12 marks (any 2 out of 3 1. 32year old female P2L2 with past history of regular periods came with chief complaint of 3 months of amenorrhea, enumerate the probable causes & management. 2. 38 year female P4L4 came with frequent periods, passage of clots with history of TL done what are the probable causes & management for the same. 3. 26 year old female P4L4 visited gynae opd with history of passage of grape like structures & bleeding from vagina with 2 months of amenorrhea, per abdomen 16week size uterus palpable. Enumerate the diagnosis & management options. Question:7 Write short notes. 18 marks (any 3 out of 4) 1* trimester abortion. Turner’s syndrome. HPV vaccines. Lymphatic drainage of vulva. Question:8 Answer only in 2-3 sentences. 10 marks (any 5 out of 6) 41. Define subseptate uterus & clinical manifestations. +2. Define Genital TB & clinical features. 3. Define galactorrhoea. * 4. Types of ultrasound in gynae. *5. Define ovarian hyper stimulation syndrome. 6. Conservative surgeries for uterine prolapse.