MERIDIAN CMC Finalyear2020-Latest

MERIDIAN 2020
For FINAL YEARS
CALICUT MEDICAL COLLEGE
AcademicClub
College Union2020
An important milestone to conquer, just around the corner, it’s time to revise and ease the mind !
Here comes the New edition of Meridian with the previous question papers of Final Year
Examination and a few model papers by some of our eminent professors.
Keep a cool head, and remember final year university is just like any other, as long as you keep a
cool head and study meticulously, no one keep you from passing with flying colours !
Academic club
College Union 2020
Calicut Medical College
MERIDIAN for Final years
Academic Club - College Union'20

Q.P. Code: 305001 Reg. No.: …………………
Third Professional MBBS (Part II) Degree Regular/Supplementary
Examinations February 2020
General Medicine – I
Time: 3 Hours Total Marks: 60

 Answer all questions to the point neatly and legibly • Do not leave any blank pages between
answers • Indicate the question number correctly for the answer in the margin space
 Answer all parts of a single question together • Leave sufficient space between answers
 Draw table/diagrams/flow charts wherever necessary
Essay: (2x10=20)
1. A 50 years old male chronic alcoholic, smoker, high blood pressure and uncontrolled type
2 diabetes mellitus has presented with central chest pain with sweating for past one hour.
His blood pressure is 180/100mm Hg and blood sugar 400 mg/dl. Answer the following:
(2+3+3+2)
 What is your probable diagnosis
 How will you confirm the diagnosis
 How will you treat this condition
 How will you prevent the recurrence
2. A 40 years old male presented with twitching of right upper limb followed by tonic clonic
convulsions. On examination patient has tongue bite and post ictal confusion and
headache. Answer the following: (2+3+2+3)
 What is your diagnosis
 Classify seizures
 Where is the probable lesion
 How will you manage this patient
Short notes: (20x2=40)

3. Management of hyponatremia
4. Clinical features of vitamin D deficiency
5. Pulmonary hypertension
6. Acute glomerulonephritis
7. Causes of sinus bradycardia
8. Acyclovir
9. Gamma glutamyl transferase
10. Aphthous ulcer
11. Complications of gastro esophageal reflux disease
12. Opportunistic infection in AIDS when CD4 count <50
13. Lab features of hepatocellular jaundice
14. Diagnostic criteria for rheumatoid arthritis
15. Asymptomatic urinary abnormalities
16. Causes of acute kidney injury
17. Management of diabetes ketoacidosis
18. Clinical features of snake bite
19. Diabetes insipidus
20. Complications of blood transfusion
21. Drugs causing gynecomastia
22. Treatment of hematemesis
*******************
Third Professional MBBS (Part II) Degree Supplementary Examinations August 2019

• Answer all questions
• Draw diagrams wherever necessary
Essay: (2 x 10=20)
1. A 20 years old young patient was admitted to emergency ward with history of prolonged fever and acute
onset breathlessness. On examination systolic murmur heard at apex. Answer the following:
 What is your diagnosis
 Discuss the etiology and clinical features.
 Add a note on investigations.
 Discuss the treatment. (2+3+2+3)
2. 15 years old male was admitted to the hospital with history of swelling of the face, oliguria, Hematuria and
his BP was 160/100mmhg. Answer the following:
 What is your diagnosis
 Mention the various causes.
 What are the complications
 Discuss the management. (2+3+2+3)
3. X-linked disorders.
4. Treatment of hyperkalemia.
5. Cardio pulmonary resuscitation.
6. Causes of hematemesis.
7. Mention the causes for chronic kidney disease.
8. Atrial fibrillation
9. Causes of hyponatremia.
10. Prophylaxis for acute rheumatic fever.
11. Crossed hemiplegia.
12. Vitamin A deficiency.
13. Peripheral neuropathy.
14. Drug induced renal injury
15. Causes of syncope.
16. Chronic diarrhea.
17. Fulminant hepatitis.
18. Odynophagia.
19. Lupus nephritis.
20. Causes of portal hypertension
21. Irritable bowel syndrome. 22.Body Mass
Index.
*******************
Academic Club - College Union20

Third Professional MBBS (Part II) Degree Examinations February 2019
Essay: (2 x 10=20)
1. 40 years old female non-alcoholic developed yellowish discoloration of sclera and urine.
She developed vomiting and right hypochondrial pain. Answer the following:
• What is your probable diagnosis

• How will you confirm the diagnosis
• How will you treat this condition
• How will you prevent this disease
2. A 25 years old male is admitted with fever, myalgia, arthralgia, head ache and
photophobia. His WBC count is 3800 and platelet count 20000. His vitals are normal and
there were no bleeding manifestations. Answer the following:

• How will you manage this patient
• What are the preventive measures

3. Causes of shock.
4. Clinical features of methanol poisoning.
5. Causes of secondary hypertension.
6. Myelodysplastic syndrome.
7. Cardiac enzymes.
8. Diagnosis of H.pylori infection.
9. Drugs for hepatic amoebiasis.
10. Causes of chronic kidney injury.
11. Extra-articular manifestation of rheumatoid arthritis.
12. Complications of homocysteinemia.
13. Factor VIII replacement in hemophilia A.
14. Anaphylaxis
15. Heat stroke
16. Causes of hypoglycemia.
17. Risk factor for HIV infection
18. Management of leptospirosis
19. Migraine.
20. Treatment of iron deficiency anemia
21. Oncological emergencies
22. Causes of hypoproteinemia
*******************


Essay: (2 x 10=20)
1. 45 years old obese individual who is a smoker presented with acute onset chest pain and profuse
sweating. Answer the following: (2+3+3+2)
• What is the differential diagnosis
• How will you treat this patient
• What advice will you give him to prevent recurrence of this condition
2. 50 years old man with history of type 2 diabetes mellitus and primary hypertension presented with sudden
onset weakness right half of the body and alteration of sensorium. He reported within 2 hours of onset.
Answer the following:
• What investigations will you do on admission
• What are the complications (2+3+2+3)

3. Management of hyperkalemia.
4. Fat soluble vitamins
5. Meiosis
6. Complications of obesity.
7. Causes of metabolic acidosis.
8. Clinical features of constrictive pericarditis
9. Management of mitral regurgitation.
10. Complications of acute viral hepatitis.
11. Investigations in chronic pancreatitis.
12. Consequences of helicobacter pylori infection
13. Brain natriuretic peptide
14. Management of permanent atrial fibrillation.
15. Trigger factors for seizures
16. Investigations for a suspected case of multiple sclerosis
17. Treatment of pyogenic meningitis
18. Duchenne muscular dystrophy
19. Indications for renal biopsy
20. Common causes of chronic renal failure
21. Differential diagnosis of peripheral edema
22. Extra intestinal manifestations of inflammatory bowel disease.

Q.P. Code: 305001 Reg. no.: …………………

Essay: (2 x 10=20)
1. A 20 years young female presented with history of fever, poly arthralgia, facial puffiness,
pedal edema and decreased urine output. On examination she has malar rash over
the cheek, anasarca and B.P. 150/100 mm Hg. Answer the following.
• What is your likely diagnosis
• How will you treat the disease
• What are the complications of the disease (2+3+3+2)
2. A 45 years old man who is a chronic alcoholic presents with the history of tarry black
stools and fresh blood vomiting since 2 days. On examination he is ill looking, pale and
has tachycardia. He has ascites but no palpable spleen. His blood pressure is 90/60 mm
Hg. Answer the following :
• What is your likely diagnosis
• What steps should be taken immediately in the management
• How will you treat this condition
• What are the complication of this condition (2+3+3+2)

3. Scurvy.
4. ADPKD (autosomal dominant polycystic kidney disease)
5. Anti-snake venom.
6. Microbiota.
7. Neuro cardiogenic syncope.
8. Liver function tests.
9. Clinical features of Eisenmenger’s syndrome.
10. Diagnosis of obstructive sleep apnea.
11. Treatment of acute inflammatory demyelinating polyneuropathy (AIDP).
12. Newer antiepileptic drugs.
13. Clinical features of Conn’s syndrome.
14. Muscarinic manifestation of organophosphorus compound poisoning.
15. Syndrome of inappropriate ADH secretion.
16. Amiodarone.
17. Scrub typhus.
18. Modified Faine’s criteria of leptospirosis.
19. Benign increased intracranial tension ( ICT )
20. Common migraine.
21. Diagnosis of osteomalacia.
22. Jone’s criteria of rheumatic fever.
*******************

Q.P. Code: 305001 Reg. no.: …………………

Third Professional MBBS (Part II) Degree Supplementary Examinations,
September 2017

Essay: (2 x 10=20)
1. 40 year old individual presented with fatigue, weight loss and upper abdominal discomfort.
Clinical examination revealed hepatosplenomegaly and ascites. Answer the following:
• What other history will you elicit to detect the possible etiology of his disease
• What investigations will you do to evaluate his condition
• How will you manage this case
• What are the complications of this condition (2+3+2+3)
2. 35 year old individual was found to have mild pallor and BP of 160/100 mmHg on routine
medical examination. On evaluation blood urea and serum creatinine were raised. Answer
the following:
• What are the etiological factors for his renal condition
• What complications or adverse effects can occur in this condition
• What are the modalities of treatment available (2+3+3+2=10)

3. Management of hyponatremia
4. Neurological consequences of vitamin B12 deficiency.
5. Apoptosis
6. Reversible causes of weight gain
7. Causes of hypokalemia
8. Clinical features of hypertrophic cardiomyopathy
9. Causes of aortic stenosis
10. Natural history of chronic hepatitis B infection.
11. Causes of chronic pancreatitis
12. Antibiotic regimens for eradication of helicobacter pylori.
13. Cardiac troponins
14. Classification of antiarrhythmic drugs
15. How do you investigate a suspected case of epilepsy
16. Clinical features of multiple sclerosis.
17. Immunological treatment of myasthenia gravis
18. Myotonic dystrophy
19. Polyuria
20. Causes of acute renal failure.
21. Management of acute pulmonary edema.
22. Drugs used in the management of inflammatory bowel disease.
*******************

Q.P. Code: 305001 Reg. no.: …………………
Third Professional MBBS (Part II) Degree Examinations, March 2017

Essay: (2x10=20)
1. A 25 years old male presents with history of fever for 15 days. On examination patient is
febrile. Pallor and clubbing are present. He has a pan systolic murmur at the apex.
• What is your probable diagnosis.
• How will you confirm the diagnosis.
• How will you treat this condition.
• How will you prevent the recurrence of this disease (2+3+2+3=10)
2. A 70 years old man presents with a history of slowness of movement and tremors of the
left hand. On examination patient has mask like facies, coarse tremors of the left hand
and rigidity. Answer the following:

• What are the likely causes for this condition
• Where is the lesion.
• How will you treat this condition. (2+3+2+3=10)

3. Management of hypokalemia
4. Pellagra
5. Definition of nephrotic syndrome
6. Clinical features of primary hypothyroidism
7. Mechanism of ascites in cirrhosis of liver
8. Family history in autosomal recessive disease
9. Endocrine causes for secondary hypertension.
10. Complications of acute pancreatitis
11. Management of supra ventricular tachycardia.
12. Lab features of pre hepatic jaundice (haemolytic)
13. Oral anticoagulants
14.Coeliac disease
15. Renal transplant
16. Pain management in palliative care
17. Achalasia cardia
18. CSF findings in tuberculous meningitis.
19. Biguanides
20. Osteomalacia.
21. Unstable angina
22. Treatment of myasthenia Gravis
*******************

Q.P. Code: 305001 Reg. no.: …………………
September 2016
Essay: (2x10=20)
1. A 45 years old man develops progressive breathlessness and swelling of both the feet.
On examination respiratory rate was of 22/mt, heart rate of 96/mt. and BP 100/70 mm of
hg. JVP raised 14cms and both a and v waves were seen. On auscultation 3rd heart
sound and bilateral fine crepitation were present. Liver was palpable 3cms below costal
margin. There is no free fluid in the abdomen. Answer the following:
• What other causes can cause this condition
• How will you treat this condition (2+3+2+3=10)
2. A 70 years old male having hyperlipidemia presents with inability to move his left hand
and leg for one day duration. He felt that his left hand was weak in the morning and in the
evening he developed weakness of left leg. On examination vitals signs were stable. No
wasting of muscles, spasticity of the left upper and lower limb. Power grade IV on the left
side. Brisk deep tendon reflex on the left side and up going plantar on the left side. Other
systems were normal. Answer the following:
• Where is the lesion.
• How will you treat this condition. (2+2+3+3=10)

3. Treatment of hyperkalemia
4. Scurvy
5. Definition of acute nephritic syndrome
6. Clinical features of thyrotoxicosis
7. Laboratory diagnosis of hepatitis B infection
8. Family history in autosomal dominant disease
9. Renal causes of secondary hypertension.
10. Complications of chronic pancreatitis.
11. Management of atrial fibrillation
12. Lab diagnosis of post hepatic (cholestatic) jaundice.
13. Low molecular weight heparins
14. Tropical sprue
15. Hemodialysis
16. WHO pain ladder
17. Esophageal strictures
18. CSF findings in bacterial meningitis
19. Sulphonylureas
20. Osteoporosis
21. Stable angina
22. Treatment of parkinsonism

Q.P. Code: 305001 Reg. no.: …………………

Essay: (10)
1. A 32 years old female was admitted to the causality with history of altered sensorium,
fever, headache and vomiting. On examination, neck stiffness, drowsiness and irritability
were present. No neurological deficits. Answer the following:
• What are the differential diagnoses.
• What are the complications
• Discuss the investigations (3+3+4=10)
2. An 18 years old male presented with exertional dyspnea, PND and palpitation. On
examination his pulse was irregularly irregular with a pulse deficit of more than 10.
Cardiac examination revealed loud first heart sound, opening snap with a mid diastolic
murmur. Answer the following:
• What is the complete diagnosis
• What are the complications.
• Discuss the management. (2+4+4=10)
3. Management of nephrotic syndrome.

4. Causes of hyperkalemia.
5. Complications of peptic ulcer.
6. Medical causes of acute abdomen.
7. Vitamin K dependent clotting factors.
8. Micro vascular complications of diabetes mellitus.
9. Mention four chromosomal disorders.
10. Differences between spasticity and rigidity.
11. Clinical features of Addison’s disease.
12. Indications for hemodialysis.
13. Myxedema coma management.
14. Mention four complications of cirrhosis.
15. Components of Babinski’s sign.
16. Differences between ulcerative colitis and Crohn’s disease.
17. Causes of proteinuria.
18. Complications of myocardial infarction.
19. Mention four new antiepileptic drugs.
20. Mention brain stem reflexes.
21. Mention four complications of diuretic therapy.
22. Pellagra
*******************

Q.P. Code: 305001 Reg. no.: …………………
September 2015

Essay: (2x1=20)
1. 52 years old male who is a chronic smoker having cough with expectoration and
breathlessness comes to outpatient department with weakness and swelling of legs for
last one week. On examination JVP is elevated and right ventricular third heart sound
heard and there is tender hepatomegaly. Answer the following:
• What is your diagnosis.
• How are you going to investigate.
• Discuss the management.
• What are the complications. (2+2+3+3=10)
2. 30 years old man comes to casualty with high fever, chills and rigors, vomiting and
headache and altered sensorium for two days. On examination the patient is febrile,
irritable and presence of signs of meningeal irritation. CSF shows predominant
polymorphs with increased protein and decreased sugar. Answer the following:
• What are the other investigations you want to do.
• How you are going to treat this patient.
• What are the complications. (2+3+3+2=10)

3. Genetic counselling.
4. Clinical features of nephrotic syndrome.
5. Name four diseases caused by sex linked disorder.
6. Name four clinical features of Down’s syndrome.
7. HLA associated diseases.
8. Smoking and health hazards.
9. Pellagra.
10. Indications for haemodialysis in acute renal failure.
11. Sildenafil uses.
12. Bence Jones proteinuria.
13. Hepatic encephalopathy
14. List emergency complications of acute glomerular nephritis.
15. List risk factors for acute myocardial infarction.
16. Features of Fallot’s tetralogy.
17. List causes for irregularly irregular pulse.
18. Hepato-jugular reflux.
19. Non cardiac causes of pulmonary edema.
20. Uses of rifampicin.
21. Features of Horner’s syndrome.
22. Helicobacter pylori eradication regimen.
*******************
Q.P. Code: 305001 Reg. no.: …………………
Third Professional MBBS (Part II) Degree Examinations, April 2015

Essay: (2x10=20)
1. 18 years old male came to outpatient department with fever, joint pain and swelling of
right knee and chest pain. On examination there is relative tachycardia, pansystolic
murmur in mitral area and ECG shows prolongation of PR interval. Answer the following:
• How do you investigate this patient.
• How do you manage this patient. (1+2+3+4=10)
2. 40 years old male presents with generalized anasarca and decreased urine output for one
month. On examination BP 120/80. Proteinurea of 3.5 gm/24 hours and serum albumin
2 gm%. Answer the following:
• What is the likely diagnosis.
• How do you investigate this patient.
• What differential diagnosis will you consider.
• How are you going to treat this patient. (1+3+3+3=10)
3. Mention 4 causes for flapping tremor

4. Pellagra.
5. Clinical features of cerebellar ataxia.
6. Clinical features of meningitis.
7. Non cardiac causes of pulmonary oedema.
8. Therapeutic schedule of vitamin B12.
9. Complications of post streptococcal glomerulonephritis.
10. Four classes of oral hypoglycemic agents with one example each
11. Treatable causes of dementia
12. Hepatitis B vaccination.
13. Four most common causes of upper Gastro Intestinal bleeding
14. ECG findings in hyperkalaemia
15. List four autoimmune disorders.
16. Clinical features of beri beri.
17. Mention four causes of hypothermia.
18. Name four disorders for which obesity is a risk factor.
19. Erythropoietin.
20. List causes of polyuria.
21. Mention four manifestations of adult polycystic kidney disease.
22. List ACE inhibitors.
*******************

Third Professional MBBS (Part II) – Model examination
1. A 34 year old male patient who is a known case of Rheumatic mitral regurgitation presents with one week
history of high grade fever with chills, breathlessness and orthopnea. On examination there is clubbing, raised
JVP, bilateral pitting pedal edema, erythematous rash on palms and soles.
a. What is your diagnosis ?
b. Describe the diagnostic criteria
c. Describe the investigation and treatment
d. Describe the prophylaxis
2. A 68 year old female patient presents with 5 days history of high grade fever with chills, headache and vomiting.
On examination patient is restless, has altered sensorium and neck stiffness.
b. Describe the etiological agents
c. Describe the investigations and treatment
d. What are the complications ?
3. Write short notes on :

a. Broca’s aphasia
b. Causes of raised JVP
c. Spontaneous bacterial peritonitis
d. Nephrotic syndrome
e. Hypokalemia
f. Argyll Robertson Pupil
g. Treatment of acute myocardial infarction
h. Granular cast
i. Causes of acidosis
j. Arterial supply of internal capsule
k. Coronary steal phenomenon
l. Manifestations of H.pylori infection
m. Post-streptococcal glomerulonephritis
n. Treatment of myasthenia gravis and crisis
o. Acute pulmonary edema
p. Management of hepatic encephalopathy
q. Status epilepticus
r. Gilbert syndrome
s. Emphysematous pyelonephritis
t. Prothrombin time

Third Professional MBBS (Part II) – Model examinations
GENERAL MEDICINE PAPER I
Essay
1.A lady coming with h/o fever, dysuria , altered sensorium .Patient is tachypnoeic RBS 610mg/dL. K+ 8.3 meq .
A) Clinical dx
B) Further investigations
C) Management
D) Causes of altered sensorium in this patient
2. Any of these --- Inf endocarditis , Stroke , Rheumatic fever,DKA +UTI ,Sheehans
3.Short Answers
1. A.F – Management
2. Pericardial tamponade
3. Status epilepticus
4. Tic douloreaux
5. Reno-vascular hypertension
6. Management of anaemia and CKD
7. SBP
8. Hepatic encephalopathy
9. JAK2 mutation
10. Radiological findings in MS
11. Pulmonary thromboembolism-Investigation & Management
12. AKI
13. Extra-intestinal manifestations of Ulcerative colitis
14. IBS
15. Coeliac sprue
16. Hypertensive crisis
17. Oncological emergencies
18. HbA1c
19. IVIG therapy
20. Pellagra

Third Professional MBBS (Part II) – Model Examination
GENERAL MEDICINE PAPER I
Essays
1 . A 45 yr old male was brought to the emergency with breathlessness.On examination he was tachycardic,
tachypnoiec and dehydrated. His breath had a peculiar smell.Patient had a past history of diabetes and was on
treatment with insulin and OHA(oral hypoglycemic agents). However he was irregular with the treatment. About 4 days
prior to admission he started developing fever features of cellulitis in his right foot.
a) What is the likely diagnosis?What may have precipitated this condition?
b) What investigations will you do for this patient?
c) How will you treat this patient?
2. A 50 yr old male and a known diabetic presented to the emergency with acute retrosternal chestpain.The pain was
radiating to the left shoulder.He had a history of dyslipidemia and was also a chronic smoker.On arrival in the
emergency he was also diaphoretic.
a) What is the likely diagnosis?
b) How will you investigate this patient?
c) How will you treat this patient?
Short notes
3.X-ray findings in mitral stenosis(MS)
4. Indications for renal replacement therapy(Dialysis)
5. TNM classification
6. Hyponatremia
7. Types of respiratory failure
8.Management of congestive cardiac failure
9.Differential diagnosis of pedal edema
10.Fat soluble vitamins

11. Management of hepatic encephalopathy
12. Extra-intestinal manifestations of inflammatory bowel diseases
13. Tetracycline
14.Imaging in acute stroke

15. Treatment of acute inflammatory demyelinating polyneuropathy(AIDP)
16. Conn’s syndrome
17. Diagnostic criteria for gestational diabetes mellitus(GDM)
18. Polycythemia
19. Endocrine causes for secondary hypertension
20. Causes of mitral regurgitation
21.Medical causes of acute abdomen
22.Clinical features of rheumatoid arthritis.

Q.P. Code: 306001 Reg. no.: …………………
General Medicine – II
(General Medicine including Dermatology, Psychiatry and Radio Diagnosis)

Essay: (2x10=20)
1. A 20 years old lady presented with decreased urine output of less than 0.5 ml/kg/hr for the
last 12 hours. She had diarrhea and vomiting for the last 2 days. Her BP was 90/70 and
pulse 108/ml. Answer the following:
 How will you investigate this patient
 How will you manage this patient
 What are the complications (2+3+2+3)
2. A young male with high risk behaviour had loss of weight, chronic diarrhea and chronic
cough. Answer the following:
 What are the other causes of this condition
 How will you investigate this patient
 How will you manage (2+3+2+3)

3. Benzodiazepine poisoning
4. Anxiety disorder
5. Insulin analogue
6. Polycythemia vera
7. Obsessive compulsive disorder
8. Complication of prolonged steroid therapy
9. Skin manifestation of tuberculosis
10. Causes of delerium
11. Indication of dialysis
12. Chronic complications of diabetes mellitus
13. Indications of beta blocker
14. Chemoprophylaxis of malaria
15. Hypertensive emergencies
16. Management of psoriasis
17. Butterfly rash in face
18. Acute phase reactants
19. Schizophrenia
20. Radiological diagnosis of pulmonary embolism
21. Risk factors of deep vein thrombosis
22. Depression
*******************
Essay: (2x10=20)
1. A 55 years old man presents with insomnia, lack of interest and suicidal attempts since 4 months. There is
a strong family history of such ailment. On examination he is irritable, sad looking and withdrawn. Answer
the following.
• What is your possible diagnosis
• What are the criteria to diagnose this condition
• Describe the aetio-pathogenesis of this condition
• How will you treat the disease (2+3+2+3)
2. A 40 years old male, a chronic smoker presents with breathlessness and productive cough since one
week. Past history of similar symptoms are present since last 4 years. He ignored Doctor’s advice to quit
smoking. On examination he has pedal edema, raised JVP and bilateral scattered rhonchi. Answer the
following.
• What is possible diagnosis
• How will you confirm your diagnosis
• How will you treat this ailment
• What are the complications of this disease (2+3+3+2)

3. Broncho pulmonary segments.
4. Second line antituberculous drugs.
5. Treatment of chicken pox.
6. Lab diagnosis of dengue fever.
7. Immune thrombocytopenia.
8. Rat poison – complications and management
9. Silicosis.
10. Disease Modifying Drugs (DMARDs)in Rheumatoid Arthritis.
11. Endocrine causes for Systemic Hypertension.
12. Causes of erythema multiforme.
13. Acne vulgaris.
14. Cardio-thoracic ratio.
15. Clinical features and management of tetanus.
16. Treatment of chloroquine resistant malaria.
17. Cyanosis.
18. International normalized ratio (INR) 19.Silhouette
sign in X – ray chest
20. Granulocyte colony stimulating factor (G-CSF) therapy. 21.Vaccination strategy in
elective Splenectomy.
22. Clinical features of acute intermittent porphyria.
*******************

Third Professional MBBS (Part II) Degree Examinations February 2019 General
Medicine – II
Essay: (2x10=20)
1. A 60 years lady presents with tingling, fatigue and passing dark tarry foul smelling stools. On examination,
severe pallor was present and ejection systolic murmur at the pulmonary area. Answer the following
 What is your probable diagnosis
 What are the probable causes for this condition
 How will you confirm the diagnosis
 How will you treat this condition (2+3+2+3)
2. A 25 years old male presents with history of cough with productive mucoid sputum for the last three
months. The sputum is foul smelling, copious and it increases on lying to the left side. On examination
patient is tachypneic and has coarse leathery crepitation’s in the right inter scapular and infra scapular
regions; clubbing present. Answer the following
 What is your probable diagnosis.
 What are the causes for this condition
 How will you confirm the diagnosis.
 How will you treat this condition (2+3+2+3)

3. Treatment of drug resistant malaria
4. Amoebic liver abscess
5. Diagnosis of salmonella infection
6. Post exposure prophylaxis for needle stick injuries for HIV positive patient.
7. Diagnostic criteria for rheumatoid arthritis.
8. Treatment of thalassemia
9. Treatment of gout
10. Superficial mycosis of the skin
11. Treatment of schizophrenia
12. Barbiturate poisoning
13. Category 1 treatment schedule in RNTCP program
14. Treatment of Hodgkin lymphoma
15. Differential diagnosis of macrocytic anemia.
16. Leptospirosis management
17. Signs of acute severe asthma.
18. Management of cobra bite
19. Anaphylaxis
20. Prophylaxis for H1N1 influenza (swine flu)
21. Classification of anxiety disorders
22. Criteria for initiating anti-retroviral therapy
*******************


Essay: (2x10=20)
1. 25-year-old female presented with fever, malar rash, photosensitivity, oral ulcers and polyarthralgia of two
months duration. She also gave history of two, first trimester abortions. Answer the following:
● What is your likely diagnosis
● How will you investigate this patient
● How will you treat this patient
● What advice will you give regarding future pregnancy (2+3+3+2)
2. 40 year old male with history of alcohol abuse for more than 15 years presented with pain abdomen and
hematemesis. During hospitalization he had generalized seizures and abnormal behaviour. Answer the
following:
● How will you investigate this patient
● What is the possible cause of his seizure
● What are the likely causes of hematemesis
● How do you manage this patient (2+3+3+2)

3. Treatment of psoriasis
4. Pityriasis Rosae
5. Toxic epidermal necrolysis
6. Pyoderma gangrenosum
7. Mechanisms of drug eruption.
8. Type 1 lepra reaction
9. Somatisation disorder
10. Mood stabilizers
11. Korsakoff psychosis
12. Clinical features of chronic cocaine abuse
13. Pathogenesis of dengue fever
14. Treatment of vivax malaria
15. Clinical features of leptospirosis
16. Drugs used in type 2 diabetes
17. Management of hypoglycemic coma.
18. Radiological features of klebsiella pneumonia
19. Radiological features of pulmonary embolism
20. Imaging in acute stroke
21. Dapsone
22. Diagnosis of hypothyroidism
*******************

Q.P. Code: 306001 Reg. no.: …………………

Essay: (2x10=20)
1. A 20 year young male travels in two wheeler in a dusty atmosphere develops sneezing
and breathlessness. He gives past episodes of wheezing. Auscultations of chest showed
bilateral polyphonic wheezes. Answer the following:
• What is your diagnosis
• How will you investigate him
• How will you manage
• Precautions to prevent further episodes (2+3+2+3)
2. A young male with high risk behaviour (alcohol) developed agitations and tremulousness
on hospitalization for a Medical illness.
• What are the hepatic complications of alcohol abuse. (2+3+2+3)

3. Eating disorders
4. Causes of hematuria
5. Postpartum psychosis
6. Clinical features of leprosy
7. Hazards of radiations
8. Metabolic syndrome
9. Cutaneous manifestation of HIV aids
10. Criteria for alcoholic dependence
11. Treatment of snake bite
12. Clinical features of Cushing syndrome
13. Management of eczema
14. Alpha glucosidase inhibitor
15. Dressler’s syndrome
17. Causes of end stage renal failure
18. Prognostic features in pneumonia
19. Dissociative disorder
20. Causes of hyperpigmentation
21. Radiological diagnosis of pulmonary tuberculosis
22. Radiological presentation of bronchogenic carcinoma
*******************

Q.P. Code: 306001 Reg. no.: …………………
September 2017

Essay: (2x10=20)
1. 50 year old man a known diabetic, staying alone was brought in an unconscious state
with history of irregular treatment, poor food intake and alcohol abuse. He also had non
healing foot ulcers. Answer the following:
● What is your clinical diagnosis
● How will you evaluate his clinical condition
● What emergency treatment will you give to this patient
● What are the likely causes of foot ulcers in this patient (2+3+2+3)
2. A 30 years old individual presented with five days of fever with vesicular umbilicated
mainly centrally distributed rash followed by altered sensorium. Answer the following:
• What are the causes of vesicular lesions.
• How will you prevent this disease (2+3+2+3)

3. Polycythemia vera
4. Tenofovir
5. Post streptococcal glomerulonephritis (PSGN)
6. Acanthosis nigricans
7. Fixed drug eruptions
8. Erythema nodosum leprosum
9. Generalized anxiety disorder
10. Drugs used in acute mania
11. Alcohol withdrawal
12. Chronic marijuana abuse
13. Warning signs in dengue fever
14. Treatment of falciparum malaria
15. Treatment of leptospirosis
16. Insulin preparations
17. Diagnosis of diabetic ketoacidosis
18. Radiological features of staphylococcus aureus pneumonia
19. Radiological features of pulmonary tuberculosis
20. Radiological features of ankylosing spondylitis
21. Chest X-ray in mitral stenosis
22. Treatment of thyrotoxicosis
*******************
Q.P. Code: 306001 Reg. no.: …………………

Essay: (2x10=20)
1. 40 years old alcoholic vegetarian comes to outpatient department with history of fatigue,
weakness and exertional breathlessness. On examination patient is anemic with red
beefy tongue and knuckle pigmentation. Answer the following
• What is your likely diagnosis and cause for knuckle pigmentation.
• What are the likely causes and mechanism of this condition.
• How will you investigate this patient.
• How do you manage this patient. (2+2+3+3=10)
2. 25 years old female patient with 28 weeks of gestation, primigravida is found to have
random blood sugar level of 250 mg per dl. Answer the following
• Describe the diagnostic criteria for gestational diabetes mellitus.
• What are the features of gestational diabetes mellitus.
• Drugs used in gestational diabetes mellitus. (3+3+4=10)

3. Anatomy of skin
4. Indications of carbamazepine.
5. Drugs used in depression.
6. Drugs used in leprosy.
7. Management of diabetic ketoacidosis.
8. Hypothyroidism in pregnancy
9. Swine flu.
10. Complications of falciparum malaria.
11. Radiological features of pituitary tumor.
12. Radiological features of cerebral venous thrombosis.
13. Complications of analgesics.
14. Radiological features of staphylococcus aureus pneumonia.
15. Immunoglobulins.
16. Platelet rich plasma
17. Generalized pruritus.
18. Drugs for scabies.
19. Four causes of clubbing.
20. PUVA therapy.
21. Four indications of doxycycline.
22. Radiological features of acute respiratory distress syndrome
*******************

Q.P. Code: 306001 Reg. no.: …………………
September 2016

Essay: (2x10=20)
1. A 23 years old woman who is 34 weeks pregnant who came to emergency department
after taking 28 paracetamol (500mg) tablets two hours ago. Answer the following
• What are your differential diagnoses.
• What are the toxic effects paracetamol.
• What are its complications
• How do you treat. (2+2+3+3=10)
2. A 65 years old woman comes with general malaise, tiredness since six months and two
months history of shortness of breath on moderate exertion. She c/o, sore tongue, pins
and needles sensation in her feet. Her blood smear shows macrocytic anemia and
thrombocytopenia. Answer the following
• What are your differential diagnosis
• What further investigations you do.
• Describe the peripheral and bone marrow picture of megaloblastic anemia.
• How do you treat. (2+2+3+3=10)

3. Mention causes of miliary mottling, in chest x-ray PA
4. Urticaria
5. Treatment of Scabies
6. Hypothyroidism
7. Hypochromic microcytic anemia
8. Clinical features of CREST syndrome.
9. Cerebral malaria
10. Complications of ulcerative colitis.
11. Side effects of insulin therapy
12. Antipsychotic drugs
13. Radiological features of mitral stenosis in chest x-ray
14. Psoriasis
15. Falls in elderly
16. Adjustment disorder
17. a-Fetoprotein.
18. Traveller’s diahorrea.
19. Antimalarial drugs.
20. Modes of transmission of HIV.
21. Steven Johnson syndrome
22. Treatment of leptospirosis.
*******************

Q.P. Code: 306001 Reg. no.: …………………

Essay: (2x10=20)
1. A 30 years lady presents with tingling and numbness of legs and fatigue. On examination
she has severe pallor. On examination of CNS, patient is found to have absent ankle jerk
and up going plantar bilaterally. Answer the following
• What are the probable causes for this condition.
2. A 45 years old male presents with history cough with productive mucoid sputum for the
last three months. He had similar problem during the last winter. On examination patient is
tachyopenic, has mild cyanosis, barrel shaped chest and the liver dullness in the 8th right
intercostal space . Patient has bilateral polyphonic ronchi and scattered crepitation’s all
over the lung fields. Answer the following
• What are the probable causes for this condition

3. Treatment of P vivax malaria
4. Amoebic colitis
5. Complications of typhoid fever
6. Post exposure prophylaxis for rabies
7. Sickle cell crisis
8. RA factor
9. Treatment of osteoarthritis
10. Scabies
11. Depression diagnostic criteria
12. Paracetamol poisoning
13. Drug toxicity of drugs used in category 1 RNTCP program
14. Treatment of chronic myeloid leukemia
15. Differential diagnosis of microcytic anemia
16. Dengue fever
17. Step care therapy in asthma
18. Management of viper bite.
19. Urticaria
20. Treatment of obsessive compulsive neurosis.
21. Prophylaxis for PCP pneumonia
22. Drugs and regimens used in anti retroviral therapy in the national programme
******************

Q.P. Code: 306001 Reg. no.: …………………
September 2015

Essay: (2x10=20)
1. 25 years old female from a village brought to casualty in drowsy state following seizures.
On examination, pulse rate is 50 per minute, pupils pin point and breath smells of
kerosene like compound. SPo2 75%, with bilateral crackles on chest auscultation. Answer
the following
• What are the differential diagnosis for pin point pupils.
• What is the pathophysiology of organophosphorous compound poisoning.
• How will you manage this patient. (3+3+4=10)
2. 55 years old lady comes to OPD with history of fever, weakness, generalized
lymphadenopathy and hepatosplenomegaly. Answer the following
• What are the differential diagnosis.
• How to investigate this patient.
• How to manage if it is tubercular lymphadenitis.
• What are the complications of tuberculosis. (2+2+3+3=10)

3. Apoptosis.
4. Drugs used for extra intestinal amoebiasis.
5. Insulin analogues.
6. Management of acute respiratory distress syndrome
7. Difference between hysteria and malingering.
8. Treatment of acute severe asthma.
9. Investigations for tubercular meningitis.
10. Drugs for resistant malaria.
11. Kerly’s B lines.
12. Radiological features of thalassemia.
13. Quinolones.
14. CSF findings in viral meningitis.
15. Anti snake venom treatment.
16. Management of Weil’s disease
17. Larva migrans.
18. Types of psoriasis.
19. Uses of probiotics.
20. Causes of fall in elderly.
21. Classify shock.
22. Mini mental state scoring.
*******************

Q.P. Code: 306001 Reg. no.: …………………

Essay: (2x10=20)
1. A 24 years old woman presents with purpuric rash on her lower limbs, bleeding from
gums while brushing since two weeks. She denies menorrhagia or hematuria. No history
of preceding fever or upper respiratory tract infection. No history of taking NSAID or any
other medications. Answer the following
• What are your differential diagnosis
• How do you investigate
• How do you treat. (2+4+4=10)
2. A 20 years young boy presented with history of nausea, vomiting and pain abdomen to
emergency department. He also gives history of excessive thirst and loss of weight.
Answer the following
• What investigation you do
• How do you manage (2+4+4=10)
3. Mention x-ray chest finding in emphysema.

4. Name antibiotics safe in pregnancy.
5. Scabies.
6. Leptospirosis
7. Drugs in gout.
8. Cerebral malaria
9. Treatment of H. Pylori infection.
10. Glycosylated haemoglobin.
11. Subclinical hypothyroidism.
12. Pulmonary hypertrophic osteoarthropathy.
13. Chylothroax.
14. Massive hemoptysis
15. Urticaria
16. Statins.
17. Treatment of pneumocystis jeroveci pneumonia.
18. Treatment of leprosy.
19. Swine flu.
20. Lithium.
21. Adjustment disorders
22. Treatment of organophosphorous poisoning.
*******************

GENERAL MEDICINE PAPER II
I. 32 yr old male farmer presented with fever, myalgia and high coloured urine of 5 days duration. Examination
showed meningism in and yellow sclera. Investigations showed raised bilirubin, liver enzymes and RFT.
b. What are the differential diagnosis ?
c. How will you manage the patient ?
d. Enumerate the drugs causing Cholestatic jaundice. (2+3+3+2)
II. 30 yr old diabetic lady, 2nd gravida 28 weeks pregnant, presented with abdominal pain and vomiting.
Examination shwed PR-84/min, BP-110/70 mmHg, some dehydration. On investigation, her sugar values
were raised with positive urine ketone bodies.
a. How will you manage the patient ?
b. ADA diagnostic criteria for DM and GDM
c. Enumerate micro and macrovascular complication & DM (3+4+3)
III. Write short notes on :

1. Prophylaxis of PCP pneumonia
2. Depression diagnostic criteria
3. Acyclovir
4. Coeliac syndrome
5. Felty’s syndrome
6. Hemophilia
7. Eradication of H.Pylori
8. Agranulocytosis
9. Henoch Schonlein purpura
10. Management of gout
11. Auto immune hepatitis
12. Sickle cell crisis
13. HAART
14. Cerebral Malaria
15. DIC Management
16. Hazards of blood transfusion
17. Heat stroke
18. Takayasu’s syndrome
19. Management of migraine
20. Rheumatic fever prophylaxis

Third Professional MBBS(PartII) Model Examinations, GENERAL MEDICINE II
Essay :
1. A 52yr old farmer c/o Fever x 1 week ,body aches, yellow urine, decreased urine out put .O/e conjunctival
congestion and subconjunctival hemorrhage ,icterus, calf muscle tenderness. Serum creatinine -5mg%
• What is the most probable diagnosis
• Name the causative agent
• What are the complications ?
• Write the management
2. A 45 yr old lady with prior history of gestational Diabetes Presents with 3 months history of weight loss,
tiredness ,polyuria, polydypsia. Now presented with altered sensorium and breathlessness.
a. What is the clinical diagnosis ?
b. Write down the laboratory Investigation to confirm the diagnosis ?
c. How do you treat the case ?
d. Write down the acute and chronic complications of Diabetes
Short Answers
3.obsessive compulsive disorders
4.solitary pulmonary nodule
5.drugs used to treat bipolar disorders
6.erethyma nodosa
7. anorexic nervosa
8. Diagnosis of Rheumatoid Arthritis
9.gout
10.DMARDs
11.X ray findings of osteo Arthritis
12.cutaneous Manifestations of SLE
13.clinical features of Hodgkins disease
14. Myelo dysplastic syndrome
15.parenteral iron preperation
16.Transfusion reaction
17.Draw and label peripheral blood picture of acute myeloid lukemia
18.Name 4 organisms causing community acquired Pneumonia
19.Drug treatment of acute severe asthma
20. Silicosis
21. Tension pneumothorax
22. Clinical features of deep vein thrombosis

ESSAYS : (10x 2=20)
1. 65 year old female, bedridden for 4 weeks following hip surgery, now brought with complaints of acute onset
dyspnoea. On examination, pulse rate 108.BP84/60 mm of Hg. JVP elevated. Unilateral right lower limb edemais
present. (1+3+3+3=10)
a. What is your diagnosis?
b. What are the predisposing risk factors?
c. What are the investigations to be done in this patient?
d. How will you manage this patient?
2. 32 year old male, resident of Orissa, returned one month back. Now presented with complaints of fever with rigor of
one week duration. On examination icterus present. Abdominal examination revealed splenomegaly. Peripheral smear
examination was done and diagnosis was clinched.
a. What is your diagnosis and causative organisms
b. Complications that can occur
c. Who gets this disease in our state?
d. How will you manage this patient?
3. SHORT NOTES: ( 2x 20=40)
1. Organophosphorus poisoning management
2. Complicatioms of enteric fever
3. Acute respiratory distress syndrome
4. Angioedema
5. Body mass index
6. Mood disorders
7. Fever of unknown origin
8. Nail changes in systemic disease
9. Approach to polyarthritis
10. Gout
11. 4 classes of hypersensitivity with 2 examples for each
12. Heat stroke
13. Oxyhemoglobin dissociation curve
14. Antifungal drugs
15. Superior venacaval obstruction syndrome.

16. Antiretroviral drugs
17. Treatment of hyperkalemia
18. Treatment of acute severe asthma
19. Schematic representation of modes of genetic disease inheritance.
20. Wernicke's encephalopathy

Third Professional MBBS (Part II) –Model examination
Essay
1. A 35 year old farmer was brought to the ER with history of high grade fever, back pain and myalgia and redness of eye
of 3 days duration.On examination he hastachypnea,tachycardia and BP was 90/60.H e also had sub conjunctival
hemorrhage and jaundice.Otherwise systemic examination was unremarkable.
a) What is your diagnosis?
b) What are the complications this patient may have?
c) What are the criteria for diagnosis of this disease?
d) How will you treat this disease?
2. 40 year old man with history of alcohol abuse,got admitted for evaluation of chest pain.He developed sleeplessness
and tremulousness and had a seizure episode and behavior abnormality.
a) What is the possible cause for seizure?
b) How will you manage this patient?
c) What are the complications?
d) What are the neurological complications of alcohol abuse?
Short notes
3.Anorexia nervosa
4.Black water fever
5.Viral hemorrhagic fever
6.Hansen’s disease
7.Traveler’sdiarrhea
8.Scrub typhus
9. Hazards of radiation
10. Radiological diagnosis of pulmonary tuberculosis
11.Treatment of organophosphorus poisoning
12.Treatment of psoriasis
13. Mood stabilisers
14. Radiological features of emphysema
15.Dermatological manifestations of HIV
16.Hazards of smoking
17. Rifampicin
18. Post partum psychosis

19. Pyoderma gangrenosum
20.Vitamin A deficiency
21.Heat stroke
22. Acute mountain sickness


Reg. No.: …………………
General Surgery - I
Time: 3 Hours Max marks: 60
 Answer all questions to the point neatly and legibly • Do not leave any blank pages between answers
• Indicate the question number correctly for the answer in the margin space • Answer all parts of a
single question together • Leave sufficient space between answers • Draw table/diagrams/flow charts
wherever necessary • Write section A and section B in separate answer books (32 Pages). Do not mix up
questions from section A and section B.
Q P Code: 307001 Section A – Surgery (GIT) Marks: 30
Structured Essay (5)
1. A 55 years old woman is admitted with history of progressive jaundice, loss of appetite,
generalized weakness, itching all over the body and weight loss. On examination
patient has hepatomegaly and a globular swelling in the right hypochondrium. Answer
the following:
 What is the probable diagnosis
 What are the investigations to diagnose the disease
 Discuss the management (1+2+2)
Short essays (2x6=12)
2. Familial adenomatous polyposis
3. Pseudo cyst of pancreas
Clinical Situation (3)
4. A young male is brought to casualty with massive hematemesis. On examination
patient has pallor. His pulse rate is 120/min. BP is 80/60 mmHg. Answer the following:
 What are the probable causes
 How will you investigate
 Mention briefly the management
Short notes (5x2=10)
5. Meckel’s diverticulum
6. Hiatus hernia
7. Colonic pseudo obstruction
8. Blunt abdominal trauma evaluation
9. Fistula in ano
Q P Code: 312001 Section B – Orthopaedics Marks: 30
Essay (6)
1. A 14 years old boy with a swelling of distal thigh of 6 years duration presents with a 3
months history of pain in the swelling and a recent increase in size. There is no history
of trauma. Patient is moderately built. Examination reveals a firm to hard tender
swelling localized to the medial aspect of distal metaphysis of the femur. Discuss:
• Give the probable diagnosis • Outline its management (2+4)
2. Myositis ossificans.
3. Osteogenesis imperfecta.
4. Stress fracture.
5. Epiphyseal injuries.
6. Sequestrum.
7. Gunstock deformity elbow joint.
8. Morrant Baker’s cyst.
9. Anatomical classification of fracture neck of femur.
10. Bennett’s fracture dislocation.
11. Patellar tap.
*********************
Reg. No.: …………………
Third Professional MBBS (Part II) Degree Supplementary Examinations
August 2019
General Surgery - I
• Write section A and section B in separate answer books (32 Pages). Do not
mix up questions from section A and section B.

1. A 60 years old male presented with complaints of upper abdominal mass with severe
vomiting immediately after food intake with positive visible gastric peristalsis and
presence of succussion splash. Answer the following:
• What is the diagnosis • How will you investigate
• Briefly mention the management. (1+2+2)
2. Intussusception.
3. Hydatid liver disease
4. A 35 years old male is presenting at casualty with acute upper abdominal pain
radiating to the back following a binge of alcohol. Patient is dehydrated and is having
tachycardia. Clinical examination reveals upper abdominal guarding with distension
of abdomen. Answer the following:
• What is the probable diagnosis
• What are the investigations
• Discuss the management.
5. Barrett’s esophagus.
6. ERCP
7. Calot’s triangle
8. OPSI(Opportunist Post Splenectomy Infection).
9. Oschner Sherren regimen
Q P Code: 312001 Section B – Orthopedics Marks: 30
Essay (6)
1. A 40-year-old manual labourer complains of sudden onset of low back ache with
radiating pain down his right lower limb after lifting heavy weight. He also complains
of numbness on the lateral aspect of the leg as well as dorsum of the foot. Answer the
following:
• What is the probable diagnosis.
• What are the clinical signs that will help diagnosis.
• How will you manage this patient. (1+2+3)
2. Transient synovitis of the hip
3. Carpal tunnel syndrome
4. Fracture lateral condyle humerus in children
5. Lisfranc fracture dislocation
6. Causes of non-union in fracture neck of femur
7. Complications of slipped capital femoral epiphysis
8. X-ray findings in congenital hip dislocation
9. Classification of bone tumors
10. Tinel’s sign
11. Sequestrum
*********************
Reg. No.: …………………
General Surgery - I

1. A 65 years old male attends the surgical OP with complaints of passing blood and
mucous per rectum for the past 3 weeks. Rectal examination shows an ulcer on the
posterior wall of rectum. Answer the following (1+1+3)
 What is most probable diagnosis What are the investigations to be done
 What is the management

2. Hydatid cyst liver
3. Intussusception

4. A 30 years old male brought to the casualty with a history of severe upper abdominal
pain of one day duration and ingestion of NSAID for 3 weeks for low back pain. On
examination there is abdominal guarding and board like rigidity. Answer the following
 What is the probable diagnosis  How will you investigate.
 Mention briefly the treatment.

5. Appendicular mass
6. Helicobacter pylori
7. ERCP
9. Fissure in ano

Essay (6)
1. A 65-year old housewife complains of pain in both her knees for nearly two years
which has been progressively worsening. Examination reveals bilateral genu varum
and crepitus during knee movements. What radiological features help confirm the
presence of knee osteoarthritis. Discuss the treatment options available for this
patient. (2+4)

2. Myositis ossificans
3. Fracture patella
4. Pathology of recurrent shoulder dislocation
5. Injuries of the growth plate in children
6. Screening of a new born for congenital dislocation hip
7. Complications of Plaster of Paris (POP) cast application
8. First aid in suspected cervical spine injury
9. Radiological features of osteosarcoma
10. Diagnosis of osteoporosis
11. Classification of nerve injuries
*********************
Reg. No.: …………………
August 2018
GENERAL SURGERY - I
1. A 65 years old male with history of chronic alcoholism is brought to casualty with 2
episodes of hematemesis. His pulse rate is 100/min. BP is 80 mmHg systolic.
Examination of abdomen revealed hepatomegaly. Answer the following:
• What is the most probable diagnosis
• Mention relevant investigations
• How will you manage the patient (1+2+2)
2. Pseudo cyst of pancreas
3. Rectal prolapse
4. A 45 years old male, has come to casualty with history of sudden onset of severe
umbilical pain since 6 hours. On examination, he is febrile, has tachycardia and
there is a 3 x 3 cm swelling in the umbilicus that is tender and irreducible with absent
cough impulse. Answer the following:
• What is the most likely diagnosis in this case
• How will you investigate this patient
• Discuss regarding the management of this case
5. Intussusception
6. Diagnostic peritoneal lavage
7. Richter’s hernia
8. Pilonidal sinus
9. Courvoisiers law
Essay (6)
1. A 55 year old lady slipped and fell in the washroom on an outstretched hand. She
had severe pain in her right wrist, swelling and dinner fork deformity. Answer the
following:
• What is your clinical diagnosis
• Outline investigations and treatment.
• Enumerate the complications. (1+3+2)
2. Describe radiological features of giant cell tumor.
3. Mention complications of chronic osteomyelitis.
4. Discuss skeletal traction.
5. Enumerate complications of supracondylar fracture of humerus.
6. Enumerate stages of tuberculosis of hip joint
7. Deformities in club foot.
8. Discuss clinical features of Saturday night palsy.
9. Classification of fracture neck of femur.
10. Principles of open fracture management
11. Diagnosis of fat embolism
*********************
Reg. No.: …………………
GENERAL SURGERY - I
1. A 60 years old male patient has come to surgical OPD with history of yellowish
discolouration of eyes and urine for the past one month which is intermittent. He also
gives history of passing dark coloured urine and clay coloured stools. On examination
the patient has icterus with no other significant abdominal findings. Answer the
following:
• What are the probable differential diagnosis in this case scenario
• What are the investigations to be done for proceeding in this case.
• Discuss briefly upon the management of this case (1+2+2)
2. Prolapse rectum
3. Post gastrectomy syndrome
4. A 35 years old male who consumes alcohol was brought to casualty with h/o of
sudden onset of severe epigastric pain since 1 day. On examination he was febrile,
had an anxious and sick look and was having tachycardia (+) with board like rigidity of
abdomen. Answer the following:
• What is the most likely diagnosis in this case.
• How will you proceed to investigate this patient
• Describe briefly upon management of this case
5. Phyto Bezoar
6. Gall stone Ileus
7. Mallory weiss syndrome
8. Familial adenomatous polyposis (FAP)
Q P Code: 312001 Section B – Orthopedics Marks: 30
Essay (6)
1. A 7 year old boy had fallen on out stretched hand in the school ground while playing
in a swing. He had severe pain in the right elbow. On examination he has swelling
and tenderness around the elbow and 3 point bony relationship is maintained. Answer
the following:
• What is your clinical diagnosis • Outline investigations and treatment.
• Enumerate the complications. (1+3+2)
2. Myositis ossificans.
3. Management of developmental dysplasia of hip
4. Management of acute osteomyelitis
5. Carpal tunnel syndrome
6. Game keepers thumb.
7. Thomas splint
8. Sudeck’s osteodystrophy
9. Exostosis
10. Rheumatoid factor
11. Plantar fascitis.
*********************
Reg. No.: …………………

Third Professional MBBS (Part II) Degree Supplementary
Examinations, September 2017
GENERAL SURGERY - I

1. A 35 years old alcoholic male patient is admitted with upper abdominal pain and vomiting.
O/E patient has tachypnea, tachycardia, hypotension, upper abdominal guarding and rigidity.
• What are the probable diagnosis
• Mention relevant investigations
• How will you manage
2. Pancreatic carcinoma
3. Carcinoid in appendix
4. A 30 years old male came to OP with H/o habitual constipation and painless bleeding P/R of
3 months duration. General examination revealed pallor. Answer the following:
• What is the most likely diagnosis
• How will you investigate
• Mention briefly the treatment options.
5. Tumor markers in GI cancers
6. Self-expanding metallic stents
7. Solitary rectal ulcer
8. Diverticulitis
9. Choledochal cyst

Essay (6)
1. A 60 year old diabetic patient sustained injury to the left hip after he slipped and fell in the
toilet. The patient was unable to walk after the fall. He was carried to the hospital. Clinical
examination revealed externally rotated, shortened left lower limb. Hemodynamically patient
was stable with no evidence of any other serious injury. Discuss:
• Differential diagnosis
• Outline the management of the most probable diagnosis. (2+4)
2. Greenstick fracture.
3. Volkmann’s ischemic contracture
4. Solitary exostosis
5. Lateral epicondylitis.

6. Gibbus.
7. Brodie’s abscess
8. Skeletal traction.
9. Sudeck’s osteodystrophy.
10. Bone grafting.
11. Effusion knee joint.
*********************

Reg. No.: …………………
GENERAL SURGERY - I

1. A 40 years old female attends the surgical casualty with H/O recurrent upper abdominal pain.
Now she has severe pain in upper abdomen with fever, chills and rigor. O/E patient is febrile
with tachycardia and guarding over the right hypochondrium. Answer the following:
• What are the investigations done to diagnose the disease •Discuss the management
(1+2+2=5)

3. Sigmoid volvulus

4. A young male is brought to casualty with H/O blunt injury abdomen. O/E PR-100/mt. BP-
80/60 mm Hg. There is tenderness and guarding in the left hypochondrium.
• What is the likely diagnosis.• How will you investigate. • Mention briefly the management.
5. Ileal perforation
6. Chylolymphatic cyst
7. Fistula in ano
8. Pseudocyst of pancreas
9. Premalignant conditions of carcinoma stomach
Essay (6)
1. 14 yr old male complains of dull aching constant pain over lower right thigh for 3 months. He
noticed a fusiform swelling over the same region which was increasing in size. He says it all
started after a fall during football game. He was able to complete the game after the fall. He
was afebrile during this episode. Discuss:
• Differential diagnosis• Outline management of the most probable diagnosis (2+4=6)
2. Pathology in clubfoot
3. Advanced trauma life support
4. Mechanism of injury in Colles’ fracture and its displacements
5. Management of acute septic arthritis of knee

6. Clinical grading of muscle power
7. Trendelenburg test
8. Radiology of chronic osteomyelitis
9. Causes of non-union of fracture
10. Clinical features of acute compartment syndrome
11. Ankle sprain
*********************

Reg. No.: …………………

September 2016
GENERAL SURGERY - I

1. A 30 years old woman is admitted with pain right Iliac fossa of 6 hours duration. Answer the
following:
• Enlist the differential diagnoses • How will you investigate this patient
• Briefly mention the components of oschner sherren regime (2+2+1=5)

2. Gastric outlet obstruction
3. Pseudocyst of pancreas

4. A 60 years old man with mass descending per rectum. Enlist the likely causes. Mention
briefly the management (1+2=3)

5. Fissure in ano
6. Umbilical hernia
7. Charcot’s triad
8. Hydatid cyst of liver
9. Pigment stone
Essay (6)
1. One year old child is brought with inability to move right lower limb for one day. Child is
irritable and lethargic, refusing to feed. On examination, right lower limb is motionless and
hip area is tender. Discuss the differential diagnosis and management of most probable
diagnosis (2+4=6)

2. Pathology and management of osteoid osteoma
3. Olecranon fracture
4. Clinical features of tuberculosis of hip joint
5. Basic trauma life support

6. Thomas test for hip
7. Deformity in trochanteric fracture of femur
8. Aneurysmal bone cyst
9. Clinical and radiological features of osteoarthritis of knee
10. Screening for congenital dislocation of hip
11. Name five tumor like conditions of bone
*********************

Reg. No.: …………………
GENERAL SURGERY - I

1. Describe the various causes of mass in right iliac fossa. What are the investigations used for
evaluation and confirmation of diagnosis. Describe the management of tuberculous stricture
of Ileum.
2. Achalasia cardia
3. Periampullary carcinoma
4. A ten year old boy is brought to the casualty with complaints of vomiting and colicky
abdominal pain of two days duration. On examination there is a sausage shaped mass
around the umbilicus . digital rectal examination shows red current jelly .
what is the diagnosis in this case .discuss the treatment options
5. Pseudomyxoma peritonei
6. Ranson’s criteria
7. Low fistula in ano
8. Splenic abscess
Essay (6)
1. A 25 years construction worker presents to the emergency department after having fallen
from the first floor. He complains of pain in both heels of his feet. Answer the following:
• What are the likely injuries sustained. • What other area of the body must be examined.
• Describe initial management of this patient. • Discuss treatment of the most probable
diagnosis (1+1+2+2=6)

2. Diagnosis of osteoporosis
3. Anterior cruciate ligament injuries
4. Giant cell tumor
5. Osteogenesis imperfecta

6. Nerve repair
7. Radiological features of rickets
8. Osgood-Schlatter disease
9. Fracture patella
10. Diagnosis of compartment syndrome
11. Foot drop
*********************

Reg. No.: …………………

September 2015
GENERAL SURGERY - I

1. A 50 years old man is brought to casualty with hematemesis
• What are the common causes of hematemesis • How do you investigate this patient
• How do you surgically manage bleeding duodenal ulcer. (1+2+2=5)


4. A 20 years old man is admitted with evisceration of bowel following a bull gore injury. How will
you manage this patient

5. Perianal abscess
6. Visible gastric peristalsis
7. Femoral hernia
9. Colonoscopy
Essay (6)
1. A 20 years old is brought to the emergency department following involvement in a motorbike
accident. He has an open wound on his right shin and his leg is deformed. He is unable to
move his affected leg. Outline the first aid and its management (2+4=6)

2. Management of acute pyogenic osteomyelitis
3. Radiology and management of Ewing’s sarcoma
4. Rickets
5. Fracture patella

6. Classification of nerve injuries
7. Grading of ligament injury
8. Chondrosarcoma
9. Types of fracture
11. Causes of bow legs
*********************

Reg. No.: …………………
GENERAL SURGERY - I

1. A 45years old man presented to causality with severe pain in the epigastrium with radiation to
back. He gives the history of consumption of alcohol on previous night. What is the most
probable diagnosis. Mention the relevant investigations to confirm the diagnosis. How will you
manage the case.

2. Hydatid cyst liver
3. Intussusception

4. A 65 years old person is referred to you with abdominal pain of two days duration. He gives
history of intake of analgesies for a long time. His plain x-ray abdomen shows free gas under
right dome of diaphragam. What is your diagnosis. How will you investigate the case and
mention briefly the treatment

5. Ischio-rectal abscess
7. Desmoid tumor
8. Complications of splenectomy
9. Choledochal cyst
Essay (6)
1. An 18 years old girl presents with a 3 months history of painful swelling of the distal thigh.
She is ill looking and examination reveals a firm tender swelling localized to the distal
metaphysis of the femur. Discuss: • Possible differential diagnosis. • Diagnostic workup
• Treatment of the likely cause (2+2+2=6)

3. Osteoid osteoma
4. Fracture scaphoid
5. Neuropathic arthritis

6. First aid in suspected cervical spine injury
7. Classification of peripheral nerve injuries
8. ‘Pointing’ index
9. Diagnosis of hip dysplasia in newborns
10. Congenital muscular torticollis
11. Complications of Colles fracture
*********************

General surgery - I
SECTION A – GIT
I. STRUCTURED ESSAY
A 60 year old female patient presented with abdominal pain with vomiting of 1 month
duration. Her vomitus is non-bilious with food particles and foul smelling. She complains
of ball rolling movements , h/o loss of appetite, loss of weight. She had 3 episodes of
melena. Clinically patient is pale, abdomen soft with visible gastric peristalsis.
a. What is the diagnosis ?
b. How will you investigate the patient ?
c. How will you manage this patient ?
II. SHORT ESSAY

2. Acute pancreatitis
3. Management of blunt abdominal injury
III. CLINICAL SITUATION

4. A 70 yr old man admitted in the ward with painless progressive jaundice. He has got
weight loss and reduced appetite and passing pale stools. Abdomen shows a soft smooth
swelling in the right Hypochondrium, moving with respiration.
a) What is your most probable diagnosis ?
b) How will you investigate and manage this patient ?
IV. SHORT ANSWER QUESTIONS
1. GERD
2. Meckels diverticulum
3. GIST
4. Fistula in ano
5. ERCP

SECTION B – Orthopaedics
Essay (2+4)
1. A 60 yr old diabetic patient sustained injury to the left hip after he slipped and fell in the toilet.
The patient was unable to walk after the fall. He was carried to the hospital. Clinical
examination revealed externally rotated, shortened left lower limb. Hemodynamically patient
was stable with no evidence of any other serious injury.
Discuss : > Differential diagnosis > Outline the management of most probable diagnosis.
2. Greenstick fracture
3. Volkmann’s ischemic contracture.
4. Skeletal traction
5. Lateral epicondylitis
7. Causes of non-uniform fracture
8. Cilinical features of acute compartment syndrome.
9. Pathology in clubfoot
10. Mechanism of injury in Colle’s fracture and its displacements.
11. Thomas test for hip

GENERAL SURGERY - I
Section A-GIT
1. Structured essay
1) 50 year old man brought to casualty with hemetemesis
a) Enumerate causes of hemetemesis (1)
b) How will you investigate this patient? (1)
c)What are the management options of bleeding duodenal ulcer?(3)
2. Short essays
3. Clinical situation
4.50yr male patient is brought to Emergency Medicine Department with generalised abdominal
pain,vomiting and constipation of one day duration.Onexamination,abdomen is distended, old
laparotomy scar+.
a) What is the most probable diagnosis?(1)
b) How will you manage this patient?(2)
4. Short notes
5. Charcots triad
6. Goodsalls Rule
7. ERCP
8. OPSI
9. Achalasia cardia
Section B-ORTHOPAEDICS
1. One year old child was brought with inability to move right lower limb of one day duration.Child is
irritable,lethargic,febrileand refusing to feed.Onexamination,the right lower limb is motionless and
right hip area is tender.
a) What is your diagnosis?
b) How will you investigate to confirm the diagnosis?
c) How will you treat this?
d) What are the complications?

Short answers
2.Non union of fracture
3.Enumerate types of shoulder dislocations
4.Open fracture
5. Ulnar nerve palsy
Short notes
6. Plaster of Paris
7. de Quervains tenosynovitis
8. Radiology of osteosarcoma
9. Potts paraplegia
11. Screening for developmental dysphasia of hip

General surgery paper 1
Essay
A 30yr old male, alcoholic with binge drinking last night, present with acute onser of severe epigastric
pain with radiation to back and vomiting. O/e patient is anxious, pulse 124/min RR 40/min .Liver
dullness was preserved
• What is the most likely diagnosis ?
• Give 2 initial blood test to confirm the diagnosis.
• Is CT scan necessary to confirm the diagnosis ?
• What will be the initial management ?
• Does he requires surgery ?
Short notes
1. Dermoid
2. H. Pylori
3. Mesenteric cyst –types and surgical management
4. Management of achalasia cardia
5. Complications of meckels divericulum
Clinical situation
A 68yr old woman has constipation for one yr with frequent passage of blood and mucus in stools.
She presents with Abdominal distension and Abdominal pain of 2 weeks duration and feculent
vomiting for 3 days. O/e patient is sick BP 80/70 mm Hg abdomen hugely distended .
• What is most likely diagnosis
• What clinical examination will clinch the diagnosis
• What is the emergency damage control surgical procedure
Short essays
1. Bowel strangulation –definition, relevant point in history and physical examination and treatment
2. Management of CBD obstruction due to gall stones; investigation and treatment
Orthopaedics
Essay
A 60year old lady had a fall on outstretched hand and she complains of pain near right wrist
1. What is the common deformity seen ?

2. What may be the common fracture ?
3. What is the differential diagnosis ?
4. What is the nerve involved ?
5. What plaster is put ?
6. What are the common surgeries done?
Short essay
1. Type of dislocation shoulder
2. Epiphysial tumors
3. Type of TB spine
Short Note
1. Ponceti’s method
2. Deformities seen in median nerve palsy
3. Stinman pin
4. Thomas test
5. Draw a picture of osteochondroma lower femur
6. Housemaid’s knee

Third Professional MBBS (Part II) Model examination
SURGERY PAPER I (GIT)
Time: 3 hours Marks:30
STRUCTURED ESSAY (5)
1. A 58 year old male patient, c/c smoker, came to OP with one month history of upper abdominal
pain and vomiting. His vomitus is non-bile stained. Vomitus contained food taken on the previous day.
On examination, he is severely malnourished, dehydrated. There is a visible mass in the epigastrium.
a. What is your diagnosis? (1)
b. How will you investigate this patient? (2)
c. Discuss the management? (2)
SHORT ESSAY (2 X 6 =12)
2. Colo rectal liver metastasis
3.. Local conplication of a/c pancreatitis
CLINICAL SITUATION (3)
4. A forty year old fatty female patien,gives history of recurrent right hypochondrial pain, radiating to
tip of right scapula, especially following fatty meal. The pain usually lasts for 2-3 hours, then subsides
by itself.
a. What is the likely diagnosis? (1)
b. Discuss investigation and management? (2)
SHORT NOTES ( 2 X 5 = 10)
5. Foreign bodies in the oesophagus
6. Pelvic abscess
7. Colostomy
8. Paralytic ileus
9. Ochsner- sherren regimen

Third Professional MBBS (Part II) Model

Examination
General Surgery (GIT) &Orthopaedics

Section- A (GIT)
1. Read the paragraph and answer (1+2+2=5 marks)
A 65 year old gentleman, presented in surgery OPD with two months history of altered bowel
habits and occasional bleeding PR. Significant loss of weight also was there. Further evaluations
showed an ulceroproliferative lesion, 6cms from anal verge
1) What is the most probable diagnosis?
2) How will you investigate this patient?
3) Briefly write the treatment options
2. Write short notes on (2×5=10 marks)
1) Meckel’s diverticulum
2) Sigmoid volvulus
3) Achalasia cardia
4) Haemorrhoids
5) Gastrointestinal stromal tumours (GIST)
3. Read the paragraph and answer ( 1+2=3 marks)
A 28year old male patient presented with right lower abdominal pain, vomiting and fever for the past
5days. On examination, there was an ill defined mass palpable in the right iliac fossa.
1) What is the diagnosis?
2) How will u manage?
4. Mention the aetiology, clinical features, investigations and treatment of acute pancreatitis
(6marks)
5. Write the aetiological factors, clinical features and management of cholelithiasis .
(6 marks)

SECTION B
1 Write short notes on : (6×2=12 marks)
1. Complications of blood transfusion
2. Femoral hernia
3. Thyroglossal cyst
4. Premalignant lesions of oral cavity
5. Sialolithiasis
6. Cleft palate
2 Write short notes on: (3×3=9 marks)
1. Renal tuberculosis
2. Deep vein thrombosis
3. Aetiological factors of carcinoma breast
3 Read the paragraph and answer the following questions (1+1+1+2=5 marks)
A 65 year old male is brought to the hospital with sudden onset of pain in left leg.. He gives history suggestive of
coronary artery disease. On examination, PR=120/min, irregular. Right leg is pale and cold. Paraesthesia present.
Pulsations absent in leg.
1. What is the probable diagnosis?
2. What are the other causes of pain and absence of pulsations in leg?
3. How will you confirm the diagnosis?
4. How will you manage the case?
4 Discuss the clinical cases and management of pheochromocytoma. (4 marks)

Third Professional MBBS (PART II) Model Examination
GENERAL SURGERY PAPER -1
Section B- Orthopaedics
1. Essay - 6 marks
An 18 year old girl presents with a 3 months history of painful swelling on the distal thigh. She is ill looking and
examination reveals a firm tender swelling localised to the distal metaphysis of the tender. Discuss :
(2×3=6)
1) Possible differential diagnosis
2) Diagnostic work up
3) Treatment of likely cause
2. Short Answe r- 2 marks each
1. Write the typical deformities in
a) Posterior dislocation of hip
b) Anterior dislocation of hip.
2. Triple deformity of knee
3. Tom Smith’s arthritis
4. Volkmann’s ischemic contracture
5. Hurston Holland sign
6. Tennis elbow
Write Short Notes On – 3 marks each
1. Bone graft
2. Osteomyelitis
3. Lauge Hansen’s classification of ankle fractures
4. Shoulder dislocation

GENERAL SURGERY PAPER I
Orthopedics
Essay
1. An 8 year old girl presents with history of fall and painful swellingR.elbow.
a. What is the most probable diagnosis? Give differential diagnosis
b. What are the main two types of this fracture described radiologically?
c. Mention complications of the said fracture. (2+2+2=6)
2. Write short essays on:
a. Osteoid osteoma
b. Fracture scaphoid
c. Compartments of leg and compartment syndrome
d. Extensor retinaculum of wrist and extensor compartments (3+3+3+3=12)
3. Write short notes on:
a. Trigger finger
b. Jonnes fracture
c. Ankylosis
d. Synovioma
e. Ulnar paradox
f. Compound palmar ganglion (2+2+2+2+2+2=12)

GENERAL SURGERY PAPER 1
Section A (GIT)
Structured essay :
1. A 10 yr old boy is brought to the casuality with complaints of vomiring and colicky abdominal pain of 2 days
duration. On examination there is sausage shaped mass around umbilicus. Digital rectal examination shows red
current jelly.
• What is the diagnosis ?
• What are the investigations to be done ?
• Discuss the treatment options.
Short essay :
2. Complications of acute Pancreatitis

Clinical situation :
4. A 65 yr old man is brought to casuality with severe abdominal pain of one day duration. He had acid peptic
disease for a long time. On examination guarding and board like rigidity of abdomen with obliteration of hepatic
dullness.
• What is the diagnosis ? How will you investigate and manage the case ?
Short notes :
5. Ischio-rectal abscess
6. Desmoid tumour
7. Indications of splenectomy
8. Femoral hernia
Section B (Orthopaedics)
Essay :
1. An 8 year old boy was brought to casuality with pain and swelling of right elbow following a fall while playing
• Discuss differential diagnosis
• Outline the management of most probable diagnosis.
Short essays :
2. Shoulder dislocation
3. Perthe’s disease
4. Rickets
5. Multiple myeloma

Short notes :
6. Skeletal retraction
7. Compound fracture
8. Radiology of chronic osteomyelitis
9. Pulled elbow
10. Saturday night palsy
11. Arthroplasty


Q.P. Code: 308001 Reg. No.: …………………
General Surgery - II
Structured Essay: (15)
1. A 50 years old male, traffic constable has come to surgical OPD with complaints of dull
aching pain in both legs for past 10 years along with a small ulcer over right leg since 1
month. On examination there is dilated and tortuous veins over both lower limbs along
with a 4x3 cm ulcer over the medical malleolus on right leg. Answer the following:
 What is the most probable diagnosis in this case and how will you proceed to
investigate this patient.
 Discuss in detail upon the various management options available for this patient.
 Discuss about conservative management of ulcer in this case, if the patient is not
willing for surgery
Essay: (5)
2. Define and classify shock and discuss the initial management & resuscitation in shock.
Short Essays: (2x4=8)
3. Fluid management in burns.

4. Carcinoma penis.

5. Papillary carcinoma thyroid
6. Hodgkin’s lymphoma.
7. Thrombo angitis obliterans (TAO)
8. Carcinoma tongue
Answer briefly: (10x2=20)

9. MOHS- micro graphic surgery
10. Phases of wound healing
11. Intra venous anesthesia
12. Sliding hernia
13. Universal precautions
14. Dentigerous cyst
15. Phylloides tumour of breast
16. Infantile hydrocele
17. Branchial cyst.
18. Ranula
*******************

August 2019
1. A 50 years old male with complaints of dilated and tortuous veins along the medial aspect
of right lower limb associated with dull aching pain with healing ulcer just above the
medial malleolus. Answer the following:
• How will you treat this patient
Essay: (5)
2. Discuss the pathogenesis, clinical features, investigations and management of multi

nodular goiter.
3. Tetanus
4. Carotid body tumor

5. Cold abscess
6. Triple assessment
7. Premalignant lesions of oral malignancy
8. Renal cell carcinoma

9. Benign prostatic hyperplasia
10. Frey’s syndrome
11. Richter’s hernia
12. Branchial cyst
13. Sentinel node
14. Bupivacaine
15. Congenital hydrocele
16. Subdural hematoma
17. Fournier’s gangrene
18. Split skin graft
*******************

Q.P. Code: 308001 Reg. No.: …………………
1. A 45 years old male patient came to the out-patient department with history of 15x10 cm
sized swelling in right side of the scrotum. On examination swelling was confined to the
scrotum, fluctuant and trans illuminant. Answer the following:
• What is your probable diagnosis and mention the differential diagnosis of this
condition.
• How will you investigate and workup this patient for surgery.
• How will you manage this condition and mention the complications of surgical
procedure.
Essay: (5)
2. Discuss the classification of skin ulcers.
3. Hypernephroma.
4. Causes of cancer.

5. Stove in chest
6. Blood transfusion.
7. Circumcision.
8. Branchial cyst

9. Classify hemorrhage and mention briefly on types of hemorrhage.
10. Factors affecting wound healing
11. Antibioma
12. Rest pain
13. Benign prostatic hypertrophy
14. Tracheostomy
15. Follicular carcinoma of thyroid
16. Congenital pyloric stenosis
17. Graves’ disease
18. Systemic inflammatory response syndrome (SIRS)
*******************

Q.P. Code: 308001 Reg. no.: …………………
August 2018

1. A 40 years old female presented to the out-patient department with swelling on anterior
aspect of neck for six years and breathless for last two months. On examination found
that her neck veins are dilated. Answer the following:
• How will you investigate this case
• How will you manage this condition.
Essay: (5)
2. Stages of wound healing and mention its complications.
3. Thrombo angitis obliterans

4. Gas gangrene

5. Pre-operative workup of the surgical patient.
6. Branchial sinus
7. Lignocaine
8. Tracheostomy

9. Carbuncle
10. Melanoma
11. Dentigerous cyst
12. Tumor markers
13. Sebaceous cyst
14. Papillary carcinoma of the thyroid
15. Tetanus
16. Intermittent claudication
17. Unilateral hydronephrosis
18. Imperforate anus
*******************
Q.P. Code: 308001 Reg. no.: …………………

1. A 55 years old female has come to surgical OPD with complaints of swelling in front of
neck since 6 months. On examination, there is a 3 x 2 cm swelling in left side of neck and
swelling moves up with deglutition and also there is a palpable 2x 2 cm firm, lymph node
in level IV on the left side. Answer the following:
• What is the most probable diagnosis in this case and how will you investigate this
patient.
• Discuss about management options appropriate for this case scenario
• Briefly discuss on the various complications expected following surgery for this
condition along with management for each of them
Essay: (5)
2. Define gangrene. Discuss etiopathogenesis, clinical features, investigations and

management of gas gangrene.
3. Types and complications of modified radical neck dissection

4. Thoracic outlet obstruction

5. Spinal anesthesia
6. Basal cell carcinoma
7. Complications of hydrocele surgery
8. Electrical burns

9. Volkmans ischemic contracture
10. Leukoplakia
11.Stafne Bone Cyst
12. Arteriovenous fistula
13. Glasgow coma scale
14. Pigeon chest
15. Flail chest
16. Phimosis
17. Field block in hernioplasty
18. QUART therapy
*******************

Q.P. Code: 308001 Reg. no.: …………………
September 2017


1. A 55 years old female attended casualty following suicide attempt by pouring kerosene
and igniting herself. Evaluation showed 60% burn involving face, trunk and extremities.
Discuss the early management of this patient, sensible complications and definitive
management
Essay: (5)
2. Classify tumors of salivary glands. Discuss etio-pathogenesis, clinical features,
investigations and management of mixed parotid tumor.

3. Neoplasms of thyroid
4. Testicular tumors

5. VATS
6. Branchial cyst
7. BIRADS grading in mammogram
8. Interstitial hernia

10. Trimodal pattern of death in Trauma
11. HIV
12. Flail chest
13. Zenkers diverticulum
14. Undescended testes
15. Factors affecting wound healing
16. Gas gangrene
17. Hypertrophic pyloric stenosis
18. Regional anesthesia
*******************

Q.P. Code: 308001 Reg. no.: …………………


1. A 60 years old female attends to the surgery OPD with complaints of swelling in the front
of the neck along with level II lymph nodes on the left side. Answer the following
• Discuss the specific investigations that are helpful in the diagnosis
• Discuss the specific treatment options available for this condition
• Discuss the complication following surgery for this patient
Essay: (5)
2. Discuss the different types of hemorrhage and management of hypovalemic shock

3. Haemopneumo thorax
4. Abdominal tuberculosis

5. Gall stone Ileus
6. Acute pancreatitis
7. Pleomorphic adenoma
8. Complications of spinal anesthesia

10. Spigelian hernia
12. Wound dehiscence
13. Breast abscess
14. Duplex scan
15. Types of haemangioma
16. Encysted hydrocele of cord
17. Gynaecomastia
*******************

Q.P. Code: 308001 Reg. no.: …………………
September 2016


1. A 60 years old female attends the surgery OPD with complaints of lump of 6cmX5cm in
the outer quadrant of right breast , Which is hard and adherent to skin
• Discuss the specific examination useful for diagnosis
• Discuss the specific investigations necessary
• Discuss the treatment option available for this condition
Essay: (5)
2. Discuss the causes of burns and management of 60 % burns

3. Tuberculous cervical adenitis
4. Premalignant condition of oral malignancy

6. Upper gastrointestinal tract bleeding
7. Medullary carcinoma thyroid
8. Branchial cyst

9. FNAC
10. Subdural hematoma
11. Cardiac tamponade
12. Cystic hygroma
13. Phimosis
14. Saphena varix
15. Tetany
16. Advantages of laparoscopic surgery
17. Warthin’s tumour
18. Marjolin’s ulcer
*******************

Q.P. Code: 308001 Reg. no.: …………………


1. A 60 years old diabetic is admitted with blackening and ulceration of right big toe. Answer
the following:
• What are the likely causes
• How will you investigate this patient.
• Briefly discuss the management of this patient.
Essay: (5)
2. Discuss the investigations and management of abnormal nipple discharge.

3. Briefly discuss the diagnosis and management of congenital diaphragmatic hernia in a
child
4. What is Glasgow coma scale. Discuss its components and role in the management of
Head Injuries.

5. Cold abscess
6. Hydrocele
7. Thyroglossal fistula
8. Ureteric colic

9. Thyroid scan
10. What are the types of nerve injuries.
11. Management of empyema thoracis
12. Management of breast abscess
13. Classify types of hydrocephalus
14. What is the rule of nines as applied to burns.
15. How do you manage paraphimosis
16. Classification dermoid cysts
17. What is the difference between undescended and retractile testis.
18. How do you clinically stage Hodgkin’s lymphoma .
*******************

Q.P. Code: 308001 Reg. no.: …………………
September 2015


1. A 50 years old woman comes with a lump in her breast of two months duration. Answer
the following:
• What are the likely causes of lump breast at this age
• How will you investigate this patient ı
• Briefly discuss the screening methods for early diagnosis of carcinoma breast.
• Discuss Breast conservation in the management of carcinoma Breast.
Essay: (5)
2. Discuss the assessment of surface area and fluid management of thermal burns .

3. Types of pneumothorax and principles of their management
4. Briefly discuss the aetiology and management of hydronephrosis

5. Branchial cyst
6. Types of esophageal atresia
7. Causes of solitary nodule thyroid
8. Brachial block

9. What is a ranula
10. Mention the indications of circumcision
11. What is “lucid interval” as applied to head Injuries
12. How will you clinically diagnose a thyroglossal cyst
13. What are the types of basal cell carcinoma
14. How do you treat acute paronychia
15. How do you diagnose and treat submandibular duct calculus.
16. What is trendelenburg test for varicose veins
17. How do you diagnose and treat Ludwig’s angina.
18. What are the grades of intermittent claudication of the lower limb.
*******************

Q.P. Code: 308001 Reg. no.: …………………


1. A 56 years old person is presented with pain in right groin and vomiting of two days
duration. He had the history of swelling in the right groin, for the past six years, which was
increasing in size on strain and subsides on taking rest, with history of difficulty in passing
urine. Discuss the diagnosis and probable complications if untreated. Discuss the
management and the role of surgery.
Essay: (5)
2. Enumerate all the different major and minor blood groups. Enumerate various blood
products. Describe the blood transfusion reactions and its management.

4. Fissure in ano

5. Baker’s cyst
6. Phaeochromocytoma
7. Tension pneumothorax
8. Carotid body tumor

9. Contra indications for laparoscopic surgery
10. Clarke’s staging of malignant melanoma
11.Phimosis"
13. Sebaceous cyst
14. Dry gangrene
15. Staging of tubercular lymphadenitis
16. Thyroid function tests
17. Cystic hygroma
18. Thiersch graft
*******************

Third Professional MBBS (Part II) Model Examination
GENERAL SURGERY PAPER II
Section –A
Short answer
1. CEAP classification
2. Prophylactic antibiotics
3. Stages of TB lympadenitis
4. Evidence based surgery
5. Bier’s block
Shortnotes
1. torsion of testes
2. Compartment syndrome
Short Answer
1. Phyllodes tumor of breast
2. DVT prophylaxis .
Read the scenario and Answer the following questions
1. 60yr old woman presented to the causality with #neck of femur following a trivial fall X ray
revealed a pathological fracture with lytic secondaries .
General examination revealed 4x3 cm hard lump on the right side of lower neck which was
moving with deglutition. Swelling was deep to deep fascia and partly deep to right SCM
muscle. Swelling was mobile transversely but not vertically. No other swllings were palpable in
the neck. Examination of other system were within normal limits 1. What is your diagnosis? 2.
What other differential diagnosis would you consider? 3. What are the investigation to be
done to confirm your diagnosis? 4. How will you treat the patient? Short essay Differentiated
thyroid cancer
Short Notes
1. Meningioma
2. raynaud’s disease
3. Pelvic congestion syndrome
Short Answer
1. Insulinoma
2. Medullary carcinoma of thyroid

Read the scenario and Answer the following questions
A 79 year old man presents to the causality with black discolouration of the right second toe for the
past 3days severe rest pain of the same limb for the 3weeks. He prefers to sleep sitting on an arm
chair keeping his legs down. Patient gives a history of progressive claudication of the same limb for the
past 3 years. He is a smoker for last 50 years. Not diabetic or hypertensive. O/E right femoral pulse was
normally palpable with absent distal pulses on the limb. On the left lower limb all the peripheral pulse
were palpable
1. What is your diagnosis. Define critical limb is ischemia
2. What is ABPI? When is it considered abnormal?
3. What are the investigation to be done to decide the emergency treatment?
4. What is TASC grading?
5. Write fontaine staging of limb ischemia
Short essays
1. Pneumothorax
2. Primary lymphedema

General Surgery
STRUCTURED ESSAY
1. A 60 yr old male who is a shop keeper presented with pain on both legs, more towards
evening withan ulcer above medial malleolus o/e dilated and tortuous veins over the medial
aspect of both lowerlimb with pigmentation around the ankle with an ulcer
a. What is the diagnosis ?
b. Drwa neat diagram of venous system in lower limb
c. What are the complications of above described condition
d. Describe bisgaard regime
e. Which are the preferred investigations in this situation ?
f. Describe CEAP classification
g. What are the different treatment modalities in this condition ?
ESSAY
2. Hyperthyroidism, clinical types, clinical features, investigations and management.
SHORT ESSAYS
3. Locally advanced breast carcinoma

4. Gas gangrene clinical features , management
SHORT NOTES ON
5. Development of male genitourinary system

6. Subdural hemorrhage
7. Renal tuberculosis
8. Lymphoedema types, clinical features , treatment
ANSWER BRIEFLY
9. Triangle of safety
10. Fery’s syndrome
11. Malignant melanoma
12. Triage
13. Leforts classification
14. Premalignant lesion of oral cavity
15. Anibiotic prophylaxis
16. Intermittent claudication
17. Duplex scanning
18. Seminoma

General Surgery except GIT
SECTION A
1 Short Answer Questions ( 7×2=14)
1) Factors influencing wound healing
2) Branchial cyst
3) Necrotizing fascitis
4) Robotics in surgery
5) Gynaecomastia
6) Le-Forte fractures
7) Basal cell carcinoma
2 Write Short Notes On, (2×3=6 marks)
1) Papillary carcinoma of thyroid
2) Total parenteral nutrition(TPN)
3. A 30 year old male came to OPD with history of dragging pain in scrotum. On examination, Left
side testis showed a 6×4 cms solid lesion. (1+2+2 =5 marks)
1) What is the most probable diagnosis?
2) How will you investigate this case?
3) How will you manage?
4 How will you assess a burn injury? Discuss the management of 35% superficial burns. (5 marks)

THIRD PROFESSIONAL MBBS (Part II) MODEL EXAMINATION
STRUCTURED ESSAY :
1. A 60years old lady presents to the surgical OP with three months history of lump in the right breast. Examination
reveals a 4x3 cm sized lump in the upper part of right breast with mobile 2cm sized nodes in the right axilla.axilla.
* What is the most likely diagnosis and describe how this case should be evaluated further.
*Describe briefly the surgical procedures possible as the definitive treatment of this condition.
* Describe briefly the factors affecting prognosis of the above disease.
ESSAY(5x1=5)
2. Describe cABCDE of trauma management
SHORT ESSAYS
4. Staging and Management of metastatic neck nodes
SHORT NOTES : (4x3=12)
5. Surgical anatomy of the inguinal canal. 6. Seminoma testis
7. Ablation therapy of varicose veins 8. Malignant parotid neoplasms.
ANSWER BRIEFLY : (10x2=20)
9. Systemic Inflammatory Response Syndrome
10. Absorbable suture materials.
11. Hirchsprung's disease.
12. Pain step ladder.
13. Pulmonary embolism
14. Necrotising fascitis
15. Macroscopic types of Malignant Melanoma.
16. Skin grafts
17. Rest pain.
18. Medullary Thyroid Cancer.

GENERAL SURGERY PAPER II
Structured essay :
1. A 60 yr old diabetic patient is admitted with blackening and ulceration of right big toe.
• What are the causes of this condition ?
• How will you grade this condition ?
• Briefly discuss the investigations and management.
Essay :
2. Discuss the various causes patho-physiology and management of Burns.
Short essays :
3. Discuss the causes of cervical lymphadenopathy and discuss the stages of tuberculous lymphadenitis.
4. Melanoma
Short notes :
5. Torsion testis
7. Medullary carcinoma thyroid
8. Nipple discharge
Answer briefly :
9. Lucid interval
10. Triple assessment
11. Cardiac tamponade
12. Warthin’s tumour
13. Saphena varix
14. Tetany
15. Ranula
16. Local anaesthesia
17. Rodent ulcer
18. Circumcision


Q.P. Code: 310001 Reg. no.: …………………
Gynecology and Family Welfare and Demography - II
Essay: (10)
1. What are the clinical features of polycystic ovarian syndrome. What are the investigations
useful for the diagnosis of PCOD. Treatment options for anovulatory infertility in PCOD.
(3+4+3)
2. Normal semen analysis report.

3. Management of fibroid uterus in 25 years old infertile woman.
4. Tumor markers.

5. Intraoperative complications of mayo-wards operation.
6. Urethral caruncle.

7. Screen and treat approach and common screening tests of carcinoma cervix.
8. Site of selection of tube during tubectomy and its significance.
9. Sequale of PID.
One word answers: (4x1=4)

10. First metastatic lymph node in malignancy.
11. Plication at bladder neck during anterior colporrhaphy for stress incontinence.
12. Ovary develops from........
13. Commonest site of genital tuberculosis.
Draw and label: (2x1=2)

14. Perineal body.
15. Internal iliac-artery and its branches.
*******************
Gynecology (Family Welfare and Demography) - II
Essay: (10)
2. A 45 years old woman presents with history of menorrhagia since 2 years and on examination there is 20
weeks size uterus. Answer the following:
• What is the diagnosis
• Investigations to be done
• Describe the management. (1+2+3+4)
3. Pap test
4. Turner’s syndrome
5. Pelvic tuberculosis

6. Levo norgestrel (LNG) IUCD
7. Management of stress urinary incontinence (SUI)

8. Vasectomy
9. Treatment of trichomonas vaginitis
10. Decubitus ulcer

11. Culture media for candidiasis
12. Vaccine for cervical cancer
13. Precocious puberty
14. Failure of contraceptive method is expressed as -----------------

15. Ligamentous supports of uterus
16. Endometrium in menstrual cycle
*******************

Q.P. Code: 310001 Reg. no.: …………………

Essay: (10)
1. 45 years old P1 L1 with prolonged bleeding was diagnosed as abnormal uterine bleeding by her
gynecologist. Answer the following:
• Define and classify abnormal uterine bleeding (AUB)
• Differential diagnosis for heavy menstrual bleeding and management of the same.(4+6)
2. Risk factors for pelvic organ prolapse. Add a note on supports of uterus and vagina
3. Diagnosis of malignant ovarian tumors.
4. Diagnosis and management of anovulation in infertility

5. Laparoscopic tubal ligation
6. Menopausal symptoms

7. Risk factors for developing carcinoma endometrium
8. Bacterial vaginosis
9. Turners syndrome

10. Name the gas used for insufflation in laparoscopic surgeries
11. Commonest tumor marker in choriocarcinoma
12. Expand – “ICSI”
13. Fibroma of ovary is associated with what syndrome.

14. Types of fibroid.
15. Draw and label the parts of the fallopian tube – indicate the commonest site for ectopic pregnancy.
*******************

Q.P. Code: 310001 Reg. no.: …………………

Essay: (10)
1. A 68 years old woman presents with mass per vagina. Answer the following:
• Classification of prolapse
• Describe the method of mayo ward repair
• List the complications of vaginal hysterectomy (2+2+3+3)
2. Investigations and management for tubal factors of infertility.

3. Management of ovarian malignancy
4. Clinical features and management of bacterial vaginosis

5. Etiopathogenesis of endometriosis.
6. Causes and diagnosis of VESICO.-vaginal fistula

7. Contraindications for oral contraceptives.
8. Classification of primary amenorrhea with example.
9. Causes of postmenopausal bleeding

10. Failure rate of condoms.
11. Drug of choice for lactation suppression.
12. Criteria for ovarian pregnancy.
13. Anterior sling surgery.

14. Supports of uterus DELANCEY'S
15. Types of fibroids
*******************

Q.P. Code: 310001 Reg. no.: …………………

Essay: (10)
1. A 52 years female, Para 4 living 4 with all vaginal deliveries, came with complaints of
something coming out of vagina for 8 months and increased frequency of micturition for
two months. Answer the following:
• What is the etiology of it
• Describe supports of uterus.
• Management of the condition. (3+3+4)
2. Screening of cervical cancer.

3. Define infertility and write about tubal patency tests.
4. Barrier contraceptives.

5. Vaginal candidiasis.
6. Turner’s syndrome.

7. Normal semen analysis.
8. Bartholin’s cyst.
9. Indications of laparoscopy in gynecology.

10. Clue cells are seen in …………
11. Most common virus implicated for cervical cancer
12. Condition where menstrual blood fails to come out of the genital tract due to obstruction in
the passage is called as ……………..
13. ‘Call Exner bodies’ are seen in which ovarian tumor.

14. Trichomonas vaginalis.
15. Mature Graafian follicle.
*******************

Q.P. Code: 310001 Reg. no.: …………………
September 2017

Answer all questions
Draw diagrams wherever necessary
Essay: (10)
1. A 40 years old woman presents with menorrhagia and heaviness in lower abdomen for
one year with USG suggestive of fundal fibroid. Answer the following:
What are the investigations to be done

Describe the mode of management of fundal fibroid.
What are the complications of fibroids (3+4+3)
2. Management of polycystic ovarian syndrome.

3. Dermoid cyst.
4. Define puberty menorrhagia and its management.

5. Pap smear.
6. Tubal ligation.

7. Enumerate Mullerian anomalies.
8. Triple swab test.
9. PALM – COEIN classification of AUB.

10. Hobnail cells are seen in which ovarian carcinoma
11. Karyotype of Klinefelter’s syndrome is
12. Causative organism of strawberry vaginitis is
13. GnRH is secreted by

14. IUCD multiload Cu-T.
15. Ligamentous supports of uterus.
*******************

Q.P. Code: 310001 Reg. no.: …………………

Essay: (10)
1. 75 years old woman presents with abdominal distension and on examination there is a
mass in the abdomen and shifting dullness. Answer the following:
• What are the investigations.
• What is the management.
• What are the prognostic factors. (3+3+3+1)

2. Principles of myomectomy
3. Supports of the uterus
4. Tests for ovulation

5. Clinical and ultrasound features of polycystic disease of the ovary.
6. Female sterilization

7. Classification of ovulatory disorders
8. Stress urinary in-continence
9. Management of nulliparous prolapse

10. Most common cause of amenorrhea
11. Milk secretion in non -pregnant woman
12. Hormone given for flushing in post-menopausal women
13. Latest classification in prolapse uterus

14. Mullerian anomalies
15. Types of fibroid uterus.
*******************

Q.P. Code: 310001 Reg. no.: …………………
September 2016

Essay: (10)
1. Define and classify AUB and mention brief pathology of AUB. Differential diagnosis for
pubertal AUB and outline its management. (1+3+3+3=10)

2. Anatomy and physiology of fallopian tube with its surgical application.
3. Turner’s syndrome.
4. Theories of endometriosis.

5. Emergency contraception.
6. No scalpel vasectomy.

7. Pre-requisites for myomectomy.
8. Pyometra.
9. Complications of ovarian cyst.

10. Ovulation of graffian follicle without rupture.
11. Decreased sperm count in a semen sample
12. Commonest cause of death in carcinoma cervix.
13. Characteristic microscopic finding in bacterial vaginosis.

14. Draw diagram of pubococcygeous muscle and label its parts.
15. Basal body temperature chart of ovulation.
*******************

Q.P. Code: 310001 Reg. no.: …………………
Gynecology ( Family Welfare and Demography) - II

Essay: (10)
1. A 35 years old parous sterilized woman comes with profuse bleeding per vaginum during
periods for the past six months and on examination uterus is 14 weak size. Answer the
following :
• What is the most probable diagnosis.
• What are the differential diagnosis
• How do you evaluate
• What are the different management options (1+3+3+3=10)

2. Diagnosis of tubal factors of infertility
3. Human papilloma virus infection
4. Myomectomy

5. Dermoid cyst of ovary
6. LNG IUCD

7. Bartholin’s cyst
8. Clomiphene citrate
9. Emergency contraception

10. Drug of choice in post-menopausal woman with osteoporosis
11. Types of ectopic pregnancy
12. Meig’s syndrome
13. Wandering or parasitic fibroid

14. Physical appearance of trichomonas veginalis
15. Anatomy of fallopian tube
*******************

Q.P. Code: 310001 Reg. no.: …………………
September 2015
Gynecology ( Family Welfare and Demography) - II

Essay: (10)
1. A 62 years old woman comes with post-menopausal spotting and whitish discharge pv.
• What is the differential diagnosis
• Management options (3+3+4=10)

2. What are the obstetric factors leading to prolapse
3. What are the indications for IVF
4. What are the causes of genitourinary fistula

5. Male sterilization
6. Hydatidiform mole

7. Common sites of injury to the ureter during surgery
8. Usual pelvic examination findings in pelvic inflammatory disease
9. What is cryptomenorrhoea

10. Malignant form of fibroid uterus
11. Commonest mode of spread of ca-cervix
12. Commonest tumor felt in the anterior fornix
13. Latest classification in degrees of prolapse uterus

14. Lymphatic drainage of cervix
15. Trichomonas vaginalis
*******************

Q.P. Code: 310001 Reg. no.: …………………
Gynaecology ( Family Welfare and Demography) - II

Essay: (10)
1. What is fibroid uterus. Discuss its etiology, clinical features and management
(1+3+3+3=10)

2. Polycystic ovarian syndrome
3. Medical management of endometriosis
4. Intra uterine insemination

5. Laparoscopic sterilization
6. Adenomyosis

7. Granulosa cell tumor
8. Sling operations
9. Turner’s syndrome

10. Red degeneration of fibroid is common in
11. Corpus cancer syndrome
12. Drug of choice in a postmenopausal woman with osteoporosis
13. Strawberry appearance on cervix is the characteristic of

14. Microscopic appearance of candida albicans
15. Clue cells
*******************

Third Professional MBBS (Part II) Model examinations
Gynecology (Family Welfare and Demography) – II
Time : 2 hours Total marks : 40
Answer A & B section separately
SECTION A
I. Draw and label 4

Fallopian tube
II. Short answer questions 1x4
1. Define menopause
2. Size of the fully matured Graafian follicle.
3. One indication of rectal examination in gynecology.
4. Name the organism identified by wet saline mount.
III. Short answer questions 2x3
1. Submucus fibroid
2. Define laparoscopy and mention 2 indications.
3. Minimum criteria for diagnosing pelvic inflammatory disease.
IV. Short essays 4x2
1. Dysgerminoma
2. Fothergill’s operation
SECTION B
I. Essay.
A 54 yr old mother of one child present with post menopausal bleeding (1+2+4+3)
a. What investigations will you order ?
b. How will you clinically evaluate her ?
c. What is stage IA grade I Carcinoma endometrium. What is the management ?
d. Describe the prognostic factors for endometrial carcinoma.
II. Short answer questions. 1x4
a. What is stage 1A-Carcinoma cervix ?
b. Name on surgery for stress Urinary incontinence
c. Name the commonest type of Genito-urinary fistula.
d. Karyotye in testicular feminization syndrome.
III. Short answer questions. 3x2
a. Cryptomenorrhoea
b. Emergency contraception.

Third Professional MBBS (part II) Model examinations
GYNAECOLOGY
ESSAY(10 marks)
1. A 65 year old nulliparous women was brought with complaints of dyspeptic symptoms and abdominal distension with
an abdominopelvic mass.
a. Write the most probable cause and differential diagnosis
b. How will you clinically evaluate her?
c. What ate the investigations to be done?
d. What are the treatment modalities? (1+2+3+4=10)
SHORT ESSAYS (4 marks each)
2. Enumerate the causes of abnormaluterine bleeding in a perimenopausal woman,outline the evaluation and mention
the management options
3. Diagnosis and management of pelvic inflammatory disease.
4. Evaluation of tubal factors of infertility.
SHORT NOTES (3 marks each)
5. Myomectomy
6. Methods and guidelines of cervical cancer screening.
ANSWER BRIEFLY ( 2 marks each)
7. Non contraceptive benefits of LNG - Intrauterine Device ( Mirena)
8. Medical management of endometriosis.
9. Clinical features and management of torsion of ovarian cyst.
ONE WORD ANSWERS (1 mark each)
10 Is a single rod subdermal implant with 68mg of the progestin, etonogestrel.
11 criteria used to diagnose primary abdominal pregnancy.
12 Is a selective progesterone receptor modulator used in treatment of fibroids.
13 Refers to an objective, site-specific system for describing, quantifying and staging pelvic oragan
prolapse.
DRAW AND LABEL (1 mark each)
14. Supports of uterus. 15. Types of fibroid.

Gynecology
Essay
A 55 yr old lady presenting with postmenopausal bleeding
• Differential diagnosis?
• How will you evaluate the case?
• Describe the management.
Short Essays
1.Induction of ovulation
2.Unruptured ectopic pregnancy
3.Misplaced IUCD
Short notes
1. PCOD
2. emergency contraception
Answer briefly
1.Functional cyst
2.Endometrial hyperplasia
3.LNG IUS
One word answer
1. Uterine artery is a branch of……………
2. Length of female urethra is……..
3. Upper Portion of Vagina develops from……………
4. Commonest histopathology of ca endometrium………..
Draw and label
1. Fallopian tube
2. Different types of fibroid uterus


Q.P. Code: 309001 Reg. no.: …………………
Obstetrics & Social Obstetrics - I
Essay: (10)
1. 20 years old primigravida with newly detected hypertension at 35 weeks of gestation

complains of headache and epigastric pain. Answer the following:
 What is the classification of hypertensive disorders in pregnancy
 What are the investigations to be done
 Describe the management of eclampsia. (3+3+4)
2. Describe the types of retained placenta. What is the management of placenta accreta.
3. Describe the diagnosis, management and follow up of molar pregnancy.
4. What are the maternal and fetal complications of gestational diabetes mellitus.

5. Role of USG in the first trimester.
6. Clinical features of obstructed labour.

7. What are the complications of UTI in pregnancy.
8. What are the tests for anemia in pregnancy.
9. Medical management of ectopic pregnancy.

10. What is the full form of TOLAC.
11. Labor monitoring is done using ……………………
12. Forceps used for after coming head.
13. Most common technique for abdominal tubectomy.

14. Anteroposterior diameters of pelvic inlet.
15. Twin peak sign
*******************
Q.P. Code: 309001 Reg. no.: …………………
Third Professional MBBS (Part II) Degree Supplementary Examinations August
2019
Essay: (10)
2. 30 years old G4 P3 L3 at 20 weeks of gestation at regular antenatal care found to have HB:6 gm%.
• What is the most common cause for the anemia
• List the types of anemia
• Diagnosis of causes of anemia in pregnancy
• Management of this patient (1+3+2+4)
3. Management of antepartum eclampsia

4. Shoulder dystocia
5. Non-reassuring FHR ( Foetal Heart Rate) pattern and management of the same

6. Screening tests for gestational diabetes
7. Causes for postpartum hemorrhage

8. Complications specific to monochorionic twins
9. Episiotomy
10. Congenital rubella syndrome.

11. Name the most common non-lethal aneuploidy resulting in significant mental disability in children
12. Name the “uterine compression suture” used to control uterine atony after delivery
13. Name the correct place where the vacuum suction cup is applied for efficient delivery of the fetal
head
14. Normal dose of anti-D immunoglobin after a term delivery of a Rh positive new born to a Rh negative
mother.

15. Term fetal head showing fontanels and sutures
16. Twin peak sign
*******************

Q.P. Code: 309001 Reg. no.: …………………
Essay: (10)
1. A 28 years old multiparous woman comes with three months of amenorrhea with history
of previous three abortions in first trimester. Answer the following:
 What is the diagnosis.
 What are the causes of first trimester abortions
 Mention the investigations to be done
 Describe the management (1+2+3+4)
2. Active management of third stage of labour

3. Neonatal resuscitation
4. Shoulder dystocia

5. Asymptomatic bacteriuria
6. Complications of second trimester MTP

7. Management of eclampsia
8. Follow up of vesicular mole
9. Screening for diabetes in pregnancy
One-word Answers: (4x1=4)

10. Labour process starting before 37 weeks of gestation
11. Total of last trimester fetal demises, intra partum fetal deaths and infant deaths up to 7
days postpartum
12. Pelvis compressed from three directions in rickets
13. Intermittent lower abdominal pain in pregnancy without cervical changes

14. Partograph
15. Sagittal section of the pelvis showing antero-posterior diameters of pelvic inlet
*******************

Q.P. Code: 309001 Reg. no.: …………………
August 2018

Essay: (10)
1. A 30 years old G5 P4 L4 with history of 8 months amenorrhea with bleeding PV with pain
abdomen. On examination, BP-150/100mm Hg, Uterus is tense & tender, FHR absent.
• What is the diagnosis • Mention investigations to be done
• Maternal complications • Management in detail (1+2+3+4)
2. Describe normal antenatal care

3. Monochorionic twin pregnancy
4. Management of neglected shoulder presentation

5. Cord prolapse
6. Anencephaly

7. Spalding sign
8. Vasa previa
9. External version

10. USG measurement to diagnose IUGR
11. Perinatal mortality rate
12. NT scan is done at _ weeks
13. Jacquemier’s sign

14. Fundal height of uterus at 12, 22, 32, 36 wks of gestation
15. Chorionic villi
*******************

Q.P. Code: 309001 Reg. no.: …………………


Essay: (10)
1. Define postpartum hemorrhage and mention its causes. What are the pre-existing risk
factors for PPH. Discuss the management of PPH after vaginal delivery. Mention the
active management of 3rd stage of labour. (2+2+4+2)
2. Describe the mechanism of normal labour.

3. Causes of recurrent pregnancy loss.
4. Classification and management of HELLP syndrome.

5. Complications of twin gestation.
6. Indications and prerequisites for forceps delivery.

7. Plane of least pelvic dimensions.
8. Ultra sonographic diagnosis of I.U.G.R.
9. Clinical features of scar dehiscence.

10. Measurement of uterine contraction is -
11. Incidence of breech presentation at term is -
12.Diameter For Diagnosis Of Midpelvic Contraction.
13. Calorie intake for normal pregnancy.

14. Internal iliac artery and branches.
15. Types of ectopic pregnancy
*******************

Q.P. Code: 309001 Reg. no.: …………………
September 2017

Answer all questions
Draw diagrams wherever necessary
Essay: (10)
1. 28 years multigravida comes with severe pallor, weakness and easy fatiguability. Answer the
following:
What is the differential diagnosis
What are the investigations to be done
Describe the line of management. (3+3+4)
2. Antenatal management of twin pregnancy.

3. Obstructed labor.
4. Causes and investigations of recurrent pregnancy loss.

5. Non-stress test.
6. Definition and management of puerperal sepsis.

7. Bishop’s score.
8. Indications of vaginal birth after caesarean section.
9. Triple marker test.

10. Post-partum uterus becomes a pelvic organ at how many weeks
11. Most common cause of abortion in first trimester of pregnancy
12. The compression sutures for atonic PPH is called ------------
13. Most common heart disease in pregnancy.

14. Placenta succenturiata.
15. Normal tracing of CTG.
*******************

Q.P. Code: 309001 Reg. no.: …………………

Essay: (10)
1. A 26 years old primigravida woman comes with the antepartum hemorrhage at 33 weeks
of gestation. Answer the following:
• What are differential diagnosis
• What are investigations to be done
• Describe the mode of management of one of them. (3+3+4=10)

2. What are the indications of caesarean section in breech presentation.
3. What are the causes and risk factors in post term pregnancies.
4. How are the severity of cardiac disease clinically classified.

5. Antenatal management of twin pregnancy.
6. Maternal complications of diabetes in pregnancy.

7. What are the tests for fetal monitoring
8. What are the causes of fetal bradycardia
9. Contraceptive advice to a woman with cardiac disease.

10. Age of elderly primi
11. Naegle formula is to calculate
12. Commonest indication for caesarean delivery is
13. What is the full form of ECV

14. Simple partogram
15. Placenta
*******************

Q.P. Code: 309001 Reg. no.: …………………
September 2016

Essay: (10)
1. A 25 years primigravida with 34 week gestation with H/O easy fatiguability, giddiness,
breathlessness, swelling of limbs. O/ E severe pallor, pedal oedema, raised JVP. Answer
the following.
• What is the diagnosis • What are the maternal complications.
• Investigations to be done • Describe the management. (1+2+3+4=10)

2. Biophysical profile
3. Active management of third stage of labour
4. PROM and its management

5. APGAR score
6. Oxytocin

7. Six common indications for LSCS
8. Amniocentesis
9. Diagnosis of GDM

10. MMR(Maternal Mortality Rate)
11. Peurperium is upto weeks
12. McDonald’s stitch is used in condition
13. Implantation of placenta in lower uterine segment is

14. Types of placenta praevia
15. Caput succedaneum
*******************

Q.P. Code: 309001 Reg. no.: …………………

Essay: (10)
1. A 26 years old G2P1L1 with 34 weeks of gestation presenting with painless bleeding PV.
• What is the diagnosis.
• What are the maternal complications
• Mention the investigation to be done
• Describe the management (1+2+3+4=10)

2. Hyperemesis gravidarum
3. Secondary post partum hemorrhage
4. Down’s syndrome

5. Carbohydrate metabolism in pregnancy
6. Anencephaly

7. Puerperal sepsis
8. Role of prostaglandins in obstetrics
9. Neonatal jaundice

10. Maternal mortality ratio
11. Twin peak sign is characteristic US finding in
12.Maneuver to correct shoulder dystocia
13. Post term pregnancy

14. Succenturiate lobe of placenta
15. Fetal skull showing important diameters of obstetrics significance
*******************

Q.P. Code: 309001 Reg. no.: …………………
September 2015

Essay: (10)
1. Define induction of labour. Enumerate the pre-induction criteria, indications and
complications. (1+3+3+3=10)

2. Methods of termination of pregnancy in second trimester.
3. Cord prolapse.
4. Management of HIV positive women in pregnancy and labour

5. Causes for increased perinatal mortality in severe preeclampsia.
6. Caesarean hysterectomy.

7. Acute inversion of uterus.
8. Apgar score and its importance.
9. Vaccum extraction.

10. Frequent and painful contractions at 36 weeks.
11. Compression of head posteriorly on type II posterior placenta.
12. Routinely used method of delivery of placenta.
13. Type of delivery in occipito-posterior position.

14. Space of Moris.
15. Early deceleration.
*******************

Q.P. Code: 309001 Reg. no.: …………………

Essay: (10)
1. Define normal delivery. Draw partogram to depict the events of normal labour and its
significance. (1+4+5=10)

2. Management of accidental hemorrhage.
3. Parentral iron therapy in moderate degree anemia in early third trimester
4. Management of Hbsag positive women in labour.

5. Ressucitation of newborn.
6. Maternal mortality.

7. Sudden post partum collapse.
8. Misoprostol.
9. Techniques of delivering after coming head in breech

10. One twin disappears in subsequent scan in second trimester.
11. In interlocking of twins first twin sacrificed to delivery of second twin.
12. Embryonic demise within 6 weeks of conception.
13. Death of fetus from 28 weeks to one week after delivery .

14. Normal fetal heart rate pattern as recorded in CTG
15. Obstetric conjugate.
*******************

Obstetrics
Essay
1. A 30 yr old Primi gravida, 36 weeks of gestation is admitted with headache O/e BP os 164/110 mm Hg.
• what is the probable diagnosis ?
• What are the relevant investigations ?
• What are the complications ?
• How will you mange the patient ?
Short Essay
1. Management of preterm labour
2. Discordant twins
3. Obstructed labour
Short Notes
1. Dating of pregnancy
2. Precipitate labour
Answer briefly
1. Early deceleration
2. Episiotomy
One word answers
1. Average weight of full term placenta
2. Suboccipito bregmatic diameter is…. …..
3. Chance of cord prolapse is minimum in which type of breech
4. Uterus become a pelvic organ in peuperium by… ………
Draw and label
1. Inlet of pelvis
2. Chorionic villous

Obstetrics & Social Obstetrics-I
Time : 2 hours Total Marks : 40

Answer section A & B separately
SECTION A
I. Draw and label 2

Fetal circulation
II. Short answer questions 1x4
1. Clinical method for assessment of CPD
2. Stallworthy’s sign
3. Define normal labour
4. Important investigations in hyperemesis gravidarum.
III. Short answer questions 2x3
1. Differentiate between caput and cephalhematoma
2. Mention conditions with coagulation abnormalities in obstetrics
3. USS in 1st trimester of pregnancy.
IV. Short Essays 4x2
1. Induction of labour
2. Management of Anaemia in pregnancy.
SECTION B
I. Essay 10
A 27 year old primi at 30 weeks of gestation with BP recording of 140/90 mm of Hg and albuminuria.
a. What is the Diagnosis? (1)
b. Write down the relevant investigations? (2)
c. How will you manage this case? (4)
d. How will you manage the case if she throws a fit in the labour room. (3)
II. Short answer questions. 1x4
a. Define deep transverse arrest.
b. Classic appearance of uterus in Caesarean section in case of severe abruptio placenta
c. Investigations (name only) to detect congenital and chromosomal defects in the fetus.
d. Name 3 manures important in assisted breech delivery
III. Short answer questions. 3x2
a. Second stage management of twin in labour room
b. Write 4 drugs used in medical management of PPH and their dosage.

Third Professional MBBS (Part II) Model Examinations
OBSTETRICS
ESSAY (10 marks)
1. A 32 year old primi gravida 34 weeks gestation with blood pressure 150/100mm Hg and proteinuria. On
examination is found to have fundal height of 30 weeks with good fetal heart.
What is the most probable diagnosis?
What are the maternal and foetal complications?
What are the investigations to be done?
How will you manage this pregnancy? (1+2+3+4)
SHORT ESSAYS (3 x 4= 12)
2. Amniotic fluid embolism
3. Diagnosis and management of shoulder dystocia
4. Causes and management of third degree perineal tear
SHORT NOTES (2 x 3 = 6)
5. Forceps delivery indication & prerequisites
6. Prostaglandins in obstetrics
ANSWER BRIEFLY ( 3x2 = 6)
7. Management of incompetent os
8. Indirect coombs test
9. Maternal serum Alpha Fetoprotein(AFP)
ONE WORD ANSWER (4X1=4)
10. Type of pelvis in which face to pubis birth is common
11. The Manoeuvre of delivering the aftercoming head of breech.
12. The bimanual method of pelvic assessment to rule out CPD
13. Smaller twin held in fixed position along the uterine wall due to oligamnios in TTTS( Twin Twin Transfusion
Syndrome)
DRAW AND LABEL ( 2x 1=2)
14. Fetal heart rate pattern in cord compression
15. Diameters of pelvic inlet

Third Professional MBBS (Part II) Model examination
Obstetrics And Gynaecology
1. A 70 year old male person presented with rigidity, difficulty in walking and tremor
(1+3+2+4=10)
1) What is your diagnosis?
2) Briefly describe the causes and peripheral signs.
3) Write relevant investigations.
4) How will you manage?
2. Describe the mechanism, pathophysiology, types, clinical features and management of heart failure
(2+2+1+2+3)
3. Write short notes on

(2x20=40)
1) Differential diagnosis of acute breathlessness
2) Management of acute severe asthma
3) Hospital acquired pneumonia
4) Non metastatic extra pulmonary manifestations of Bronchial carcinoma.
5) Thyroid storm
6) Hirsuitism
7) Hypoglycaemia
8) Carcinoid syndrome
9) Malignant hypertension
10) Nephron
11) IGA nephropathy
12) Incretin based therapy
13) Causes and investigations in dysphagia
14) Coeliac disease
15) Management of hepatic encephalopathy
16) Causes and neurological findings in B12 deficiency
17) Haemophilia A
18) Management of bacterial meningitis
19) EEG 20) Hepatitis C

Third Professional MBBS (Part II) Model examinations
Obstetrics And Gynaecology
Essay
60 years old postmenopausal lady presented with bleeding per vaginum. (2+2+4+2=10)
1. What are the differential diagnosis?
2. What are the specific investigations to be send?
3. Write the management of any one of the conditions.
4. Complications of abdominal hysterectomy
2 Short Essays (3×4=12)
1. Medical management of fibroid uterus
2. Aetiological factors of endometriosis
3. Neoadjuvant chemotherapy
3 Short Notes (2×3=6)
1. Pessary
2. No scalpel vasectomy
4 Answer Briefly (3×2=6)
1. Lymphatic drainage of cervix
2. Enterocele
3. Dysmenorrhoea
5 One Word Answers (4×1=4)
1. Regime used to treat persistent trophoblastic disease
2. Life span of CuT 380A
3. Drug used to treat bacterial vaginosis
4. Gold standard for diagnosing endometriosis
6 Draw And Label (2×4= )
1. Supports of uterus
2. Graphical representation of various hormones during menstrual cycle


Q.P. Code: 311001 Reg. no.: …………………
Pediatrics and Neonatology
Essay: (10)
1. A two years old male child has been brought with history of fever since eight hours and
one generalized seizure 30 mts before coming. On examination, seizure has subsided,
child is drowsy but arousable.
 List four differential diagnosis you consider
 How will you come to a clinical diagnosis.
 How will you investigate this child. How investigations help to confirm the
diagnosis. (2+4+4)
2. Congenital hypothyroidism
3. Undescended testes
4. Hepatitis A infection
5. Measles – management and complications
6. Dyslexia
7. Phototherapy
8. Polio vaccines in National Immunization Schedule
9. List the Lab investigations in iron deficiency anaemia
10. Laryngomalacia

11. Hemodynamics of ventricular septal defect
12. Extraocular muscles

13.Name two drugs for treating pneumococcal pneumonia.
14.Number of arteries and veins in the umbilical cord"
15. Chromosomal abnormality in turner syndrome
16. Minimum age for HPV vaccine in girls
*******************
Q.P. Code: 311001 Reg. no.: …………………
Essay: (10)
1. Two year old male child with weight - 5 kg, height - 75cm and Mid Upper arm Circumference of 10 cm
presenting with bilateral pedal edema. What is your probable diagnosis. What complications you
expect in this child. How will you manage the child
Short notes: ((2+4+4))
2. Hospital associated infections

3. Congestive cardiac failure in an infant – causes and clinical features
4. Kawasaki disease
5. Kerosene poisoning
6. Breath holiday spells is modified as Breath holding spells.

7. Breast feeding - Advantages to mother and society
8. Screening for hearing impairment in newborn
9. Pneumococcal vaccine
10. Hemorrhagic disease of newborn

11. Peripheral smear in iron deficiency anemia
12. Radiological features of nutritional rickets

13. Name one X linked recessive disorder
14. Electrolyte abnormality observed in congenital adrenal hyperplacia
15. Name the organism which causes erythema infectiosum
16. Drug of choice for herpes simplex encephalitis
*******************

Q.P. Code: 311001 Reg. no.: …………………
Essay: (10)
2. A 3 years old male child is diagnosed to have minimal change nephrotic syndrome.
Discuss pathogeneses, clinical features and management of the same. (2+4+4)
3. Complications of bottle feeding.

4. Immunological benefits of breast feeding.
5. Kwashiorkor
6. Hypoglycemia in newborn.
7. What are the age independent criteria for diagnosis of malnutrition.

8. Common causes for acute otitis media
9. Classify pneumonia according to acute respiratory infection (ARI) control programme.
10. Prevention of sepsis in newborn nursery
11. Low osmolarity ORS (ORAL REHYDRATION SOLUTION).

12. Ventricular system of brain.
13. Tracheobronchial tree

14. Drug of choice in the treatment of cerebral malaria.
15. Gold standard test for diagnosis of dengue fever.
16. What is the rate of transmission of HIV through sexual route
16.Mention the antidote, its oral dosage & duration in paracetamol
poisoning
*******************

Q.P. Code: 311001 Reg. no.: …………………
August 2018

Essay: (10)
1. Discuss the aetiopathogenesis, clinical features, lab investigations and management of

acute rheumatic fever
2. Laboratory diagnosis of pyogenic meningitis

3. IMNCI
4. Definition and management of status epilepticus
5. Clinical features and management of cyanotic spell
6. Steroid dependent nephrotic syndrome

7. Growth assessment and development of one year old child
8. Laboratory diagnosis of dengue
9. Steps of hand washing
10. Complications of preterm baby

11. Visual pathway
12. Life cycle of plasmodium vivax

13. Define microcephaly
14. Differentiation of physiological jaundice and pathological jaundice
15. One radiological finding in intussusception
16. Late complication of measles
*******************

Q.P. Code: 311001 Reg. no.: …………………

Essay: (10)
1. Discuss the aetiopathogenesis, clinical features, laboratory investigations and

management of pyogenic meningitis (2+3+2+3)
2. Kawasaki disease
3. Enumerate the causes of splenomegaly in children
4. Acute flaccid paralysis and surveillance of poliomyelitis
5. Behavioural problems in children
6. Gastro esophageal reflux disease

7. Genetic counselling
8. Hyaline membrane disease- clinical features and management
9. Inhalation therapy in bronchial Asthma
10. Failure to thrive

11. Internal capsule
12.PDA murmmur

13. One X-ray finding in scurvy
14. Time of surgical correction of cleft palate
15. Vaccination schedule in Japanese B encephalitis
16. Define hypoglycemia in newborn
*******************

Q.P. Code: 311001 Reg. no.: …………………
September 2017

Essay: (10)
1. A three years old boy complaints of oliguria and edema since three days. Answer the
following:
• How will clinically evaluate the patient
• How will you investigate
• How will you manage if final diagnosis is acute – glomerulonephritis (3+3+4)
2. Mention six benign findings seen in a newborn baby.

3. Drugs causing nephrotic syndrome.
4. Advantages of breast feeding.
5. Hemodynamics in patent ductus arteriosus.

6. ECG changes in hypokalemia.
7. Grading of Kwashiorkor.
8. X-ray findings in a newborn with respiratory distress syndrome.
9. Causes of microcytic hypochromic anemia.
10. Classify JIA (Juvenile Idiopathic arthritis).

11. Types of ventricular septal defect.
12. Course of sixth cranial nerve

13. Drug of choice in mycoplasma pneumonia.
14. Pattern of inheritance of Duchenne muscular dystrophy.
15. Name of enanthem seen in measles.
16. Name the congenital heart disease in which lower limb pulses are weak
*******************

Q.P. Code: 311001 Reg. no.: …………………

Essay: (10)
1. A six months old baby was diagnosed to have Fallot's tetralogy. Answer the following:
• Discuss the hemodynamics.
• Clinical features.
• Management. (2+4+4)

2. Cephalhematoma.
3. Advantages of kangaroo mother care.
4. Management of simple febrile convulsions.
5. Antenatal diagnosis of Downs syndrome.

6. Ponderal index.
7. CSF picture of tubercular meningitis.
8. Four causes of retinitis pigmentosa.
9. Four infections causing hepato-splenomegaly.
10.Cleft palate

11. Circle of Willis.
12. Posterior column of spinal cord.

13. Drug used for prophylaxis against pneumocystis – carinii pneumonia
14. Pattern of inheritance of Marfan’s syndrome
15. Odor of urine in phenyl ketonuria
16. Drug, dosage and duration of treatment for a six month old baby with sputum positive
pulmonary tuberculosis
*******************

Q.P. Code: 311001 Reg. no.: …………………
September 2016

Essay: (10)
1. Six weeks old baby presented with feeding difficulty in the form of suck-rest cycle. O/E
baby had moderate cardiomegaly and grade III systolic murmur in the left fourth space.
• What is the primary cardiac abnormality.
• What associated complication that lead to the presenting complaints.
• Discuss the hemodynamics of the primary cardiac abnormality.
• Management of the present complication. (1+1+4+4)

2. Ocular findings in Down’s syndrome.
3. MRI findings in tuberous sclerosis.
4. Complications of measles.
5. IMNCI ( Integrated management of neonatal and childhood illness)

6. Grading of marasmus.
7. Four causes for recurrent lower respiratory tract infection.
8. Endocrine complications of thalassemia.
9. Four clinical findings in henoch schonlein purpura.
10. Four causes for preterm birth.

11. Fetal circulation.
12. Visual pathway.

13. Drug of choice for rheumatic carditis with congestive cardiac failure.
14. Pattern of inheritance of Hunter’s disease.
15. Antioxidant vitamins.
16. What is the lactose content in breast milk
*******************

Q.P. Code: 311001 Reg. no.: …………………

Essay: (10)
1. Four years old childe presented with puffiness of face, swelling all over the body and
decreased urine output. What is the most probable diagnosis. How will you clinically
evaluate and manage this child (2+4+4=10)

2. Radiological findings in rickets
3. Clinical manifestations of snake envenornation
4. Management of H1N1 pneumonia in a six months old baby
5. Preventable causes of intellectual disability (mental retardation)

6. Thumb sucking
7. Rota virus vaccine
8. BFHI ( Baby friendly hospital initiative)
9. Atypical pneumonia in children
10. Management of febrile seizures

11. CSF pathway
12. Porto systemic anastomosis

13. Four cardinal signs of Kwashiorkor
14. Four complications of malaria
15. Indications for endo-tracheal intubation in a newborn
16. When was last case of wild poliomyelitis reported in India
*******************

Q.P. Code: 311001 Reg. no.: …………………
September 2015
Paediatrics and Neonatology

Essay: (10)
1. Seven years old child was brought with fever and seizure O/E deeply comatose, pale and
significant hepato-splenomegaly. Answer the following:
• What are the possibilities.
• What clinical signs will you look for in this case
• How will you investigate.
• How will you manage. (2+2+3+3)

2. Management of HIV children
3. Management of near drowning child
4. Dengue hemorrhagic shock
5. Clinical features and investigation in infective endocarditis

6. Pica
7. Cerebral edema
8. Cryptorchidism
9. Pneumothorax
10. Warm chain

11. Pinworm egg
12. Entero-hepatic circulation

13. Drug of choice for prophylaxis of pneumocystis jiroveci
14. Lab diagnosis of leptospirosis
15. Dose of vitamin K in newborn
16. Four common causes of fever with rash
*******************

Q.P. Code: 311001 Reg. no.: …………………
Paediatrics and Neonatology

Essay: (10)
1. What is acute flaccid paralysis. Discuss the differential diagnosis of a case of acute
flaccid paralysis and its surveillance (2+6+2=10)

2. Biochemical changes in rickets
3. Complications of fallot’s tetralogy
4. APGAR scroe
5. Rheumatic fever prophylaxis

6. Diagnostic criteria of infective endocarditis
7. Difference between caput succedaneum and cephalhematoma
8. Oral rehydration therapy
9. Varicella vaccine
10. Zinc deficiency in children

11. Circle of Willis
12. Peripheral smear picture in iron deficiency anemia

13. Treatment choice in scrub typhus
14. Four causes of respiratory distress in newly born baby
15. Name four dangerous signs in pneumonia
16. When was last case of poliomyelitis reported in India
*******************

Paediatric & Neonatology
Time : 2 hours Total marks : 40
• Answer all the questions

Essay :
1. A 12-month old girl presents with progressive lethargy and irritability. On examination, she is malnourished and
has extreme pallor, frontal bossing, splenomegaly but no lymphadenopathy. Full blood count shows Hb– 4gm/dL
MCV 59 and RDW 19.
a. What is the most diagnosis ?
b. Name two differential diagnosis and differentiating features.
c. What are the investigations to confirm the diagnosis ?
d. Briefly describe the management of this condition.
Short notes :
2. Management of cyanotic spell

3. Diagnostic criteria of severe acute malnutrition.
4. Indications of double volume exchange transfusion.
5. Congenital diaphragmatic hernia
Answer briefly :
6. Management of tuberculous meningitis

7. APGAR score
8. Four causes of disproportionate short stature
9. Indications of hematopoietic stem cell transplant (HSCT)
10. Integrated Management of Neonatal and Childhood Illness (IMNCI)
Draw and label :
11. Radiological feartures of nutritional rickets.

12. Height velocity curve of boys and girls
One word answers:
13. Mode of inheritance of G6PD deficiency.

14. Two causes of normal anion gap metabolic acidosis
15. Treatment of H1N1
16. Vaccination schedule of f-IPV

Pediaterics including Neonatology
Essay : (10)
1. An 8 yr old boy presenting with 8 days onset of high grade fever with chills & rigors. O/E he has unilateral
cervical lymphadenopathy with B/L non purulent conjunctivitis. He has pharyngitis with congested tongue and
prominent oral papillae. He has peeling of skins over both palms. Other system examinations are normal.
• What is your diagnosis ?
• How will you diagnose ?
• How will you investigate ?
• Describe the management.
Short notes : (4x3)
2. Cyanotic spells.
3. Wilms tumor
4. Hematopoietic stem cell transplantation.
5. Febrile convulsion
Answer briefly : (5x2)
6. Complications of prematurity
7. Croup
8. Clinical features of congenital hypothyroidism
9. Differential diagnosis of AFP
10. Systemic onset of JRA
Draw and label : (2x2)
11. Flowchart showing management of septic shock.

12. Diagram showing CSF pathway
One line answer : (4x1)
13. Four indications of bone marrow aspiration

14. Four causes of wheezing in children other than Bronchial asthma
15. Four causes of Microcytic Hypochromic blood pictures
16. Four causes of hypertension in children

DR. RIYAZ Sir’s question paper
Essay (10)
1. This 6 yr old boy presented with high grade fever of one week duration which did not respond to antimicrobials
and anti-pyretics. He had non-purulent conjunctivitis, unilateral cervical lymphadenopathy and non-vesicular
rash.
Answer the following : (1+2+2+2+3)

a. What is the most probable diagnosis ?
b. How will you investigate this child ?
c. Name the drug of choice and dose
d. Mention other diseases in which this drug may be used.
e. Briefly discuss the complications of this disease.
Short notes : (4x3=12)
2. What is significant lymphadenopathy ? What are the causes of isolated epitrochlear lymphadenitis ?
3. Composition in mEq/L of normal saline ; Ringer lactate ; Isolyte P
4. Shunt surgeries of tetralogy of Fallot
5. What are the cephalhematoma and caput ? Discuss differences between cephalhematoma and caput, in a
tabular column.
Answer briefly :
6. A 6-month old child was given this animal’s milk alone. Which nutrient deficiency is he likely to develop ? What
is the peripheral blood picture of this condition ?

7. Asymmetric tonic neck reflex; parachute reflex
8. Management of acute severe asthma
9. Causes of recurrent infections in nephrotic syndrome.
10. Radiological findings of tetralogy of Fallot ; scurvy
Draw and label :
11. Myeloblasts ; lymphoblasts ; bronchopulmonary segments; fontanels

12. Cut section of mid brain at the level of superior colliculi ; tracts of spinal cord
One word answers : (4x1=4)
13. A neonate had small cystic vesicles in the palate. What are they called ?
14. Expand : HAF ; RSBY ; UNICEF ; VPD
15. Compositon of DT and dT
16. At what age can a child draw this ?

Pediatrics
Total Marks:40
ESSAY (2+2+2+4=10)
1. A five year old child presented withpuffiness of face, swelling all over the body and decreased urine output. Write two
most probable diagnosis. How will you clinically evaluate and manage the child?
SHORT NOTES (4 X 3 =12)
2. Oral rehydration therapy
3. Clinical and radiological features of rickets
4. Clinical management of snake bite envenomation
5. Status epilepticus
ANSWER BRIEFLY
6. Write down the clinical features and management of intususeption in childhood
7. What are the clinical utilities of APGAR score
8. Write briefly on pneumocccal vaccines
9. What are the complications of Fallot's tetrology
DRAW AND LABEL (With Explanations)
10. Foetal circulation
11. Peripheral smear findings in Thalassemia
ONE WORD ANSWERS
12. Two causes of speech delay in a child
13. Four complications of Plasmodium falciparum malaria
14. Indications for chest compression in neonatal resuscitation program.
15. WHO criteria for SAM

Third Professional MBBS (Part II) Model examination (Dr. RiyazSir’s)
Essay
1. A 4 yr old girl high fever and irritability of one day duration. She had generalized erythema and rash
which were preceded by malaise, fever and exquisite tenderness of the skin. The brightly erythematous
skin had a wrinkled appearance. She had circumoral erythema and radial crushing and fissuring around
the eyes, mouth and nose. She was hospitalised and rapidly responded to treatment.
Answer the following : (1+2+2+1+1+1+2)

● What is the most probable diagnosis?
● What is the etiology ?
● Discuss briefly the pathogenesis
● TioName a typical clinical sign that may be seen in this case
● Why is this disease seen mainly in children below 5 years ?
● How will you manage this child ?
Short notes (4×3=12)
2. What are the causes of polyarthritis in children ? How will you manage a child with acute rheumatic
fever ?
3. Composition in mEq/L of 1. Standard ORS 2. Low mol ORS 3. ReSoMal
4. What are the ocular features of 1. Wilson's disease 2. Marfan syndrome 3. Measles
5. What are Erb Duchenne palsy and Klumpke's palsy ? Discuss the clinical features of both, add a
note of the ophthalmologic finding in Klumpke palsy.
Answer briefly (5×2=10)
6. Comment on this radiograph. What are the biochemical investigations should be done? Add a note
on the treatment.

7. Physiological jaundice
8. Management of acute diarrhea – no dehydration
9. What does the term kwashiorkar mean ? Who was the first person to describe it ? Enumerate the
cutaneous manifestations of kwashiorkar.
10. What are the allergens of a) Egg protein b) Fish protein c) Pea nut
Draw and Label (2x2=4)
11. a) Traube space b) Willis circle c) Peripheral blood picture of AML d) Peripheral blood picture of
megaloblastic anemia
12. a) Bronchial breathing b) Giardia lambli c) Vaccine vial monitor d) Rotavirus
One word answers (4x1=4)
13. A neonate vomited blood soon after birth. Which test will you do determine if it is maternal blood or
fetal blood ?
14. Name the following conditions : a) Partial deletion of short arm of 4th chromosome b) Partial deletion
of short arm of 5th chromosome
15. Name the enanthem of a) Roseola infantum b) Rubella
16. At what age can a child draw these ?
a) b)

Essay
1. Three month yr old baby weighing 4kg was brought with low grade fever, cough, Breathlessness 2 days duration. O/e
child is sick irritable pulse 160/min RR64/min mild edema prominent neck pulsations. Apex beat 5th left intercostal
space in the midclavicular line and hepatomegaly and pansystolic murmur at left lower sternal border
• discuss your clinical diagnosis

• Discuss hemodyanamics of this condition
• Discuss complications of this condition
• 4 conditions causing a continuous murmur
Short notes
2. management of persistent asthma

3. complications of bacterial meningitis
4. Management of acute complications of Severe malnutrition
5. Diagnosis and managent of ITP
Answer briefly
1. Causes of intellectual disability in a child
2. Kandaroo mother care
3. Rota virus vaccine
4. Principles of IMNCI
5. Radiolofical changes in respiratory distress syndrome
Short Answer
1. Asymmetric tonic neck reflux
2. Breath holding spells
3. Kerosine poisoning
4. Vitamin A deficiency

Daily Work List
Date:
Urgent
work
All the best

FUTURE DOCTORS
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urgent
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MERIDIAN 2020

For FINAL YEARS

CALICUT MEDICAL COLLEGE

Academic Club - College Union'20

Time: 3 Hours Total Marks: 60

Short notes: (20x2=40)

Time: 3 Hours Total Marks: 60

Short notes: (20x2=40)

Academic Club - College Union20

• What is your probable diagnosis

• What is your probable diagnosis

Short notes: (20x2=40)

Academic Club - College Union20

Time: 3 Hours Total Marks: 60

Short notes: (20x2=40)

Academic Club - College Union20

Time: 3 Hours Total Marks: 60

Short notes: (20x2=40)

Academic Club - College Union20

Q.P. Code: 305001 Reg. no.: …………………

Time: 3 Hours Total Marks: 60

Short notes: (20x2=40)

Academic Club - College Union'20

Time: 3 Hours Total Marks: 60

• What is your probable diagnosis

Short notes: (20x2=40)

Academic Club - College Union'20

Short notes: (20x2=40)

Academic Club - College Union'20

Time: 3 Hours Total Marks: 60

Short notes: (20x2=40)

3. Management of nephrotic syndrome.

Academic Club - College Union'20

Time: 3 Hours Total Marks: 60

Short notes: (20x2=40)

Time: 3 Hours Total Marks: 60

Short notes: (20x2=40)

3. Mention 4 causes for flapping tremor

Academic Club - College Union'20

3. Write short notes on :

Academic Club - College Union20

GENERAL MEDICINE PAPER I

D) Causes of altered sensorium in this patient

6. Management of anaemia and CKD

10. Radiological findings in MS

11. Pulmonary thromboembolism-Investigation & Management

13. Extra-intestinal manifestations of Ulcerative colitis

15. Coeliac sprue

16. Hypertensive crisis

17. Oncological emergencies

19. IVIG therapy

Academic Club - College Union20

GENERAL MEDICINE PAPER I

a) What is the likely diagnosis?What may have precipitated this condition?

b) What investigations will you do for this patient?

c) How will you treat this patient?

a) What is the likely diagnosis?

b) How will you investigate this patient?

c) How will you treat this patient?

3.X-ray findings in mitral stenosis(MS)

4. Indications for renal replacement therapy(Dialysis)

7. Types of respiratory failure

8.Management of congestive cardiac failure