PG Degree Examinations in General Medicine (MD) - May 2014 Paper II - Clinical Medicine, Cardio Vascular System, Respiratory System, Nephrology, Rheumatology, Immunology, Infectious Diseases, Dermatology Time: 3 hrs
Max marks:100 • •
Answer all questions Draw diagrams wherever necessary
Essays:
(20)
1. A 60 years old man with a history of chronic alcohol intake presented with complaints of easy fatigability, shortness of breath and orthopnea. On examination, his pulse rate was 124/ min and respiratory rate was 28/ min. Neck veins were engorged. He had pedal edema. Chest examination revealed bilateral basal crepitations and abdomen examination revealed tender hepatomegaly. His cardiac examination revealed S3 gallop. •
Discuss the differential diagnosis of this patient.
•
Discuss the effects of chronic alcoholism on the related systems
Short essays:
(8x10=80)
2. Dermatological manifestations of systemic disease 3. Clinical features and management of pulmonary hypertension 4. Clinical features, diagnosis and treatment of IgA nephropathy 5. Common variable immune-deficiency (CVID) 6. Cutaneous T cell lymphoma 7. Atypical pneumonia 8. Hanta virus – epidemiology, clinical features, complications and management 9. Approach to a 75 years old patient with fever and a heart murmur
... and management of pulmonary hypertension. 4. Clinical features, diagnosis and treatment of IgA nephropathy. 5. Common variable immune-deficiency (CVID).
Add a note on. management of rheumatic fever. Answer briefly: (10x4=40). 7. Classes of anti-retroviral drugs used in treatment of HIV/AIDS. 8. Achalasia cardia.
What is intermittent claudication and explain its pathophysiology. How would you. differentially diagnose. Explain the role of physiotherapy in managing.
8. Insulin analogues. 9. Endocrinal paraneoplastic syndromes. ****************************. Page 1 of 1. General Medicine III.pdf. General Medicine III.pdf. Open.
