QP Code:104107

Reg.No.:…………………………

PG Degree Supplementary Examinations in General Medicine (MD) November 2013 Paper IV - Clinical Medicine, Tropical Medicine, Recent Advances in General Medicine Time: 3 hrs

Max marks:100 • •

Answer all questions Draw diagrams wherever necessary

Essays:

(20)

1. A 38 years old male patient was diagnosed as HIV positive three months ago. He was started on zidovudine / lamivudine and neverapine combination. Two months after starting the treatment, patient presented to the emergency department with history of generalized tonic clonic seizures. He was drowsy and not obeying commands. He had left side hemiparesis. How will you mange this patient. Short essays:

(8x10=80)

2. Recent advances in diagnosis of tuberculosis 3. Kala-azar 4. Newer concepts in treatment of Parkinson’s disease 5. Stem cell therapy in clinical practice 6. Biology of obesity 7. Current status of biologicals in rheumatoid arthritis 8. Influenza epidemic 9. Haemotoxic snake envenomation

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