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Question Bank - 3rd Prof, Part - II Mbbs
Question Bank - 3rd Prof, Part - II Mbbs
Contents:
University Examination Papers of 3rd
Professional Part- II (2008-2014)
University Examination Papers of 3rd
Professional Part- II, Supplementary (2008-
2014)
Semester Questions (8th & 9th Sem) of
2014-15 of all 11 colleges of WBUHS (having
batch : 2010-11)
Groupwise Distribution
of all the questions
THANKS GIVING
I am thankful to the persons who have provided me with the questions of some supplementary
MB examinations & Semesters of their respective colleges either personally or by posting them
on facebook. So, I would like to thank them:
Special thanks to Sunavo, Mainak & Aniruddha (BMC) for helping me in collecting some
semester questions.
A lot of thanks to Md. Salim Usuf, BMC for helping in me in Chapterwise distribution of the
questions.
And finally, thank you for deciding to go through this question bank.
I do hope that you will find this question bank helpful in your preparation of 3 rd
Professional, Part - II MBBS (WBUHS). Questions have been presented here groupwise
(particularly, the university papers) so as to give you an orientation regarding the
university(West Bengal University of Health Science) Question pattern of individual
subjects.
Regards
(immehboob@gmail.com)
GLOSSARY:
T/t : Treatment
M/m : Management
C/f : Clinical Features
D/d : Differential diagnoses
Yr/yrs : Years
Wt : weight
Ds: Disease
DM : Diabetes Mellitus
AF : Atrial Fibrillation
IMPORTANT NOTES
o
o
o
o
o
o
LONG QUESTION
Gr-A
1. Classify Shock. Discuss the patho-physiology and management of Septic
Shock. (3+6+6)[14]
2. What are the indications of blood transfusion? What are its complications?
What do you understand by massive blood transfusion? (3+8+4) [14, supple]
4. What are the normal value of different body electrolytes? What are the
electrolyte changes in a patient of long standing pyloric stenosis and how do
they occur? How do yuou prepare such a patient before elective operation?
(5+5+5) [13, supple]
5. What are the types of Haemorrhage? What are the methods of determining
acute blood loss? How would you treat haemorrhage? (3+6+6) [12]
6. Define shock. Discuss the pathophysiology of septic shock. How would you
manage a patient suffering from septic shock? (2+6+7) [12, supple]
7. Define and classify wound. Discuss the factors influencing wound healing.
Write in brief management of Diabetic ulcer affecting foot, in middle aged
man. (4+5+6) [11]
8. Define shock. What are its different types? Outline the management of a
patient presenting with features of septic shock. (2+4+9) [11, supple]
9. What are the coagulation factors? Write in detail about the mechanism of
Hemostasis. (5+10) [10]
10. Define claudication. What are the grades of claudication? How will you
manage a case of buerger’s disease with dry gangrene of foot? (2+4+9) [10,
supple]
11. Define and classify wound. Discuss various factors influencing wound healing.
Discuss in brief the management of “Diabetic foot”. (5+5+5) [09]
12. Classify haemorrhage. How will you determine the amount of blood loss?
(3+5+7) [09, supple]
13. Define and classify shock. How will you assess and treat a case of
haemorrhage shock? Mention the complication of blood transfusion.
(2+2+5+3+3) [08]
14. Classify burn. How will you assess and manage a 35 year old woman weighing
60 kgs admitted with 40% burn? (3+5+7) [08, supple]
LONG QUESTION
Gr-B
1. Describe the clinical features, investigation and management of
carcinoma of Stomach. (4+4+7) [14]
2. A 50 years male patient presents with bleeding per rectum. How will you
investigate and manage the patient. (7+8) [14]
3. What are the diseases of umbilicus? What are the presentation and
treatment of Meckel’s diverticulum? (3+7+5) [14, supple]
4. How will you assess a breast lump in an elderly woman? Outline the
treatment option of an early breast cancer in an woman of 50 yrs. (6+9)
[14, supple]
5. Classify colonic tumours. How will you manage a 60 years old man
presenting with fresh bleeding per rectum. (5+10) [13]
7. What are the causes of lump in right iliac fossa? Outline the diagnosis
and management of appendicular lump. (3+6+6) [13, supple]
8. A 30 yr old lady presented with severe abdominal pain and shock. Discuss
the differential diagnosis and outline the management. (6+9) [13, supple]
9. Middle aged patient presented with a big tense cystic lump in the upper
abdomen following an attack of acute abdomen. How would you investigate
the patient and plan the management? (8+7) [12]
10. What are the causes of benign biliary strictures? Discuss the
management of retained stone in common bile duct. (5+10) [12]
11. How would you proceed to investigate and manage a 50 year old man
presenting with a lump in left iliac region and irregular bowel habit. (6+9)
[12, supple]
12. A male patient presented with irreducible inguinal hernia on the right
side of 6 hrs duration. How would you proceed to manage the patient?
(15) [12, supple]
13. A forty five year old lady presents with acute upper abdominal pain,
discuss the differential diagnosis and management of such apatient. (7+8)
[11]
16. What are the causes of lump in RIF in a male patient of 40 years old?
How do you investigate and treat such a patient? (5+5+5) [11, supple]
17. What are all the causes of upper GI bleed? How will you manage acute
variceal bleeding? (8+7) [10]
18. What are the causes of obstructive jaundice? Write about the
management of carcinoma head of pancreas. (5+10) [10]
19. Enumerate the different diagnosis of painless fresh bleeding per rectum.
Plan the investigation and the treatment of carcinoma of sigmoid colon.
(3+5+7) [10, supple]
20. How ill you evaluate, grade and manage a case of blunt splenic trauma?
(3+4+8) [10, supple]
21. A middle aged male patient presents with an epigastric pain. Discuss the
differential diagnosis. How would you investigate to come to a diagnosis?
(8+7) [09]
22. What are the causes of weeping umbilicus? Discuss the problems related
to vitelline intestinal duct and their remedy. (5+5+5) [09]
24. Define and classify intestinal obstruction. How will you diagnose and treat
small intestinal obstruction? (5+5+5) [09, supple]
26. What are the causes of obstructive jaundice. How do you establish the
diagnosis. Discuss the various option in the management of
choledocholithiasis. (5+5+5) [08]
28. A 40 yr old male patient has come to the emergency with acute pain in
the right hypochondrium. How will you make a clinical diagnosis? Outline
the treatment strategy in such a patient. (5+10) [08, supple]
SHORT NOTES
Gr-C
1. Breast Biopsy [14]
BRIEF NOTES
Gr-D
1. Fractures occurring due to fall on outstretched hand [14]
2. Osteochondroma [14]
LONG QUESTIONS
Gr-A
1. Discuss the clinical features, investigation and treatment of Thyrotoxicosis.
(5+5+5) [14]
6. A 40 years old gentleman presented with bilateral knobby Renal lump in the
abdomen. How do you investigate and treat such a patient (Operational
details not required). (7+8) [12]
7. What are the different types of nipple discharges with their clinical
importances?how would you manage stage I carcinoma breast in a lady aged
40 years. (6+9) [12, supple]
8. A 65 year old man presented to the emergency with acute retention of urine.
How would you investigate and manage the patient? (7+8) [12, supple]
9. Classify carcinoma of breast. How will you investigate and manage a case of
early Carcinoma of Breast in a 40 year old lady. (4+5+6) [11]
10. Classify Renal neoplasms. How will you diagnose and manage a case of renal
carcinoma? (4+5+6) [11]
12. A 70 yr old man presents with acute retention of urine. How would you
investigate the patient? Outline the management in brief the benign
hyperplasia of prostste. (7+8) [11, supple]
13. What are the functions of parathormone? Write in detail about clinical
features, investigation and treatment of hyperparathyroidism. (3+4+4+4)
[10]
15. Classify thyroid malignancies. How will you manage a case of follicular
carcinoma of thyroid? (5+10) [10, supple]
16. A 40 year old patient presents with hematuria. Enumerate the differential
diagnosis, plan the investigations and treatment. (4+7+4) [10, supple]
17. A 35 year old lady presents with a Solitary thyroid nodule in right lobe. How
would you come to diagnosis and manage such a patient? (8+7) [09]
20. A 55 yr old lady presents with a lump in upper and outer quadrant of right
breast. Discuss briefly the management of such a patient. (15) [09, supple]
21. Enumerate the causes of haematuria. How will you confirm the diagnosis?
What will you do for a patient diagnosed to have carcinoma of urinary
bladder? (5+5+5) [08]
23. Enumerate the causes of acute retention of urine. What are the pathological
changes associated with prostatic hypertrophy? How will you manage such a
patient? (5+5+5) [08, supple]
24. Discuss the clinical features of pheochromocytoma. How do you diagnose this
condition? What will you do to manage it? (5+5+5) [08, supple]
LONG QUESTIONS
Gr-B
1. Describe the pathophysiology of BHP. Mention the medical and Surgical
management of BHP. (6+4+5) [14]
3. What are the different types of renal calculi? Discuss the clinical
features and management of renal calculi. (3+4+8) [14, supple]
5. PSA [12]
SHORT NOTES
Gr-C
1. Paget’s disease of Nipple [14]
BRIEF NOTES
Gr-D
1. Penile carcinoma [14]
LONG QUESTIONS
(GENERAL)
1. Define and classify shock. Discuss the pathogenesis and management of a patient
with a septic shock. (2+3+10) (MC,K) [8th Sem]
2. Define shock. What are the clinical features of septic shock? Outline the
management of septic shock. (3+5+7) (RG Kar) [8th Sem]
3. Give the detailed protocol for initial resuscitation for a moderately severe burn
patient (flame burn).how would you evaluate and manage associated inhalation
injury, if any? Discuss the role of topical antibiotics. (5+5+5) (IPGMER) [8th Sem]
4. How is the acid balance maintained in the body normally, with special reference to
the role of lung and kidney? What are the common causes of metabolic acidosis and
its management? What is anion gap and what is its clinical significance? (5+5+5)
(IPGMER) [8th Sem]
5. Classify shock. describe the pathology and management of septic shock. (3+6+6)
(BSMC) [8th Sem]
6. Give a brief account of electrolyte balance in the human body. What are the
electrolyte changes in a patient of long standing pyloric stenosis? How do you
prepare such a patient of long standing pyloric stenosis? How do you prepare such a
patient before an elective operation? (6+4+5) (MMC) [8th Sem]
7. What is tetanus ? describe clinical features and management. (2+6+7) (BSMC) [9th
sem] {paper 1}
8. Enumerrate the diferent blood fractions and discuss the indications of their use.
Discuss in brief the complication of whole blood transfusion. (10+5) (RG Kar) [9th
sem] {Paper 1}
9. Classify burns. What are the immediate and delayed complications of burn injury?
How will you manage a patient with 40% burns and 60 kg body wt. (5+5+5) (NRS)
[9th sem]
10. Classify wounds. Describe the pathophysiology of wound healing. What are the
common causes of burst abdomen? (4+6+5) (NRS) [9th sem]
11. Define and classify Surgical Site Infections. Enumerate the risk factors for the
development of surgical site infections. Discuss the role of antibiotic prophylaxis in
respect different class of surgical wounds. (2.5+2.5+5+5) (IPGMER) [9th sem]
12. Define burns. Mention different types of burns. Describe management of 40% 2nd
degree burn. (3+5+7) (CNMC) [9th Sem] {Paper 1}
13. How will you assess the severity of thermal burns? How will you manage such a
patient in emergency? What are the complications of burn? (4+6+5) (CMC) [9th Sem]
{Paper 1}
14. Mention the complication of blood transfusion. What are the blood substitutes?
(10+5) (Kalyani) [9th Sem] {Paper 1}
LONG QUESTIONS
(DIRECT QUESTIONS)
1. Enumerate the causes and clinical features of acute intestinal obstruction. Discuss
the management of acute intestinal obstruction. Discuss the management of
intestinal obstruction due to a malignant tumour in the recto sigmoid junction.
(6+3+6) (MC,K) [8th Sem]
6. Enumerate the causes of Breast lump. How will you manage a case of single lump in
right breast.(CNMC) [8th Sem]
7. What is meant by appendicular lump? What are the clinical features and outcomes?
Outline the management of appendicular lump. (2+7+6) (RG Kar) [8th Sem]
10. How will you approach a solitary thyroid nodule? (15) (KPC) [8th Sem]
11. Enumerate the clinical features of, pathology and management of RCC. (4+3+8)
(KPC) [8th Sem]
13. What are the peritoneal spaces? Describe the management of case of generalized
peritonitis following duodenal ulcer perforation. (5+20) (BMC) [8th Sem]
14. Discuss the clinical features of Phaeochromocytoma. How will you diagnose this
condition. Give an outline of management? (5+5+5) (MMC) [8th Sem]
15. Classify renal injury. Discuss clinical features and management of a patient having
injury in the left kidney following blunt trauma in left loin. (4+5+6) (MMC) [8th
Sem]
16. What is hydatid cyst? Give a short account of the life cycle of the parasite.write in
short the pathology and management of hydatid cyst. (1+4+10) (MMC) [8th Sem]
17. Classify goiters. How will you investigate and treat a 60 year old male presenting
with right sided thyroid swelling? (5+4+6) (NBMC) [8th Sem]
19. What is early breast carcinoma? How will you manage it? (5+10) (Kalyani) [8th Sem]
20. Enumerate the causes of obstructive jaundice. How will you investigate? Describe
the preoperative management of such a jaundiced patient. (5+5+5) (Kalyani) [8th
Sem]
21. Define hydronephrosis. Describe causes and its management. (15) (BSMC) [9th sem]
{paper 2}
23. Discuss the clinical features, investigation and management of acute cholecystitis.
(4+4+7) (RG Kar) [9th sem] {Paper 2}
24. What are the common causes of obstructive jaundice? How will you investigate a
patient with obstructive jaundice? What are the surgical management of
choledocholithiasis? (5+5+5) (NRS) [9th sem]
25. Classify different types of Thyrotoxicosis based on etiology. What are the reasons
for doing a total (or near total) thyroidectomy in large diffuse goiter with
thyrotoxicosis? How would you prepare such a patient for surgery? Enumerate the
post-thyroidectomy complication and the brief outline of their management(outline
only). (2.5+2.5+5+2.5+2.5) (IPGMER) [9th sem]
26. Mention the causes of acute pancreatitis. How will you establish the diagnosis?
Discuss the management of acute gall stone pancreatitis. (5+5+5) (CNMC) [9th Sem]
{Paper 1}
27. Mention the etiopathogenesisof urinary bladder stones. Describe the symptoms of
stone in lower 3rd of ureter and its management. (5+5+5) (CNMC) [9th Sem] {Paper
2}
28. Classify breast cancer. Write the clinical features, investigation and management
of stage –II Breast cancer. (3+4+3+5) (CNMC) [9th Sem] {Paper 2}
29. Define cyst. Classify cyst with examples. Discuss the management of a surgically
relevant parasitic cyst. (2+6+7) (CMC) [9th Sem] {Paper 1}
30. Classify carcinoma stomach. Mention risk factors. Discuss investigations. (7+4+4)
(CMC) [9th Sem] {Paper 1}
31. Mention the clinical features, types, management and complications of choledochal
cyst. (3+5+4+3) (CMC) [9th Sem] {Paper 1}
33. Describe the types of bladder and urethral injuries with clinical features and
management. (3+5+7) (CMC) [9th Sem] {Paper 2}
34. Enumerate the different adrenal swellings with clinical features and investigations
to be done for diagnosis. How do you prepare a patient of phaeochromocytoma for
surgery? (4+6+5) (CMC) [9th Sem] {Paper 2}
35. Discuss the types with management of different thyroid malignancies. (15) (CMC)
[9th Sem] {Paper 2}
36. Describe and classify wounds. Discuss various factors influencing wound healing.
Describe in brief M/m of a “diabetic foot “. (5+5+5) (BMC) [9th Sem] {Paper 1}
37. Classify benign breast ds. Briefly describe the M/m of a case of early breast
cancer. (5+10) (BMC) [9th Sem] {Paper 2}
38. Discuss pathogenesis of tetanus. Write briefly the clinical features and T/t of an
established case of tetanus. (5+5+5) (MMC) [9th Sem]
39. Describe the etiopathology of acute extradural hematoma. Mention the symptoms
and signs. Outline the principle of M/m of it. (5+5+5) (MMC) [9th Sem]
40. Mentions the complications of hernia. Discuss the C/f & M/m of strangulated
inguinal hernia. (5+5+5) (NBMC) [9th Sem]
41. What is locally advanced breast carcinoma? Outline the M/m of such a Case. (7+8)
(Kalyani) [9th Sem] {Paper 2}
42. Discuss the types, mechanisms, presentations and management of rupture urethra.
(2+3+5+5) (Kalyani) [9th Sem] {Paper 2}
LONG QUESTIONS
(CLINICAL CASES)
1. Classify Burn. A patient of 60 years is presented to you with a history of 50% burn
two hours back. How will you manage the patient? Describe the management
protocol for inhalation burn injury. (3+9+3) (NRS) [8th Sem]
2. Describe the causes, investigations and treatment of a 40 year old male patient
presenting with hematuria. (5+5+5) (NRS) [8th Sem]
3. A female patient of age 35 years is presented with a lump in umbilical region. How
will you manage the patient? (20) (CNMC) [8th Sem]
4. Classify salivary gland tumours. How will you manage a case of parotid swelling in a
50 year aged male patient? (CNMC) [8th Sem]
5. A male patient of 40 years age presented with an epigastric lump. Mention the
probable causes and the management. (CNMC) [8th Sem]
6. What are the causes of nipple discharge? How will you manage a case of advanced
carcinoma of breast in a 45 years aged female. (CNMC) [8th Sem]
7. A 40 year old man presents with severe pain starting over the epigastrium and
spreading all over. How would you proceed with the diagnosis and management?
(8+7) (RG Kar) [8th Sem]
8. A 40 year male alcoholic was admitted with severe pain abdomen with radiation to
the back and relief with stooping. Physical examination was grossly insignificant.
How will you proceed to diagnose, asses the severity and manage the patient.
(5+5+5) (IPGMER) [8th Sem]
9. What are the causes of a painless breast lump in an elderly lady of 65 years of age?
How would you investigate and manage such a case? (5+10+10) (BMC) [8th Sem]
10. A 50 year old female patient presented with obstructive jaundice. How will you
investigate the case to reach a diagnosis? (8+7) (BSMC) [8th Sem]
11. A 10 year old boy brought to emergency in shock stage with history of blunt trauma
in left upper quadrant of abdomen. How will you prefer to treat the patient and
follow up subsequently? (10+5) (NBMC) [8th Sem]
12. A 60 years male patient presented with haematuria, how do you investigate the
case to come to a diagnosis. How will you manage the case. (8+7) (BSMC) [9th sem]
{paper 1}
13. A 30 years female patient presented with acute lower abdomen pain. How will you
investigate and manage the patient. (8+7) (BSMC) [9th sem] {paper 1}
14. A 40 year’s women presented with solitary thyroid nodule. How will you manage the
case? (15) (BSMC) [9th sem] {paper 2}
15. Describe the important clinical features of a 50 years old male patient with gastric
outlet obstruction? How do you investigate the patient to come to a diagnosis?
Describe the management of gastric carcinoma in antrum? (4+4+7) (RG Kar) [9th
sem] {Paper 1}
16. Enumerate the common causes of bleeding per rectum in a 40 years old male
patient. How do you examine and investigate the patient to come to a diagnosis?
Outline the management of Carcinoma of upper third of rectum without any
metastasis. (3+4+4+4) (RG Kar) [9th sem] {Paper 1}
17. What are the causes of chronic retention of urine in a 60 year old male patient?
How can you differentiate anuria from retention of urine clinically ? enumerate
three common investigations we do for a patient with chronic retention of urine.
Describe the medical and surgical management of benign hypertrophy of Prostate.
(2+2+3+2+6) (RG Kar) [9th sem] {Paper 2}
18. A 45 yr old gentleman presented with intractable anemia and a painless lump in
right iliac fossa of 3 month’s duration. How would you investigate, stage, assess the
operability and plan a comprehensive management of the problem (brief putline
only) (5+2.5+2.5+5) (IPGMER) [9th sem]
20. A 55 yr old lady presented with a 5cm×5cm rounded lump of 3 months duration in
upper outer quadrant of right breast with overlying skin oedema and 1 cm diameter
ulceration and a few palpable matted axillary nodes. How would you stage,
investigate to confirm the diagnosis, prognosticate and manage (brief outline only)?
(2.5+5+2.5+5) (IPGMER) [9th sem]
21. How would you proceed to investigate a 65 yr old gentleman presenting with
painless hematuria for 3 wks duration. Give the outline of management of acute
retention in this elderly gentleman. Give the brief outline of the options of
management of RCC. (5+5+5) (IPGMER) [9th sem]
22. A 35 yrs old female patient presents with abdomen pain, vomiting and fever. How
will you manage the patient. (15) (CNMC) [9th Sem] {Paper 1}
23. A 50 yrs old female patient with lump in right lumbar region presents with
hematuria. What are the causes and how will you investigate the patient? Give an
outline of management of RCC. (5+5+5) (CNMC) [9th Sem] {Paper 2}
24. What are the causes of fresh bleeding per rectum? How will you proceed to
investigate a case of rectosigmoid malignancy? (5+3+7) (KPC) [9th Sem] {Paper 1}
25. A young man of 50 kg body weight come to you with 40% burns. How will you assess
and treat and what are the complications? (3+7+5) (KPC) [9th Sem] {Paper 1}
26. Enumerate the causes of retention of urine. How will you manage a case of
retention of urine in a 60 yr old man? (5+10) (KPC) [9th Sem] {Paper 2}
27. Mention the causes of nipple discharge. How will you investigate and treat a case of
fibrocystic disease of breast? (5+5+5) (KPC) [9th Sem] {Paper 2}
28. Outlin ethe M/m of a 50 yr old female patient with 65 kg body wt, who has
presented with 30% B.S.A. burn. (15) (BMC) [9th Sem] {Paper 1}
29. What are the causes of Right iliac fossa pain? Describe the M/m of acute
appendicitis. (7+8) (BMC) [9th Sem] {Paper 1}
30. What are the causes of acute retention of urine in an elderly male patient. Plan the
investigation & T/t in such a case. (3+6+6) (BMC) [9th Sem] {Paper 2}
31. Enumerate the causes of lump in right iliac fossa and discuss the differential
diagnosis. How will you manage a case of appendicular lump? (3+7+5) (MMC) [9th
Sem]
32. What are the causes of acute abdominal pain arising from epigastric region? How
chronic alcoholism leads to acute pancreatitis? Describe briefly the clinical
features and investigations required in case of acute pancreatitis. (3+3+5+4)
(MMC) [9th Sem]
33. What are the common causes of hematuria? Briefly discuss the C/f and M/m of
renal carcinoma. (5+5+5) (NBMC) [9th Sem]
34. What is the ‘triple assessment’ of a breast lump? Give outline of treatment of
malignant breast lump of a size 2 cm x 2 cmin a 50 year old female. (5+10) (NBMC)
[9th Sem]
35. What are the causes of lump in right iliac fossa? Describe the management of acute
appendicular lump. (7+8) (Kalyani) [9th Sem] {Paper 1}
36. What are the causes of bleeding per rectum? Outline the M/m of a patient aged 60
yrs suffering from bleeding per rectum. (5+10) (Kalyani) [9th Sem] {Paper 1}
SHORT NOTES
1. Pyloric Infection (MC,K) [8th Sem]
2. Appendicaular Lump (MC,K), (BMC) [8th Sem]
3. Treatment of Early Breast Carcinoma (MC,K) [8th Sem]
4. Various Presentation of Ca Stomach (MC,K) [8th Sem]
5. Manifestation of Gall Bladder Stone (MC,K) [8th Sem]
6. Phaeochromocytoma (MC,K) [8th Sem]
7. Treatment of CA Urinary Bladder (MC,K) [8th Sem]
8. Dermoid Cyst (MC,K), (R G Kar) [8th Sem]
9. Autosomal Dominant Polycystic Kidney Disease (MC,K) [8th Sem]
10. Thyroglossal Fistula (MC,K) [8th Sem]
11. Phylloide’s Tumor (NRS) [8th Sem]
12. Solitary Thyroid Nodule (NRS) [8th Sem]
13. Vitello-intestinal Duct (NRS) [8th Sem]
14. Complication of Total Parenenteral Nutrition (NRS) [8th Sem]
15. ERCP (NRS) [8th Sem]
16. Splenorrhaphy (NRS) [8th Sem]
17. Sebaceous Cyst (CNMC) [8th Sem]
18. Gastric Outlet Obstruction (CNMC) [8th Sem]
19. Bleeding Per Rectum (CNMC) [8th Sem]
20. Bed Sore (CNMC) [8th Sem]
21. Varicose Vein Complication (CNMC) [8th Sem]
22. Principles of Laparoscopic Surgery (CNMC) [8th Sem]
23. Day Care Surgery (CNMC) [8th Sem]
24. Hypospadius (CNMC), (BMC) [8th Sem]
25. Cleft Lip (CNMC) [8th Sem]
26. Post Burn Contracture (CNMC), (BMC) [8th Sem]
27. AIDS and the surgeons (CNMC) [8th Sem]
28. Varicocele (R G Kar) [8th Sem]
29. Dupuytren’s Contracture (R G Kar) [8th Sem]
30. Hemangioma (R G Kar) [8th Sem]
31. Post Anal Dermoid (R G Kar) [8th Sem]
32. Venous Ulcer (R G Kar) [8th Sem]
33. Cholesterosis of Gall Blader (R G Kar) [8th Sem]
34. Acute Retention of Urine (R G Kar) [8th Sem]
109. Extradural Haemorrhage (RG Kar) [9th sem] {Paper 2}, (BSMC) [9th sem]
{paper 1}
110. Split thickness skin grafting (RG Kar) [9th sem] {Paper 2}
111. Ludwig’s angina (RG Kar) [9th sem] {Paper 2}
112. Complication of Splenectomy (RG Kar) [9th sem] {Paper 2}
113. Decubitus Ulcer (RG Kar) [9th sem] {Paper 2}
114. ERCP (RG Kar) [9th sem] {Paper 2}
115. ESWL (RG Kar) [9th sem] {Paper 2}
116. Preoperative preparation of a Jaundice Patient (RG Kar) [9th sem] {Paper 2}
117. SIRS (NRS) [9th sem], (Kalyani) [9th Sem] {Paper 1}
118. OPSI (NRS) [9th sem]
119. Complication of thyroidectomy (NRS) [9th sem]
120. Staging of Ca Breast (NRS) [9th sem]
121. GIST (NRS) [9th sem]
122. Phaeochromocytoma (NRS) [9th sem], (BMC) [9th Sem] {Paper 2}
123. Causes of hematuria (NRS) [9th sem]
124. Lucid interval (NRS) [9th sem]
125. Intercostal chest drainage (NRS) [9th sem]
126. Basal Cell Carcinoma (NRS) [9th sem], (BMC) [9th Sem] {Paper 1}
127. Triangle of Safety in intercostal chest drain (IPGMER) [9th sem]
128. Chronic subdural hematoma (IPGMER) [9th sem]
129. Ectopia vesicae (IPGMER) [9th sem]
130. Epidural anesthesia (IPGMER) [9th sem]
131. Wolfe graft (IPGMER) [9th sem]
132. Dentigerous cyst (IPGMER) [9th sem], (BMC) [9th Sem] {Paper 2}
133. Universal precaution (IPGMER) [9th sem]
134. Hyperkalemia (IPGMER) [9th sem]
135. Ludwig’s angina (IPGMER) [9th sem]
136. Axontemesis (IPGMER) [9th sem]
137. MRCP (IPGMER) [9th sem]
138. Autonomic Bladder (IPGMER) [9th sem]
139. Classification of fistula in ano (CNMC) [9th Sem] {Paper 1}
140. Squamous cell CA (CNMC) [9th Sem] {Paper 1}
141. Umbilical hernia after laparoscopic cholecystectomy (CNMC) [9th Sem]
{Paper 1}
142. Metabolic changes of acute intestinal obstruction (CNMC) [9th Sem] {Paper
1}
143. Thyroid storm (CNMC) [9th Sem] {Paper 2}
144. Complication of peptic ulcer (CNMC) [9th Sem] {Paper 2}
145. Thyroglossal fistula (CNMC) [9th Sem] {Paper 2}
146. Urethral rupture (CNMC) [9th Sem] {Paper 2}
147. Chest trauma (CNMC) [9th Sem] {Paper 2}
SHORT NOTES
(ORTHO)
1. Giant Cell Tumor (R G Kar) [8th Sem], (BMC) [9th Sem] {Paper 1}
2. Colle’s Fracture (R G Kar) [8th Sem], (BMC) [9th Sem] {Paper 1} complication
of (CNMC) [9th Sem] {Paper 1}, (BSMC) [9th sem] {paper 1}
3. Volkmann’s Ischaemic Contracture (R G Kar) [8th Sem], pathophysiology of
(CNMC) [9th Sem] {Paper 1}
4. Myositis Ossificans Traumatica (R G Kar) [8th Sem]
5. Non-union (R G Kar) [8th Sem] (BMC), (Kalyani) [8th Sem], (Kalyani) [9th Sem]
{Paper 1}
6. CTEV (R G Kar) [8th Sem], (BMC) [9th Sem] {Paper 1}, deformities of CTEV
(Kalyani) [9th Sem] {Paper 1}
7. Chronic Osteomyelitis (R G Kar) [8th Sem], (CMC) [9th Sem] {Paper 1}
8. Lateral Condylar Fracture in Children (IPGMER) [8th Sem]
9. Syme’s Amputation (IPGMER) [8th Sem]
10. Monteggia Fracture (IPGMER) [8th Sem]
11. Thomas’ Test (IPGMER) [8th Sem]
12. Pathogenesis and Clinical features of Perthe’s Disease (KPC) [8th Sem]
13. Unicameral Bone Cyst (KPC) [8th Sem]
14. Management of Fracture Shaft Humerus (KPC) [8th Sem]
15. Osteoarthrosis of Knee Joint (KPC) [8th Sem]
16. Complication of Supracondylar fracture (of humerus) in children (BMC) [8th
Sem], (BMC) [9th Sem] {Paper 1}
17. Classification of Fracture Neck Femur in Adult (BMC) [8th Sem]
18. Giant Cell Tumor of Bone (BMC), (Kalyani) [8th Sem]
19. Management of Chronic Osteomyelitis (BMC) [8th Sem]
20. Scaphoid Fracture (BMC) [8th Sem]
21. Signs and Symptoms of Rickets (BMC) [8th Sem]
22. Wrist Drop (BMC) [8th Sem]
23. Compound Fracture (BSMC) [8th Sem]
24. Carpal Tunnel Syndrome (BSMC) [8th Sem] (CNMC) [9th Sem] {Paper 1}
25. Osteochondroma (BSMC) [8th Sem]
26. Spina Bifida (BSMC) [8th Sem]
27. Ewing’s Sarcoma (BSMC) [8th Sem], (CMC) [9th Sem] {Paper 1}
LONG QUESTIONS
Gr- A
1. What is acute coronary syndrome? How do you manage a case of acute
myocardial infarction in a 65 year old hypertensive patient? (3+7) [14]
2. What do you mean by Atrial Fibrillation (AF) and lone AF? What are the
common causes and usual consequence of AF? Enumerate the drugs used in
the T/t of AF. (2+6+2) [14, Supple]
5. Define unstable angina. How will you examine, investigate and manage a case
of unstable angina in a 50 years old patient. (2+8) [12]
6. Discuss the 1st 12 hr of M/m of AMI in a 60 yr old patient. (10) [12, Supple]
7. Define heart failure. Enumerate different types of heart failure. (2+8) [11]
9. What are the causes, clinical features and diagnostic features of acute
pericarditis? (4+4+3) [10]
10. Describe the clinical features and management of a patient with AMI. (10)
[10, supple]
14. Define ascites. Enumerate various causes of ascites. What are the
treatment option for ascites? (1+3+6) [08, supple]
15. What are the clinical manifestation of infective endocarditis? What are the
diagnostic tests done for it? Discuss the principle of treatment of infective
endocarditis.(3+3+4) [08, supple]
LONG QUESTIONS
Gr- B
1. Discuss diagnosis and management of a case of 15 year old boy presenting
with severe breathlessness, puffiness of face with hypertension and active
urinary sediments on urinary analysis. (4+6) [14]
2. A male patient aged 22 years has been admitted due to sudden onset of
convulsion with fever and jaundice of 5 days prior to admission. What are
the possibilities? How routine and specialized tests will help you to arrive at
a diagnosis? (4+3+3) [14]
4. A 60 yr old female presents with anasarca. How will you proceed to diagnose
and treat the patient? (5+5) [14, Supple]
6. How do you approach in a 60 years old male patient presenting with chronic
diarrhea mixed with blood with evidence of malabsorption for last 6 months?
(10) [13]
8. How do you approach in a 26 years female patient with bipedal swelling and
anemia with h/o fever for last 3 months? (10) [13, Supple]
9. Discuss the clinical and laboratory approach to a case of ascitis. (5+5) {12]
10. Discuss how you will approach a case of fever with polyarthritis with skin
rash of about 2 weeks duration in a young female? (10) [12]
11. What is nephrotic syndrome? How will you investigate and manage a patient
of nephrotic syndrome having normal serum creatinine? (3+7) [12, Supple]
12. A 46 yr old male patient has come to the emergency with acute upper
abdominal pain with vomiting. How do you proceed to diagnose the case? (10)
[12, Supple]
13. A 55-year old female has come to the Emergency with acute precordial
chest pain. How do you proceed to diagnose the cased? (10) [11]
14. A 30-year old male has come to the Emergency with severe epigastric pain
and vomiting. How do you proceed to diagnose the case? (10) [11]
15. A 40 yr old male patient with Chronic liver ds. And ascites was otherwise
doing well to have his ascites increased suddenly in last 7 days. Discuss the
approach. (10) [11, Supple]
16. A 35 yr old female patient presents with pain in multiple joints for last 2
months. How will you proceed to diagnose and manage the case? (10) [11,
Supple]
17. A 14-year old male was admitted in the emergency with history of weight
loss and polyuria. He was having deep breathing. How will you manage this
patient? (2+8) [10]
18. A 15 –year old female presented with a history of fever, arthralgia and
rashes. Discuss the differential diagnosis and management plan. (5+5) [10]
19. A young male was admitted in an emergency ward with fever and headache.
He has neck stiffness- discuss the salient investigations, differential
diagnosis and management. (10) [10, supple]
21. A 32 year female presents with high rise of temperature, haematuria and
right sided flank pain. Discuss how would you proceed to arrive at diagnosis.
Give its management plan for medical causes. (4+6) [09]
22. A 40 year old alcoholic male patient with severe pain in the epigastrium.
What are the likely causes and how would you proceed to arrive at diagnosis?
Give its management plan. (2+4+4) [09]
24. A 45 yr old male presented with vomiting of blood. How will you proceed to
diagnose the case? (10) [09, supple]
25. What are the clinical and laboratory (including ECG) features of acute
myocardial infarction? Discuss its management in first six hours. (2+3+5)
[08]
26. What are the causes of secondary hypertension? Discuss the treatment and
complication of malignant hypertension. (3+4+3) [08]
27. What are the common causes of chest pain in a 40 year old male? What are
the diagnostic test for acute myocardial infarction? (6+4) [08, supple]
BRIEF NOTES
(each carrying 4 marks)
Gr- C
1. Complication of Ascites [14]
7. Beriberi [14]
SHORT NOTES
(each carrying 4 marks)
Gr- D
1. Myasthenia gravis [14]
LONG QUESTIONS
Gr- A
1. Define Pneumonia. Classify Pneumonia. How will you treat a case of
community acquired Pneumonia? (2+3+5) [14]
2. A 60yr old male presents with haemoptysis. What are the likely causes?
How will you manage such a case? (2+8) [14, Supple]
10. Discuss the etiology and M/m of CVA9stroke. (10) [10, Supple]
12. Discuss the etiopathogenesis and M/m of Bronchial asthma. (5+5) [09,
Supple]
13. Enumerate Respiratoy Function Test. Name three obstructive and three
restrictive lung diseases. How will you differentiate obstructive and
restrictive lung diseases by respiratory function tests. (5+3+2) [08]
14. Define haemoptysis. What are the different causes? Discuss T/t of
haemoptysis. (2+4+4) [08, Supple]
LONG QUESTIONS
Gr- B
1. What is status epilepticus. Describe the management of status
epilepticus. (3+7) [14]
9. A man aged 70 years presented with lower GI bleeding. What may be the
likely causes? How will you proceed to come to diagnosis? (4+6) [12]
11. Define bronchial asthma . State the aims of therapy and principles of
drug therapy in acute severe asthma. (2+4+4) [12, Supple]
12. A 26 yr old female came to emergency with sudden onset gum bleeding
and purpuric rash over trunk with a h/o fever for 3 days. How will you
examina and investigate the patient to reach a diagnosis? (10) [12,
Supple]
13. What are the poor prognostic clinical features of acute severe asthma?
How will you manage such a patient?(10) [11]
14. A man aged 50 year is losing weight for sometime, what may be the
possible causes? How will you proceed for diagnosis? (3+7) [11]
16. A lady of 30 yrs has presented with goiter. How do you proceed to come
to an etiological diagnosis? (10) [11, Supple]
18. Describe the causes of “Pancytopenia”. How will you manage a case of
Aplastic Anaemia (6+4) [10]
20. How will you stage chronic kidney diseases(CKD)? How will you manage
CKD stage IV? (5+5) [10, Supple]
21. A 50 year old male presents with loss of weight. What are the possible
causes? How will you approach the case to arrive at a diagnosis? (3+7)
[09]
22. A 60 year old diabetic patient has been brought to casualty department
in unconscious state. What are the possible causes? How will you
approach the case to arrive at a diagnosis? (3+7) [09]
23. Describe the C/f and investigations of CML. Outline its M/m. (3+4+3)
[09, Supple]
24. Mention the common causes of coma in diabetic patients. How will you
diagnose and manage a case of diabetic ketoacidosis? (3+7) [09, Supple]
25. Discuss the risk factors for acute stroke. What are the steps in the
management of a patient with acute ischemic stroke? (5+5) [08]
26. Discuss the clinical and laboratory features of hypothyroidism. How will
you manage myxedema coma? (5+5) [08]
27. What are the clinical manifestation of a patient with lobar pneumonia?
What are the diagnostic tests and treatment plan for lobar pneumonia?
(3+3+4) [08, Supple]
28. What are the C/f and diagnostic tests in a ptient with Diabetic
ketoacidosis(DKA)? Discuss the principle of treatment of DKA. (4+3+3)
[08, Supple]
BRIEF NOTES
(each carrying 4 marks)
Gr- C
1. Treatment of CML [14]
SHORT NOTES
(each carrying 4 marks)
Gr- D
1. Coin lesion in chest Xray [14]
2. Demensia [14]
LONG QUESTIONS
1. How will you diagnose and treat a case of Unstable Angina? (15) (MC,K) [8th Sem]
3. What are the causes of Acute dyspnea? How will you approach a case of acute
dyspnea? (15) (CNMC) [8th Sem]
6. Define hypertension. Describe the procedure measuring blood pressure. How do you
evaluate the causes of Secondary hypertension at bedside based on clinical
examination alone. (2+3+5) (RG Kar) [8th Sem]
8. Define Acute Severe Asthma. How do you manage a case of Acute Severe Asthma.
(2+8) (RG Kar)) [8th Sem]
10. Mention causes of Generalized lymphadenopathy. Write down the clinical features,
diagnosis and management of Hodgkin’s Lymphoma. (15) (IPGMER) [8th Sem]
11. What is stroke? Mention its clinical types. What are the risk factors of stroke and
its common causes in a young patients? Describe in short the pathophysiology and
outline its management. (15) (IPGMER) [8th Sem]
12. What are the major clinical types of infective Endocarditis and its common
causative organisms? Describe in brief the clinical features and management of
Infective Endocarditis. (15) (IPGMER) [8th Sem]
13. What is Anemia? What are the common causes of hypochromic microcytic anemia.
How will you diagnose and treat a case of iron deficiency anemia? (15) (IPGMER)
[8th Sem]
15. Define heart failure. Enumerate the causes of left ventricular failure. Discuss
clinical features, diagnosis and treatment of left heart failure. (20) (Kalyani) [8th
Sem]
16. Describe patho-physiology of Heart failure. Treatment outline of acute left heart
failure in a case with atrial fibrillation. (BMC) [8th Sem]
17. Discuss systolic murmur in apex with and without radiation. (BMC) [8th Sem]
18. How will you differentiate ulcerative colitis from Crohn’s disease? Give an outline of
diagnosis and management of Ulcerative Collitis. (4+3+3) (BSMC) [8th Sem]
19. Enumerate five common causes of ascites. How will you diagnose and manage a
patient of ascites of 2 months duration. (2+5+8) (MMC) [8th Sem]
20. Briefly write the etiopathogenesis, clinical features and treatment of disease of
myo-neural junction? (3+3+4) (NBMC) [8th Sem]
21. Describe the etiology, clinical features and management of megaloblastic anemia.
(3+3+4) (NBMC) [8th Sem]
22. Describe the diagnostic criteria of SLE. Briefly discuss the classification and
management of lupup nephritis. (NBMC) [8th Sem]
25. Clasiify Acute Glomerulonephritis. What are its complication? (Kalyani) [8th Sem]
27. Define and classify anemia. How will you investigate a case of Chronic hemolytic
anemia to pin point etiopathology? (Kalyani) [8th Sem]
28. Classify acute leukimias. How do you treat Chronic Myeloid Leukaemia? (Kalyani)
[8th Sem]
30. Describe articular and non-articular management of Rheumatoid Arthritis. How will
you diagnose Rheumatoid Arthritis? (Kalyani) [8th Sem]
31. What are the clinical features of Superior Vena caval syndrome. Make a
differential diagnosis. (Kalyani) [8th Sem]
32. Enumerate four anti-hypertensive drugs of different groups detailing their generic
names, mechanism of action, doses and side effects. (Kalyani) [8th Sem]
33. Diagnosis and management of sub-acute infective endocarditis. (10) (BMC) [9th
Sem]
34. Enumerate risk factors of Coronary Artery Disease. Discuss management of Acute
Myocardial Infarction in 1st 6 hour. (2+8) (BSMC) [9th sem] {paper 1}
36. What are the common causes of Aortic Regurgitation. Describe the clinical
features of chronic aortic regurgitation. Give an outline of management of Chronic
heart failure. (4+5+6) (IPGMER) [9th sem]
37. What is acute renal failure? What are its major causes? How will you clinically
assess and manage a patient of ARF? (1+4+4+6) (IPGMER) [9th sem]
38. Outline the diagnostic criteria of diabetes mellitus? Enumerate the chronic
complication of diabetes mellitus. Describe in brief the management of DKA.
(2+5+8) (IPGMER) [9th sem]
39. Draw a diagram of conduction system of heart. Mention the etiology of irregular
pulse. Outline the management of atrial fibrillation. (3+3+4) (CNMC) [9th Sem]
{Paper 1}
41. Describe the conducting system of heart with a diagram. Enumerate the different
types of heart block & outline the T/t. (4+2+4) (MC,K) [9th Sem] {Paper-1}
42. What are the common causes of meningitis? How do you investigate a case of
meningitis? (4+6) (NRS) [9th Sem]
43. Define cirrhosis of liver. What are the clinical features of cirrhosis of liver? What
are the complication of cirrhosis of liver? (2+5+3) (NRS) [9th Sem]
44. Define atrial fibrillation. Enumerate the important causes. How will you diagnose
and treat a case of atrial fibrillation? (2+3+5) (KPC) [9th Sem] {Paper-1}
45. Outline the broncho pulmonary segments. Describe the C/f, diagnosis and M/m of
acute severe asthma. (3+4+3) (NBMC) [9th Sem]
46. Outline the pyramidal tract pathway. What are the risk factors for stroke? Briefly
outline the M/m of hemorrhagic sroke. (3+4+3) (NBMC) [9th Sem]
47. Describe the C/f, M/m & complications of acute falciparum malaria. (3+4+3)
(NBMC) [9th Sem]
48. Management and diagnosis of diabetic ketoacidosis. (10) (BMC) [9th Sem] {Paper-2}
49. Enumerate etiologies of pneumonia in different clinical settings. How will you
diagnose and treat community acquired pneumonia? (3+4+3) (BSMC) [9th sem] {paper
2}
50. Describe clinical features and management of Perkinson’s disease. (5+5) (BSMC) [9th
sem] {paper 2}
52. Define epilepsy. Enumerate different types of epilepsy. Describe the management
of status epilepticus. (3+3+4) (CNMC) [9th Sem] {Paper 2}
53. Mention common causes of coma in diabetic patients. How will you diagnose and
manage a case of diabetic ketoacidosis. (3+7) (CNMC) [9th Sem] {Paper 2}
54. Define bronchial asthma. What are the clinical features of poor prognosis in acute
severe asthma? How will you manage such a patient? (2+4+4)
55. Describe the pathophysiology of pneumonia. Write a briefly the etiology, C/f &
M/m of community acquired pneumonia. (4+6) (MC,K) [9th Sem] {Paper-2}
56. When do you suspect a patient to be suffering from DKA? How to manage DKA in
ER? (4+6) (MC,K) [9th Sem] {Paper-2}
57. Calssify seizure disorder. What is status epilepticus. Briefly discuss its M/m. (4+6)
(MC,K) [9th Sem] {Paper-2}
59. Define heart failure. What are the types of heart failure? Describe the M/m of
acute left ventricular failure. (2+5+8) (Kalyani) [9th Sem] {Paper 1}
LONG QUESTIONS
(CLINICAL CASES)
1. How will you approach case of hematemesis, melena and treat the case. (15)
(MC,K) [8th Sem]
2. How will you approach case of fever, splenomegaly,recurrent jaundice and treat
the case? (MC,K) [8th Sem]
3. A 20 year old male patient presented with fever with skin rash for 3 days with
history of haematemesis and melena in the emergency room. How will you
approach to treat the case? (15) (NRS) [8th Sem]
4. A 35 year old female is presented with multiple joint pain, mild fever with
swelling of the whole body. How do you investigate this case? (15) (NRS) [8th
Sem]
7. D/D of acute chest pain and approach to it. (15)(CNMC) [8th Sem]
8. Enumerate the causes of acute abdominal pain. How do you clinically approach
for a diagnosis? How do you manage the patient in the emergency room? (3+4+3)
(RG Kar) [8th Sem]
10. A 25 years old man presents with chest pain in the right side and fever for 7
days. What are the possible causes? How will you proceed to arrive at diagnosis?
Describe in brief the management of most likely cause. (15) (IPGMER) [8th
Sem]
11. A male patient(smoker) after a severe bout of cough developed sudden onset
respiratory distress with chest pain. How will you approach for the diagnosis
and treatment of it. (BMC) [8th Sem]
12. A 22 year old male patient presented with fever for 5 days, progressive loss of
consciousness and 3 episodes of convulsion. Discuss the diagnostic approach in
this case. Outline the management of most probable cause in this case. (BSMC)
[8th Sem]
13. A patient of rheumatic heart disease came to the MOPD with fever of three
weeks duration. On examination apart from heart murmurs and tachycardia, she
had significant pallor and mild splenomegaly. How will you investigate the case to
reach the diagnosis. How will you manage? (8+7) (MMC) [8th Sem]
14. A 16 years old male patient referred from a peripheral hospital to MMCH, with
fever of 5 days duration, altered sensorium and jaundice. Name your provisional
diagnosis. How will you confirm the diagnosis? Describe the current treatment
protocol? (5+10) (MMC) [8th Sem]
15. Ram, a 14 year old male was admitted in emergency with history of weight loss
and polyuria for last 10 months. He had low grade fever wityh expectoration for
last 3 days. He was having pain abdomen and deep breathing on presentation.
How will you manage the patient? (10) (NBMC) [8th Sem]
16. Rattan, 56 year old male diabetic, presented to you with high grade fever with
chills for last 14 days and cough and copious foul smelling sputum. What is the
most probabale diagnosis? How would you investigate and treat the patient?
(2+4+4) (IPGMER) [8th Sem]
17. A 32 year old female presents with high rise of temperature, haematuria and
right sided flank pain. Discuss how would you proceed to arrive at a diagnosis?
Give the management plan. (NBMCH) [8th Sem]
18. How do you approach to diagnose a case of severe sudden onset chest pain. (10)
(BMC) [9th Sem] {Paper 1}
19. How do you approach to diagnose a case of Dyspnoea.(10) (BMC) [9th Sem]
21. A 28 years female presented with progressive pedal oedema, facial puffiness,
arthralgia of multiple joints and red rashes in both cheeks, for last 6 months.
How will you evaluate this case. Outline the treatment of this condition. (6+4)
(BSMC) [9th sem] {paper 1}
22. A 52 years old male attended the emergency with history of chest pain for 3
hours and respiratory distress for 2 hours. He is diabetic, hypertensive and
smoker. He gives history of fever for 3 days and palpitation for 2 years. What
re the possible diagnoses you will suggest? What clinical features you will
search? What minimum investigations will you advise to come at a diagnosis?
(3+4+3) (RG Kar) [9th sem] {Paper 1}
23. A 35 years old male attended the outdoor with history of melena for 5 days. He
gives h/o vomiting infrequently for last 3 months. He also gives h/o anorexia and
weight loss in last 3 months. He is alcoholic and smoker. On further enquiry he
gives history of palpitation and dizziness and shortness of breath in last 3
months. What are the differential diagnoses? What clinical features will you
search for? What routine or special investigation will you suggest to arrive at a
diagnosis? (3+4+3) (RG Kar) [9th sem] {Paper 1}
24. A 35 years old female patient presented with pain in multiple joints for last 3
months. She gives a history of intermittent grade fever with urgency of urine
for last 2 months. On further enquiry she gives h/o hematuria in 2-3 occasions
in last 3 months and swelling of face for last 1 month. She was treated outside.
What are the differential diagnoses? What clinical features will you search for
in general survey or systemic examination? What minimum investigation will you
advise to arrive at a diagnosis? (3+4+3) (RG Kar) [9th sem] {Paper 1}
25. A 30 years old man presented with weakness of both lower limbs. What are the
possible causes? How will you approach to arrive at a diagnosis in this patient?
(5+10) (IPGMER) [9th sem]
26. A 25 year old female complained of tremor, palpitation and weight loss in spite
of good appetite. What are the probable causes here? How do you confirm the
diagnosis and manage the patient? (1+6+8) (IPGMER) [9th sem]
27. A 40 yr old male patient presented with a history of severe epigastric pain with
radiation to the back. The pain gets relieved by sitting upright and leaning
forward. What is the most likely diagnosis? How will you investigate and manage
the patient? (2+4+4) (CNMC) [9th Sem] {Paper 1}
28. A 20 yr old female presented with generalized swelling of the body. How do you
approach to diagnose th case?(10) (MC,K) [9th Sem] {Paper-1}
29. A 25 year old male presented with fever and polyarthritis. What are the
differential diagnoses? How do you approach to diagnose the case? (10) (MC,K)
[9th Sem] {Paper-1}
30. A 60 yr old male patient presents with chest pain with mild fever and cough.
How do you approach to reach a diagnosis? (10) (NRS) [9th Sem]
31. A 35 year old presented with severe pain inepigastrium and vomiting. What are
the likely causes? How will you approach to diagnose the patient? Outline the
brief M/m plan. (2+4+4) (KPC) [9th Sem] {Paper-1}
32. A 55 yr old female with h/o DM for 10 yrs presented with anasarca. How will
you proceed to diagnose and treat the patient. (5+5) (KPC) [9th Sem] {Paper-1}
33. A male patient of 30 yrs came to your OPD with high fever of 5 days along witn
breathelessness. How do oyu proceed to investigate the case? Briefly outline
the M/m of lobar Pneumonia. (6+9) (MMC) [9th Sem]
34. A 60 yr old male known diabetic and smoker presented with acute central chest
pain. How do you investigate the case? Mention the differential diagnoses. (9+6)
(MMC) [9th Sem]
36. How do you approach to diagnose a patient of long standing(more than 3 weeks
duration) fever. (10) (BMC) [9th Sem] {Paper 2}
37. How do you approach to diagnose a case of huge splenomegaly. (10) (BMC) [9th
Sem] {Paper 2}
38. A 16 year old male known diabetic presented with pain abdomen, repeated
vomiting and disorientation for last 3 days. How will you manage this case?(10)
(BSMC) [9th sem] {paper 2}
39. A 15 year’s female presented with progressive weakness and fatigue, pallor and
swelling of upper part of abdomen. How will you investigate the case. Outline the
management of most probable diagnosis. (7+3) (BSMC) [9th sem] {paper 2}
40. What are the causes of pyogenic meningitis in a person aged >60 years. Write
down the investigation and treatment of acute pyogenic meningitis. (2+4+4) (RG
Kar) [9th sem] {Paper 2}
41. A 40 year old lady presented with generalized lymphadenopathy for several
months. How do you approach in this case to reach a diagnosis and management.
(5+5) (RG Kar) [9th sem] {Paper 2}
43. A 21 yr old male has been admitted with low grade fever and generalized
lymphadenopathy. What are the likely causes? How will you proceed to diagnose
the. (3+7) (KPC) [9th Sem] {Paper-2}
44. A 20 yrs old male presented with fever, icterus & altered sensorium. Mention
possible causes. How will you evaluate? Write down M/m of Acute hepatic
failure. (3+6+6) (Kalyani) [9th Sem] {Paper 1}
45. A 20 yr old female patient presented with anasarca for last 2 weeks. Dip stick
examination revealed proteinuria. How will oyu approach & manage the patient?
(8+7) (Kalyani) [9th Sem] {Paper 1}
46. One 50 yrs old chronic smoker male patient presented with cough, sudden onset
left sided chest pain & dyspnoea. What are the probable causes? What
investigation would you do? How would you manage this patient? (3+6+6)
(Kalyani) [9th Sem] {Paper 2}
47. A 20 year old female patient was briught to emergency in a drowsy state with
history of fever& occasional convulsion for last 5 days. Make a differential
diagnoses. How to pinpoint the diagnosis? How will you manage this patient?
(5+5+5) (Kalyani) [9th Sem] {Paper 2}
48. A 50 yr old male presents with significant weight oss. Mention possible causes.
How will you proceed to investigate & treat him? (5+5+5) (Kalyani) [9th Sem]
{Paper 2}
SHORT NOTES
1. RPGN(MC,K) [8th Sem]
2. Aspergillous Allergic Pneumonitis(MC,K) [8th Sem]
3. Pulsus Alterans(MC,K) [8th Sem]
4. Extra intestinal Manifestation of IBD(MC,K) [8th Sem]
5. HSP(MC,K) [8th Sem]
6. Renal Osteodystrophy(MC,K) [8th Sem]
7. Hepato Pulmonary Syndrome(MC,K) [8th Sem]
8. Pronator Drift (NRS) [8th Sem]
9. Renal Osteodystrophy (NRS), (IPGMER) [8th Sem]
10. Incretins (NRS) [8th Sem]
11. Anti Retroviral Therapy (NRS) [8th Sem]
12. Renovascular Hypertension (NRS) [8th Sem]
13. Myxedema Coma (NRS) [8th Sem]
14. The Planter (NRS) [8th Sem]
15. Chronic Hepatitis C (NRS) [8th Sem]
16. Reactive Arthritis (NRS) [8th Sem]
17. Anatomy of Internal Capsule (CNMC) [8th Sem]
18. Chest X-ray Findings of Mitral Stenosis (CNMC) [8th Sem]
19. Clinical Features of Aortic Regurgitation (CNMC) [8th Sem]
20. RNTCP Regimen of all 4 category of Tuberculosis (CNMC) [8th Sem]
21. Hepatomegaly (CNMC) [8th Sem]
22. Respiratory Failure (CNMC) [8th Sem]
23. Hepatic Encephalopathy (CNMC), (BSMC) [8th Sem]
24. Neck Veins (CNMC) [8th Sem]
25. Clubbing (CNMC), (NBMC) [8th Sem]
26. Management of Infective Endocarditis (CNMC) [8th Sem]
27. Treatment of Heart Failure (CNMC) [8th Sem]
28. Gold Criteria for COPD (CNMC) [8th Sem]
29. ECG Findings of AML (CNMC) [8th Sem]
30. Portal Hypertension (CNMC) [8th Sem]
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333. Pathogenesis & complication of falciparum malaria (Kalyani) [9th Sem] {Paper 1}
334. C/f of Rheumatoid arthritis (Kalyani) [9th Sem] {Paper 1}
335. Sex-linked recissive disorder (Kalyani) [9th Sem] {Paper 1}
336. P-wave abnormalities in ECG (Kalyani) [9th Sem] {Paper 1}
337. Diagnostic criteria of SLE (Kalyani) [9th Sem] {Paper 1}
338. M/m of massive Variceal bleeding (Kalyani) [9th Sem] {Paper 1}
339. Cell mediated immunity (Kalyani) [9th Sem] {Paper 1}
340. Diagnosis of chronic hemolytic anemia (Kalyani) [9th Sem] {Paper 2}
341. VZV(Kalyani) [9th Sem] {Paper 2}
342. Metabolic syndrome (Kalyani) [9th Sem] {Paper 2}
343. Schizophrenia (Kalyani) [9th Sem] {Paper 2}
344. Diagnosis & T/t of Scabies (Kalyani) [9th Sem] {Paper 2}
345. Tic Douloureux (Kalyani) [9th Sem] {Paper 2}
346. Diabetic retinopathy (Kalyani) [9th Sem] {Paper 2}
347. Tension Pneumothorax (IPGMER) [9th sem], (NRS) [9th Sem]
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LONG QUESTIONS
Gr- A
1. A primigravida at 34 weeks of gestation with vaginal bleeding attends
hospital emergency. Enumerate the possible causes. How will you diagnose it?
What will be the management of such a case? (2+4+4) [14]
2. What are the indications of induction of labour? What are the different
methods of induction? Write briefly its complication. (3+3+4) [14, Supple]
4. Define antenatal care. Discuss the benefits of antenatal care and outline the
standard antenatal care methods. (2+4+4) [13, Supple]
6. Define ectopic pregnancy. What are the c/f onruptured tubal ectopic
pregnancy? Discuss briefly the different modalities of T/t of unruptured
tubal pregnancy. (2+3+5) [12, Supple]
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11. A primigravida had assisted delivery with outlet forceps. She started severe
vaginal bleeding four hours after child birth. Enumerate the causes of this
bleeding. How will you manage such a patient? (2+8) [09]
12. A 26 yrs old primigravida carrying twinshas just delivered the first baby.
Write in brief your subsequent M/m till the second baby is born. What are
the post partum complications of twin pregnancy? (7+3) [09, Supple]
13. Define Pre-eclampsia. What are the diagnostic criteria? What are the
immediate and remote comkplications? Outline a protocol of management of
Eclampsia with Magnesium Sulphate. (2+2+3+3) [08]
14. Describe the symptoms and sign of iron deficiency anemia. How do you
investigate such case? What are the complications of severe anemia in
pregnancy? (2+4+4) [08, Supple]
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LONG QUESTIONS
Gr- B
1. Define normal labour. What are the different stages of labour? How will
you monitor the progress of labour? What precautions are taken during
delivery of head in vertex presentation? (2+2+4+2) [14]
2. Define PPH. How would you classify PPH? How would you manage a case of
atonic PPH?(2+3+5) [14, Supple]
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10. What are the causes of IUFD? Discuss the diagnosis and M/m of such a
case. (4+3+3) [10, Supple]
12. How will you diagnose IUFD? Outline the management of such a case in a
diabetic primigravida carrying 36 wks of pregnancy. (5+5) [09, Supple]
13. Define habitual abortion. How will you investigate a patient with history of
habitual abortion? Briefly outline the treatment of cervical incompetence
in pregnancy. (2+5+3) [08]
14. Define IUGR. What are the factors that contributeto IUGR? How can you
diagnose such acse and confirm it? (2+3+5) [08, Supple]
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SHORT NOTES
(each carrying 5 marks)
Gr- C
1. Retained placenta [14]
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JUSTIFY
(each carrying 5 marks)
Gr- D
11. Active management of 3rd stage labour should be done in all cases [13]
12. Prophylactic Iron therapy should be given to all pregnant women [13]
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13. All vaginal delivery should be conducted bt trained birth attendants [13,
Supple]
16. Not all cases of vaginal delivery need episiotomy [13, Supple]
21. Emergency obstetric care is one of the most effective strategies for
preventing maternal deaths- explain how [12, Supple]
22. Breast milk is the best food for a newborn- justify [12, Supple]
24. Routine screening for foetal congenital malformation is a must even in low
risk young primigravidas- comment [12, Supple]
25. How antenatal care can reduce maternal mortality in our country? [11]
26. HIV testing should be done in all pregnant women – Justify [11]
30. Breast feeding reduces neonatal morbidity and mortality- discuss in short
[11, Supple]
31. Vaginal birth is possible in post caesarean pregnancy- when and how? [11,
Supple]
32. All pregnant women should be given iron and folic acid. Comment [10]
33. All pregnant women should undergo ultrasound in 2nd trimester [10]
34. All women should be advised about early breastfeeding. Why? [10]
37. Ergometrine should not be given to prevent PPH in a woman with heart ds-
give reasons [10, Supple]
38. All pregnant women should undergo Hb estimation and blood group
testing- justify [10, Supple]
40. All pregnant women should be offered screening for HIV infection in early
pregnancy. Justify [09]
43. Height of fundus of gravid uterus may not always corroborate with the
period of amenorrhoea- give reasons [09, Supple]
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50. Once caesarean section doesn’t mean always a caesaren section – comment
[08, Supple]
51. Most of the maternal deaths are preventable – justify [08, Supple]
52. Management of a case of eclampsia needs special set up- justify [08,
Supple]
53. Follow up of all hydatidiform mole patients should be done – justify [08,
Supple]
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LONG QUESTIONS
Gr- A
1. What are the different types of genito-urinary fistula? What are its
causes? How will you diagnose a case of V.V.F.? (2+4+4)[14]
5. Discuss the support of uterus. Enumerate the etiological factors for Pelvic
organ Prolapse. Outline the management of procidentia in a post-menopausal
lady. (4+3+3) [12]
6. A 45 yearold woman presented with irregular vaginal bleeding for one year
duration. Discuss the differential diagnosis. Discuss M/m of early stage
cervical cancer. (4+6) [12, Supple]
7. Define Menorrhagia. What are its causes? How would you manage a case of
Menorrhagia due to fibroid uterus? (2+2+6) [11]
8. Mention the causes of primary amenorrhoea. Mention modern day tools for
diagnostic evaluation of case of primary amenorrhoea. (4+6) [11, Supple]
10. Enumerate the causes of post-menopausal bleeding per avgina. Describe ethe
M/m of Ca endometrium in a 50 yr old woman. (3+7) [10, Supple]
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11. Name the cervical premalignant lesions. How do screen these lesions?
Discuss the FIGO staining of Carcinoma of cervix. (2+3+5) [09]
12. Calssify benign ovarian tumors. What are the clinical features of malignancy
in a patient with ovarian tumour? What is stage I ovarian malignancy
according to FIGO? (5+3+2) [09, Supple]
13. Define post menopausal bleeding. What are the causes? How you will arrive
at a diagnosis in a case of post menopausal bleeding? (1+4+5) [08]
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LONG QUESTIONS
Gr- B
1. What is dysmenorrhoea? How will you differentiate between primary and
secondary dysmenorrhoea? How will you treat a case of primary
dysmenorrhoea? (1+4+5) [14]a lady, 40 yrs of age, presents with a lower
abdominal lump. Enumerate the possible causes. How would you
investigate such a case? (5+5) [14, supple]
4. A 45 years old lady with a lower abdominal lump complains of pelvic pain.
What are the possible causes? Briefly outline the management of such a
case. (3+7) [12]
5. Enumerate the common site of endometriosis. What are the clinical features of
pelvic endometriosis? Briefly discuss the medical M/m of pelvic endometriosis.
(2+2+6) [12, Supple]
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9. Write briefly the cause of genital prolapse. Discuss the M/m of a case of
uterine prolapse wth cystocele and rectocele in a 35 year old woman (4+6)
[10, Supple]
10. What are the types of urinary incontinence? A primipara aged 22 years
who had forceps delivery following prolonged delivery, complains of
continuous leakage of urine per vaginum which started about 7 days after
child birth. Mention the likely causes and your method of diagnosis of the
condition. (5+1+4) [09]
11. How will you proceed to investigate and treat a case of abnormal uterine
blleding in a parous woman aged 38 years? (5+5) [09, Supple]
13. A 14 year old girl attended G&O emergency with the complaint of primary
amenorrhoea, lower abdominal pain, acute retention of urine and lower abdominal
mass. Wghat is the probable diagnosis? How will you investigate the case and
tret her? (2+5+3) [08, Supple]
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SHORT NOTES
(each carrying 5 marks)
Gr- C
1. Support of pelvic organs [14]
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JUSTIFY
(each carrying 5 marks)
Gr- D
1. Laparoscopy is essential in gynaecological practice – Comment [14]
6. Something coming down per vagina does not necessarily mean- it is a case
of genital prolapsed- comment [14, supple]
7. Combined OCP have more benefits than risks- comment [14, supple]
11. Methods of choice of second trimester MTP, Justify the methods [13]
12. Tumour Marker has great prognostic value in ovarian malignancy – Justify
[13]
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17. Cervical Screening can effectively reduce Cancer Cervix – Justify [12]
19. Combined oral Contraceptive is the best Contraceptive option for newly
married couple – Justify [12]
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31. All married women should undergo PAP smear examination. Justify [10]
35. Laparoscopic ligation is the best method of ligation- critically evaluate [10,
Supple]
36. All women of reproductive age should undergo PAP smear- support [10,
Supple]
38. All adolescent girl should be given HPV vaccine- justify [10, Supple]
43. All cases of infertility should have laparoscopy- justify [09, Supple]
45. Complete perineal tear is d/t mismanaged 2nd stage of labour- comment
[09, Supple]
46. As a sterilization procedure, the ideal site for partial salpingectomy is not
ampulla- comment [09, Supple]
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47. Justify the place of H.S.G. in the workup protocol of infertility [08]
48. Early diagnosis of ovarian cancer is still not possible – Give reasons [08]
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LONG QUESTIONS
1. What is induction of Labour? How will you diagnose a case of normal labour
and outline its management? (2+4+4) (MC,K) [8th Sem]
2. What is Primary infertility? How will you proceed to diagnose the causes of
primary infertility? Outline the management of female partner with
ovulation disorder. (1+4+5) (MC,K) [8th Sem]
3. Define Antenatal care. Enumerate the routine investigation that are advised
to a pregnant woman in the antenatal clinic. Discuss in brief the physiological
changes in the cardiovascular system during pregnancy. (2+3+5) (NRS) [8th
Sem]
9. What is pre eclampsia? What are criteria of severe pre eclampsia?Give the
outline of management of severe pre eclampsia. (1+3+6) (CNMC) [8th Sem]
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10. What is menorrhagia?what are the causes? Name the medicine s used in the
treatment of menorrhagia in a case of DUB/Medical management of DUB.
(1+3+6) (CNMC ) [8th Sem]/ (2+3+5) (BMC) [9th Sem]
11. Enumerate the benign ovarian neoplasms. Mention the complication of benign
ovarian neoplasms. Write briefly on dermoid cyst. (2+3+5) (CNMC ) [8th Sem]
12. Define PPH.What are the different causes of PPH. Outline the management
of profuse bleeding per vagina in a multigravida who has delivered vaginally
half an hour ago. (3+7+10) (RG Kar) [8th Sem]
13. Define Pelvic Organ Prolapse. Describe the different causes and types of
POP. Outline the management of different types of prolapse.(3+7+10) (RG
Kar) ) [8th Sem]
14. Define PPH. what are the causes of PPH? What are the measures to be
taken to prevent it? How will you manage a case of atonic PPH? (3+3+4)
(IPGMER) [8th Sem]
15. What is infertility? What are the main causes of infertility? How will you
investigate tubal factor infertility? (2+4+4) (IPGMER) [8th Sem]
16. What are the causes of pelvic pain? Briefly discuss the diagnosis and
management of pelvic endometriosis in a 24 year old woman. (3+3+4) (KPC)
[8th Sem]
18. Define antepartum haemorrhage. Enumerate the causes of APH. What are
the differences between Placenta previa and abruption placenta? How do you
manage a case of placenta previa in a case of 36 weeks of
pregnancy?(2+3+5+10) (BSMC) [8th Sem]
19. What do you mean by pregnancy induced hypertension? How do you diagnose
a case of severe pre eclampsia? How do you manage acase of pre eclampsia
at 34 weeks of pregnancy? Mention the complications of severe pre
eclampsia. (2+3+10+5) (BSMC) [8th Sem]
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21. Define Pre eclampsia. Enumerate the diagnostic features of pre eclampsia.
What are the common antihypertensive used to treat pre eclampsia and
eclampsia? What is the anticonvulsion of choice in pre eclampsia? Write a
suitable and commonly used regimen of that drug in eclampsia. (1+2+2+1+4)
(MMC) [8th Sem]
22. Define PPH. Classify it. What are the common causes of PPH within half an
hour of child birth? How wil you prevent atonic PPH? (1+2+3+4) (MMC) [8th
Sem]
23. Define infertility. What are the common causes for anovulation? What are
the evidences of ovulation? What methods are used to test tubal
patency?(1+3+3+3) (MMC) [8th Sem]
24. What are the types of fibroid uterus? Enumerate the menstrual symptoms
of fibroid. How will you manage a case of symptomatic fibroid uterus in a 41
year old multiparous woman?(2+3+5) (MMC) [8th Sem]
26. Enumerate different epithelial ovarian tumors. Discuss the diagnosis and
management of Benign Ovarian tumors. (2+4+4) (BSMC) [9th sem] {paper 2}
27. Define infertility. How do you investigate a case of primary infertility? How
will you induce ovulation? Enumerate the names of different techniques of
Assisted Reproductive Techniques (ART) (3+3+2+2) (BSMC) [9th sem] {paper 2}
28. Define Normal labour . What are the different stages of labour. Outline the
management of 1st stage of labour. (2+2+6) (RG Kar) [9th sem] {Paper 1}
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29. What are the different female factors in infertility. Outline the evaluation
of female factors of infertility. (3+7) (RG Kar) [9th sem] {Paper 2}
30. Classify Epithelial Ovarian Carcinoma. Outline the management of a 48 years old
post menopausl lady presenting with heterogenous ovarian lump with ascites. (3+7)
(RG Kar) [9th sem] {Paper 2}
31. Define Primary amenorrhoea. What are the common causes of primary
amenorrhoea? Describe the clinical features and treatment of imperforate
hymen. (2+3+5) (NRS) [9th sem]
32. Describe the latest FIGO staging of Ca Cervix. Describe the management of stage
I Ca Cervix. (5+5) (NRS) [9th sem]
34. Describe briefly the development of placenta. Mention any type of placental
abnormality with its clinical significance. Describe the methods of placental
delivery. (4+3+3) (IPGMER) [9th sem]
35. Define infertility. Write common causes of female infertility. How will you
investigate the tubal factor for female infertility? (2+4+4) (IPGMER) [9th sem]
36. Mention different types of uterine fibroid. What are the different
secondary changes in fibroids. Outline the management option for a woman
with a symptomatic fibroid uterus. (2+2+6) (CNMC) [9th Sem] {Paper 2}
37. What is CIN and what are the diferent types of CIN? Mention the risk factors for
CIN and cervical cancer. Discuss in brief the diagnosis of CIN. (3+2+5) (CNMC) [9th
Sem] {Paper 2}
38. What is APH? What are the causes? How will you manage a case of APH at 33 wks
GA in labour room? (2+2+6) (CMC) [9th Sem] {Paper 1}
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39. What is physiological anemia in pregnancy? Discuss the diagnosis and management
of Iron deficiency anemia in pregnancy and labour? (2+4+4) (CMC) [9th Sem] {Paper
1}
40. What is maternal mortality? What are the causes?how can we reduce the maternal
mortality in our hospital? (2+4+4) (CMC) [9th Sem] {Paper 1}
41. What are the causes of vesico vaginal fistula in our country? How can you diagnose
a case of VVF and outline its treatment? (3+4+3) (CMC) [9th Sem] {Paper 2}
42. Define Post partum haemorrhage. What are the causes of postpartum haemorrhage.
Describe in brief the M/m of PPH. (2+3+5) (KPC) [9th Sem] {Paper-1}
43. Define menopause. What are the c/f of menopause? Outline the M/m of menopause.
(2+4+4) (KPC) [9th Sem] {Paper-2}
44. Define normal labour. What are the stages of labour? How will you monitor the
progress of labour? How will oyu practice active M/m of 3rd stage of labour?
(2+1+4+3) (MMC) [9th Sem]
45. Define antepartum haemorrhage. What are the causes of APH? How will you
clinically differentiate between placenta previa & abruption placenta? When will you
manage placenta previa expectantly and when will you terminate such expectant
management? (2+1+3+2+2) (MMC) [9th Sem]
46. What are the characteristics of normal menstruation? What are the important
causes of the secondary amenorrhoea in young adults? What are the common drugs
used for the induction of ovulation? Describe the use of one such drug in the
treatment of polycystic ovarian syndrome. (2+3+2+3) (MMC) [9th Sem]
47. Define pre eclampsia. Enumerate symptoms and signs of severe pre eclampsia or
imminent eclampsia. Outline the M/m of Eclampsia. (2+3+5) (NBMC) [9th Sem]
48. Outline the M/m of 3rd stage of labour. Enumerate the complication of 3rd
stage of labour. How will you manage the commonest complication of 3rd
stage of labour? (5+2+8) (Kalyani) [9th Sem] {Paper 1}
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LONG QUESTIONS
(CLINICAL CASES)
1. One 26 year old pregnant mother (32weeks of GA) admitted in our labour
room with H/o passage of watery discharge per vagina for last 2 days. What
is your provisional diagnosis? How will you confirm your diagnosis and manage
such a case? (1+4+5) (MC,K) [8th Sem]
2. One 32 year old mother P2+2 came to the GOPDwith H/O menorrhagia for
last 8 months. How will you diagnose and manage such acase? (5+5) (MC,K)
[8th Sem]
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11. Enumerate the causes of bleeding per vagina early in pregnancy. A woman has
two months of amenorrhoea. She presents at the emergency room with
severe pain abdomen, bleeding per vagina with fainting attack. What is your
provisional diagnosis and how will you manage the case? (2+8) (NBMC) [8th
Sem]
12. A 35 year old patient with no preceeding amenorrhoea has menorrhagoea for
2 months. How will you investiagate the case? Write the medical
management and the minimal access conservative surgeries in this case.
(3+4+3)(NBMC) [8th Sem]
14. A 40 year old female came to gynaeOPD with the complain of swelling of
lower abdomen from past 6 months. Enumerate the differential diagnosis.
Describe how can you reach final diagnosis? (3+7) (Kalyani) [8th Sem]
15. A primigravida had assisted delivery with outlet forceps. She started severe
vaginal bleeding four hours after child birth. Enumerate the causes of this
bleeding. How will you manage such a patient? (2+8) (BSMC) [9th sem] {paper 1}
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16. Define APH. Outline the management of 27 years old 2nd gravid (Previous
term vaginal delivery) attending emergency with complaints of Painless
Vaginal Bleeding at 32 weeks of gestational age. (3+7) (RG Kar) [9th sem]
{Paper 1}
17. Classify Epithelial Ovarian Carcinoma. Outline the management of a 48 years old
post menopausl lady presenting with heterogenous ovarian lump with ascites. (3+7)
(RG Kar) [9th sem] {Paper 2}
18. Enumerate the causes of anemia in pregnancy and its complications. How will
you manage a woman at 32 wks gestation having Hb level of 6gm/dl? (2+3+5)
(NRS) [9th sem]
19. Define IUGR of fetus. Enumerate causes of IUGR. How will you manage a case of
primigravida with mild IUGR at 33 wks of gestation? (2+3+5) (NRS) [9th sem]
20. A 60 year old menopausal pt came with h/o bleeding PV. What will be the
cause of bleeding? what are the investigation you can do for the patient for
diagnosis? What are the treatment option in your hand for this patient?
(2+4+4) (IPGMER) [9th Sem]
21. A young primi gravida at 36 week of pregnancy was admitted with convulsion.
Enumerate the possible causes of convulsion in this patient. How will you
reach the definitive diagnosis? Write in brief the management of such a
case. (2+2+6) (CNMC) [9th Sem] {Paper 1}
22. A 2nd gravida was admitted in labour and she developed excessive bleeding
pervagina following forceps delivery. What are the likely indications of
forceps delivery in this patient? Enumerate the causes of excessive vaginal
bleeding after delivery of placenta. Describe in brief the management of
such a case. (1+3+6) (CNMC) [9th Sem] {Paper 1}
23. Mrs SM 62 yrs old woman having her menopause 14 yrs ago, presented with
bleeding per vagina for last 7 days. What are the common causes of bleeding
in the case? How can you establish your diagnosis? (3+7) (CMC) [9th Sem]
{Paper 2}
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24. Mrs BD 26 yr old infertile woman with h/o menorrhagia for last 10 months,
presented with a farm mass sized 18x16 cm2 in lower abdomen. What is your
provisional diagnosis? How will you confirm your diagnosis and treat the woman?
(1+5+4) (CMC) [9th Sem] {Paper 2}
25. A 26 yr old primigravida was admitted at 30 wks with abdominal pain and
intermittent uterine contractions. What could be the causes? How wil you assess a
woman briefly outline the M/m principles. (2+3+5) (KPC) [9th Sem] {Pape 1}
27. What are the common causes of lower abdominal lump in women of
reproductive age? How will you clinically distinguish between uterine &
ovarian lump? What are the features suggestive eof malignancy in an ovarian
lump? What are the common types of ovarian malignancy? (2+3+3+2) (MMC)
[9th Sem]
28. Enumerate the causes of white discharge per vagina. Outline the M/m of Pruritic
white discharge per vagina. Enumerate the normal defense mechanism of vagina.
(3+4+3) (NBMC) [9th Sem]
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SHORT NOTES
1. Lymphatic Drainage of Female Pelvis (MC,K) [8th Sem]
2. Role of GNRH Analogue in Gynaecology (MC,K) [8th Sem]
3. Surgical Management of PPH (MC,K) [8th Sem]
4. Post Exposure Prophylaxis for HIV (MC,K) [8th Sem]
5. Atonic PPH (NRS) [8th Sem]
6. Complication of Twin Pregnancy (NRS) [8th Sem]
7. Non-contraceptive benefits of OCP (NRS) [8th Sem]
8. Complication of IUCD (NRS) [8th Sem]
9. Physiological Changes in CVS in Pregnancy (CNMC) [8th Sem]
10. Active Management of 3rd stage of labour (CNMC) [8th Sem]
11. CIN- diagnosis and outline of Management (CNMC) [8th Sem]
12. Injectable Contraceptives (CNMC) [8th Sem]
13. Atonic PPH- causes and oxytocicdrugs used in the management (CNMC) [8th Sem]
14. Complication of Abruptio Placentae (CNMC) [8th Sem]
15. Pelvic Part of Ureter (CNMC) [8th Sem]
16. Changes in Fibromyoma of Uterus (CNMC) [8th Sem]
17. Follow up in a Case of H. Mole (RG Kar) [8th Sem]
18. Deep Transverse Arrest (RG Kar) [8th Sem]
19. Post exposure Prophylaxis in HIV (RG Kar) [8th Sem]
20. Medical Management of Fibroid (RG Kar) [8th Sem]
21. Tumour Marker (RG Kar) [8th Sem]
22. Emergency Contraceptives (RG Kar) [8th Sem]
23. Medical Eligibility Criteria for Contraception (IPGMER) [8th Sem]
24. Semen Analysis (IPGMER) [8th Sem]
25. PAP Smear (IPGMER) [8th Sem]
26. Dermoid Cyst (IPGMER) [8th Sem]
27. Cervical Incompetence (IPGMER) [8th Sem]
28. Caput Succedaneum (IPGMER) [8th Sem]
29. Complication of IUFD (IPGMER) [8th Sem]
30. Routine Antenatal USG (IPGMER) [8th Sem]
31. Progestin Only Contraceptives (KPC) [8th Sem]
32. Conservative management of Genital Prolapse (KPC) [8th Sem]
33. Iron Deficiency Anaemia (KPC) [8th Sem]
34. Tubal Patency Test (KPC) [8th Sem]
35. Ovarian conservation during Hysterectomy – discuss (KPC) [8th Sem]
36. Medical Management of Tubal Pregnancy (KPC) [8th Sem]
37. Torsion/Twisted of Ovarian cyst (BMC) [8th Sem] / [9th Sem]
38. Emergency Contraception (BMC) [8th Sem], (MMC) [9th Sem]
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121. Differential diagnoses of 1st trimester bleeding (Kalyani) [9th Sem] {Paper 1}
122. Complication of fibroid uterus (Kalyani) [9th Sem] {Paper 2}
123. PCOD (Kalyani) [9th Sem] {Paper 2}
124. Ca Cervix – Screening & Early Diagnosis (Kalyani) [9th Sem] {Paper 2}
125. Emergency Contraception (Kalyani) [9th Sem] {Paper 2}
126. Diagnosis of ovulation (Kalyani) [9th Sem] {Paper 2}
127. Semen analysis (Kalyani) [9th Sem] {Paper 2}
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JUSTIFY
1. By examining placenta and cord, we can diagnose a number of obstetrical problems
(MC,K) [8th Sem]
2. Pre eclampsia is a preventable disease (MC,K) [8th Sem]
3. Once caesarian section is not always caesarean section (NRS) [8th Sem]
4. All women with APH should be hospitalized (NRS) [8th Sem]
5. Invasive CA of cervix is a preventable disease (NRS) [8th Sem]
6. Investigations of primary infertility should start with semen analysis (NRS) [8th Sem]
7. A woman with molar pregnancy needs proper follow up (CNMC) [8th Sem]
8. MgSO4 is essential in the management of severe pre eclampsia and eclampsia (CNMC)
[8th Sem]
9. HIP vaccine is recommended in the prevention of CA cervix (CNMC) [8th Sem]
10. HSG has got a place in the management of infertility (CNMC) [8th Sem]
11. Endometrium should be properly evaluated in all cases of postmenopausal bleeding
(CNMC) [8th Sem]
12. Husband’s semen analysis is essential in all infertile couple (CNMC) [8th Sem]
13. Once caesarean section always caesarean (RG Kar) [8th Sem]
14. ECV should be done routinely in breech presentation (CNMC) [8th Sem]
15. Third stage of labour should always be managed actively (CNMC) [8th Sem]
16. While investigating infertility male should be evaluated first (CNMC) [8th Sem]
17. If followed correctly LAM is a good contraceptive option (CNMC) [8th Sem]
18. Urinary incontinence should be prior to prolapse management (CNMC) [8th Sem]
19. Ovarian conservation during hysterectomy (KPC) [8th Sem]
20. Medical management of tubal pregnancy (KPC) [8th Sem]
21. Obstetric ultrasound should be routinely done at 18-20 weeks of pregnancy (KPC) [8th
Sem]
22. Cervical cancer is a preventable disease (KPC) [8th Sem]
23. External cephalic version must be attempted in all term breech presentations (BMC)
[8th Sem]
24. All post menopausal bleeding patients must have a D & C (BMC) [8th Sem]
25. All perinatal asphyxia can be prevented (BMC) [8th Sem]
26. Cord blood must be sent for testing in case of Rh negative mother [9th Sem]
27. Laparoscopy is mandatory for evaluation of tubal factor in female infertility [9th Sem]
28. USG in 1st trimester pregnancy [9th Sem]
29. Breast feeding in HIV +ve mother [9th Sem]
30. Partography can improve labour management (MMC) [8th Sem]
31. Availability of effective blood transfusion service can save many mothers’ life (MMC)
[8th Sem]
32. Investigating the male factor in infertility is an important (MMC) [8th Sem]
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90. Indications & criteria for forceps delivery (Kalyani) [9th Sem] {Paper 1}
91. Obstetric fistula is more common in developing countries than in developed countries.
(Kalyani) [9th Sem] {Paper 2}
92. Ovarian cyst <5 cm in diameter are usually managed conservatively (Kalyani) [9th Sem]
{Paper 2}
93. Endometrial biopsy is mandatory in post menopausal bleeding PV (Kalyani) [9th Sem]
{Paper 2}
94. Straight X-ray abdomen is needed to find out the causes of septic abortion with
peritonitis (Kalyani) [9th Sem] {Paper 2}
95. USG –lower abdomen is needed to find out the cause of recurrent abortion (Kalyani)
[9th Sem] {Paper 2}
96. Laparoscopy is the investigation of choice in endometriosis (Kalyani) [9th Sem] {Paper 2}
97. X-ray of elbow is needed sometimes in case of primary amenorrhoea (Kalyani) [9th Sem]
{Paper 2}
98. Serial USG may be needed in case of M/m of female infertility (Kalyani) [9th Sem]
{Paper 2}
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LONG QUESTIONS
Gr- A
1. Describe the formation and circulation of CSF in brain. Describe the clinical
features of raised intracranial pressure of a 6 year old child. Give an outline
of treatment of such a patient. (3+3+4) [14]
4. Describe the C/f & M/m of minimal change nephrotic syndrome. (5+5) [13,
Supple]
6. How the tone of child is maintained? What are the causes of hypotonic
child? Write the M/m of GB syndrome. (4+3+3) [12, Supple]
9. Outline the Metabolism of iron in the body. Compare the laboratory findings
of iron deficiency Anaemia and Thalassemia. (4+6) [10]
10. Define PEM and write two classifications of PEM. Write the steps of M/m of
a case of severe PEM presenting with Ac. GE with some dehydrations. (5+5)
[10, Supple]
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12. Describe the physiology of human laceration. Briefly mention the anti-
infective properties of breast milk. (6+4) [09, supple]
13. What is glomerular filtration? How it is affected in Ac. PSGN? Describe the
underlying pathogenic mechanism for the clinical picture of PSGN? (1+3+6)
[08]
14. What is balanced diet? What are the constituents of balanced diet?
Describe dietary source, absorption and function of Vit- A. (1+3+6) [08,
Supple]
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BRIEF NOTES
Gr- B
1. Hypoglycemia in neonate [14]
5. Enumerate the vaccines that can be given to an unimmunized 2 year old child [14]
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34. Describe briefly the complications of LBW babies [08], [13, Supple]
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SHORT NOTES
Gr- C
1. Modified Jones Criteria [14]
2. Pneumatocele [14]
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LONG QUESTIONS
Gr- D
1. A 6-year-old girl child is admitted with hematuria, moderate edema and
headache. Mention the possible differential diagnosis. How will you
evaluate such a case to reach to a definite diagnosis. (2+6) [14]
2. A 4 yr old child presented with fever, pallor, gum bleeding and 1.5cm
palpable spleen. Mention the d/d of the case & investigate to confirm the
diagnosis. (3+5) [14, Supple]
3. A 4 years old child prescribed with h/o fever for 7 days and recurrent
convulsion for last two days and headache. How will you proceed for
diagnosis clinically and by laboratory investigations? (4+4) [13]
4. A 3 yr old child presented with cough & cold for 5 days & respiratory
distress for 5 days. On examination child look toxic & drowsy with head
nodding & central cyanosis. What is the diagnosis as per WHO criteria?
How will oyu manage the case? (1+7) [13, Supple]
5. A 4 year old child presented with pallor, fever, gum bleeding and 1.5 cm
palpable spleen. Mention the diagnostic possibility and investigations to
confirm diagnosis. (3+5) [12]
6. A 3 yr old child with generalized seizure for >45 mins. What is your
provisional diagnosis? How will you manage the case? (1+7) [12, Supple]
7. A two year old child has presented with fever for 20 days. Examination
revealed severe pallor, hepato-splenomegaly and purpuric spots all over
the body. (a) Write the differential diagnosis. (b)Suggest
investigation to reach the final diagnosis. (5+3) [11]
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10. A 2 yr old child withnose and cough for 2 days, develops fever followed by
GTCS. Outline your approach for M/m of seizures in the emergency and
what advice will you give to parents of this child. (8) [10, Supple]
11. A four year old child has been brought to the emergency with convulsion
persisting for more than 30 minutes. How you will diagnose the case?
Briefly narrate the management of the case. [09]
12. One eight year old child presented with fever, chest pain and respiratory
distress for one week. On examination the child is febrile, toxic and
respiratory rate 60/min, trachea shifted to the left and stony dullness on
right side of chest on percussion. What is your provisional diagnosis? How
are you going to manage this case? (1+7) [09, Supple]
13. A 4 yr old boy was presented at the emergency room with acute onset of
cough and respiratory distress. He has no fever. His father also suffers
from recurrent episodes of similar problem. The child was admitted 3
times with similar complications in the preceeding 1 year. What is your
most probable diagnosis? How will you manage this condition? (1+7) [08]
14. A 2 yr old boy presented with acute onset weakness of both lower limbs.
Discuss the differential diagnosis. What is AFP surveillance? (4+4) [08,
Supple]
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LONG QUESTIONS
Gr- A
1. Define Nephrotic Syndrome. How do you investigate and manage a case of 1st attack
of Minimal Change Nephrotic Syndrome. (2+8) (MC,K) [8th Sem]
3. 4 year old girl presented with haematuria of 1st week duration. Discuss the possible
differential diagnosis and management of UTI. (4+4) (CNMC) [8th Sem]
6. Outline the investigations and management of a case of Rickets. (6+6) (RG Kar) [8th
Sem]
8. Enumerate the external ocular muscles innervated by 3rd Cranial nerve and action of
each muscle. A patient gets diplopia when looking towards nose. Which muscle is
involved? What are the causes of 3rd Nerve Palsy? (6+1+3) (KPC) [8th Sem]
10. Mention the causative organisms of acute viral hepatitis in children. Complication of
acute viral hepatitis and its management. (5+5) (BMC) [9th Sem]
11. Describe the formation, circulation and absorption of Normal CSF along with its
complication in children. Give the outline of management of tuberculosis meningitis?
(6+4) (MMC) [8th Sem]
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12. Enumerate Common causes, describe the clinical features and outline the
management of heart failure in children. (2+4+4) (NBMC) [8th Sem]
13. How to assess growth and development in a one year old baby. (4+4) (Kalyani) [8th
Sem]
14. Write in brief about pathgogenic basis of major clinical manifestation of Rheumatic
Fever. Give an outline of Pharmacologic management of Congestive Cardiac Failure.
(5+5) (BSMC) [9th sem]
50. Define Anemia. Classify anemia according to RBC morphology citing examples.
Describe the peripheral blood pictures of chronic hemolytic anemia. (2+5+3) (RG
Kar) [9th sem]
52. Outline the mechanism of hemostasis in children. Briefly write the management of
recently diagnosed of acute ITP. (5+5) (IPGMER) [9th sem]
54. Describe bilirubin etabolism. Enumerate the mechanism of action and side effects
of phototherapy. (4+4+2) (CMC) [9th Sem]
55. Describe in brief the bilirubin metabolism. A 7 day old term newborn is having
jaundice. The serum bilirubin level is 15 mg/dl (predominantly unconjugated).
Enumerate the possible causes. How will you manage the baby? (6+1+3) (KPC) [9th
Sem]
56. Outline the structure of a glomerulus and enumerate functions of each part of it.
Give the outline of M/m of diarrhea with severe dehydration. Write the
composition of low osmolar ORS. Write the National Immunization Schedule upto 1
yr of age. (2+2+2+2+2) (MMC) [9th Sem]
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SHORT NOTES
Gr- B & C
1. Haemorrhagic disease of Newborn (MC,K) [8th Sem]
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26. Clinical features and management of Congenital Hypothyroidism (CNMC) [8th Sem]
32. Feeding of Low Birth Weight New born (RG Kar) [8th Sem]
34. Management of Cyanotic Spell in a Congenital Heart disease (RG Kar) [8th Sem]
43. Investigation of 1 year old child with clinical Diagnosis of Thalassemia Major (KPC)
[8th Sem]
44. Management of a Child Wth a Chloroquine resistant Falciparum Malaria (KPC) [8th
Sem]
45. Category 1 therapy of 1 year old child with Tuberculosis (KPC) [8th Sem]
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47. Modified Jone’s Criteria of Rheumatic Fever (KPC), (NBMC) [8th Sem]
57. Feeding of LBW baby (BMC) [9th Sem], (Kalyani) [9th Sem]
64. Indication and Contraindication of Bag mask Ventilation (BSMC) [8th Sem]
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76. Clinical Features of Acute Post Streptococcal Glomerulonephritis (MMC) [8th Sem]
92. Respiratory distress syndrome (Hyaline Membrane Disease) (BSMC) [9th sem]
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98. When will you diagnose neonatal jaundice to be pathological? Write characteristics
99. How will you take care of umbilical stump in a newborn baby? Mention the causes of
100. Mention the steps of prevention of hypothermia in a new born. Which babies
do particularly need additional heat source? (4+1) (RG Kar) [9th sem]
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134. Etiology and relevant investigation in a 2 yr old febrile child with convulsions
137. Investigation in a 2 yr old child with urinary tract infection (KPC) [9th Sem]
145. Kangaroo mother care (NBMC) [9th Sem], (Kalyani) [9th Sem]
Sem]
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LONG QUESTIONS
Gr- D
1. A 2 year old male child presented with sudden onset wheeze with altered
sensorium. What are the differential diagnoses? (MC,K) [8th Sem]
2. A seven year old girl presents with convulsion in triage room. She had pedal oedema,
decreased urinary output. What is your diagnosis? What are the other complication
of the disease? What relevant investigation you want to perform to arrive at your
diagnosis? (2+3+3) (NRS) [8th Sem]
3. A 2 year old child admitted with history of fever and cough for last 5 days and
developed respiratory distress for last 2 days. On examination tachypnea and chest
indrawing are present. What is the most probable diagnoses? How do you manage
the case? (1+7) (CNMC) [8th Sem]
4. A 10year old boy presented in the emergency with high grade fever and vomiting
for 2 days. The child had one episode of Generalised Tonic Clonic Convulsion
followed by unconsciousness. Enumerate the etiology and management of this case?
(4+4) (CNMC) [8th Sem]
5. A 9 month old infant presented in the children ward with acute respiratory
distress. Mention the common causes. How will you proceed to manage the case?
(10+12) (RG Kar) [8th Sem]
6. A 7 year old boy havibg jaundice for 6 months with hepatomegaly, admitted for
massive haematemesis. Mention the diagnostic possibilities. Write how will you
evaluate such a case to confirm the diagnosis. (2+6) (IPGMER) [8th Sem]
7. A 2 year old baby of a diabetic mother weighing 4 kg was brought to NICU with
active convulsions. Mother had history of Prolonged rupture of membrane and the
baby was born by Emergency Caesarean section. Enumerate the probable cause.
How will you manage the case. (2+6) (KPC) [8th Sem]
8. A child aged 1 year presented with cough and cold. Write the differential
diagnoses. Suggest the investigations to reach the final diagnosis. ( 3+5) (BMC) [8th
Sem]
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9. A 4 year old boy presented with anasarca with history of similar illness 6 months
back. Mention D/D and how to proceed to the diagnosis. (2+6) (BMC) [9th Sem]
10. A 6 yaer old girl presented with fever, migrating joint pain for last 5 days. She had
a past history of sore throat. What is your provisional diagnosis and how will you
investigate and mange the case? (12) (BSMC) [8th Sem]
11. 5 year old boy presented with oliguria and cola coloured urine with edema. How will
you approach this case? (8) (BSMC) [8th Sem]
12. An 8 year old boy presents with fever, epistaxis, severe pallor, generalized
lymphadenopathy and hepatosplenomegaly. What may be the most likely diagnosis?
Give the D/D.Investigate the case to arrive at diagnosis. (1+2+5) (MMC) [8th Sem]
13. A nine year old girl presented with mild pallor, multiple purpuric spots over
different parts of the body. Clinical examination did not reveal any significant
lymphadenopathy, hepatosplenomegaly. How do you approach the case for diagnosis.
(NBMC) [8th Sem]
14. Discuss the process of bilirubin metabolism. One 3 day old baby presented with
jaundice extending up to the sole. How will you approach for the diagnosis and
management? (3+7) (kalyani) [8th Sem]
15. A 7 year old boy presented with the swelling of the whole body starting in the face
and scanty reddish urine for last 3 days. There is h/o few pustules of the leg 3
weeks back. What is your provisional diagnosis? What investigation would you like to
do? Name the dreaded complication of the disease. Briefly outline the management
of the patient. (1+2+2+3) (BSMC) [9th sem]
16. An 8-month old baby has presented with acute watery diarrhea. He has been
diagnosed to have severe dehydration. Write the clinical features that suggested
dehydration. Give an outline of rehydration therapy for this child. (3+5) (RG Kar)
[9th sem]
17. A 7 yr old girl presents with convulsion in triage room. She has pedal oedema,
decreased urine output. What is your diagnosis? What are the other complication
of then disease? What relevant investigation will you want to perform to arrive at
your diagnosis? (2+3+3) (NRS) [9th sem]
18. A 2 yr old girl presented with loose motion and cough for last 7 days. Her body
weight is 7 kg, height 87 cm and mid upper arm circumference (MUAC) 11 cm. what
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is the provisional diagnosis. Outline the management of this child. (2+6) (IPGMER)
[9th sem]
19. A 10 month old baby having high fever since morning and developed generalized
tonic clonic seizure persisting for about 5 minutes and became well alert after that
episode. What is the most possible diagnosis? How do you manage the case? (1+7)
(CNMC) [9th Sem]
20. A 10 m male child presented at emergency with high grade fever for last 2 days and
sudden onset generalized tonic clonic seizure for last 10 minutes. What are the
differential diagnoses? Describe the CSF picture of different condition and
management of Pyogenic meningitis. (2+4+4) (CMC) [9th Sem]
21. A 4 year old child is admitted with severe respiratory distress, pallor and
generalized lymphadenopathy. Enumerate the possibilities. How will you investigate
such a case? (3+5) (KPC) [9th Sem]
22. A 4 yr old child presents with high grade fever, running nose, red eyes followed by
maculo-papular rash on face and rest of the body 4 days later. What is the most
likely diagnosis? Outline the differential diagnoses, complication, prevention and
M/m of the case. (1+2+2+1+2) (MMC) [9th Sem]
23. A 3 yr old child presented in emergency with history of fever and cough for 3 days
and respiratory distress for 1 day. Enumerate differential diagnoses. How do you
approach such a case for diagnosis. (3+5) (NBMC) [9th Sem]
24. A 1½ yr old child presented with high fever and generalized convulsion. How will you
approach to diagnosis and M/m. (4+4) (Kalyani) [9th Sem]
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