Government Karur Medical College Hospital, Karur.

Department of General Medicine

Internal assessment MBBS II Date:

1. The Following symptoms are suggestive of Angina pectoris except

a. Chest pain on climbing 2 flights of stairs

b. Chest pain after meals.
c. Shortness of breath and chest tightness on moderate exertion
d. Left sided Chest pain that aggravates by cough and deep inspiration

2. Describe the Typical PND

3. NYHA grading of Dyspnea

4. In a patient with history of Jaundice, Pruritis and Clay colored stools, suggests
a. Hemohylic Jaundice.
b. Obstruhve Jaundice.
c. Hepatic Jaundice.
d. Drug induced Jaundice.

5. A 40 year old diabetic man presents with history of pain Right loin associated with fever with
chills and vomiting. On examination tenderness present in Right renal angle. The most likely
diagnosis is.

a. Acute Appendicitis.
b. Acute Cholecystitis.
c. Right Pyeloneptrlils.
d. Diverticulitis.
6. A 65 year old male smoker, presented with progressive dysphagia to solid then followed by
liquids also associated with weightloss and anorexia, most likely diagnosis is.
a.Achalasia cadia
b.GERD
c.Carcinoma esophagus
d.Esophagial motility disorders

7. A 40 year old male present s with history of chronic productive cough that is worse in the
morning and brought on by changes in posture. Sputum is copious and yellow. The most likely
diagnosis is
a. Br. Asthma
b. Chr. Bronchitis.
c. Bronchiectasis.
d. Pulmonary Tuberculosis
8. In a patient with history of shortness of breath, which of the following sign indicates left heart
failure.
a. Dependent edema
b. Engorged neck veins
c. Basal crepitations
d. Ascites
9. All are features of UMN lesion except
a. Hypertonia
b. Exaggerated DTR.
c. Extensor plantar reflex
d. Neck stiffness

10. A 30 year old female known Rheumatic mitral valvular disease with atrial fibrillation now
Presents with weakness of Right sided limbs with aphasia, the likely cause is,
a. Hemorrhagic stroke
b. Thrombotic Stroke
c. Embolic Stroke
d. Venous Stroke