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Collected by: SPRimal for xenoMED, Nepal. (www.xenomed.com)

Nepal Medical College, Attarkhel, Jorpati

Medicine & Allied I

Marks: 70 Time: 3 hours

1. Discuss the common C/F of community acquired pneumonia. Outline the management of a case presenting with this illness. Enumerate the complications of pneumonia. [5+5+2=12]

2. a. Discuss the clinical features and management of acute left heart failure.

[3+3=6] b. Discuss the ECG features of acute myocardial infarction [5]

3. Write brief on: [3x4=12] a. MDR‐TB b. Dermatological manifestations of AIDS. c. Allergic Aspergillosis

4. Outline the aetiological classification of Diabetes Mellitus. Enumerate the diagnostic criteria and the complication of this disease. [5+3+4=12]

5. a. Discuss the clinical features and management of SALE. [3+3=6] b. Define Nephrotic syndrome. What are the causes of this syndrome? Describe its

clinical features. [1+2+2=5] 6. S/N [3x4=12]

a. Hyponatremia b. Acute mountain sickness c. Organo phosphorus poisoning



Medicine & Allied II


1. Describe the C/F of tubercular meningitis. How would you confirm the diagnosis? Give the treatment in brief. [4+2+6=12]

2. What are the C/F of falciparum malaria? How would you investigate? How would you treat a resitant case of malaria? [ 2+1+3=6]

3. How would you investigate H.pylori infection? Give the out line of treatment of peptic ulcer disease. [6+6=12]

4. What are the common causes of Anaemia in Nepal? Describe the blood pictures in different disease. How would you treat a case of Megaloblastic Anaemia? [6+4+6=16]

5. S/N 6x4=24 a. Treatment of Schizophrenia b. Mx of overdose of paracetamol c. Anti leishmanial drugs d. Fatty liver



Obstetrics & Gynaecology


1. Define Eclampsia. How would you manage a case of 20 yrs primigravida at 37 weeks pregnancy with Eclampsia? [2+8=10]

2. S/N [5x2=10] a. Asymptomatic bacteriuria in pregnancy b. Cephalic disproportion

3. How will you classify jaundice in pregnancy? Write down the management of intrahepatic cholestosis of pregnancy at 36 weeks pregnancy. [4+6=10]

4. S/N [5x2] a. Hellp syndrome b. Gestational diabetes

5. Describe different types of fibroid of uterus and clinical features produced by fibroids.[2+5=7]

6. S/N [ 4x2=8] a. Investigations of female partner in fertility b. Complication of ovarian cyst

7. Enumerate the clinical features is Trichomoniasis infection and outline the treatment [3+4=7]

8. S/N [4+4=8] a. FIGO classification of carcinoma of cervix. b. Copper‐T contraceptive device



Surgery & Allied I


1. An obese lady of 40 yrs had exploratory laparotomy for acute bowel obstruction. On the

5th post operative day, she developed swelling of the Rt. leg with pain. On examination, she was found to have Pyrexia, creps over the chest and also swelling of the Rt.leg. [3+5+6=14]

a. What is the most likely diagnosis? b. What Ix would you perform to diagnosis? c. Treatment of such a case.

2. a. Thyroid nodule, Ix and treatment of papillary carcinoma of thyroid (5) b. Fibroadenoma of breast and treatment (5)

3. S/N [3x4=12] a. Glasgow coma scale and Head Injury b. Carbuncle c. Pilonidal sinus

4. Write the C/F ,Ix and treatment of chronic Duodenal ulcer [4+3+5=12] 5. A young lady is admitted with gall stone pancreatitis. Discuss its Mx. [13] 6. S/N [3x4=12]

a. Fistula in Ano b. Intussuption in children c. Skin graft



Surgery & Allied II


1. Classify testicular tumor. Describe Ix and treatment of seminoma. [3+4+6=13] 2. S/N [3x4=12]

a. Epidural anesthesia b. Ultrasound Ix in general surgery c. Dentigerous cyst

3. S/N [3x4=12] a. Dry and wet gangrene b. Role of Antibiotics in surgery c. Bowel preparation in large Bowel surgery

4. Define colle’s Fracture. Describe clinical features, diagnosis and Mx of Colle’s fracture. treatment of Giant Cell Tumor [2+2+2+4=10]

5. Classify bone Tumors. Describe C/F, diagnosis and treatment of Giant Cell Tumor. [4+2+2+2=10]

6. S/T [5x3=15] a. Myositis ossificans b. Osteoarthritis of knee joint c. Cubitus valgus deformity d. Nonunion of fracture



Paediatrics


1. Describe factors affecting growth and development. How do you assess somatic growth in a child? 4+2=6

2. Discuss the Management of several protein energy malnutrition. 4 3. S/N 3x2=6

a. Bruxim b. EPI program in Nepal c. Clinical features of down syndrome

4. What are the C/f of hypothermia in a newborn? Write down in short about kangaroo mother care. 2+1=3

5. Discuss sings and symptoms of neonatal sepsis and its management. 2+2=4 6. S/N 3x3=9

a. Surgical emergency in a newborn b. Exchange transfusion c. Causes of neonatal seizures

7. What are the cases of acute renal failure in children? Describe the management of acute renal failure. 2+4=6

8. What is the primary complex of tuberculosis? Describe the fate of primary complex.1+5=6

9. S/N 4x3=12 a. Diagnostic criteria of juvenile rheumatoid arthritis b. Causes of short stature c. C/F of hemophilia

10. A 2 yrs old child weighing 23 kg is admitted with complain of vomiting and loose stool for a day he is lethargic, has very sunken eyes and skin pinch goes back very slowly. How do you manage this child? 5

11. S/N 3x3=9 a. Mx of acute severe asthma b. Mx of Status Epillipticus c. Mx of paracetamol poisoning

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