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25-05-2005, 12:32 PM
For Printing use the file attached below
M.B.B.Ch. FINAL EXAMINATION MEDICINE PAPER I<?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" /><o:p></o:p>
All questions should be attempted :<o:p></o:p>
1) <o:p></o:p>
a. What are the differences between A.F. and multiple extrasystoles ? (5 marks ). <o:p></o:p>
b. Give an account on the clinical picture of acute rheumatic fever . (10 marks ) <o:p></o:p>
c. How can you differentiate between angina pectoris and acute myocardial infarction? (7 marks)<o:p></o:p>
d. A female patient has history of chronic rheumatic valve disease ; few weeks ago she started to have fever, general toxemic symptoms , haematuria and pain in the left hypochondrium . On examination the temperature was <?xml:namespace prefix = st1 ns = "urn:schemas-microsoft-com:office:smarttags" /><st1:metricconverter w:st="on" ProductID="38 C">38 C</st1:metricconverter>', there was clubbing of fingers and palpable spleen .<o:p></o:p>
1- What is the possible diagnosis ? (2 marks)<o:p></o:p>
2- How can you reach the diagnosis in such case ? (8 marks) <o:p></o:p>
3- What are the possible complications in this case? (10 marks)<o:p></o:p>
<o:p></o:p>
2) <o:p></o:p>
Give an account on the anatomy of the mediastinum. ( 7 marks) <o:p></o:p>
Give an account on the clinical picture of mediastinal syndrome. ( 20 marks)<o:p></o:p>
Give an account on the clinical picture of chronic respiratory failure. (13 marks)<o:p></o:p>
<o:p></o:p>
3) <o:p></o:p>
a. Give an account on precipitating factors and clinical picture of hepatic coma.(15 marks)<o:p></o:p>
b. Enumerate the causes of upper gastrointestinal bleeding, give an account on the clinical picture of portal hypertension. ( 20 marks)<o:p></o:p>
c. Tabulate the differences between hepatocellular and cholestatic jaundice ( 5 marks )<o:p></o:p>
<o:p></o:p>
4) <o:p></o:p>
A female patient 25 years old started to have palpitation, sweating. loss of weight, nervousness . fine tremors of both hands and swelling in the lower part of the front of the neck.<o:p></o:p>
1- What is the possible diagnosis ? (2 marks)<o:p></o:p>
2- How can you prove your diagnosis by investigations ? (10 marks)<o:p></o:p>
3- What are the possible complications in such case ? ( 8 marks )<o:p></o:p>
<o:p></o:p>
A male diabetic patient 30 years old who received his usual insulin therapy in the morning but he neglected to take his breakfast, short time latter he got blurring of vision, irritability, palpitation, excessive sweating then he passed into coma.<o:p></o:p>
1- What is the diagnosis ? ( 2 marks )<o:p></o:p>
2- How can you prove your diagnosis ? ( 3 marks )<o:p></o:p>
3- How can you treat this patient ? ( 7 marks )<o:p></o:p>
What are the possible other causes of such diagnosis ? ( 8 marks )
M.B.B.Ch. FINAL EXAMINATION MEDICINE PAPER I<?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" /><o:p></o:p>
All questions should be attempted :<o:p></o:p>
1) <o:p></o:p>
a. What are the differences between A.F. and multiple extrasystoles ? (5 marks ). <o:p></o:p>
b. Give an account on the clinical picture of acute rheumatic fever . (10 marks ) <o:p></o:p>
c. How can you differentiate between angina pectoris and acute myocardial infarction? (7 marks)<o:p></o:p>
d. A female patient has history of chronic rheumatic valve disease ; few weeks ago she started to have fever, general toxemic symptoms , haematuria and pain in the left hypochondrium . On examination the temperature was <?xml:namespace prefix = st1 ns = "urn:schemas-microsoft-com:office:smarttags" /><st1:metricconverter w:st="on" ProductID="38 C">38 C</st1:metricconverter>', there was clubbing of fingers and palpable spleen .<o:p></o:p>
1- What is the possible diagnosis ? (2 marks)<o:p></o:p>
2- How can you reach the diagnosis in such case ? (8 marks) <o:p></o:p>
3- What are the possible complications in this case? (10 marks)<o:p></o:p>
<o:p></o:p>
2) <o:p></o:p>
Give an account on the anatomy of the mediastinum. ( 7 marks) <o:p></o:p>
Give an account on the clinical picture of mediastinal syndrome. ( 20 marks)<o:p></o:p>
Give an account on the clinical picture of chronic respiratory failure. (13 marks)<o:p></o:p>
<o:p></o:p>
3) <o:p></o:p>
a. Give an account on precipitating factors and clinical picture of hepatic coma.(15 marks)<o:p></o:p>
b. Enumerate the causes of upper gastrointestinal bleeding, give an account on the clinical picture of portal hypertension. ( 20 marks)<o:p></o:p>
c. Tabulate the differences between hepatocellular and cholestatic jaundice ( 5 marks )<o:p></o:p>
<o:p></o:p>
4) <o:p></o:p>
A female patient 25 years old started to have palpitation, sweating. loss of weight, nervousness . fine tremors of both hands and swelling in the lower part of the front of the neck.<o:p></o:p>
1- What is the possible diagnosis ? (2 marks)<o:p></o:p>
2- How can you prove your diagnosis by investigations ? (10 marks)<o:p></o:p>
3- What are the possible complications in such case ? ( 8 marks )<o:p></o:p>
<o:p></o:p>
A male diabetic patient 30 years old who received his usual insulin therapy in the morning but he neglected to take his breakfast, short time latter he got blurring of vision, irritability, palpitation, excessive sweating then he passed into coma.<o:p></o:p>
1- What is the diagnosis ? ( 2 marks )<o:p></o:p>
2- How can you prove your diagnosis ? ( 3 marks )<o:p></o:p>
3- How can you treat this patient ? ( 7 marks )<o:p></o:p>
What are the possible other causes of such diagnosis ? ( 8 marks )