Question Paper MBBS 9 Term 2015 IR Batch: B. IV Immunoglobulin (IVIG)

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Question paper MBBS 9th term 2015 IR batch

MCQs (2x10 = 20 Marks)

Long Essay (1x10 = 10 Marks)

Short Essay (5 x 6 = 30 marks)

1. A 73 year old man is admitted with a 3 day history of paraesthesia in his hands and feet
followed by progressive symmetrical ascending weakness in his lower limbs. History of
diarrhea one week ago. Which of the following treatments to be started if the patient
continues to deteriorate?
A. IM human tetanus Immunoglonulin
B. IV Immunoglobulin (IVIG)
C. IV methylprednisolone
D. IV antibiotics
E. Thrombolysis

2. A 70 year old man, who is known to have ischemic heart disease and short lived episodes of
AF in the past, presents with 48 hours of fatigue and breathlessness. His pulse rate is
150/min in atrial fibrillation. Which two drugs would be most appropriate to achieve
chemical cardioversion?
A. Digoxin
B. Sotalol
C. Amiodarone
D. Verapamil
E. Procainamide

3. A 28 year old woman who is 22 weeks pregnant is admitted with a BP of 180/100mmHg. She
has no other relevant medical history and urine analysis is normal, along with LFT and RFT.
Which of the following should NOT be used to control her BP?
A. Hydralazine
B. Methyldopa
C. Labetalol
D. Ramipril
E. Amlodipine

4. A 65 year old woman attends the chest clinic with history of exertional dyspnea and morning
headaches. She also mentions daytime tiredness.Examination is normal apart from pedal
edema and BMI of 41. She is not on any medications. What is the most likely diagnosis?
A. Narcolepsy
B. Obstructive sleep apnea syndrome
C. COPD
D. Obesity hypoventilation syndrome
E. Congestive cardiac failure
5. A 40 year old woman is admitted with a parapneumonic effusion. A diagnostic pleural tap
was done. Which of the following is an indication for inserting a chest drain?
A. Temperature >39ᵒC
B. Rising WBC count and CRP
C. Pleural pH <7.2
D. Blood stained pleural fluid
E. Pleural fluid LDH >200U/L

6. Oliguria is
A. <50ml urine/24hr
B. <100ml urine /24hr
C. <200ml urine/24hr
D. <400ml urine/24hr

7. NSAID induced ulcers are best treated by


A. PPIs
B. H2 – receptor antagonists
C. Coating agents like sucralfate
D. Prostaglandins like misoprostol

8. Tuberculous focus in brain is known as :


A. Rich’s focus
B. Wigard’s focus
C. Ashman’s focus
D. Simmon’s focus

9. Hypokalemia is NOT associated with :


A. U wave in ECG
B. Decreased ankle jerk
C. Oliguria
D. Paralytic Ileus

10. Hands of scleroderma classically may reveal all EXCEPT


A. Pseudoclubbing
B. Digital infarcts
C. Livedo reticularis
D. Sclerodactyly

LONG ESSAY ( 1x 10 marks)

A 40 years old male presented with twitching of right upper limb followed by tonic clonic
convulsions. On examination patient has tongue bite and post ictal confusion and headache.

Answer the following: (2+3+2+3)

 What is your diagnosis?


 Classify seizures
 Where is the probable lesion?
 How will you manage this patient?
SHORT NOTES ( 6x 5 = 30 MARKS)

1. Clinical features and investigations in acute hepatitis


2. Oral Hypoglycemic agents
3. Tubercular Meningitis
4. Renovascular hypertension
5. Diagnosis and management of Community Acquired Pneumonia

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