[Sanju]

Department of Internal Medicine
Kathmandu Medical College Teaching Hospital


V Semester, 2006

Section A
1. Write down the cardinal features of pleural effusion. Tabulate the differences between exudative and transudative pleural effusion. [6+6]
2. Briefly outline the management of pulmonary TB. [5]
3. Write down the management of community acquired pneumonia. [6]
4. Short notes on: [4x3]
a. Haemoptysis
b. Cyanosis
c. Pneumothorax

Section B
1. Define and classify jaundice. Enumerate 3 important causes of post hepatic jaundice. [3+6+3]
2. Outline the management of hepatic coma. [5]
3. Mention 4 important causes of cirrhosis of liver. What are the complications of cirrhosis of liver? [3+3]
4. Short notes on: [4x3]
a. Hepatomegaly
b. Haematemesis
c. Viral hepatitis




VI Semester, 2007

Section A
1. What is myocardial infarction? How do you diagnose a case of MI. Briefly outline its management. [2+4+6]
2. List the causes of secondary hypertension. [6]
3. Mention 2 causes of spontaneous pneumothorax and outline its management. [2+3]
4. Short notes on: [4x2]
a. Haemoptysis
b. Cardinal features of CCF.
c. Complications of mitral stenosis.

Section B
1. Define Diabetes Mellitus. Mention its diagnostic criteria. How would you manage a case of Diabetic Ketoacidosis? [2+4+6]
2. List causes of hyperthyroidism. Outline cardinal features of thyrotoxicosis. [2+3]
3. What is Addison’s disease? Outline the management of case of adrenal crisis. [2+4]
4. Short notes on: [4x3]
a. Acromegaly
b. Diabetic ( Background) Retinopathy
c. Types of insulin




V & VI Semester, June, 2003

Section A
1. Define pneumonia. Discuss the etiology, clinical features, investigations and management of community acquired pneumonia.
2. Enumerate the causes of upper GI bleeding. Outline its management.
3. Classify jaundice. Give brief outline of investigation of jaundice.
4. Short notes on:
a. Clubbing
b. Cyanosis
c. Liver function tests

Section B
1. Discuss the aetiology, clinical features, investigations and management of pyogenic meningitis.
2. Enumerate causes of chronic renal failure.
3. Classify Diabetes Mellitus. List the complications.
4. Short notes on:
a. Iron deficiency anemia
b. Management of peptic ulcer
c. Acromegaly