|  6th semester questions -
31-07-2007, 08:40 PM
KATHMANDU MEDICAL COLLEGE
6th SEMESTER
Medicine
SECTION "A"
Q. 1. What is myocardial infarction? How would you diagnose a case of myocardial infarction? Briefly outline its management. [2+6+4=12]
Q. 2. List the causes of secondary hypertension. [6]
Q. 3. Mention 2 causes of spontaneous pneumothorax and outline its management. [2+3]
Q. 4. Write short notes on: [4*3=12]
a. haemoptysis
b. cardinal features of CCF
c. Complications of Mitral Stenosis
SECTION "B"[35]
Q. 5. Define Diabetes Mellitus. Mention its diagnostic criteria. How would you manage a case of diabetic ketoacidosis? [2+4+6=12]
Q. 6. List causes of hyperthyroidism. Outline cardinal features of thyrotoxicosis. [2+3=5]
Q. 7. What is Addison's disease? Outline the management of a case of adrenal crisis. [2+4=6]
Q. 8. Write short notes on [4+3=12]
a. acromegaly
b. Diabetic (Background) Retinopathy
c. Types of Insulin
Surgery
Section "A"
1. What is hematemesis? Enumerate the causes. How will you manage a case of esophageal variceal bleeding? [2+4+6]
2. Discuss the clinical features and sequel of acute appendicitis. illustrate the principles of management of appendicular lump.[5+6]
3. write short notes on : (4*3=12)
a. TPN
b. GCS
c. Embolism
Section "B"
1. How do you approach a case of solitary thyroi8d nodule in a 39 year old male? discuss with differential diagnosis.(8+4)
2. Write down the differential diagnosis of inguinoscrotal swelling in different age groups.(11)
3. Write short notes on : (4*3=12)
a. Ranson's criteria for acute pancreatitis
b. Fistula
c. Cold abscess
Obs/gynecology
Section "A"
1. What is ectopic pregnancy? How will you manage a case of ruptured tubal pregnancy? (4+6)
2. Write short notes on (5+5)
a. High risk pregnancy
b. Dermoid cyst
3. What do you understand by hyperemesis gravidarum? How will you manage a case of hyperemesis gravidarum at 8th weeks of pregnancy?(5+5)
4. write short notes on(5+5)
a. Septic abortion
b. Secondary post partum hemorrhage
5. What is puerperal pyrexia? What are the important causes of puerperal pyrexia? How will you manage a case of puerperal pyrexia?(2+3+5)
6. Write short notes on(5+5)
a. Polyhydramnios
b. Decubitus Ulcer of U-V prolapsed
7. Define anemia in pregnancy. Briefly classify. How will you manage a case of severe anemia in labor?(2+3+5)
Pediatrics
1. Write proper attachment and positioning during breast feeding. List the advantages of breast feeding.
2. Write short notes on:
a. Neonatal hypothermia
b. Diaphragmatic hernia
3. What are the causes of neonatal hyperbilirubenemia. Describe about phototherapy.
4. What do you mean by growth and development? How can you assess the physical growth?
5. Define LBW babies. Classify it and what are the possible complications and write management of 3 of them.
6. Write short note on:
a. Cerebral malaria
b. Asphyxia neonatarum
7. A 2 yr old boy is unable to sit and has only monosyllabic babble. Write 3 causes of such delay and how will you approach to such child.
Forensic Medicine
SECTION "A"
1. Define Medical Negligence (MN). Describe its basic elements. Explain the Doctrine of RES IPSA LOQUITOR and list five defenses which help to the doctor, charged for medical negligence in court of law.
2. What is consent? What is the difference between implied and expressed consent? Give the meaning and situation of informed expressed consent and Jehovah's Witness.
3. Write short notes on:
a. Delusion and criminal responsibility
b. Skeletal remains examination
c. Dying declaration
d. Blood and seminal stains as evidence in court.
e. Expert witness in court of law
SECTION "B"
4. What are the immediate and early changes in a dead body? Describe the mechanism of formation and medico-legal significances of hypostasis.
5. Define throttling. What are the mechanisms of death in manual strangulation? Describe the differences of post mortem findings in manual and ligature strangulation.
6. Write short notes on:
a. Contusion and medico legal significance
b. Finger prints as reliable tool for positive identification.
c. Entry and exit wounds from a rifled firearm weapon.
d. Coup and countercoup head injuries
e. Identification with the help of dental examination in living person and in a disintegrated body.
ENT
1. What is Waldeyer's ring? What is the significance of it? Write down the indications for tonsillectomy.
2. Enumerate different neck spaces. How will you manage a case of paraphyrangeal abscess?
3. Write down the etiology and clinical features of acute epiglottis. How will you manage a case of acute epiglottis?
4. What is tracheostomy. Write the indications for a tracheostomy and describe the complications one can get following the surgery.
5. Enumerate the different conditions for hoarseness. Outline the treatment plan for a vocal polyp.
6. Write short notes on: (any three)
a. Thyroglossal cyst
b. Adenoid
c. Intrinsic laryngeal muscles
d. Recurrent laryngeal palsy
OPHTHALMOLOGY
Section "A"
1. What is Accommodation? What does Presbyopia mean? How do you manage a case of Presbyopia?
2. List ocular manifestations of Herpes Zoster. How do you manage a case of dendritic ulcer?
3. A 60 year old female complains of sudden painful loss of vision in the right eye and present to Emergency Department with headache and vomiting. What is your likely diagnosis and why? How will you proceed with the management of the case?
Section "B"
4. Define cataract. Enumerate causes of Cataract. Outline Preoperative investigations and steps of cataract surgery.
5. What is Xerophthalmia? Mention WHO Classification of Xerophthalmia and its management in children and adults.
6. Write short notes on :
a. Ophthalmia Neonatarum
b. Pterygium
Community Medicine
1. A woman, 26 years of age, newly discovered as suffering from sputum positive pulmonary tuberculosis gave birth to a baby. Describe:
a. the category of DOTS treatment you would give to the woman
b. How will you protect the newborn from contracting the disease from the mother?
c. When would you declare the woman to be cured?
d. How will you find other cases in the neighborhood?
2. Define family planning? What are the reasons for its necessity describe the method of insertion of copper-T and its mode of action and complications.
3. How will you manage a class II dog bite? What will be your choice of vcaccin3e? Describe the dosage, method of administration, immunity development and complications of the vaccine.
4. Define occupational health? Describe the health hazard of doctors and nurses working in a multi-disciplinary hospital? How will you prevent the transmission of disease in the hospital?
5. Write short notes on:
a. National Health Policy 1991
b. Planning cycle
c. Staffing pattern of a health post
d. Causes of maternal deaths in Nepal
better heart 4 better nepal | 
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