[Total No.

of Pages :3 AAB0100027244203
Third (l) M.B.B.S. (2019) Examination, Winter - 2023 (Phase- l)
GENERAL MEDICINE-I
Total Duration: Section A+B+C =3 Hours Section B&CMarks: 80
SECTION -B& SECTION -C
Instructions: 1) Use black ball point pen only.
2) Do not write anything on the blank portion of the question paper.
I#writen anything, such type of act will be considered as an attempt
to resort to unfair means.
3) Allquestions are compulsory.
4) The number to the right indicates full marks.
5) Draw diagrams wherever necessary.
6) Distribution of syllabus in Question Paper is only meant to cover
the entire syllabus within the stipulated frame. The Question paper
pattem is a mere guideline. Questions can be asked from any
paper's syllabus into any question paper. Students cannot claim
that the Question is out of sylabus. As it is only for the placement
sake, the distribution has been done.
7) Use a common answer book for section B& C.

SECTION - "B"
2) Short Answer Questions (Any five out of six) : (5 x 4=20]
a A
66-year-old lady was diagnosed to be suffering from urosepsis with
blood and urine culture growing pseudomonas. Enumerate your antibiotic
choice in such a case. Write a comprehensive prescription for this patient.
(2+2]
b) A 64-year-old male was diagnosed as a case of Community Acquired
Pneumonia (CAP). Kindly enumerate the different scoring systems to
grade the severity of the CAP. Also mention the clinical relevance of
each of these scoring systems. (2+2]
c) A22-year-old male had Hb-10. 4g/dL witha MCV of 60.4fL. Outline the
diagnostic approach to such a case. 14)
d) A 20-year-old friend of yours on a beach vacation was bitten by a
scorpion. What are the clinical features expected in this case and how
would you manage the patient? |2+2]

N -6032 P.T.0
 e) A 18 year old male born out of AAB0100027244203
acute onset chest pain. He hadconsanguineous marriage presents with
history of recurrent episodes of left
hypochondriac pain unrelated to meals, bony pains and jaundice. What
is the most probable diagnosis in this case? How
would you
patient to confirm your diagnosis? Enumerate the treatment evaluate the
of his acute
chest pain.
A merchant navy ship sailor was diagnosed with Scurvy.
|1+1+2]
Enumerate the
clinical manifestations you expect in this individual and
management in such a case.
outline the
(2+2]
3) Long Answer Questions (Any two out of three): (2 x 10= 20]
a) A 27-year-old male IV drug abuser and
history of multiple sexual partners
presents with weight loss of 6 Kg in last 2 months. What is
diagnosis? What opportunistic infections can occur in this your likely
Enumerate the clinical features, investigations and treatment ofcondition?
any one of
these opportunistic infection.
b)
[1+3+2+2+2]
Al8 year old individual after a rave party was mad as hatter, dry as
red as a beet, blind as a bat. Identify the type of a bone,
toxidrome the
suffering from. Define toxidrome and classify the type of individual is
Briefly outline the management in this individual. toxidromes.
(2+1+4+3)
c) A 54-year-old male presents with heaviness in the
along with breathlessness since 3 hours. On head, tongue and am
was 190/120mm Hg. What is the acute examination his blood pressure
management and
will you offer to this patient? Also mention what lifestylelong term treatment
willadvise to this patient? modification you
(3+3+4]
SECTION -"C
4) Short answer questions (Any five out of six):
[5 x 4 = 20]
a) How will you counsel adolescent students in a
college to quit smoking?
b) You are a famous physician in your city. A
executive approaches you to offer 40% ofcorporate hospital marketing
the revenue generated for
every radiological and blood investigation you refer to them.
will you take considering the Ethical guidelines laid down byWhat
the
decision
Commission? Medical
14)
N -6032 -2
 AAB0100027244203
c) An individual was diagnosed as a case of Metabolic syndrome. Enumerate
the dietary advice for such a case. 14]
d) A
52-year-old male had acute Myocardial infarction (MI) post LAD and
LCx obstruction. What are the acute and long term complications post
acute MI in this patient? (2+2]
e) A 60-year-old female was found to have 20% EF on 2D
Echocardiography. Outline the medical management of such patient of
heart failure with decreased ejection fraction. 14)
A28-year-old male has increased frequency of defaecation (6-8 episodes
per day) with weight loss of4-Skg in 6 months. Enumerate the diferential
diagnoses and the algorithm for evaluation of such a case. [2+2]
5. Long Answer Questions (Any two out of three) : [2 x 10 = 20]
a) A22-year-old female presents with history of palpitations since 2months.
Enumerate all the causes of palpitations in a young female. Later during
routine evaluation, she was found to have occasional episodes of
iregularly iregular pulse. How would you investigate this patient with
this new clinical finding? Also briefly outline the management of atrial
fibrillation. (3+3+4]
b) A28-year-old male presents with right hypochondriac pain with vomiting.
He has history of passing blood and mucus in stools 15 days back for
which he took 2 days' treatment from a local doctor. On examination he
has tender hepatomegaly. What is the differential diagnoses in this patient?
How would youevaluate this patient further? Describe the management
in such a case. Also enumerate two complications of this condition.
[1+4+4+1]
c) A 55-year-old male, weighing 72kg, a known hypertensive and diabetic
was diagnosed to have acute onset diaphoresis iwithout any angina.
Clinically he had hypotension with bradycardia. He was labelled as a
case of Acute myocardial infarction by the cardiologist. Enumerate the
ECG findings you would expect in this case. Write anursing instruction/
prescription for the thrombolysis in this patient including doses of various
drugs as the local Cath lab was non-functional. Prepare a checklist of
various absolute/relative contraindications you willdouble check before
thrombolysis. (3+4+3|

N -6032 -3
 (Total No. of Pages:3 AAB0100027244204

Third (|1) M.B.B.S. (2019) Examination, Winter -2023 (Phase-li])

GENERAL MEDICINE -|I|
Total Duration : Section A+B+C= 3 Hours Section B&CMarks: 80
SECTION -B& SECTION - C
Instructions: 1) Use black ball point pen only.
2) Do not write anything on the blank portion of the question paper.
If written anything, such type of act will be considered as an attempt
to resont to unfair means.
3) All questions are compulsory.
4) The number to the right indicates full marks.
5) Draw diagrams wherever necessary.
6) Distribution of syllabus in Question Paper is only meant to cover
entire syllabus within the stipulated frame. The Question paper
pattem is a mere guideline. Questions can be asked from any
paper's syllabus into any question paper. Students cannot claim
that the Question is out of syllabus. As it is only or the placement
sake, the distribution has been done.
7) Use a common answer book for section B & C.

SECTIQON -B
2. Short Answer Questions (Any five Out of Six) : (5 x 4 = 20]
a) Your grandfather who is 80-year-old is forgetting many things of daily
routine activities. How willyou evaluate him and what lifestyle
modifications willyou implement in his habits of daily living? (2+2]
b) Enumerate biologicals used in Rheumatology practise. Briefly outline the
mechanism of action and complications of Rituximab. |2+1+1]
c) Write the nursing instructions/ prescription for a 72 year old male, a
known case of diabetes on irregular therapy admitted to the ICU with
diabetic ketoacidosis.
d) Enumerate the steps in the management in a 18-year-old girl presenting
to the emergency with acute onset breathlessness diagnosed as a case of
status asthmaticus.
e) Enumerate different types of headache. Enumerate various drugs prescribe
in a case of Migraine with its doses. |2+2)
Mention the clinical features and the management ofa case of generalised
anxiety disorder. |2+2]
PT.0
N-6033
 AAB0100027244204
3. Long Answer Questions (Any two out of three) |2 x 10 = 20]
a) AS6-year-old male patient presents with hematemesis since 4 hours and
melena since 2 days. He consumes alcohol daily for last 25 ycars. On
examination he has icterus and abdomen is distended. What are the causes
of hematemesis in this case and how will you treat this case? Enumerate
the other complications you can expect in this case. |2+4+4]
b) A45-year-old male had developed acute onset left sided hemiparesis.
Draw the blood (arterial and venous) supply of brain with proper labelling.
Enumerate the risk factors for development of ischemic stroke in this
patient. Discuss in brief the management of this patient. [3+3+4]
c) A20-year-old lady was referred for evaluation of persistent haematuria
and proteinuria. She had a history of fever and sore throat lasting Iweek
that occurred 6 months carlier and were associated with abdominal pain
and dark urine. She did not receive any antimicrobial agents. Significant
findings on physical examination at that time included a BP of 140/90
mmhg and pedal edema extending upto the knees.
Enumerate the differential diagnosis in this case.
Discuss in brief the any 2 histopathological variants of acute
glomerulonephritis.
iü) Discuss the management of acute post infectious glomerulonephritis.
|3+4+3|
SECTION -C
4. Short answer questions (Any five out of six) |5 x 4 = 20)
a) A child develops itchy rashes in the intertriginous regions. What is the
most probable diagnosis and how would you manage such a case (write
a prescription for the same). |1+3|
b) Kindly provide various steps and key issues you will cover while
counselling a HIV patient's spouse in a sero-discordant couple. |2+2]
c) Write a prescription of a newly diagnosed sputum positive pulmonary
tuberculosis weighing 60kg including the drug dosages and the frequency
|2+2|
d) Enumerate the various types of renal replacement therapy (RRT). Write
briefly about the peritoneal dialysis. |2+2|
Enumerate the clinical features of Acromegaly and draw the algorithm
for evaluation of a case of acromegaly. |2+2|
Enumerate the long term complications of the diabetes mellitus. Describe
the frequency of evaluation for identifjying cach of these complications.
|2+2]

N -6033 -2
 AABO100027244204
5. Long Answer Questions (Any two out of three) |2 x 10 = 20]

a) A 21-year-old male was diagnosed as a case of amyotrophic lateral

sclerosis by the Neurologist. Enumerate the clinical features in such a
case. Describe the various tests to diagnose such a disorder with
pathognomic findings on these investigations. How would you manage
such a case. |3+4+3]
b) A 30-year-male gets a call from blood bank where he recently donated
blood for his friend. The blood bank officer informed him that he has
come positive for hepatitis B surface antigen (HbSAg) and advised to
take physician opinion. He comes to your office and asks about his
disease. Answer the following queries of his
What are the modes of transmission of hepatitis B, how could I
have developed his?
ü) How wouldIbe further investigated to know if Iam suffering from
anything grave?
iü) What are the do's and don'ts for me and my family members?
(3+4+3]
c) A 25-year-old married female presented to the emergency department
with sudden onset pain on the right side of the chest with sudden onset
breathlessness. On examination she had RR=44/min, BP=90/60 mm Hg,
PR=120/min and was afebrile. On RS examination she has trachea shifted
to left side with absent breath sounds. Enumerate the differential diagnosis
for this patient. Discuss in brief the investigations and emergency treatment
of this case. |3+3+4]

N6033 -3
[Total No. of Pages :2 AAB0100027244206
Third () M.B.B.S. (2019) Examination, Winter -2023 (Phase - lI|I)
GENERAL SURGERY-I
Total Duration: Section A+B+C=3 Hours Section B &C Marks: 80
SECTION-B&C
Instructions: 1) Use black ball point pen only.
Do not wte anything on the blank portion ofthe question paper.
Ifwritten anything, such type ofact will be considered as an attempt
to resort to unfair means.
3) All questions are compulsory.
4) The number to the right indicates full marks.
5) Draw diagrams wherever necessary.
6) Distribution of syllatbus in Question Paper is only meant to cover
entire syllabus within the stipulated frame. The Question paper
pattem is a mere guideline. Questions can be asked from any
paper's syllabus into any question paper. Students cannot claim
that the Question is out of sylabus. As it is only for the placement
sake, the distribution has been done.
7) Use a common answer bookfor section B &C.
Section -B
2. Long Answer Questions (Any two out of three) : [2 x 10 = 20]
a) Classify haemorrhagic shock. Describe the pathophysiological changes,
clinical features and management of class 4 haemorrhagic shock in a
patient of vehicular trauma. [2+2+2+4]
b) Classify goitre.
Describe natural history of simple goitre.
Describe investigations &treatment ofsolitary thyroid nodule. (2+2+3+3]
c) Describe aetiology, pathophysiology, clinical presentation, treatment and
complications of anal fissure. (2+2+2+3+1]
3. Short Answer Questions (Any four out of five) : [4 x 5=20)
a) Management of deep vein thrombosis
b) Written informed consent
c) Factors affecting wound healing
d) Calculate Fluid requirement for a 40 years female with 40% TBSA flame
buns weighing 50 kg
e) Discuss differential diagnosis of a 30 years young male with right iliac
fossa pain

N-6035 P.T.O
 AAB0100027244206
Section -C
4. Long Answer Questions (Any two out of three) : [2 x 10 = 20]
a) Describe aetiology, clinical features, investigations, treatment and
complications of obstructive Jaundice. (2+2+2+2+2]

b) Describe aetiology, pathophysiology, clinical features, management and

complications of Meckel's diverticulitis. (2+2+2+2+2]

c) Describe aetiology, clinical presentation, management and complications

in a 18 years male with right sided indirect inguinal hernia. (2+2+4+2]

5. Short AnswerQuestions (Any four out of five) : (4 x 5= 20]

a Surgical site infections

b) Workup & treatment of chronic submandibular sialadenitis due to stone

c) Describe differential diagnosis of a 16 years girl with painless lump in

right breast

d) Advantages and disadvantages of minimal invasive surgeries (MIS)

e) Clinical stages of rejection in transplantation

N -6035 -2
[Total No. of Pages:2 AAB0100027244207
Third (1) M.B.B.S. (2019)Examination, Winter - 2023 (Phase - l)
GENERAL SURGERY -II
SectionB&CMarks: 80
Total Duration: Section A+B+C=3 Hours
SECTION -B&C
Instructions: 1) Use black ball point pen only.
2) Do not wite anything on the blank portion of the question paper.
If written anything, such type of act will be considered as an attempt
to resort to unfair means.
3 All questions are compulsoy.
4) The number to the right indicates full marks.
5) Draw diagrams wherever necessary.
6) Distribution of syllabus in Question Paper is only meant to cover
the entire syllabus within the stipulated frame. The Question paper
pattem is a mere guideline. Questions can be asked from any
paper's syllabus into any question paper. Students cannot claim
that the Question is out of syllabus. As it is only for the placement
sake, the distribution has been done.
7) Use a common answer book for section B&C.

SECTION-"B" (General Surgery)

2. Long Answer Questions (Any two out of three) : |2 x 10 = 20]
a) Enumerate various causes of haematuria. Describe clinical features,
investigations and treatment of renal cell carcinoma. |2+2+3+3|)
b) Enumerate aetiological factors of carcinoma penis. Describe
pathophysiology & management of carcinoma penis. (2+3+5]
c) Discuss diferential diagnosis of scrotal swelling in a 30 years male.
Describe management of primary vaginal hydrocele. (5+5]

3 Short Answer Questions (Any four out of five) : [4 x 5=20]

a) Indications, precautions &complications of intravenous urography [IVU]
b) Workup & treatment of acute epididymo-orchitis
c) A65 years male presented with difficulty in micturition and increased
frequency of urination during the night. How willyou investigate the
case? What are the principles of treatment?
d) A 35 years uncircumscribed male presents with pain and swelling of
foreskin of penis which was trapped behind the corona of the glans
penis. How will you manage the case?
) Clinical presentation and workup of atrial septal defect [ASDJ.

N-6036 P.T.O
 AAB0100027244207
4. Short Answer Questions (Any four out of five) : [4 x5= 20)
a Describe preoperative evaluation of a45 years male patient for procedure
under general anaesthesia.
b) Enumerate conditions causing difficult airway. Describe assessment of
difficult airway.
c) Enumerate indications of mammography. Describe assessment of breast
lump by mammography.
d) Describe role of imaging in the assessment of urethral stricture.
e) Management of acute ureteric colic.

SECTION - "C" (0rthopacdics)

5. Long Answer Questions (Any one out of two) : |1 x 10 = 10]
a) Define Osteoporosis. Enumerate the causes / risk factors of Osteoporosis.
Outline the investigations and management for osteoporosis.
b) Describe the pathogenesis, clinical features and outline the treatment of
Acute osteomyelitis.

6. Short Answer Questions (Any two out of three) : |2 x5 =10]

a) Displacements in Colle's fracture
b) Osteochondroma
c) Gout

N6036 -2
[Total No. of Pages :2 AABO100027244205
Third (1) M.B.B.S. (2019) Examination, Winter -2023 (Phase - I)
PAEDIATRICS

Total Duration: SectionA+B+C =3 Hours Section B&C Marks : 80

SECTION-B&C
Instructions: 1) Use black ball point pen only.
2 Do not write anything on the blank portion of the question paper.
If written anything, such type ofact will be considered as an attempt
to resort to unfair means.
3) All questions are compulsory.
The number to the right indicates full marks.
5) Draw diagrams wherever necessary.
6) Distribution of syllabus in Question Paper is only meant to cover
the entire syllabus within the stipulated frame. The Question paper
patterm is a mere guideline. Questions can be asked from any
paper's syllabus into any question paper. Students cannot claim
that the Question is out of syllabus. As it is only for the placement
sake, the distribution has been done.
7) Use a common answer book for all sections.

SECTION- "3"
2. Long answer questions (Any two out of three) : [2 x 15 = 30]
a) What are the common causes of cyanosis in an infant. Describe clinical
features, investigations and complications of Tetralogy of Fallot and
discuss management of cyanotic spell in a ly old infant. [4+3+3+5]
b) A S years old child presented with fever of 7 days duration and
hepatosplenomegaly. Enumerate the differential diagnosis. Discuss the
investigations and management of malaria along with its complications.
(4+3+5+3)
c) Four days neonate is brought with refusal to feed and excessive crying
write the differential diagnosis. Describe the clinical features,
complications and management of neonatal sepsis. [5+3+2+5|

3. Short Answer Questions (All three are compulsory) : |3 x5= 15)

a) Adolescent counselling
b) Sickle cell disease
c) Management of snake bite in children

N -6034 P.T.O
 AAB0100027244205
SECTIQN - "C"
4. Long Answer Questions : (1 x 15 = 15]
01 year old child weighing 10 kg is brought with fever & recurrent seizures of
01 day duration. Enumerate the likely causes. Describe the investigations,
complications and management of status epilepticus. (4+3+3+5]

5. Short Answer Questions (Any four out of five) : [4 x 5=20]

a) Multisystem Inflammatory Syndrome in Children (MISC).
b) Revised Jones criteria for acute rheumatic fever.
c) Management of acute diarrhea severe dehydration as per IMNCI in a 2
year old child.

d) Haemorrhagic disease of the new-borm (HDN).

e) Approach to haematuria in children.

N-6034 -2
ttvoN+

[TotalNo. of Pages : 2 AAB0100027244201

Third() M.B.B.S. (2019) Examination, Winter -2023 (Phase - l)
OBSTETRICS & GYNAECOLOGY -I
Total Duration: Section A+B+C=3 Hours Section B&C Marks: 80
SECTION-B& SECTION-C
Instructions: 1) Use black ball point pen only.
2) Do not write anything on the blank portion of the question paper.
Ifwritten anything, such type of act willbe considered as an attempt
to resort to unfair means.
3) All questions are compulsory.
4) The number to the right indicates full marks.
5) Draw diagrams wherever necessary.
6) Distribution of syllabus in Question Paper is only meant to cover
the entire syllabus within the stipulated frame. The Question paper
pattem is a mere guideline. Questions can be asked from any
paper's syllabus into any question paper. Students cannot claim
that the Question is out of sylabus. As it is only for the placement
sake, the distribution has been done.
7 Use a Common answer book for section B&C.

SECTION - "B"
2. Long answer questions (Any three out of four) : (3 x 15 = 45)

a) Define ectopic pregnancy. Enumerate various etiologicaB risk factors of

ectopic pregnancy. Describe the conservative management of un ruptured
tubal ectopic pregnancy. (3+6+6)

b) Define antepartum haemorrhage. Enumerate various causes ofabruption

placentae. How will you manage primigravida with 37 weeks of gestation
with abruption placentae? (2+3+10)
c) Define puerperal sepsis. Enumerate the risk factors for puerperal sepsis.
Write the management of postpartum women with high grade fever and
foul smelling lochia. (2+5+8)

d) Define anaemia in pregnancy. Enumerate the complications ofanaemia in

pregnancy. Describe the management of fourth gravida with 30 weeks of
pregnancy with Hb of 7 gm%. (2+5+8)

N-6030 P.T.0
 AAB0100027244201
SECTION - "C"
3. Short answer questions ( Any six out of seven) : (6 x 5=30)
a) Components ofActive Management ofThird Stage of Labour(AMTSL).
b) Indications and contraindications of Misoprostol in Obstetrics.
. c) Aims and objectives of antenatal care
d) Extemal cephalic version - Indications, procedure and complications
e) Matemal and fetal complications of pre-eclampsia.
f Ventouse delivery - Indications, pre-requisites and complications.
g) Methods of induction of labour and their complications.

4. Short Answer Question : [1 x5=5]

Nutritional counselling of pregnant woman.

N-6030 -2
[Total No. of Pages :2 AAB0100027244202
Third (1) M.B.B.S. (2019) Examination, Winter -2023 (Phase - II)
OBSTETRICS & GYNAECOLOGY - ||
Total Duration: Section A+B+C=3 Hours Section B&C Marks : 80
SECTION-B& SECTION - C
Instructions: 1) Use black ball point pen only.
2 Do not write anything on the blank portion of the question paper.
If wnitten anything, such type ofact will be considered as an attempt
to resort to unfair means.
3) All questions are compulsory.
4) The number to the right indicates full marks.
5) Draw diagrams wherever necessary.
6 Distribution of syllabus in Question Paper is only meant to cover
the entire syllabus within the stipulated frame. The Question paper
pattem is a mere guideline. Questions can be asked from any
paper's syllabus into any question paper. Students cannot caim
that the Question is out of syllabus. As it is only for the placement
sake, the distribution has been done.
7) Use a common answer book for all section B& C.

SECTION -"B"
2. Long answer questions (Any three out of four) : 3 x 15 = 45]
a) Define Infertility. Enumerate the causes of female infertility. How will you
investigate a case of female infertility? (2+6+7)
b) What are causes of abnormal uterine bleeding? How will you treat a
woman at the age of 40 with anovulatory AUB? (7+8)
c) Define prolapse of uterus. What are the supports of uterus? How will
you manage a case of 50 year old with 3*d degree uterine prolapse with
cystocele and rectocele. (2+5+8)
d) Enumerate the high risk factors for cervical cancer. How will you
investigate and treat stage lb cervical cancer. (3+4+8)

SECTION - "C"
3. Short answer questions (Any six out of seven) : |6 x5 = 30]
a) What are tests for diagnosis of ovulation?
b) What are methods of emergency contraception?

N -6031 P.T.O
 AAB0100027244202
c) What are abnonnal colposcopic findings in early stage of cancer cervix?
d) Write clinical features and treatment of trichomonas vaginitis.
e) What are indication of medical termination of pregnancy as per MTP
Act.?

f What are indications and methods of parenteral iron therapy?

Write various uses and doses of methotrexate in Obstetrics and
Gynaecology.

4. Short Answer Question (One Question from AETCOM): |1 x5= 5]

Pre and post-test counselling in woman with HIV disease.

N-6031 -2