QUESTION BANKB.H.M.S. 4TH Practice of medicine (Paper- 3) Total Marks – 100 Time – 3 hours SAQ – 60 Marks Q.1. Write short answers (answer not more than two lines) (Write any ten out of fifteen) 10x2=20 Name two drugs for angina Define medicine Define Viral Hepatitis portal hypertension – write 2 indications Urinary tract infection – name 2 drugs Haematuria.name 2 drugs epilepsy.-name 2 drugs Obesity –define and name one drug Amoebic Liver Abscess. -Name one drug Urinary tract infection.define and name one drug for it meningitis. Define and give two indication Typhoid fever.name two drugs Vitiligo - name one drug Name 2 drugs for each condition: Bacillary Dysentery Bronchial asthma Portal hypertension C. C. F. Hodgkin's disease Rheumatoid arthritis Nephritis Haematuria Filariasis Impotency Pneumonia Cardiac dropsy Rheumatic fever Gonoccocal urethritis Anorexia Leukemia Eczema Tetanus Ascites Define and indicate one drug for the following Acne Urtecaria Eczema Vitiligo RINGWORM Psoriasis Fever MEASLES WARTS CHICKEN POX DERMATITIS DIPTHERIA MUMPS: KALA AZAR GOUT : RHEUMATOID ARTHRITIS : ANOREXIA : GASTROENTERITIS : CHOLERA : ŠHEPATITIS : ROUNDWORM INFESTATION : DENTITION DIARRHOEA : DYSENTRY : ANGINA : HYPERTENSION: PLEURAL EFFUSION: BRONCHIAL ASTHMA: ALLERGIC RHINITIS : TUBERCULAR LARYNGITIS HOARSENESS OF VOICE: INTRA CRANIAL HAEMORRHAGE/ STROKE: PARALYSIS : EPILEPSY : PARALYSIS AGITANS: CEREBRAL VOMITING: MIGRAINE : MANIA : NEUROSIS : ANXIETY HYSTERIA: HAEMATURIA: RETENTION OF URINE : U.T.INFECTIONS : RENAL DISORDERS : OBESITY : DIABETES : INFLUENZA : MALARIA : SPLEEN DISORDER : HAEMORRHAGE: GANGRENE: THROMBOPHLEBITIS ANAEMIA: NAME TWO DRUGS FOR THE FOLLOWING Defined Angina pectoris Name two causative organisms of Pylonephritis heart failure. Recurrent abscess. cardiomegaly C.C.F. Pericarditis Hypotention. rheumatoidarthritis. Ecephalitis Mitral stenosis. Osteoarthritis. RT.heart failure. Causes of Recurrent UTI Causes of Psoriasis Glomerulonephritis Schzophrenia Endocarditis Pylonephritis Gout hypotension Psoriasis Parkinson’s disease Cystitis. chronic nephritis Myocarditis Shock hepatomegaly cardiomegaly hematemesis. Hemoptysis. Thrombosis Hydrocyphalus Alzheimrr’s disease Myasthenia gravis cerebral palsy What is osteoporosis What is Scoliosis Osteomyelitis Rickets Bone fracture Polycystic kidney disease Causes of hypertension with 2 drugs Hypertension Defind Eczema Give sings of Psoriasis What is Herpes Zoster Sings of Hepatomegaly Sings of Spleenomegaly Causes of jaundice Paranoid schizophrenia Signs of Bell’s palsy Jones criteria Causes of cardiomegaly Causes of Atrial fibrillation Causes of cardiac arrest Causes of Acne vulgaris Tuberculine test Causes of Iron deficiency anemia Diagnosis of Gout Causes Scurvy Causes of tetany Causes of cyanosis Causes of Beri- beri E.S.R. Causes of proteinuria Vitiligo Dementia Causes of Shock Causes of Alopecia SHORT NOTE – BANK (5 Marks) Q 2 ]Write short answer any four out of six ? 4X5 =20 DESCRIBE ONE DRUG FOR THE FOLLOWING CONDITION .Eczema .Rheumatic fever Urethritis Cystitis Renal calculi Leukemia Gonorrhoea Syphilis D/d edema Diagnostic signs of meningitis Obesity Strock Proteinuria Atrial Fibrillation Tetany Dementia Hysteria Bell’s palsy C.S.F.Examination Petitmal Epilepsy Status Epilepepticus Alzheimer’s disease Convulsions in Children Anxiety neurosis Cardiomyopathy Cardiac arrest Herpes zoster Psoriasis Acne vulgaris Gout Osteoarthritis Osteoporosis Osteomalacia Scurvy Rickets Kwashiorkor D/d of Cyanosis D/d of Hematuria Urticaria Ringworm Warts Rheumatoid arthritis Gout Angina Hypertension Epilepsy Paralysis Agitans Migraine Mania Hematuria Anaemia DESCRIBE ONE homoeopathic DRUG FOR THE FOLLOWING CONDITION Schizophrenia Paranoid Schizophrenia Tetany Meningococcal Meningitis Dementia Hysteria Bell’s Palsy C.S.F. Examination Petit mal Status Epilepticus Alzheimer’s disease Convulsions in Children Anxiety neurosis Wernicke-korsakoff syndrome Cardiomyopathy Atrial Fibrillation Cardiac arrest 1. Auricular Fibrillation 2. Transient ischaemic attack LONG ANSWER QUESTIONS (20 MARKS) From question No. 5 / 6 / 7 1. Discuss the aetiology, clinical features, complications, diagnosis and general management of Lobar Pneumonia. With 3 homoeopathic drugs in detail 2. Discuss the aetiology, clinical features, complications and diagnosis of Bronchial Asthma With 3 homoeopathic drugs in detail 3. Discuss aetiology, investigation, management and complications of Pneumonias. With 3 homoeopathic drugs in detail 4. Define Chronic Bronchitis and discuss pathophysiology, contributory factors, clinical presentation, and management of Chronic Bronchitis. With 3 homoeopathic drugs in detail 5. Discuss the differential diagnosis of acute breathlessness and chest pain (right side) in patient aged 30 years. With 3 homoeopathic drugs in detail 6. Discuss Miliary mottling on an X-ray chest. 7. Discuss the differential diagnosis of pleural effusion. With 3 homoeopathic drugs in detail 8. Discuss causes, manifestations diagnosis of acute respiratory failure. With 3 homoeopathic drugs in detail 9. Discuss left ventricular failure With 3 homoeopathic drugs in detail 10. Discuss Acute Infective endocarditis With 3 homoeopathic drugs in detail 11. Discuss the risk factors, clinical features, complications and diagnosis of Acute Myocardial Infarction With 3 homoeopathic drugs in detail 12. Discuss JVP in health and disease. With 3 homoeopathic drugs in detail 13. Discuss the aetiology, clinical features, investigations and complications of hypertensions. With 3 homoeopathic drugs in detail 14. A middle-aged male present with acute chest pain. Discuss differential diagnosis and acute management. With 3 homoeopathic drugs in detail 15. Discuss the causes, manifestations, diagnosis and general management of congestive heart failure. With 3 homoeopathic drugs in detail 16. Discuss congestive cardiac failure. With 3 homoeopathic drugs in detail 17. Discuss the aetiology, clinical features, complications and diagnosis of acute pericarditis. With 3 homoeopathic drugs in detail 18. Discuss Pericarditis. 19. Discuss the differential diagnosis in a patient who has chronic symptoms of abdominal pain, fever and diarrhoea. 20. Discuss the differential diagnosis of upper gastro-intestinal bleeding. 21. Discuss Amoebic Liver Abscess. 22. Discuss the Liver function tests and their application in the diagnosis of various liver disorders. 23. Discuss Hepatitis `B’ and its complications. 24. Discuss Viral Hepatitis 25. Discuss the aetiology, manifestations and complications of portal hypertension 26. A middle-aged male presents with a massive bout of haematemesis. Discuss the various possibilities, outline the basic management. 27. Discuss physiology of protein absorption and protein loosing enteropathies. 28. Discuss Nephrotic Syndrome 29. Discuss kidney stones 30. Discuss Acute Pyelonephritis 31. Discuss Urinary tract infection. 32. Discuss the differential diagnosis of Haematuria. 33. Discuss acute renal failure and its management. 34. Discuss the causes, clinical features and diagnosis of Acute Cerebro-Vascular Stroke. 35. Discuss Neurological Disorders due to Nutritional difficulties. 36. Discuss differential diagnosis of Ataxia. 37. Discus connection of Basal Ganglia and describe pathophysiology, biochemical mechanism and clinical presentation of Parkinson’s disease. 38. Discuss the aetiology, clinical features, investigations and complications of pyogenic meningitis. 39. Discuss causes, types, clinical features and investigations of epilepsy. 40. Discuss involuntary movement. 41. Discuss the differential diagnosis of acute paraplegias. 42. Discuss the differential diagnosis of Paraplegias. 43. Discuss meningococcal meningitis. 44. Discuss the aetiology, clinical features, complications and diagnosis of Typhoid fever. 45. Discuss mechanism of formation and circulation of Thyroid Hormones and discuss Hyper-thyroidism. 46. Discuss the Thyroid function tests in brief. Describe the causes and clinical features of Hypothyroidism. 47. Discuss the investigations in a case of Thyroid disorder. 48. Discuss Hypothyroidism in brief. 49. Discuss Obesity with a special reference to Endocrine causes. 50. Discuss Rheumatoid arthritis and its systematic effects. 51. Discuss Polyarthritis. 52. Discuss the differential diagnosis of Polyarthritis in a 60 year old patient. 53. Discuss Nutritional Anemias. 54. Discuss Bleeding disorders. 55. Discuss Hodgkin’s disease. 56. Discuss investigations hematological picture, manifestations in acute Leukaemias 57] Discuss Homoeopathic management of Bronchial Asthma. Describe leading features of Thuja and Medorrhinum above condition. 58] How will you manage a case of “Status asthmaticus” with Homoeopathic drugs and mother tinctures? What drugs you will suggest as inter current treatment and why? 59] Discuss signs, symptoms, and diagnosis of Sinusitis. Describe in detail indications of Kali bich and Silicea in Sinusitis. 60]How will you manage a case of pulmonary cavity with Homoeopathic drugs. 61]Describe in brief aetiology, signs and symptoms of Bronchial Asthma. Mention Homoeopathic drugs with their leading indications. 62] How will you manage a chronic case of bronchitis using acute and constitutional homoeopathic drugs? 63] How will you manage a case of Broncho-pneumonia using acute and constitutional homoeopathic drugs? 64] What are the causes and complication of Hypertension? Describe its management with – Baryta Mur, Digi, Aur Met, Lach 65] How will you manage a case of Myocardial infarction? Give four leading indications of any four Homoeopathic Drugs 66] Discuss the risk factors, clinical features, complications, diagnosis and homoeopathic treatment of Acute Myocardial Infarction. 67] Discuss clinical features, complications, diagnosis and homoeopathic treatment of hypertension. 68] Discuss Rheumatic fever. Give only four characteristic symptoms of any four indicated remedies. 69] Give definition, signs and symptoms and homoeopathic treatment of `Eczema’. 70] Give signs, symptoms, differential diagnosis and homeopathic treatment of Psoriasis. 71] What is Herpes? Discuss the Homoeopathic management of herpes zoster. 72]Discuss the signs and symptoms, complications and homoeopathic management of Peptic Ulcers. 73]Give signs, symptoms and complications of hepato-splenomegaly.Discuss the role of homoeopathic medicines. (Three drugs) 74] Discuss and describe the Homoeopathic management of gastroenteritis. 75] Discuss Jaundice. Give only four leading symptoms of four indicated homoeopathic drugs. 76] Differentiate between Amoebic and Bacillary dysentery. Mention three drugs for each condition with their leading indications & what mother tinctures and intercurrents you will suggest for these conditions and why? 77] Describe the personalities which are prone to suffer `Irritable Bowel Syndrome’ and explain in detail Nux-Vomica personality for the above condition. 78] How will you manage a chronic case of Atonic Constipation? 79] Give signs, symptoms, differential diagnosis, investigations and homoeopathic management of Amoebic dysentery. 80] Describe chronic Urinary tract infection and give characteristic indications of Lycopodium, Canth, Can I, Sarsaparilla. 81] Describe in brief uremia and its complications. Give Homoeopathic therapeutics