SUBJECT: MEDICINE PAPER : II
Q.1. A 16-year-old boy presented with fever for 2 days, irrelevant behaviour for one day, convulsion and unconsciousness for 6 hours. On examination, he had neck stiffness.
a) What are clinical clues for etiological confirmation?
b) Write down the investigations with expected important findings?
c) What are the role of steroid in this case?
Q.2. Write short answers to the following questions:
a) How will you de prescribing medication at hospital in-patient?
b) How will you investigate a 25-year-old woman presented with hirsutism?
c) Write down the selection criteria of antibiotic in community acquired pneumonia (CAP).
d) A 30-year-old male presented with urethral discharge in last 3 days. How will you evaluate and treat him?
e) How you will manage pain of a cancer patient in terminal stage?
Q.3. A 20-year-old woman presented with the complaints of recurrent attacks of fever, joint pain and whitening of the tip of the fingers after cold exposure.
a) Make a check list of information that will hint the diagnosis.
b) Make the investigation plan with reasoning
. c) Give a plan of treatment of this patient.
Q.4. Write short notes on:
Dengue vaccine
Gene therapy
Intermittent fasting
XDR tuberculosis
Steps of breaking bad news