HNGU MBBS STUDENT

UNION
Insta : @hngu_mbbs_students GMERS PATAN

Contact no. : 9106899731 GMERS HIMMATNAGAR

GMERS VADNAGAR

BANAS MEDICAL COLLEGE PALANPUR

TYMBBS PART 2
MEDICINE
• From last 9 years papers of HNGU
• Updated till march 2023
• Based on 2nd edition of Ramdas
nayak

TYPING & TECHNICAL SUPPORT BY KASHYAP MEHTA

• Made by DR.VRUSHAK LATHIGARA (BATCH 2K18)

• FROM GMERS patan
 Paper 1
# nutrition and environmental medicine #
( SECTION 1 )
SR IMP QUESTIONS MARKS FREQUENCY PAGE
NO NO
1 VITAMIN A 6 * 1
- CLINICAL
FEATURES
- INVESTIGATION
- DIAGNOSIS
- PREVENTION
2 VITAMIN B COMPLEX 6 * 3
- THIAMINE ( B1 )
DEFICIENCY
3 KORSAKOFF’S 2 * 5
SYNDROME
4 PELLAGRA 6 * 5
- CAUSES
- CLINICAL
FEATURES
- DIAGNOSIS
- MX
5 VITAMIN C 6 * 6

• Made by DR.VRUSHAK LATHIGARA (BATCH 2K18)

• FROM GMERS patan
6 VITAMIN D 6 * 8
DEFICENCY
( RICKETS )
7 OBESITY 6 ** 15
- TYPES
- PATHOLOGY
- COMPLICATION
- CLINICAL
ASSESSMENT
- INVESTIGATION
- DIAGNOSIS
- RISK FACTORS
8 HYPER THERMIA 6 ** 23
- DEFINATION
- CAUSES
- CLINICAL
FEATURES
- INVESTIGATION
- MX
9 HYPOTHERMIA 6 * 26
10 TYPES OF 2 * 23
HEATSTROKE

# ENDOCRINE SYSTEM #
( SECTION 2 )
• Made by DR.VRUSHAK LATHIGARA (BATCH 2K18)
• FROM GMERS patan
SR IMP QUESTIONS MARKS FREQUENCY PAGE
NO NO
11 PITUTARY HORMONES 6 ** 29
- HYPOPITUTARISM
- CLINICAL
FEATURES
- INVESTIGATION
- MX
12 SHEEHAN SYNDROME 2 * 31
13 PITUTARY ADENOMA 6 ** 32
(TUMOR)
- CLASSIFICATION
- C/F
- INVESTIGATION
- TREATMENT
14 CASE : ACROMEGALY 6 *** 34
15 CASE 6 *** 36
:PROLACTINOMA
16 CASE :DIABETES 6 ** 37
INSIPIDUS
17 WATER DEPRIVATION 6 * 38
TEST
18 THYROTOXICOSIS 6 *** 41
(HYPERTHYRODISM)
- DEFINATION
- CAUSES
• Made by DR.VRUSHAK LATHIGARA (BATCH 2K18)
• FROM GMERS patan
 - C/F
- APPROACH TO
DIAGNOSIS
- TREATMENT
19 GRAVE’S DISEASE 6 ** 41
20 EYE SIGNS ( THYROID 6 ** 43
OPTHALMOPATHY )
21 PRETIBIAL 6 * 44
MYXEDEMA
22 THYROTOXIC CRISIS/ 6 ** 46
THYROID STORM
23 CASE : 6 *** 46
HYPOTHYRODISM
24 SICK EUTHYROID 2 * 48
SYNDROME (NTIS)
25 MYXEDEMA COMA 2/6 * 49
26 HASHIMOTO’S 6 * 51
THYRODITIS
27 CASE : HYPER 6 ** 55
PERATHYRODISM
28 HYPER CALCEMIA 6 ** 57
29 CASE : TETANY 6 *** 59
(HYPOCALCEMIA)
30 CHOVOSTEK’S SIGN EACH * 59
AND OF 2
TROUSSEAU’S SIGN
• Made by DR.VRUSHAK LATHIGARA (BATCH 2K18)
• FROM GMERS patan
31 CUSHING SYNDROME 6 * 60
32 ADDISON DISEASE 6 ** 66
33 ACUTE ADRENAL 6 * 68
CRISIS
34 WATERHOUSE 2 * 70
FRIDERICHSEN
SYNDROME
35 PHECHROMOCYTOMA 6 * 70
36 GYNECOMASTIA 6 ** 73

# DIABETES MELITUS #
( SECTION 2 )
SR IMP QUESTIONS MARKS FREQUENCY PAGE
NO NO
37 DM 6 ** 76
- DEFINATION
- CLASSIFICATION
38 DM 1 6 * 77
- PATHOGENESIS
39 DM 2 6 * 79
- PATHOGENESIS
( INSULIN
RESISTANCE )

• Made by DR.VRUSHAK LATHIGARA (BATCH 2K18)

• FROM GMERS patan
40 CLINICAL FEATURES 6 ** 81
OF DM 1 AND DM 2
41 LADA AND MODY EACH ** 81
OF 2
42 DIAGNOSIS OF DM 6 *** 83
AND DIAGNOSTIC
CRITERIA
43 OGTT 2 * 84
44 MX OF DM (MNT) 6 *** 85
45 ORAL HYPOGLYCEMIC 6 **** 87
DRUG
46 INSULIN THERAPY 6 **** 91
47 STEPWISE APPROACH 6 ** 95
FOR THE MX OF DM 2
48 GLYCOSYLATED 6 ** 96
HEMOGLOBIN
(HbA1C) AND
FRUCTOSAMINE
49 COMPLICATION OF 6 ****** 96
DM
ACUTE
COMPLICATION
- DKA ( CASE )
50 CASE : HONK 6 ** 99
DIABETIC COMA (

• Made by DR.VRUSHAK LATHIGARA (BATCH 2K18)

• FROM GMERS patan
 ACUTE
COMPLICATION )
51 CASE : 6 *** 101
HYPOGLYCEMIA
52 SOMOGYI 2 ** 102
PHENOMENON
53 DAWN 2 ** 103
PHENOMENON
54 MX OF DIABETIC 2 ** 106
NEPHROPATHY
55 DIABETIC 6 * 108
NEUROPATHY
56 DERMATOLOGICAL 2 ** 110
COMPLICATION OF
DM
57 METABOLIC 6 * 111
SYNDROME
58 SGLT2 INHIBITORS 2 ** 89
59 WHIPPLE’S TRIAD 2 * 101

# INFECTIOUS DISEASE #
( SECTION 2 )
SR IMP QUESTIONS MARKS FREQUENCY PAGE
NO NO

• Made by DR.VRUSHAK LATHIGARA (BATCH 2K18)

• FROM GMERS patan
60 PYREXIA OF 6 ** 113
UNKNOWN ORIGIN
( PUO )
61 STREPTOCOCCAL 6 * 118
INFECTION
62 STAPHYLOCOCCAL 6 * 119
INFECTION
63 DIPTHERIA 6 * 121
64 CASE : TETANUS 6 ** 122
65 CASE : ENTERIC 6 *** 128
FEVER
(TYPHOID FEVER)
66 FOOD POISONING 6 * 130
67 BACILLARY 6 ** 132
DYSENTERY
68 CASE : INTESTINAL 6 * 133
AMEBIASIS AND
AMEBIC COLITIS
69 CASE : CHOLERA 6 * 136
70 LAPRA REACTION OF 6 ** 140
LEPROSY
71 LEPROMIN TEST 6 * 141
72 TREATMENT (WHO) 2 * 141
REGIMENS FOR
LEPROSY

• Made by DR.VRUSHAK LATHIGARA (BATCH 2K18)

• FROM GMERS patan
73 CASE : MEASLES 6 *** 146
(RUBEOLA)
74 MUMPS 6 * 150
75 HERPES ZOSTER 6 * 153
(SHINGLES)
76 CASE : DENGUE 6 **** 156
77 HESS TEST 2 * 159
78 CASE : 6 ** 162
CHIKUNGUNYA
79 CASE : RABIES 6 *** 164
80 EBOLA VIRUS 2 * 166
DISEASE
81 SWINE FLU 6 ** 166
82 ZIKA VIRUS 6 * 167
83 COVID-19
84 CASE : MALARIA 6/10 **** 173
85 ALGID MALARIA 2 * 178
86 BLACK WATER FEVER 2 * 179
87 SCABIES 6 ** 196
88 CASE : SYPHILIS 6/10 ** 203

# HIV AND AIDS #

( SECTION 2 )

• Made by DR.VRUSHAK LATHIGARA (BATCH 2K18)

• FROM GMERS patan
SR IMP QUESTIONS MARKS FREQUENCY PAGE
NO NO
89 CASE : HIV 6/10 ******* 220
- ETIOLOGY
- MODE OF
TRANSMISSION
- PATHOGENESIS
- STAGING
- C/F
- NEUROLOGICAL
MANIFESTATION
OF AIDS
- MX
- POST EXPOSURE
PROPHYLAXIS

# cvs #
( section 2 )
SR IMP QUESTIONS MARKS FREQUENCY PAGE
NO NO
90 CHEST PAIN 6 *** 384
91 PALPITATION 6 *** 385
92 DYSPNEA 6 *** 387

• Made by DR.VRUSHAK LATHIGARA (BATCH 2K18)

• FROM GMERS patan
93 DIFF. B/W PND V/S 2 * 388
ORTHOPNEA
94 ARTERIAL PULSE 6/10 *** 388
95 JVP 6 * 391
96 CAUSES OF RAISED AND 2 * 393
LOWERED JVP
97 KUSSMAUL’S SIGN 2 * 395
98 HEPATOJUGULAR 2 * 395
REFLUX
99 SQUARE ROOT SIGN 2 * 395
100 CHEYNE-STOKES 2 ** 396
BREATHING
101 HEART SOUNDS 6 * 396
102 CAUSES OF THIRD 2 * 398
HEART SOUND
103 MURMURS 6 *** 400
- FEATURES
- SYSTOLIC
MURMURS
- VARIOUS
DIASTOLIC
MURMURS AND
IT’S CAUSES
- CONTINOUS
MURMURS
( CAUSES )
• Made by DR.VRUSHAK LATHIGARA (BATCH 2K18)
• FROM GMERS patan
104 ECG 6 * 404
105 CRITERIA OF LVH 2 * 410
106 STEMI CRITERIA 2 ** 411
107 ECG FINDING 2 * 411
DEPENDING ON THE
LOCATION OF MI
(TABLE 7.32)
108 NSTEMI (NON ST- 2 * 412
ELEVATION OF MI)
109 IHD 6 *** 412
110 CASE : CAD 6 **** 412
- ANGINA PECTORIS
- STABLE ANGINA
PECTORIS
- C/F
- TYPE
- CLASSIFICATION
- PHYSICAL
EXAMINATION
- INVESTIGATION
- LAB TEST
- MX
111 CASE : ACUTE 6/10 **** 421
CORONARY SYNDROME
- PATHOPHYSIOLOGY
- C/F
• Made by DR.VRUSHAK LATHIGARA (BATCH 2K18)
• FROM GMERS patan
 - COMPLICATION
- INVESTIGATION
- MX
112 STEMI 6/10 ***** 422
- CAUSES
- TYPES
- MX
NSTEMI
- CAUSES
- DIAGNOSIS
- MX
113 NSTEACS 6 * 431
114 CASE : HYPER TENSION 6/10 **** 433
115 DEFINE HYPERTENSIVE 2 ** 441
ENCEPHALOPATHY
116 DEFINE RESISTANT 2 * 442
HYPERTENSION
117 DRUG USED IN 2 * 443
HYPERTENSIVE
EMERGENECY
118 CASE : RHD 6/10 **** 443
119 VALVULAR HEART 6 * 450
DISEASE
120 AUSCULATORY FINDING 2 * 454
IN MITRAL STENOSIS

• Made by DR.VRUSHAK LATHIGARA (BATCH 2K18)

• FROM GMERS patan
121 COMPLICATION AND 6 ** 456
MX OF MITRAL
STENOSIS
122 CASE : AORTIC 6 *** 463
STENOSIS
123 CASE : AORTIC 6 ** 466
REGURGITATION
124 AUSTIN FLINT MURMUR 2 * 469
125 CASE : INFECTIVE 6/10 *** 474
ENDOCARDITIS
126 HEART FAILURE 6/10 *** 482
127 STAGES OF HEART 6 * 491
FAILURE AND
TREATMENT OF
SYSTOLIC HEART
FAILURE
128 PULMONARY EDEMA 6 * 492
129 CARDIAC ARRHYTHMIA 6 * 493
130 ATRIAL FIBRILLATION 6 ** 493
131 SICK-SINUS SYNDROME 2 * 500
132 CONGENTIAL HEART 6 * 510
DISEASE
133 RADIOFEMORAL DELAY EACH * 512
AND SUZMAN’S SIGN OF 2
134 CASE : ACUTE 6 ** 518
PERICARDITIS
• Made by DR.VRUSHAK LATHIGARA (BATCH 2K18)
• FROM GMERS patan
135 CASE : PERICARDIAL 6 *** 520
EFFUSION
136 CARDIAC TAMPONADE 6 *** 521
137 PULMONARY HTN 6 * 523
138 CAEDIAC ARREST 6 * 525
139 SYNCOPE 6 **** 528
140 COR PULMONALE 6 *** 528
141 AORTIC ANEURYSM 6 * 530
142 MARFAN’S SYNDROME 2 ** 532
143 RAYNAUD 6 ** 532
PHENOMENON
144 CASE : SHOCK 6/10 *** 533
145 HYPERLIPIDEMIA 6 ** 544
146 VIRCHOW’S TRIAD 6 * 538
147 CARDIAC TUMOR 2 * 547
- MYXOMA

# GIT #
( SECTION 1 )
SR IMP QUESTIONS MARKS FREQUENCY PAGE
NO NO
148 ANOREXIA 2 ** 716
- CAUSES
149 VOMITING 6 ** 716
• Made by DR.VRUSHAK LATHIGARA (BATCH 2K18)
• FROM GMERS patan
150 CAUSES AND 6 * 717
TREATMENT OF
HICCOUGH
151 CONSTIPATION 6 *** 718
152 BLOOD IN STOOL 6 ** 719
153 DYSPEPSIA 6 ** 720
154 CASE : UPPER GI 6 **** 722
BLEEDING
155 APPROACH TO 6 *** 727
DIARRHEA
156 CAUSES OF CHRONIC 2 ** 728
DIARRHEA
157 APPROACH TO THE 6 ** 728
PATIENT WITH ACUTE
DIARRHEA
158 DYSPHASIA 6 ** 731
159 GERD 6 * 733
160 BARRET’S ESOPHAGUS 6 * 735
161 ACHLASIA OF THE 6 * 737
ESOPHAGUS
162 HIATUS HERNIA 6 * 736
163 CASE : PEPTIC ULCER 6/10 **** 738
164 CELIAC DISEASE 6 *** 750
165 WHIPPLE DISEASE 2 * 752
166 CASE : IRRITABLE 6 *** 757
BOWEL SYNDROME
• Made by DR.VRUSHAK LATHIGARA (BATCH 2K18)
• FROM GMERS patan
167 INFLAMMATORY 6 ** 762
BOWEL DISEASE (IBD)
168 ULCERATIVE COLITIS 6 ** 763
(UC)
169 CROHN’S DISEASE 6 ** 767
(CD)
170 TOXIC MEGACOLON 2 * 771
171 CAUSES OF 2 ** 776
ABDOMINAL
DISTENSION (7FS)

# KIDNEY #
( SECTION 1 )
SR IMP QUESTIONS MARKS FREQUENCY PAGE
NO NO
172 FUNCTIONAL 6 ** 864
ANATOMY OF KIDNEY
173 FUNCTIONS OF KIDNEY 2 ** 864
174 AZOTEMIA 2 ** 865
175 INSULIN CLEARANCE 2 ** 866
176 RENAL FUNCTION TEST 2 ** 866
177 URINE EXAMINATION 6 *** 867
178 PROTEINURIA 6 *** 868
179 MICROALBUMINURIA 6 *** 869
• Made by DR.VRUSHAK LATHIGARA (BATCH 2K18)
• FROM GMERS patan
180 TAMM-HORSFALL 2 ** 869
MUCOPROTEIN
( UROMODULIN )
181 CASE : AKI ( ACUTE 6 **** 871
RENAL FAILURE )
182 RIFLE CRITERIA FOR 2 ** 873
CLASSIFICATION OF AKI
183 CLASSIFICATION OF 2 * 870
PROTEINURIA BASED
ON ACR
184 VARIOUS CAUSES OF 2 * 870
PAINLESS HEMATURIA
185 PROBABLE SITE OF 2 * 870
BLEEDING AND IT’S
FEATURES OF
HEMATURIA
186 BERGER’S DISEASE 6 ** 887
187 RENAL TUBULAR 6 ** 888
ACIDOSIS (RTA)
188 CASE : CKD ( CHRONIC 6/10 **** 890
KIDNEY DISEASE )
189 CASE : NEPHROTIC 6/10 **** 884
SYNDROME
190 CASE : PSGN 6 **** 880
191 GLOMERULONEPHRITIS 6 *** 879

• Made by DR.VRUSHAK LATHIGARA (BATCH 2K18)

• FROM GMERS patan
192 COMPLICATION AND 6 *** 876
INVESTIGATION AND
MX OF AKI
193 RENAL 6 ** 892
OSTEODYSTROPHY
194 PCKD (POLYCYSTIC 6 ** 897
KIDNEY DISEASE )
195 CASE : UTI (URINARY 6/10 *** 901
TRACT INFECTION)
196 TB OF URINARY TRACT 6 * 907
197 RRT (RENAL 6 ** 908
REPLACEMENT
THERAPY)
198 HEMODIALYSIS 6 ** 909
199 PERITONIAL DIALYSIS 6 * 911
200 RENAL 6 * 912
TRANSPLANTATION

#FLUID AND ELECTROLYTE DISTURBANCES#

( SECTION 1 )
SR IMP QUESTIONS MARKS FREQUENCY PAGE
NO NO
201 NORMAL RANGE OF 6 ** 914
VARIOUS
• Made by DR.VRUSHAK LATHIGARA (BATCH 2K18)
• FROM GMERS patan
 ELECTROLYTES & PH
AND OSMOLALITY OF
BLOOD
202 CASE : 6 **** 917
HYPONATREMIA
203 SIADH 6 *** 922
204 CEREBRAL SALT 2 * 923
WASTING SYNDROME
205 HYPOKALEMIA 6 *** 925
206 HYPERKALEMIA 6 *** 927
207 ANION GAP 6 *** 929
208 METABOLIC 6 ** 931
ALKALOSIS
209 RESPIRATORY 6 ** 932
ACIDOSIS
210 RESPIRATORY 6 ** 933
ALKALOSIS
211 COMPENSATORY 2 * 934
RESPONSE IN ACID-
BASE DISORDER
212 EDEMA 6 ** 934

# HEMATOLOGY #
( SECTION 1 )

• Made by DR.VRUSHAK LATHIGARA (BATCH 2K18)

• FROM GMERS patan
SR IMP QUESTIONS MARKS FREQUENCY PAGE
NO NO
213 RETICULOCYTE (RPI) 2 * 551
214 CASE : ANEMIA 6/10 **** 553
215 RBC ABNORMALTIES 6 * 551
216 IRON DEFICENCY 6/10 ***** 557
ANEMIA
217 MACROCYTIC ANEMIA 6 *** 562
218 CASE : 6/10 ***** 563
MEGALOBLASTIC
ANEMIA (DEFICIENCY
OF VIT-B12 & FOLIC
ACID OR ADDISONIAN
PERNICIOUS ANEMIA)
219 HEMOLYTIC ANEMIA 6 *** 570
220 SICKLE CELL ANEMIA 6/10 **** 572
221 THALASSEMIA 6 *** 577
- TYPES ( α AND β
MAJOR )
222 G6PD DEFICIENCY 6 * 580
223 PAROXYSMAL 6 * 583
NOCTURNAL
HEMOGLOBINURIA
224 AUTOIMMUNE 6 * 584
HEMOLYTIC ANEMIA

• Made by DR.VRUSHAK LATHIGARA (BATCH 2K18)

• FROM GMERS patan
225 NORMOCYTIC 2 * 582
NORMOCHROMIC
ANEMIA
- CAUSES
226 COOMB TEST 2 * 585
227 CASE : APLASTIC 6 **** 588
ANEMIA
228 CAUSES OF 2 * 589
PANCYTOPENIA
229 COMMON CAUSES OF 2 * 590
LEUKOCYTOSIS AND
LEUKOPENIA
230 CAUSES OF 2 * 591
NEUTROPENIA
231 CAUSES OF 2 * 591
EOSINOPHILIA
232 FAB CLASSIFICATION 2 * 593
OF AML AND ALL
233 CASE : ACUTE 6/10 *** 592
MYELOID LEUKEMIAS
234 TRATMENT FOR ALL 6 ** 597
235 CASE : CML (CHRONIC 6 **** 600
MYELOID LEUKEMIA)
236 POLYCYTHEMIA VERA 6 * 607
237 MULTIPLE MYELOMA 6 * 614
238 HODKIN LYMPHOMA 6 ** 620
• Made by DR.VRUSHAK LATHIGARA (BATCH 2K18)
• FROM GMERS patan
239 PROTHROMBIN TIME 2 * 633
240 THROMBOCYTOPENIA 6 *** 634
241 IMMUNE 6 *** 635
THROMBOCYTOPENIC
PURPURA
242 CAUSES OF 2 * 638
THROMBOCYTOSIS
243 HEMOPHILIA A AND B 6 *** 638
244 THROMBOTIC 6 ** 642
THROMBOCYTOPENIC
PURPURA
245 VON WILLEBRAND’S 6 * 641
DISEASE
246 HEMOLYTIC-UREMIC 6 * 643
SYNDROME
247 DISSEMINATED 6 *** 644
INTRAVASCULAR
COAGULATION
248 TRANSFUSION 6 * 646
MEDICINE
249 SAFE TRANSFUSION 6 * 648
PROCEDURE
250 COMPLICATION OF 6 *** 648
TRANSFUSION
251 STEM CELL 6 ** 651

• Made by DR.VRUSHAK LATHIGARA (BATCH 2K18)

• FROM GMERS patan
252 HEMATOPOIETIC 6 ** 652
STEM CELL
TRANSPLANTATION
253 ANTIPLATELET DRUGS 6 * 656
254 ANTICOAGULANT 6 * 657
255 WARFARIN 2 * 658
256 DIRECT THROMBIN 2 * 659
INHIBITOR
257 SPLENOMEGALY 6 * 662

# GERIATRICS #
( SECTION 2 )
SR IMP QUESTIONS MARKS FREQUENCY PAGE
NO NO
258 ALZHEIMER’S DISEASE 6 **** 1146
259 DEPRESSION 6 * 1150
260 MODIFIABLE CAUSES 2 ** 1149
OF DEMENTIA
261 PICK’S DISEASE AND EACH * 1149
CREUTZFELDT-JACOB OF 2
DISEASE
262 SUPPORTIVE 2 ** 1148
DIAGNOSTIC
FEATURES OF

• Made by DR.VRUSHAK LATHIGARA (BATCH 2K18)

• FROM GMERS patan
 FRONTOTEMPORAL
DEMENTIA

# AETCOM #
( SECTION 1 )

• Made by DR.VRUSHAK LATHIGARA (BATCH 2K18)

• FROM GMERS patan
• Made by DR.VRUSHAK LATHIGARA (BATCH 2K18)
• FROM GMERS patan