Kerala

Department of Medicine, KMCT Medical College, Mukkom, Calicut,

Medicine Paper 1
Third Professional MBBS Part II - Model Examination 2019 Batch General

Time: 3 Hours Maximum: 100Marks

1. 42 Year old male patient presented with progressively increasing abdominal distension followed by bilateral
pedal edema for 3 months duration. Over the past two weeks he started noticing yellowish discoloration of the
eyes and urine. He has given the history of heavy alcohol consumption for the past 20 years
a) What is the probable diagnosis.Justify your diagnosis? (5 Marks)
b) How willyou investigate this patient? (5 Marks)
c) Outline the treatment plan? (5 Marks)
d) What are the complications you anticipate? Briefly note the treatment of each? (5Marks)
(Total 20 Marks)
2. Write briefly on

1. Clinical features of acute rheumatic carditis ?

2. Draw and label a normal jugular venous pressure tracing? Mention four causes of aprominent a wave?
3 Clinical features and management of acute severe asthma?
4. Pathogenesis and management of covid-19 pneumonia?
5. Enumerate the clinical features and investigations of acute inflammatory demyelinating poly neuropathy
. 6. 48 Year old smoker male presented with cough with streaky hemoptysis for the last two weeks
a).Discuss the differential diagnosis and investigations to be done in this patient
b).What is Hypertrophic pulmonary osteoarthropathy
7. Discuss the treatment plan in Parkinson's disease
8. Clinical features and diagnostic tests in a suspected TB meningitis patient
*9. Pathogenesis and clinical features of Alzheimer's disease
10. Neuroleptic malignant syndrome
11. Name the puerperal psychiatric disorders. Discuss the clinical features of postpartum depression
12. Differential diagnosis ofblistering skin lesions. Write briefly on Steven - Johnson syndrome
13. CT imaging findings in acute ischemic stroke
14. Enumerate the causes of reticulo nodular pattern of opacities in x-ray of the chest
15. Medical management of chronic stable angina
16. Discuss the focused clinical examination in an young patient with suspected
secondary hypertension
(16 X 5= 80Marks)
 Department of Medicine, KMCT Medical College, Mukkom, Calicut, Kerala
Third Professional MBBS Part II- Model Examination 2019 Batch General Medicine Paper 2
Time: 3 Hours Maximum: 100Marks

1. 19 year old boy presented with two days history of high grade fever , retro orbital pain and severe arthralgia,
particularly over low back. On examination he is febrile, conjunctiva suffuced and has generalised erythematous
blanching skin rash.
a) What is the most probable diagnosis and right the relevant test to confirm the diagnosis (5Marks)
b) What are the likely complications you anticipate ? (5Marks)
c) What are the differential diagnosis for the maculopapular skin rash (5Marks)
d) Discuss the physiology of body temperature regulation (5Marks)
Total (20 Marks)

Write briefly on

Causes and clinical features of vitamin B12 deficiency

2. Clinical features and diagnosis of Osteoporosis
3. Define acute kidney injury .Discuss the common causes and clinical features
4. Diagnosis and clinical features of lupus nephritis
5 What are the clinical features of hypothyroidism, discuss the typical TFT abnormality in primary hypothyroidism
6. Indications and mechanism of action SGLT2 inhibitors
- 7. Clinical features and management of diabetic keto acidosis
8. Discuss the clinical features and management of acute gouty arthritis
-9. Discuss the typical clinical presentation in acase rheumatoid arthritis. Name four joint
deformities seen in RA.
10. Clinical features and management of neuro toxic snake bite
11. Clinical features diagnosis and management of cerebral malaria
12. Heat stroke
13. Howwill you work up a 14 year school girl presenting with
14. Discuss the diagnosis and management of immune progressively increasing anemic symptoms?
thrombocytopenic purpura
15. What are the causes of anemia in a patient with chronic kidney disease
16. Discuss the diagnosis and management of SIADH
16X5 =80Marks
 KOZHIKODE
KMCT MEDICAL COLLEGE, MANASSERY,

2019 REGULAR BATCH

FINAL M.B.B.S (PART II) DEGREE MODEL EXAMINATION FOR
GENERAL SURGERY PAPER 1 - GIT

Date: 19/12/2023

Time: 1% hour Maximum: 30 marks

Answer all questions

Draw diagrams wherever necessary
STRUCTURED ESSAY

1. A50-year-old male, chronic alcoholic patient was brought to casualty with severe upper abdominal
pain which radiates to back. Associated with vomiting. He was more comfortable on sitting and
leaning forward position.
o/E: Patient was tachypnoeic. Pulse rate was 120/minute. Abdominal examination revealed diffuse
tenderness with rigidity. Minimal free fluid present. Liver dullness was not obliterated.
a) What is your most probable diagnosis? (1 mark)
b) How willyou investigate this patient? (1 mark)
c) Howwill you treat this patient?
(1 mark)
d) What are the complications of this condition?
(2 mark)
(Total: 1+1+1 + 2= 5mark)
SHORT ESSAYS
(2 X 6mark = 12 mark)
2. Aetiology, clinícal features and management of carcinoma stomach
3. Aetiopathogenesis and complications of gall stones

CLINICAL SITUATION
(3mark)
4. A20-year-old male presented to casualty with history of abdominal pain, vomiting and fever
back. O/E: patient is febrile with pulse rate four days
110/minut. Abdominal examination revealed minimal
abdominal distension with an ill-defined, firm, tender mass in
right iliac fossa. Briefly discuss the
management of this case.

SHORT NOTES ON
(5 X 2 mark = 10 mark)
5. Hiatus hernia

6. Goodsall's rule
7. Complications of splenectomy
8. ERCP
9.
Intussusception
 MODEL EXAMINATION-THEORY

SECTION B-ORTHOPAEDICS -2019 CBME (DEC-2023)

TOTAL 30MARKS

STRUCTURED ESSAY (2+2+2 =6 Mark)

22 year old male presented with history of RTA in ED. On examination he had a 10cm long
lacerated wound over right leg with comminuted fracture both bone right leg and dorsalispedis
pulsation present.

a) How will you manage this patient?

b) What is the type of injuryand classification?
c) What are the complications ?
SHORT ESSAY (3x4 Mark) =12 Marks
. 1) SALTER HARRIS CLASSIFICATION

. 2)WRIST DROP

3) DRAW AND LABEL THE BRACHIAL PLEXUS

4) TYPES AND STAGES OF FRACTURE HEALING

SHORT NOTES (2X6 Mark)=12 Marks
1) GALEAZZI FRACTURE

2) CLINICAL FEATURES OF RHEUMATOID HAND

3) FAT EMBOLISM SYNDROME

4) RADIOLOGICAL FEATURES OF OSTEO SARCOMA

5)CLASSIFICATION OF PERIPHERAL NERVE INJURIES.

6) CARPAL TUNNEL SYNDROME
 KMCT MEDICAL COLLEGE

FINAL MBBS PART IIMODEL EXAMINATION FOR 2019 BATCH

GENERAL SURGERY PAPER II
Date: 20.12.2023
Time:3hrs
Answer all questions Maximum marks: 60
Draw diagrams wherever necessary
STRUCTURED ESSAY 15 marks
1. A60 yr old post-menopausal lady came to the Surgery OPD with h/o a right sided breast
lump of 2 months duration. It was painless and rapidly progressing.
o/E Irregular, firm to hard mass of 5x6 cm with only breast tissue fixity. The right axilla
showed multiple matted lymph nodes.

a).What are the investigations needed to have a definite diagnosis? (5 marks)

b). How will you stage the disease? And discuss the treatment (5 marks)

c). What are the post-operative complications of MRM? (5 marks)

ESSAY
5 marks
2. Classify thyroid swellings. Howwill you follow up a patient who had undergone total
thyroidectomy for Papillary carcinoma thyroid.
SHORT ESSAYS 2 X4 =8 marks
3 Investigation in a case Peripheral Occlusive Arterial Disease
4. Classify malignant melanoma. Discuss the aetiology and surgical
management.
SHORT NOTES 4 x 3 = 12 marks
5 Clinical teststo diagnose varicose veins
6. Complications blood transfusion
7. Thoracic outlet syndrome
8. Stages of wound healing
ANSWER BRIEFLY
10 X 2 = 20 marks
9. Keloids
10. Glasgow Coma Scale
11. Tetanus
12. Carbuncle
13. Pre-malignant lesions of oralcavity
.14. Gynaecomastia
15. Ludwig's angina
16. Erysipelas
17. LAHSHAL
18. Rule of 9
 KMCT MEDICAL COLLEGE
DEPARTMENT OF OBSTETRICS & GYNAECOLOGY
III Professional Examination part 2
Model Theory Examination (2019 Batch)
Paper-1 Obstetrics& Social Obstetrics
Total Marks: 100 Date: 21/12/2023
Time: 3 Hours
Answer all the questions
Draw diagrams wherever necessary.
Long Essay (2x15-30 Marks)
1. 22year old primigravida at 39 weeks of gestation admitted for safe confinement O/E her
height is 140cm
PA:- Abdomen pendulous and head is mobile.

a) What is your diagnosis? 1marks

b) What is Bishop's score and its significance 3marks
c) Discuss the methods of diagnosis of CPD 4 marks
d) Discuss the anatomy of female pelvis 3 marks
e) Discuss trial of labour 4 marks

2.. 30year old G4P3L3 with previous 3 FTND admitted at 36 weeks of gestation with
bleeding PV O/E:- Uterus-34 -36 weeks, non tense & non tender head mobile FHR
present.

a) What is your diagnosis? 1marks

b) Discuss the causes of APH. 4 marks
f) How will you evaluate the patient 4 marks
9) Explain the complications 2 marks
h) Discuss ial the management
4 marks

Short Essays
(5x8=40 Marks)
3. 30 year old primigravida admitted at 36 weeks of gestation with H/O headache nausea &
vomiting. O/E:- BP:160/110mmHg with edema of both foot. What is your
diagnosis &
how will you manage her?

4. 25 year old G2P1L1 with 28 weeks of

gestation with family H/O diabetes, came to OPD
with OGTT of 168 mg % Discuss the screening
methods of GDM & maternal & fetal
complications.
 5 30 vear old G4P3L3at 28 weeks of gestation admitted with giddiness and generalized
weakness

o/E:pallor++. Discuss the evaluation &management.

6. 28 years of G4A3 with H/O 3 first trimester abortions. Discuss causes and evaluation
methods

7. 25year old primigravida came to OP with 34 weeks of gestation O/E: uterus corresponds
to 28 weeks of gestation. Discuss the causes of FGR. Discuss the antepartum fetal
surveillance.

Short AnswerS (5x4+20 Marks)

8. Medical management of ectopic pregnancy
1 9. Adherent Placenta
10. VBAC

11. Shoulder dystocia

12. Active management of 3d stage of labour

Short answers (8x1=8 Marks)

13. Define engagement

14. USG finding of vesicular mole

15.What is double marker test?
16. Name of forceps used in delivery of after coming head
17. USG sign in DCDA twins

18. Define caput succedaneum

19. Define maternal mortality rate
20. Define PPROM

Draw & Label

(1x2=2 Marks)
21. WHO Partogram
22. Branches of internal iliac artery
 KMCT MEDICAL COLLEGE
DEPARTMENT OF OBSTETRICS & GYNAECOLOGY
Il Professional Examination part 2
Model Theory Examination (2019 Batch)
Paper-2 Gynecology & Family Welfare
Total Marks: 100 Date: 22/12/2023
Time: 3 Hours
Answer all the questions
Draw diagrams wherever necessary.

Long Essay (2x15-30 Marks)

1. 36 year old P1L1 lady presented with heavy menstrual bleeding of 3 months duration.
O/E pallor +, PIA :- firm mass of 20 weeks gravid uterus.

a) What is the probable diagnosis? 1marks

b) Discuss the examination findings in detail 3 marks
c) What are the investigations you suggest 3 marks
d) What is the FIGO classification 3 marks
e) Discuss the modalities of management 5 marks

2. 60year old obese hypertensive and diabetic lady presented with postmenopausal
bleeding.

a) What is your provisional diagnosis? 1marks

b) Risk factors for above condition 2 marks
c) What are the causes of postmenopausal bleeding 4 marks
) How will you evaluate the patient 4 markS
g) Discuss the management 4 marks

Short Essays (5x8=40 Marks)

3. 50year old P4L4 post-menopausal lady presented in OPD with mass coming pv.O/E :3rd
degree UV prolapse +.Discuss the risk factors, POP Q lassification and management.
4. 45 year old multiparous lady presented with post coital bleeding of 1month duration
O/E:- Cauliflower type growth arising from cervix which bleeds on touch +.
What are the screening methods for carcinoma cervix? Discuss the management of
stage lb carcinoma cervix.
5 30 year old lady married for 5 vears came with infertility and triple dysmenorrhea O/E:
there is a mass of 10x8cm in LIE What are the causes of infertility in this patient?
Discuss the evaluation and management
 distention of 3 months duration O/E:-A
6, 45 year old P1L1 lady presented with abdominal
towards left side Discuss the
CVstic mass of 10x12 Cm felt in lower abdomen more
evaluation complications and management.
cyclical lower abdominal
7. 15 year old girl presented with absence of menstruation and
anomaly in
pain O/E:- Bluish bulging membrane at hymen. What is the developmental
this case and write the management .Discuss the causes of primary amenorrhea.

Short Answers (5x4=20 Marks)

8. Physiology of ovulation
9. Post-menopausal symptoms
10. Hormonal contraceptives
11. Symptoms and signs of acute PID

12. Persistent Trophoblastic disease

Short answers (8x1=8 Marks)

13.Criteria for diagnosis of PCOD

14.Tumour marker of endodermal sinus tumour
- 15. Total content of hormone in LNG IUD

16. Gas used in laparoscopy

17. One drug used for ovulation induction
18. Expansion of UAE
malgnant
19. USG findings suggestive of aaeacement ovarian tumour
20. Expand COEIIN part of PALM COEIN

Draw &Label
(1x2=2 Marks)
21. Secretory endometrium
22. Cut section of ovary
 KMCT MEDICAL COLLEGE
MODEL EXAM
(2019 CBME Batch)- KUHS
PAEDIATRICS

Time: Three Hours Maximum: 100 Marks

Date: 23/12/2023 minutes
" MCQanswer sheet to be returned within 30
"Answer allquestions
" Draw diagrams wherever necessary

Long Essay: (15x2=3Omarks)

1, A 2 year old child is brought with history of poor feeding and
recurrent episodes of diarrhea. His weight is 5kg; length is 70cm and
head circumference 47cm.He has bilateral pedal edema
1. What is the most probable diagnosis?
2. What complications you expect in this child?
3. List down the investigations to be done and the expected findings
4. Outline the immediate management
5. Age independent Anthropometric criteria for assessment of PEM
(1+3+3+5+3=15)

2. A6yr old boy presented with fever and progressive pallor of one
month. On examination, he is toxic and has generalized
lymphadenopathy and hepatosplenomegaly. Petechial patches present
all over the body.
1. What is the most probable diagnosis?
2. Name three important differential diagnosis and differentiating
features
3. What are the investigations to confirm the diagnosis?
4. Write briefly about the management
5. Mention the prognostic indicators

(1+5+3+3+3=15)
II. Short Essays: (5x8=40 marks)
1. Write the diagnostic criteria of Kawasaki disease.
2. Discuss the classification and causes of shock in children
3. Describe clinical features and management of hypertrophic pyloric
stenosis.
A. A 3 year old child was brought for Hematuria. Discuss the
differential
diagnosis and management
5. Define DHF and DSS and outline the
syndrome
treatment of dengue shock
 6. Detailthe various complications of enteric fever and briefly outline
the management.
J Plan Bmanagement in ADD
8. Management of acute exacerbation of bronchial asthma

III. Brief Answer/ Diagrams: (4x5 = 20 Marks)

1. Physiological jaundice
2. Breath holding spell
3. Acute bronchiolitis
4.Pneumococcal vaccine
5. Draw and label fetal circulation

IV. Precise Answers: (10x1 =10 Marks)

1. Dose of zinc in diarrhea in a 10 month old infant
2. First manifestation of puberty in girls
3. Name two vaccines which prevent cancer
4. Kasai's operation is done in
5. Four common causes of fever with rash ales,ms.
6. Sun set sign is seen in
7. Dose of vitamin K in newborn
8. Define macrocephaly
9.In which conditien is puddle sign demonstrated
10. Electrolyte abnormality observed in congenital adrenai hyperplasia