SEND UP PAPERS 3^rd Professional 2008

EYE.......PMC       click here to view

ENT.......PMC   click here to view

COMMUNITY MEDICINE.......PMC click here to view

Community Medicine........University of Faisalabad
1.a.draw 2 into 2 table n wat is significance?
b. calculate case facility rate if total numb of deaths due 2 poisoning was 250 out of 5000
pop.
2..a.define pneumoconiosis
b. a worker of cotton fibre complaints of cuff n dysnea wats ur diagnosis n wat prevents measures wud u take 2 prevent it
3..a.diff. b/w community diagnosis n treatment
b.. enlist features of an ideal indicator
4.. diff b/w diaster n accident
b. enlist prerequisities of screening test
5..a define n classify health care waste
b. a gardener admitted 2 hospital wid 106F temp,, myalgia, hemorrhagic spots.platelets r vry low .wats ur diagnosis.how wil u prevent n control this disease.
6. 1 wk old neonate 4rm a village comes 2 hosp. wid difficulty of sucking. cyanosis n episodic jerky movements. he was delivered by a local dai.
a.wats ur diag
b..how will u prevent it
c.wat is vaccination schedule 4 the disease in pregnant lady 7.23 wk pregnant lady presents in emergency after bitten by a stray dog. she received anti rabies 2 yr ago due 2 dog bite
a. discuss the plan of management
b. wat r WHO guidelines 4 post exposure treatment wen animal 4 observation
8.25yr lady presents wid swellin of neck ,wt gain n somnolence. dry skin .cold intolerance . lab dia confirms hypothyroidism
a. wat dietry factor is deficient 2 control goiter
9. in bangladesh numb of women suryed was 10500 in age group of 15-49. no of women breast feedin infants was 5000. cal % of women breast feedin
b. give 5 advantages of breast feeding
10. 3yr gal presents 2 pediatrician wid wt loss n failure to achieve da milestones at desird age
a. nam the methods usd 2 assess da nutrinationl status of gal.
b. 5 frnds went 2 party n tuk cannd food. shortly 2 ov them develop diplopia, vertigo n blurred vision. wats prevention
11 a .draw n label age -sex pyramid of developin country
b. enlist 6 uses of it
12. enlist principles of PHC
b. describe duties of school teachers team
c. enlist 5 common problms of school goin children
13 a. enlist 3 merits n demerits of case control n cohort study
b. define temporal association wid 1 example
c. watz iceberg of disease wid example
14 a. enlist 2 causes of resurgence of polio in pak durin 2008
b. discuss strategies 4 polio eradication in Pak
c.. wat is mopping up?

COMMUNITY MEDICINE...........RMC

1. What is Probability Sampling, 04 methods of probabity samling.
2. Dif b/w case control n cohort studies, what is Randomization in Experimental studies, how its undertaken.
3. Prevalence of diarrhea in villages high,
a. Write major contents of Health message
b. Methods of communication and why.
c. What principles of health education-communication will u prefer.
4. Public health authorities want to evaluate the performance of MCH center.
a. Important indicators of mortality that can be used for this purpose.
b. Strategies to improve MCH.
5.
a. Define ergonomics
b. Health risks associated with excessive exposure to lead to a pregnant lady
c. Health hazards to leather industry workers.
6.
a. Define family planning.
b. Categorize family planning methods.
c. Side effects of IUCDs.
7.
a. Name Different sectors constituting health care delivery system in Pakistan.
b. Define PHC, Principles.
c. What elements of PHC being addressed at BHU.
8.
a. Define food hygiene.
b. Classify food borne diseases.
c. Enumerate socio-cultural factors that effect the nutritional status of people.
9.
a. Factors of high incidence of snake bit in June July august.
b. Objectives of school health service.,
c. Value of type of desks regarding health of students.
10.
a. Write down scale which differentiate b/w over-weight and diff grades of obesity.
b. Health risks with Obesity.
c. Prevention and control of RTAs.
11.
a. 5 basic principles of chlorination.
b. Natural sources of water purification.
c. 02 methods of detection of source of pollution around well.
12.
a. Define drug abuse.
b. Name drugs that do not produce physical dependence.
c. Factors associated with high drug abuse.
d. Important human need which are addressed for maintenance and promotion mental health.
13.
a. Demographic trap.
b. Factors associated with fertility trends in population.
c. 2 statistic measures to detect fertility of population

 Pathology....WMC
Q.1a..pathogen of asthma...
b. diff b/w obstructive n restric lung diseases
Q. 2a... define leukoplakia
b. its predisposin factorz
c. wats apthus ulcer
3. pato n morfo of peptic ulcer
4 .a .morfo of ch. hepatitis
b.2 sero markz of HBV n theis imp.
5a. name benign n malig cartili bone tumorz
b. morfo of of osteosarcoma
6a. route of infec agents causing brain abcess
b. lab dia. of acute bact meningitis
7.diagnostic features of multiple myeloma
8. nam cardiac lesions of rheumatic fever n Rh heart disease
9. an 18yr gurl wid breadt lump freely mobile n non tendr
a.. wats diahnosis
b.. its morohpo
10. 48yr womenwid pelvic mass. histo shows epithelial tumr
a. name da malig epi tumr of ovary
b.. morfo of serus carcinoma ov ovary..
11. 70yr male cuse to opd wid painless hematura...cystoscopy revld xophytic mass
a. diagnosis
b. 3 micro find
c. paraneo synd of renal carcinoma
12.. 43 yr male wid fir testicular mass n enlarged pararotic lymph nods
a.. wats da most cumn tumr at dis age
b.. classify testicular tumrz
c..morfo of seminoma
13. a . late comliof daibetes coma
14 a. causes of hypothyrodism
b. inveti of addisns disease...

EYE........WMC
qno:1
a female diabetic , hypertensive presented to the hospital vid generalized drooping of eye lids with a normal pupil
a.diagnosis?
b.three investigations?
c.two treatment options?
q no 2
a 45 year old female vid bilateral axial protrusion n retraction of upper eyelid, tremors in hands n tachycardia
a. diagnosis?
b. four other causes of proptosis?
c. enumerate four investigations regarding ths problem?
q no 3
a 12 year old girl complaind of redness , discomfort n watery discharge from the eyes vid particular lymph
adenopathy n sub conjunctival hemorrage
a. diagnosis?
b. four other causes in D/D?
c.how will u treat the case?
q no 4
a fourty year old patient presented with foreign body sensation in the right eye wid watering congestion n dimness
of vision
a. diagnosis?
b. give 3 causes of congestion?
c. name two drugs to treat the afromentioned case?
q no 8
a child sustains a penetrating trauma n develops cataract vid outward deviation of the eye
a. give four preoperativ investigations for the problem
b. give the surgical treatment for this problem?
c. enlist post cataract surgical complications?
q no 9
a. giv four methods of occular edxamination in a diabetic retinopathy case?
b. give treatment.
q no 10
a small child presented to the emergency vid white dilated pupil n increased intra occular pressure
a. diagnosis?
b. five other causes of white pupil?
c. giv four modalities of treatmen for the given problem?
q no 11
a small child came to the hospital vith exotropia
a. giv 5 investigations of squint ?
b. five modalities of treatment ?
q no 12
a lab worker after drinking methyl alchol starts vomiting vid deliriumn loss of vision
a. diagnosis?
b.give the antidote?
c. write down the three occular signs in the problem

COMMUNITY MEDICINE........WMC

q no:1
study was done 2 investigate the relationship b/w oral contraceptives used n the subsequent risk of liver disorders.
Among 120 women b/w the age of 35 to45 cases were selected from the hospital.The result of stdy is as follows:
[a 2/2 table is given]
a. what is the study design which is used?
b.write down the advantages of tht design n calculate the risk?
q no:2
in a survey of 5200 obese people serum cholesterol level was mwasured as a marker of hypertension. it was found
to be raised in 620 people n 4580 were test negative. subjects were monitored simultaneously for B.P. results are
shown as follows:
[a 2/2 table]
a. calculate true positive rate n true negative rate?
b. calculate accuracy of test?
q no:3
B.P. values of 10 people are given
a. calculate mean.
b.if the S.D. is 2 what is the range of systolic B.P tht will fall in 68% of distribution?

q no:4
a 20 yr old female vid bouts of fever, chills n rigors after every 36 to 48 hours. she is anemic vid spleenomegaly,
having crecenteric structures in periphral blood picture.
a. wat is the probable diagnosis?
b. giv the significance of above disease in Pakistan?
q no:5
A health team visited a village to set up a BHU :
a.which principle of PHC is applied in the above activity ?
b. name another principle of PHC and explain?
q no:6
a.what should be the next reproduction rate n TFR ?
b.which factors determine fertility?
q no:7
a 35 year old hunter presented in emergency with H/O bat bite
a. whch disease is likely to occur ?
b: wat health education can be provided to the hunters to prevent the afromentioned problem?
q no:8
a women brought her child vid complaint of pigmentation n cracks on the skin n noticable change in the hair colour.
weight of the baby was slightly below standard marked by generalized edema.
a 2/2 table is given
a. diagnosis?
b. measure the prevalence n recomend to decrease the prevalence of this condition
q no:9
a. enlist non specific water born diseases ?
b. in order to adress the shortage of water what types of measures can b taken?
q no: 10
a 39 year old pregnant lady already having seven kids reported at a BHU near taxilla at 28th week of
gestation
a. is she a high risk women?
b. how will you assess a high risk in pregnancy?
qno:11
a. how will you evaluate a health education program?
b. wat kind ov education can b provided to the people regarding the prevention of hepatitis C
qno:12
which factor in the rubber industry is responsible for abdominal pain , constipation, joint pain n blue line
on the gums?
b. briefly describe the role ov ergonomics in this condition?
qno: 13
a fire broke out in a cinemavith 2000 people. casualities were 1000 n mortality around 200
a. is it a disaster or an accident?
b. give its management?

 PATHOLOGY ........SIMS

1. 14 yr old male presents in the opdwith shortness of beath for one month and swellling of right knee joint for  weeks.
   he suffers form sore throat off and on.his ASO titre is 800 IU/ml.the doc suspect that he is suffering some sort of heart problm
   (a) wat z the most likely diagnosis?wat type of joint is involvmnt in this condition
   (b) pathogenesis
   (c) name two complications which can occur in this boy
2. 34 yr old man has cervical lymph node enlargement,mild to moderate fever and sweating for last one monh.fine needle aspiration cytology
   shows abnormal lymphocytes with REED-sternberg cells
   (a) most likely diagnosis?
   (b) giv classification of such lesions
   (c) giv micro pic of mixd cellularity variety
3. 25 yr old female went to a pulmonologist at a peak of spring seson having severe dyspnea n wheeze.PFT shows dec FEV1, serum IgE levels were elevated n blood reveald absolute esophilia
   (a) most likly diagnosis
`  (b) enumerate the imp chemical mediators of this conditions
4.  30 yr old villager present in gastroentrology ward wid 3 week H/O nausea vomiting abd pain bloody stools. on sigmoidoscopy multiple polyps  are distributed throughout the colon n a 2*2.5 cm mass is found in the descending colo.his liver is enlarged and nodular. X-ray chest reveals bilateral opacities.
    (a) diagnosis
    (b) classify neoplasia of large intestine
    (c) giv the carcinogenesis of colorectal carcinoma
5   (a)enlist causes of ulders in the large intestine
    (b) giv morphological n microscopic  pic of lesions in ulcerativ colitis
    (c) wat r complications of ulcerativ colitis
6.  (a) enlist 4  common causes of cirrhossis of liver
    (b) giv morphological changes both gross n micro which characterize cirrhosis of liver
7. 8 yr old girl was admitted to hosp with generalized edeme.her urine has becom frothy and family doc found proteinura.
   investigations reveal following results:
   Na : 136 mmol/L
   K  : 3.6mmol/L
   creatinine : 0.9 mg/dl
   urea : 25 mg/dl
   Total protein : 5.5 G/dl
   Albumin : 2.0 G/dl
   Cholesterol : 280 mg/dl
   triglyceride : 300 mg/dl
   24 hrz urinary protein : 8.0 G
  
    (a) clinical diag
    (b) name 4 causes of markd proteinuris
    (c) name 2 complications of this problm
8. (a) classify testicular tumours
   (b) giv gross n micro pic seminoma testes
9. 28 yr old woman goes to her physician for routine cakup, pelvic xam reveal no abnormalties.a pap smeaer report indicates the presence of severly dysplastic cells,a cervical biopsy shows CIN-III
    (a) most imp causativ agent coomonest site involvd?
    (B) how would u investigate d case
    (c) GIV SPECTRUM OF PRECANCEROUS lesions progressing to carcinoma
10. a 47 year old female noticed a painless lump in upper outer quadrant of left brea. the nipple was inverted with dimpling of over lying skin.doc suspects it to be a malignant
    (a) giv 4 major n 2 minor risk factors of breast cancer
    (b) wat is significance of ER/PR n HER2-neu status in breast carcinoma
11. (a) wat z pathodenesis of hashimito thyroiditis
    (b) giv microscopic pic of hashimito thyroiditis
    (c) giv micro pic of medullary carcinoma thyroid
12. (a) enliat causes of generalizd osteoporosis
    (b) giv pathogenesis of high turn over osteoporosis
    (c) wat will happen to levels of Ca P Alkaline phosohatase and PTH in case of Rickets.
13. 60 yr old man presentd with headache n weakness in his left arm over the past several week.day before his appointment he xperiencd 2 episodes of uncontrollable shaking in his left amr    n leg,accompanied by development of weakness n papilledema.
    a Ct scan of his head reveald a ring enhancing mass in right frontal region.
    (a) diagnosis
    (b) giv histological pattrn of the lesion
    (c) wat is the most common site of the lesion
14.56 yr old man presented with wt. loss, generalizd weakness, lethargy, passing more than usual amount of urine, esp. during night for last 6 months
    On EXam.....
               slightly anemic n B.p 180/110 n urine xam : protrin: ++
    other investigations..........
    Na : 130 mmol/L
    K : 5.8 mmol/L
    HCO3 : 16 mmol/L
    Urea : 280 mg/dl
    creatinine : 6.0 mg/dl
    glucose : 220 mg/dl
    ca : 7.7 mg/dl
    P : 9 mg/dl
    alk phosphatase : 205 IU/L
      
          (a) does pt hav diabees mellitis?
          (b) 4m givn data wat type of problm pt is suffering from?
              giv point in favour of ur finding
          (c) define azotemia n uremia.giv 4 causes of uremia 

. EYE........SIMS
 1. 30 yr old armer had injury with a stik 2 days bak now he is complaining of pain and redness in d eye
 a) what is most likely cause of his symptoms?
 b) how do u diagnose his condition?
 c) what is treatment?
 2. 13 yr old boy present with stiky discharge from both eyes. his mother tells he develops this condition every summer
 a) most likely diagnosis?
 b) D/D
 c) treatment
 3. 60 yr old man developd severe pain and reduction in vision one day after cataract surgery.on xamination there
 is hpopyon in the ant. chamber.
 a) most likely diagnosis
 b) D/D
 c) treatment
 4. wat r d S/S of primary open angle glaucoma?
 5. wat r d causes of Red Eye?
 6. Watery eyes.
 a) causes of watery eye?
 b) how do u investigate it?
 c) treatment?
 7. 50 yr old man has been diagnosed as having posterior sub capsular opacity
 a) wat r d most common symptoms?
 b) how do u manage it?
8. Enumerate d steps of xam in a pt with cataract?
 9. draw n label a diagram of pupilary light reflex?

PATHOLOGY ..AIMC
 Q.NO.1; A 55yr man, smoker for past 30yrs presented wid hemoptysis n cough. Bronchoscopy revealed 4cm exophytic mass in right main bronchus. Microscopic examination of biopsy revealed a malignant neoplasm showing features of small cell carcinoma
 a). what possible local factors produced by this tumor?
 b).enlist paraneoplastic syndromes associated with this tumor?
 
 Q.NO.2; A 60yr male known smoker 4 past 40 yrs brought 2hospitl wid increase shortness of breath for past several yrs. Physical exam revealed cyanosis,elevayed JVP n peripheral edema. A high resolution CT showed multiple bullae over both lungs
 a).diagnosis
 b).pthogenesis?
 c).assosiated complications>

 Q.NO.3; a).define thalasemia
 b).lab diadnosis 4 beta thalsemia
 
 Q.NO.4; A 60 yr male wid long standind H\O hypertension presented wid complaints of fatigue n periorbital edema. His renal functions tests were deranged . abdominal ultrasoud showed bilateral shrunken kidneys
 a).define n classify hypertensiv heart diseases?
 b).name morphological changes seen in long standing HTN


 Q.NO.5; Write detailed note on ductular carcinoma in situ
  b).TNM classification of colon?
 
 Q.NO.6; A 60yr male wid angina died suddenly. Autopsy showed a thrombus supeimposed on athermatous plague blockin leumen of left coronary artery
 a).which area of heart z affected due 2 occulsion of this wessel?
b).morphological changes seen in heart after 3rd n 7th day of MI

 Q.NO.7; A 55YR female presents in OPD wid painless mass in upper outer quadrant of right breast. On exam ,it z 3cm in diameter n nontender. Nipple z inverted wid skin sampling. Smaller lump 2cm iz palpable in ryt axila
 a).investigations
 b).diagnosis?
 c).prognostic factors 2determine da response 2therapy
 
 Q.NO.8; HOW LL U diagnose megaloblastic anemia in la
 
 Q.NO.9; A 60yr male presents H\O weight loss for 3months n loss of appetite. On exam he z emiciated ,anemic, n his lft supra clavicular lymph node z palpable….on endoscopic exam therz ulcer abt 3cm in diameter on lesser curvature
a).differntial diagnosis?
 b).etiology of carcinoma stomach?
 
 Q.NO.10; a). pathogenesis of IBD?
  B). tabulated form of two types of IBD

COMMUNITY  MEDICINE....AIMC
 Q.NO.1;A disease is targeted for eradication through immunization to increase the host defense. inspite best effort the health authorities could not achieve the 100% coverarge yet the authorities are confident to achieve eradication goal.
 a). which phenomena does make authority confident for eradication at below 100% coverage?
 b). wat underlyin factors operating for this phenomena?
 
 Q.NO.2; Two countries X n Y are passing through demographic mid transition phase.this phase is prolonged in country X while country Y achieves a new balance in due course of time.in such situation;
 a). What are da population impacts of X n Y country?
 b).Enlist factors leading 2prolongation of mid transition phase in X country?
 
 Q.NO.3; A 4month pregnant mother reported for first time in an atenatal clinic of RHC hospital where LHV conducted a first antental examination n gave her da schedule 4rest of antenatal visits
 a). wat are essential lab investigations at first visit?
 b). wat is da schedule of rest of da visits?

 Q.NO.4; A team of public health consultants is developing strategies to implement the primary health care itervention ia a developing country
 a). wat basic principles they should follow 4this intervention
 b). wat ultimate goal they tend to achieve from this intervention?

 Q.NO.5; An epidemiologist plan 2study the risk of breast cancer with hormonal contceptives.He selects da patients of breast cancer n without breast cancer n evaluate da status of oral contraceptives uses
 a). wat could be a study design in above methadology?
 b). enlist essential steps of it?
 
 Q.NO.6;The results of epidemiological study in Q.5 are given in table
 a).estimate risk?
 b).interpret da infrence HORMONAL BREAST CANCER
 CONTRACEPTION
 yes no
 yes 70 65
 no 80 85

 Q.NO.7; From a metropolitian city a large no.of case of CHD were reported. the health authorities recommended 2change da dietry behaviour of comunity
 a). what are da specific dietery messages to be disseminated to da comunity
 b).wat could be a apprppriate method 4dissemination?
 
 
 Q.NO.8; A commnity physian intended 2 compare the quality of life of two different communities having different socio economic conditions.
 a).wat could da most suitable indicator for this comparison?
 b0. define da proposed indicator?
 
 Q.NO.9; Cholestrol level of patient were recorded in OPD of DHQ hospital that were; 175,250,190,180,195,210,160,150,150,170,245,200,220,230,235,240,270,295,180,185
 a).Give frequency n percentage distribution of this data at cutt off values,_250
 b). Draw label histogram for above data?
 
 Q.NO.10; In begining of current financial year the health authority recieved a latter for planning of next financial year then:
 What are da essential steps to formulate such plan?
 
 Q.NO.11; Mean height of adult male of Paikistan`s refrence population is 66 inches with a S.D 3 inches. if observed height of ur friend ali is 72 inches then
 a). What is despersionn of ali 4m mea of refrence population?
 b).wat is maximum probability of population on boyh sides of this despersion?
 
 Q.NO.12; The polio s targeted for eradication but during da current year sporadic cases are still reported from some of town of Pakistan a). how da appearance of these sporadic cases can be prevented? b). wat is da creteria to declare eradication of polio?

 Q.NO.13; While thinking on preventive options for TB ;a BCG vaccine not seems to b very effective n there ae limitation in improvement of socio econmic conditions of population then:
 a).wat could be da most effective level of pevention applied for TB
 b).wat specific measures are taken 2control TB by Ntional TB control Progrmamme
 
 
 Q.NO.14; A seven year old child reported 2 school medical officier with history of nocturnal itching n papules in finger webs.other members are als involved
 a). Wat z probable diagnosis n its causative agent?
 b). wat measureas sholud b taken by school medical oficer for this child n for rest of class mates?
 

 ENT ....AIMC
 
 Q.NO.1; A 30yr old female come to emergency with history of dysphagia for saliva n liquids only. Indirect laryngoscopy shows no pooling of saliva

 a).wat is diagnosis?
  b).wat investigations ll confirm the diagnosis?
 c).wat z da treatment?
 
 Q.NO.2; A 20 yr old girl comes to emergency with history of nasal blockage n discharge for one year. She has developed pain in right eye with ptosis,impaired vision n opthalmophelgia
 a). diagnosis?

 b).investigations
 c).early n definitive treatment?
 Q.NO.3; A mother comes to OPD with her 2 yr old boy,born throuh normal vaginal delivery,suffering from progressively increasing stridor n little change in voice.there is no other complaint
 
 a).diagnosis?
 b)how ll confirm da diagnosis?
c).treatment?
 
 Q.NO.4; A 45 yr old male known case on CA larynx z planned for total laryngectomy. He wants 2 discuss about voice rehabilitation. What options you ll offer him,with merits n demirts?
 Q.NO.5; A 12 yr old girl comes in clinic wid history of recurrent swelling in front of neck,it moves of prostusion of tongue,which reponds to antibiotics. On examination there z swelling 2*2 cm
  a).differential diagnosis?
  b).investigations?
 
 c)wat strucures shud be exicised during its removal?
 
 Q.NO.6; A 40yr old male presents with the history of sudden right sided facial palsy,with no history of previous ear disease. On examination he z having complete lower motor facial nerve palsy ,with normal ear examination.
 
 a). diagnosis?
 b).treatment>
 c)wat are precautionary mearures to avoid complications? >
 
 Q.NO.8; A 55yr old blacksmith comes with complaint of decreased hearing n tinnitus. On examination his ear were normal
 
 a).diagnosis
 
 b).investigations
 
 c)management?

  Q.NO.9; A36 yr female underwent total thyroidectomy. Post operatively she developed stridor n hr examination showed bilateral vocal cord palsy?
 
 Name advantages n disadvantages of four surgical procedures available for her management
 
  Q.NO.10; A 60 yr old male patient on anti hypertensiv medicines comes to emergency with history of epistaxisis,mainly posterior bleed
 
 a).name three likely causes
  b).treatment
 
 Q.N.7;A 24yr old girl presents wid history of recurrent rite side swelling for last 2days wid dysphagia n fever. she has trismus n tonsil is pushed medially on examination
 a).diagnosis?
 b) investgations
 c)treatment

 Pathology.... QAMC BAHAWALPUR
 Q.1 a. define peptic ulcer
 b. describe the role of H.pylori in peptic ulcer
 
 Q.2.a.mention briefly points in favor of adenoma-carcinoma sequence
 b. Describe molecular basis of colorectal carcinoma

 Q.3.a.how ll u grade cervical cancer
 b. describe he role of HPV in cervical cancer
 
 Q.4.a.describe differentiating lab.parameters between Iron deficiency anemia
 and beta thalessemia
 b. give pathogenesis of beta thalassemia

 Q.5.Nmae common causes of aplastic anemia
 b. describe bone marrow findings in aplastic anemia
 
 Q.6. A 10 yrz old boy presented with H/O spontaneous bleeding 4m nose,
 physical examination revealed swelling of right knee with mild deformity
 a.what is likely diagnosis?
b.name 4 important tests 2 diagnose tha case.
 c.how would u confirm the diagnosis?
 
 Q.7. a.describe differnce b/w lobar & bronchopneumonia
 b. give gross morfoloogy of lobar pneumonia

 Q.8.a.A 20 yrz old male HBsAg+ive 4 seven months presented with jaundice
 a.describe serological markers to differntiate healthy carrier 4m chronic hepatitis
 b.give complications of chronic hepatitis B
 
 Q.9.a.describe microscopic picture of rheumatoid arthritis
 b.give diagnostic criteria 4 rheumatoid arthritis

 Q.10.a.describe the morfology of Aschoff`s body
 b. give complications of rheumatic fever
 c. write down major and minor critera of rheumatic fever
 
 Q.11.a.give lab diagnosis of acute MI 3 days after onset of symtoms.
 b.describe pathogenesis of transmural MI.
 c.what are risk factrs for arherosclerosis
 
 Q.12.a.write down the classification of CNS tumourz
 b.give microscopic picture of astrocytoma
 

 Q.13.a.how will u investigate a case of multinodular goitre?
 b.write short note on pheo-chromocytoma

 Q.14.a.enumerate muscular dystrophies
 b.-give pathogenesis & microscopic findings of Duchenne muscular dystrophy

 Q.15.a.write down the criteria for diagnosis of Diabetes mellitus
 b. what is the pathophysiology of diabetic ketoacidosis

 ENT ....QMC
Q NO 1; A Forty year old male patient presntd wd recurnt epstaxis. he has right sidided unilaterl red mass arising from the lateral wall of nose

 a) provisnal dignosis
 b) D
c)treatment options

 Q NO 2: 50 years old male with h/o bilateral nasal obstruction and epistaxis , he has mass in nasopharynx and cervical lymphadenopathy
 a)most probable dignosis
 b)DD
 c)treatment op0tions

 Q NO: 3; A 20 Year old female presntd wd c/o of horseness of voice . she has been operated 4 total thyrodectomy
 a)cause of horseness
 b)other causes of horseness
 c)treatment options
 
 Q NO 4: 16 YEAR OLD GIRL PRESNTD WD NON offensive muco purulent constant ear discharge from right ear on otoscopy she has central perforation of TM
 a)diagnosis
 b)complications
 c)treatment

 Q NO 5: 5O Year old male presented wd triad of vertigo tinnitus and SNHL
 a)diagnosis
 b)audiometry findings
 c)treatment

Q NO 6: A 20 YR GIRL presentd wd foul smelling nasal discharge o/e wd wide nasal chambers are full of greeen greyish dry curusts in nose
 a)diagnosis
 b)treatment
 
 Q NO 7; 30 YEAR OLD MALE PRESNTD IN EMERGENCY wd severe acute bleeding per nose
 a)basic principles for treatment
 b)elaborate each principle
 
 Q NO 8: 36 YEAR OLD FEMALE PRESNTD WD HEADACHE and purulent nasal discharge from the last one year
 q)diagnosis
 b)complications
 c)treatment of disease
 
 Q NO 9: 5 year old boy presented wd severe sore thoroat having toxic look. he has grayesh white membrane over tonsils
 a)diagnosis
 b)CF
 c)treatment

EYE .....QMC

> 1) enlist c/f and treatment of dedritc ulcer
> 2) give types and complications of entropion
> 3) enlist five causes of proptosis
> 4) enlist principles of managemnt of squint
> 5) give signs of open angle glaucoma
> 6) enlist c/f of background retinopathy
> 7) define pappilledema. enlist causes of optic disc swelling
> 8) define retinal detachment, name its differnt types
> 9) enlist ocmplications of hypermature cataract                                                                     

 Community Medicine ....QMC
 Q NO:1
 a) what is the difference bw
i) gender empowerment measure and gender related development index 2
 ii) sensitivity and specificity 2
 iii) dry weather flow and sanitation barrier 2
 b) what are the principals and guidelines for cardiovascular exercises 3
 c) explain the term regression to means 1
 
 Q NO :2
 a) what r epidemiological approaches 2
 b) in a case control stud on lung cancer and smoking , the ODDS ratio was computed to be 9 , how ll u interpret the result 2
 c) define absolute risk 1
 d) differentiate bw 2
 i) normal curve and symmetrical curve
 ii) level of significance and level of confidence 3
 
 Q NO :3
 a) define term premonition . what r the beneficial effects of malaria 3
 b) enlist the principals of IMCI 3
 c) differentiate bw
 i) symbiosis and commensalism 2
 ii) metamorphosis and extrinsic incubation period 2
 
 Q NO:4
 a)enlist new emerging CVS risk factors 3
 b) how u ll differentiate bw
 i) cancer cluster and survivorship 2
ii) action studies and agent studies in cancer prevention trials 2
 iii) define discounting 1

 Q NO:5
a) enumerate stochastic and non stochastic effects of radiation 3
 b) differentiate bw sophistication and food enrichment 3
 c) write shot note on mother baby package 2
 d) what is 3 by 5 initiative 2
 e) suggest the best contraceptive method for a young nulliparous lady 1

            Collected by Sabeen Fatima 4th yr PMC