Monday, April 27, 2009

PRACTICE OF MEDICINE QUESTION PAPERS


                                     FINAL YEAR B.H.M.S. DEGREE EXAMINATION, DECEMBER 1996
                                                                              
PRACTICE OF MEDICINE—Paper I


Time : Three Hours                      Maximum: 100 Marks
Answer all questions.
All questions carry equal marks.
1. A woman of 40 years is brought to you with pain in the right hypochondriac region followed by Jaundice. How do you diagnose the case ? What are the investigations you suggest? Discuss the differential diagnosis. Write the indications of the following drugs:
(a) Chellidonium. (b) Myrica-Cerifera.
(c) Cardus-Marianus. (d) Chionanthus.
2.Classify Anaemias?
2.Describe the aetiology, sign and symptoms of iron-deficiency anaemia. What are the Investigations you suggest to diagnose the disease ? How do you manage the case.  Write the indications of the following drugs:
(a) China. (b) Ferrum-met.
(c) Natrum-Mur. (d) Helonias,
3. Describe the aetiolojy ; pathology complications and differential diagnosis of “Faucial –Diphtheria .Describe the various methods you adopt in the prevention of the  disease.Write the indications of the following drugs:
(a) Merc.Sol. (b) Lachesis.
(c) Diphtherinum. (d) Phytolacca.
4. Describe the Pathology ; clInical features and differential diagnosis of  “Hodgikin’s”lymphoma What Is your miasmatic diagnosis ? Explain the Prognosis of
the disease? Write the indications of the following drugs:
(a) Cak    (b) Mercurius.
(c) Iodium (d) Tuberculinum..
5. Describe, the aetiology ; signs and symptoms differential diagnosis of  “Gout”. Mention the investigations you perform to diagnose the disease. Write the indications of the following drug.
(a) Colchicum.. (b) Ledum I
(c) Ammoniumphesphoricum. (d) Urtica -Urens
6.A male patient aged 50 years is brought to you with “coughing of blood”.What are the investigations you suggest to diagnose the disease?’ What is your miasmatic diagnosis.?
Discuss the differential diagnosis.Write the indications of the following drugs.
(a) Acalypha (b) Ipecac (c) Pulsatilla. (d) Erigeron.

                                          FINAL YEAR B.H.M.S. DEGREE EXAMINATION, DECEMBER 1996
                                                        
Paper Il—PRACTICE OF MEDICINE
Time :. Three Hours Maximum: 100 Marks
Answer all questions.
All questions carry equal marks.
I. (a) A man of 60 years is brought to you with inability to move right arm and right leg and difficulty in speech. How do you arrive at the diagnosis ? What are the investigations you suggest to diagnose the disease?
(b) How do you arrive at the miasmatic diagnosis ? How do you classify this disorder according to classification of Hahnemann ? Discuss your plan of treatment and state the indications of the following drugs.
(i) Opium.
(ii) Baryta-carb.
(iii) Alumina.
II. (a) A woman aged about 30 years complains of pain and swelling in the interphalasugeal joints. Discuss the differential diagnosis.
(b)What is the miasmatic background of the above mentioned disorder, and discuss the line of management.Write the indications of:
(i) Rhustox.
(ii) Caulophyllum.
(iii) Medorrhinum.
III. (a) A man aged about 25 years complains of dry scaly eruptions on some parts of the body. How do you arrive at the diagnosis?
(b) What is the miasmatic approach to skin disorders as laid down by Hahnemann ? Discuss the line of treatment and give the indications for:
(i) Petroleum.
(ii) Graphites
(iii) Ars-iodide.
IV. (a) A patient is brought to you with Oederna ; Albuminuria ; and Hypertension. How do you proceed with the diagnosis?
(b) Give the miasmatic background of the above mentioned case and discuss the line of treatment. Write the indications of the following drugs.
(i) Apis. Mel.
(ii) Kali-Carb.
(iii) Terebenthina.
V. (a) A lady aged about 35 years complains of Ortbrophoea nocturnal dyspnoea, and oedema of the feet. Discuss the differential diagnosis, and investigations you would like to suggest.
 (b) State the miasmatic background and scope of Homeopathy in such a disorder. Discuss the line of treatment and give the indications for:
(i) Naia.
(ii) Kali-carb. (iii) Digitalis.
V (a) A man aged about 25 years is observed to be talking to imaginary persons and behaving inappropriately. Discuss the differential diagnosis, and suggest the investigations needed.
(b) How do you classify this disorder as per the Hahnemann classification and discuss the line of management as laid down by Hahnemann. State the indications for.
(i) Hyoscyamus.
(ii) Veratrum album.
(iii) Stramonium.

                                             FINAL YEAR B.H.M.S. DEGREE EXAMINATION, MARCH/APRIL 1997
                                                                    
Paper I—PRACTICE OF MEDICINE
Time : Three Hours Maximum: 100 Marks
Answer all questions.
All questions carry equal marks.
1. A lady aged about 30 years is brought to you with enlarged thyroid gland, associated with anxiety, palipitation and tremers. How do you diagnose the case ? What are the investigations you suggest ? Discuss the differential diagnosis. Write the indications of the following drugs.
(a) lodium. (b) Mercurius.
(c) Thyroidinum. (d) Spongia-Tosta.
2. A patient aged about 30 years is brought to you with pain in the epigastrium. How do you diagnose the case? What are the investigations you suggest to diagnose the disease? Discuss the differential diagnosis. Write the indications of the following drugs.
(a) Nux-Moschata. (b) Ars-Album.
(c) Lycopodium. (d) Argentum-Nitricum.
3. Describe the aetiology, clinical features, course and prognosis of’Marasmus’. How do you manage the case ? Write the indications, of the following drugs 
(a) Abrotanum. (b) lodium.
(c) Silicea. (d) Sarasaparilla.
4. Describe the aetiology, clinical features, complications and differential diagnosis of ‘Malaria’. Describe the various methods to prevent the disease. What is your miasmatic diagnosis ? Write the indications of the following drugs
(a) Chininum Sulph. (b) Eupatorium-perfoliatum.
(c) Gelsemium. (d) Cinchona.
5. Describe the aetiology, clinical features and haematological features and differential diagnosis of Leukaemias. What is your miasmatic diagnosis ? Explain the prognosis of the disease ? Write the indications of the following drugs
(a) Acid-nitricum. (b) Lachesis
(c) Kreosote. (d) Ars-album.
6. A patient aged about 65 years complains of non-productive cough of two months duration with left sided chest pain and clubbing of fingers. What is your clinical and miasmatic diagnosis ? What are the investigations you suggest for the diagnosis of the disease ? Write the indications of the following drugs
(a) Thuja. (b) Conium.
(c) lodium. (ci) Hydrastis. 

                                            FINAL YEAR B.H.M.S. DEGREE EXAMINATION, MARCH 1997
                                                            Paper II—PRACTICE OF MEDICINE
Time : Three Hours Maximum: 100 Marks
Answer all questions.
All questions carry equal marks.
1.(a) Define Hemicrania ? Describe the aetiology, clinical features and differential diagnosis of ‘Hemicrania’.
(b) Is it a one sided disease ? How do you classify this disease as per the classification of ‘Hahnemann’ ? Give the indications of the following drugs
(a) Sanguinaria. (b) Iris versicolor.
(c) Natrum-mur. (d) Spigelia.
2. (a) A patient aged about 30 years is brought to you with pain in the right lumbar region and Haematuria. Discuss the differential diagnosis. What are the investigations you suggest?
(b) How do you plan to treat the disease ? Write the indications of the following drugs:
(a) Osimum. (b) Cantharis.
(c) Terebinthinum. (d) Phosphorus.
3. (a) Describe the aetiology, clinical features and differential diagnosis of “Chorea”?
(b) What is the miasm involved in ‘chorea’? Give the indications of the following drugs.
(a) Agaricus. (b) Tarentula.
(c) Mygale. (d) Zincum-met.
4. (a) Define Myocardial infarction? Describe the aetiology, clinical features and complications of myocardial infarction.
(b) How do you manage the case ? Write the indications of the following drugs
(a) Cactus. (b) Lilium-tigr. -
(c) Spongia. (d) Lachesis. -
5. (a) Describe the aetiology, pathogenesis and signs and symptoms of’osteo-arthritis’. Discuss the differential diagnosis?
(b) What is the miasm involved in osteo-arthritis. Write the indications of the following drugs
(a) Ledum. (b) Rhus-tox.
(c) Pulsatilla. (d) Medorrhinum.
6. (a) Describe ‘Eczema’.
(b) What is the miasm involved in Eczema? How do you classify Eczema as per Hahnemann classification of diseases. Write the indications of the following drugs.
(a) Graphites. (b) Ars-Album.
(c) Petroleum. (d) Clematis. 

                                           FINAL YEAR B.H.M.S. DEGREE EXAMINATION, DECEMBER 1997
                                                                Paper I—PRACTICE OF MEDICINE

Answer all questions. Maximum: 100 Marks
I Give an account of the clinical presentation, diagnosis with differential diagnosis, possible complications and management of Mumps, mentiomng the use of Rhustox, Mere. Sol., Lachesis and Pilocarpus.
II A 30-years old obese lady requests investigations and management of obesity. Discuss the endocrine disorders to be ruled out. Consider the complications and management of obesity.
III Describe the clinical features and complications of Peptic ulcer. What are the general and therapeutic lines of management?
IV Discuss the aetiology, symptoms and signs, and varieties of Pulmonary fibrosis. Outline the causes of Exertional dyspnoea.
V C1assify  Leukemias. Give an account of the aetiopathogenesis, clinical picture and management of Acute monoblastic leukaemia.  
VI Write notes on
(a) Polycythaemia.
(b) Widal test.
(c) Yellow fever.
(d) Therapeutics of whooping cough. 

                                          FINAL YEAR B.H.M.S. DEGREE EXAMINATION, DECEMBER 1997
                                                          
Paper II—PRACTICE OF MEDICINE

Time : Three Hours Maximum: 100 Marks
Answer all questions.
I. Classify Arthritis, giving examples. Give the clinical manifestations, investigations and management of Osteoarthrosis.
II. Illustrate the various manifestations of Ischaemic Heart Disease. Outline the investigations carried out routinely in such a case.
III. Discuss the various causes of Headache. Describe the clinical picture, complications and management of Migraine, mentioning the use of Iris vers., Sanguinaria, Cedron and Psorinum.
IV. Describe the aetiology, clinical presentaion and diagnosis of Schizophrenia. Outline Dr. Hahnemann’s guidelines in the management of Mental diseases.
V. Bring out fully the aetiopathogenesis and clinical picture of Eczeme,. mentioning the varieties. Suggest the general and therapeutic measures in management.
VI. Write notes on:
(a) Uraemia.
(b) Motor neurone disease.
(c) Wolf-Parkinson-White syndrome.
(d) Startle reflex. 

                                                     FINAL B.H.M.S. DEGREE EXAMINATION, JUNE 1998
                                                                
PRACTICE OF MEDICINE—Paper II
Time : Three Hours Maximum: 100 Marks.
Answer all questions.
I. Describe the clinical manifestations, diagnosis, differential diagnosis and management of Rheumatoid arthritis, giving the use of Bryonia, acid salicylicum, kali iod., and sulphur.
II Classify, giving examples, the various form. of Cardiac Arrhythmias. Differentiate cardiac arrest and cardiac failure.
III Consider the differential diagnosis and investigations to be made in a middle aged man presenting with generalized oedema.Discuss the general and therapeutic management of chronic renal failure. 
IV What are the Intra Cranial space occupying Lesions ? Discuss the investigations and differential diagnosis. Suggest the management of a case of cerebral haemorrhage.
V Describe the various forms of Neurosis. Explain the general management, and therapeutic approach.
VI Write notes on:
(a) Sociopathy.
(b) Impetigo.
(c) Midarm circumference.
(d) Management of renal calculi. 

                                             FINAL YEAR B.H.M.S. DEGREE EXAMINATION, DECEMBER 1998
                                                           
PRACTICE OF MEDICINE—Paper I
Time : Three Hours Maximum: 100 Marks
Answer all questions.
1. Describe briefly the clinical picture of AIDS. Write on the scope of Homoeopathy in AIDS.
2. Discuss the various presentation of Diabetes Mellitus at its onset. Explain the role of Homoeopathic Physician in its management and the investigations to be carried out to assess the progress of treatment.
3. Write notes on:
(a) Tetany.
(b) Complications of Whooping cough.
(c) Stool examination in Helminthiasis.
(d) Management of Kwashiorkar.
4. Describe the aetiology, clinical features and management of Cirrhosis of Liver.
5. Give an account of the Allergic Respiratory Diseases. What role has Homoeopathy in their management? 
6. Write notes on:
(a) A/c Pancreatitis.
(b) Pel Ebstein fever.
(c) Eosinopliilia.
(d) Therapeutics of Acid Pepsin disease. 

                                          FINAL YEAR B.H.M.S. DEGREE EXAMINATION, DECEMBER 1998
                                                           PRACTICE OF MEDICINE—Paper II
Time : Three Hours Maximum: 100 Marks
Answer all questions.
1. Discuss the aetiology, clinical features and management of Acute Glomerulonephritis.
2. Give an account of the various clinical presentation of Systemic Hypertension. Discuss the investigations and management.
3. Write notes on:
(a) Differentiation of Rheumatoid arthritis and Rheumatic arthritis.
(b) ECG.
(c) Therapeutics of Renal Calculi.
(d) Bed-wetting.
4. Describe the clinical picture, diagnosis and management of Viral Encephalitis.
5. Differentiate the various forms of Pyodermas commonly seen. State the management.
6. Write notes on
 (a) Differentiation of Depressive Psychosis and Reactive Depression.
(b) Psychoanalysis.
(c) Management of Paraplegia.
(d) Skin scraping. test.

                                             FINAL YEAR B.H.M.S. DEGREE EXAMINATION, JUNE 1999
                                                           PRACTICE OF MEDICINE—Paper I
Time : Three Hours Maximum: 100 Marks
Answer all questions.
I. Describe the clinical varieties and diagnosis of Poliomyclitis. What has Homoeopathy to offer in its management and prevention?
II. An young lady presents with features of hypothroidism. What symptoms and signs, and investigations help in the diagnosis and differential diagnosis?
III. Write notes on:
(a) Diabetic ketoacidosis.
(b) Peripheral blood smear.
(c) Sleeping sickness.
(d) Management of iron deficiency anaemia.
IV Discuss the aetiopathogenesis, complications and management of Peptic Ulcer.
V. Outline the causes of Exertional Dyspnoea in an elderly man. Discuss the investigations and management you would consider in such a case.
VI. Write notes on:
(a) Acute appendicitis.
(b) Chronic myeloid leukaemia.
(c) Endoscopy.(d) Management of iron deficiency anaemia. 

                                              FINAL YEAR B.H.M.S. DEGREE EXAMINATION, JUNE 1999
                                                          
PRACTICE OF MEDICINE—Paper II
Time : Three Hours Maximum: 100 Marks
Answer all questions.
1. Describe the clinical features and diagnosis of Rheumatoid arthritis. Add a note on the  management.
2. C1assify  cardiac arrhythmias. Which of these are seen as complications of myocardial infarction ? Add a note on Cardiopulmonary Resuscitation.
3. Write notes on
(a) Tread test. (b) Nephrotic syndrome.
(c) BHP. (d) Diarrhoea in children.
4. In the case of a 48 year old man with recurrent headache, discuss the investigations you would suggest to arrive at a diagnosis. Write on the management of tension headache.
5. Describe the various manifestations of allergic skin diseases. Outline the management.
6. Write notes on
(a) Motorneurone disease. (b) Schizophrenia.
(c) Bender gestalt test. (d) Behavior therapy.

                                                FINAL YEAR B.H.M.S. DEGREE EXAMINATION, DECEMBER 1999
                                                           PRACTICE OF MEDICINE—Paper I
Time: Three Hours Maximum: 100 Marks
Answer all questions.
1. Describe the aetiology, clinical features and complications of Influenza. State the Homoeopathic approach in management of fevers.
2. A young woman detected urine sugar on routine examination. Discuss the investigations needed to confirm Diabetes mellitus, mentioning also the differential diagnosis. How is early onset Diabetes managed?
3. Write notes on:
(a) Algid malaria.
(b) TFT.
(c) Management of gout.
(d) Bleeding gums.
4. Outline the causes of Dyspepsia. How is Peptic ulcer diagnosed and managed?
5. Discuss the aetiopathogenesis, diagnosis and management of Primary complex.
6. Write notes on:
(a) Lymphadenopathy.
(b) Von-Willebrand disease.
(c) Hook-worm disease.
(d) Oxygen therapy. 

                                                 FINAL B.H.M.S. DEGREE EXAMINATION, DECEMBER 1999
                                                              
PRACTICE OF MEDICINE—Paper II
Time Three Hours Maximum : 100 Marks
Answer all questions.
I. An elderly man is brought with pain and swelling in knees and shoulder joints. Consider the differential diagnosis and investigations. Outline the management of cervical spondylosis.
II. Discuss the diagnosis, complications and management of essential hypertension.
III. Write notes on
(a) Diagnosis of Myocardial Infarction.
(b) Investigations in Urolithiasis.
(c) Convulsions in newborn.
(d) Mororeflex.
IV. Describe the various forms of Involuntary movements. Write on the management of Parkinson’s disease.
V. Classify mental diseases, giving examples. Give the clinical picture and management of Schizophrenia. 
VI. Write notes on
(a) Management of Eczema.
(b) Tinea cruris.
(c) Sociopathy.
(d) Landry’s paralysis.

                                                FINAL B.H.M.S. DEGREE EXAMINATION, JUNE 2000
                                                          
Paper I—PRACTICE OF MEDICINE
Time : Three Hours Maximum : 100 Marks
Answer all questions.
1. Explain the various clinical presentation, complications and management of herpes zoster.
2. Discuss the clinical features, diagnosis and management of hypothyroidism.
3. Write notes on
(a) Diabetic coma. (b) Hepatitis E.
(c) Angular stomatitis. (d) Rickets.
4. Describe the symptoms and signs, diagnosis and management of acute lobar pneumonia.
5. A 50-year old man presents with dysphagia. Consider the various disorder in differential diagnosis, and the possible methods of management in each.
6. Write notes on       
(a) Cholelithiasis. (b) Polycythaemia.
(c) Management of helminthiasis. (d) Rat-bite fever.

                                                 FINAL B.H.M.S. DEGREE EXAMINATION, JUNE 2000
                                                            
Paper Il—PRACTICE OF MEDICINE
Time: Three Hours Maximum:100Marks
Answer all questions.
1. Discuss the differential diagnosis of joint pains in a middle-aged individual
2. Describe the investigations, complications and management of essential hypertension.
3. Write notes on
(a) Angioplasty.
(b) Systolicmurmurs.
(c) BHP.
(d) Pruritus genitalia.
4. Briefly differentiate the major psychiatric disorders.        
5. Give an account of the fungal skin disorders seen in our country. Write on the management.
6. Write notes on :
(a) CT scan brain.
(b) WDP
(c) Impetigo.
(d) Febrile convulsions in children.

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