EMEKYI REDICIME

DECIPAER

EXAMINATION
TOPICS FOR THEORY

PAPER-I : GENERAL MEDICINNE

INCLUDING PSYCHIATRY,
PAPER-II:GENERAL MEDICINE
DIAGNOSIS
DERMATOLOGY, STD, AND RADIO

THEORY QUESTION PAPER

PATTERN (60 MARKS)
PAPER-1 &PAPER -

Essays-2x10=20
Short notes -20x2=40

GENERAL MEDICINE
DECIPHER
 MOLECULAR AND GENETIC FACTORS IN DISEASE
PAPERI
Short notes
1 Mention four autosomalrecessive disorders Mar22 (2) 7 Family historyin autosomal dominant disease Sep 16

2 Autosomal recessive disorders Oct 20 8 Mention four chromosomal disorders Mar 16

Sep 115
3 X-linked disorders. Aug 19 9 Genetic counselling.
Sep 15
4 Meiosis Aug 18 10 Name four diseases caused by sexlinked disorder Sep 15
Sep 17, Sep 15 11 Name four clinical features of Down's syndrome
5 Apoptosis Mar 17
6 Family history inautosomalrecessive disease
IMMUNOLOGY
PAPER II
PAPERI
Short notes
Short notes Nov 21
Nov 21 6 Intravenousimmunoglobulin
1 Steven Johnsons syndrome Nov 21 7 Acute phase reactants
Feb 20

2 Adverse effects of Rituximab Feb 19 8

Anaphylaxis
Feb 19

3 Anaphylaxis Sep 16
Sep 15 9 Steven Johnsons syndrome
Mar 17
4 HLA associated diseases
Mar 15 10 Immunoglobulins.
5 List four autoimmune disorders
ENVIRONMENTAL AND OCCUPATIONAL DISEASES
PAPER II
PAPERI Short notes Mar 22
Short notes Hazards of radiations
Feb 19 4 Feb 18
1 Heat stroke Sep 15 5 Hazards of radiations

2 Smoking and health hazards. Apr 15

3 Mention four causes of hypothermia POISONING
PAPERI
Essays examination, patient had Mar 22 (4)
There was an unusual smell. On
to the casualty in altered sensorium.
A SS year old farmer was brought (2+2+3+3)
miotic.
fasciculations, bilateral crepitations and pupils where
What is the most probable diagnosis.(2) Discuss its clinical features (2) GENERAL MEDICINE

9
 Discuss the complications(3)
Discuss the management ofthis condition (3)
AGNOSIS:ORGANOPHOSPHOROUs POISONING
Short notes Oct 20
Mar 22 (2) 5 Clinical features of rodenticide poisoning Feb 13
ation therapy Oct 20 Muscarinic manifestation of organophosphorus
3 Definition of intermediate syndrome in compoundpoisoning
organophos horus poisoning Feb 19
4 Clinical features of methanol poisoning PAPER I
ESsays
village brought to casualty in Sep 15
Sep 16 8 25 years old female from a
A 23 years old woman who is 34 weeks pregnant who
drowsy state following seizures. On examination, pulse
to emergency department after taking 28
minute, pupils pin point and breath smells
came
rate is 50 per
paracetamol (500mg) tablets two hours ago. Answer the
of kerosene like compound. SPo2 75%, with bilateral
following crackles on chest auscultation. Answer the following
What are your differential diagnoses.
What are the toxic effects paracetamol What are the differential diagnosis for pin point pupils. 3
What is the pathophysiology of organophosphorous
What are its complications
How do you treat. compound poisoning.
How will you manage this patient

DIAGNOSIS:PARACETAMOL POISONING DIAGNOSIS: OP POIsONING

Short notes
Feb 20
9 Name two chelating agents. List two clinical uses in Mar 22 (1) |14 Benzodiazepine poisoning
medicine Mar 16
10 Management of paracetamol poisoning Nov 21 15 Paracetamol poisoning
Feb 19
11 Lithium Nov 21, Apr 15 16 Barbiturate poisoning
12 Manifestations of paraquat poisoning8 May 21 17 Clinicalfeatures ofchroniccocaine abuse Aug 18
13 Coppersulfate poisoning May 21 18 Treatment of organophosphorous poisoning Apr 15
ENVENOMATIONN
PAPER1
Short notes
1Anti snake venom treatment Feb 18 12 Management of hematotoxicsnake bite Mar 22(1)
PAPER I
 Short notes
3 Management of hematotoxicsnake bite Mar 22(1)
6 Treatment of snake bite Feb 18
4 Management of neurotoxic snake bite May 21
7 Management of viper bite Mar 16
5
Management of cobra bite Feb 19
8 Anti snakevenom treatment Sep 15

ACUTE MEDICINE AND CRITICAL ILLNESS

PAPERI
Short notes
1 Causes of delirium Mar 22(2),Feb 20 3 Radiological features of ARDS Mar 17

2 Risk factors of DVT Feb 20 4

Management of ARDS Sep 15
PAPERII
Short notes
Mar 22(2) Aug 19
1 Classify shock. 6
Causes ofsyncope
Mar 22(1) Feb 19
2 Treatment ofsepticshock. 7 Causes of shock
8 Feb 18
3 Prevention of deep vein thrombosis Nov 21
Neuro cardiogenicsyncope.
4 Brain death Oct 20 9 Non cardiac causes of pulmonary oedema Sep15,Apr 15
Aug 19
5 Cardio puimonary resuscitation
INFECTIOUS DISEASE
Principles of infectious disease
PAPERI
hort notes Mar 22(2)
3 Name two bioterrorism agents.
1
Define nosocomial infection and list two organism May 21
causing nosocomial infection 4 Quinolones Sep 15
2 Microbiota Feb 18

Viral infections
PAPER
Essays
1 A 28 year ale patient was admitted with high grade Mar 22 (2) 2 A 25 years old male is admitted with fever, myalgia, Feb 19
fever with chills for 5 days. Patient had retro-orbital arthralgia, head ache and photophobia. His WBC count
pain,skin rashes and gum bleed on presentation. Answer is 3800 and platelet count 20000. His vitals are normal
thefollowing andthere were no bleeding manifestations. Answer the
GENERAL MEDICINE
DECIPHER 11 -
 What is your differential diagnosis following:
What is your probable diagnosis
DIscuss the etiology and clinical phases of any one of23 How will you confirm the diagnosis
these diseases. How will you manage this patient
What are the investigations to be done on this patient
3 What are the preventive measures
Discuss treatment. DIAGNOSIS:DENGUE FEVER
DIAGNOSIS:DENGUE FEVER Short notes
Feb20
3 Acyclovir PAPER
I Short notes
management Mar 22(2)
Essays
Sep 17 5 Herpeszoster-clinical features and Mar
22(2)
presented with five days of treatment of MRSSA
4
A 30 years old individual
umbilicated mainly centrally
6 Drug usedcin the Nov 21
fever with vesicular
altered sensorium.answer 7 Herpes zosterinfection Oct 2
by
distributed rash followed
8 Treatment of Herpes zoster Aug 19
the following: 9 Treatment of chicken pox. Aug19
What is your diagnosis
lesions. 10Lab diagnosis of denguefever. flu)
Feb 19
what are the causes of vesicular
11 Prophylaxis for H1N1influenza (swine Mar 17, Apr 15
how will you manage the patient
12 Swine flu Aug 18
how will you prevent this disease
13 Pathogenesis of dengue fever Sep 17
DIAGNOSIS:VARICELLA ENCEPHALITIS 14 Warning signsof dengue fever Mar 16
15 Dengue fever
HIV infection and AIDS
PAPERI
Short notes <50 Feb 20
when CD4 count
Nov 21 3 Opportunisticinfection in AIDS Feb 19
1Postexposure prophylaxis of HIV infection May 21 4 Risk factors for HIVinfection
2 List the CNS manifestations of HIV infection PAPERII
Essays unmarried male came with history of one Mar 22(1)
risk behaviour had loss of Feb 20 6 Middle aged loss. Examination
A young male with high month fever and significant weight
Answer the and oral candidiasis.
chronic diarrhea and chronic cough.
weight, revealed lymph node enlargement
following 2 Most probable diagnosis GENERAL MEDICINE

What is your diagnosis

DECIDaER
Evaluate for alternate diagnosis
What are the other of this condition commonly seen
Extra pulmonary complications
causes

How will you investigate this patient

Outline management
How will you manage DIAGNOSIS:HIV WITH OPPORTUNISTICINFECTIONS
DIAGNOSIS:HIV WITH OPPORTUNISTICINFECTIONS Short notes in the lungs Mar 22(1)
List the opportunistic infections that
occur
12
labeled diagram depicting site of action of | Mar 22(2)
7 Draw neat ofan HIV infected patient
anti retroviral drugs. Nov 21, Oct 20 13 Post exposure prophylaxis for needle stick injuries
for Feb 19
8 Immune reconstitution inflammatory syndrome
HIVpostive patients.
Feb18
Feb 19 14 Cutaneous manifestation of HIV infection Sep 1
9 Criteria for initiating anti-retroviral therapy Sep17 15 Modes of transmission of HIV Apr 15
10 Tenofovir Mar 1
16 Treatment of pneumocystis jeroveci pneumonia
retroviral therapy in
11 Drugs and regimens used in anti
national programme.
Bacterial infections
PAPERI
Short notes Feb 18

1 Laboratory diagrnosis of enteric fever

Mar 22(1) 4 Modified fine's criteria of leptospirosis |Feb 18
Nov 21 5 Scrub typhus
2 Treatment of clostridium difficile infection
Feb 19
3 Management of leptospirosis
PAPER II
Short notes Sep17
Nov 21 Erythemanodosum leprosum
1 Lab diagnosis ofWeil'ssyndrome Mar 17
Feb 19 Drugs used in leprosyY
Leptospirosis managenent Treatmentof leprosy Aprr15
Aug 18 Mar 22(2)
Clinical features ofleptospirosis
Treatment of leptosirosis Sep17 Mention principles of management of food poisoning Feb 19
Sep16 Diagnosis of salmonellainfection Mar 17
Treatmentofleptospirosis Sep 115 Fourindications of doxycycline
Mangement of weil's disease Sep 16

Leptospirosis Apr15 6 Traveller's diarrohea Oct 20

Aug18 7 Treatment oftyphoid fever
2 Type 1lepra reaction 8 Complications of typhoid fever
Mar 16

Dapsone Aug18
Clinical features of leprosy Feb18
GENERAL MEDICINE
DECIPHER 13
 Protozoal infections
1 PAPER
What are clinical features of
isthe drug of choice. amoebic liver abscess. What Short notes
May 21 2
Drugs for hepatic amoebiasis
Feb 19
PAPER I
Chemoprophylaxis of malaria. Feb 20
Short notes
Treatment of chloroquine resistant malaria. Aug 19
2 Management of falciparum malaria
Treatment of drug resistant malaria. Feb 19, Sep 15 Treatment of falciparum malaria Oct 20
Treatment of vivax malaria. Aug 18 Treatment of falciparum malaria Sep 17
Complications of falciparum malaria Mar 17 Amoebic liver abscess Mar 16
Cerebral malaria 4 Amoebic colitis Feb 19, Feb 18

Antimalarial drugs Sep 16, Apr 15 5Drugsused in extra intestinal amoebiasis Mar 16
Sep 16 Sep15
Infections by helminths
PAPER II
List four causes of ring Short notes
enhancing cerebral lesions seen Mar 22 (1) 3 Larva migrans
onMRI Sep 15
2 Treatment of neurocysticercosis
Oct 20
METABOLIC MEDICINE AND BIOCHEMICAL INVESTIGATIONS
PAPERI
1 High anion gap metabolic acidosis Short notes
Mar 22(2) 8
Treatment of hyperkalemia Mar22(1)
2 Causes of metabolic acidosis Aug 18 9 Aug19,Sep 16
3 Hyponatremia Management of hyperkalemia Aug 18, Mar 17
May 21,0ct 20 10 Causes of hypokalemia
4 Management of hyponatremia Feb 20,Sep 17 Sep 1
11 Causes of hyperkalemia Mar 16
5Causes of hyponatremia Aug 119 12 Mention four complications of diuretic
therapy Mar 116
6 Syndrome of inappropriate ADH secretion Feb 18
13 ECG findings in hyperkalemia Apr 15
7 Hyperkalemia Oct 200 14 Complications of homocysteinemia. Feb19
PAPER II
Short notes
15
Clinical features of acute intermittent porphyria Aug 19
RENAL MEDICINE
PAPER
Essays
16 year old boy came with puffy face, decreased urine
Oct 20 3 1 5 years old male was admitted to the hospital with Aug 19
output and smoky urine. H had skin infection recently. history of swelling of the face, oliguria, Hematuria and
his BP was 160/100mmhg. Answer the following:
what is more likely diagnosis What is your diagnosis 2
How do you evaluate for alternative diagnosis. Mention the various causes.
Mention the complications What are the complications
Outline management Discuss the management.
DIAGNOSIS: GLOMERULONEPHRITIS DIAGNOSIS: NEPHRITIC SYNDROME

2 35 year old individual wasfound to have mild pallor and Sep 17 4 40 years old male presents with generalized anasarca Apr 15
BP of 160/100 mmHg on routine medical examination. and decreased urine output for one month. On
On evaluation blood urea and serum creatinine were examination BP 120/80. Proteinurea of 3.5 gm/24 hours
raised. Answer the following: and serum albumin 2 gm%. Answer the following:
What is your probable diagnosis What is the likely diagnosis.
How do you investigate this patient.
What are the etiological factors for his renal condition 3
What complications or adverse effects can occur in this3 What differential diagnosis will you consider.
How are you going to treat this patient.
condition 2
What are the modalities of treatment available
DIAGNOSIS: CHRONICKIDNEY DISEASE DIAGNOSIS: NEPHROTICSYNDROME
Shortnotes Sep 17
5 Mention clinical features ofinfection associated Mar 22 (2) 22 Causes of acute renal failure.

glomerulonephritis. Mar 17
Mar 22 (1) 23 Definition of nephroticsyndrome.
6 Clinicalfeatures of nephrotic syndrome 24 Renal transplant
Mar 17

7 Peritoneal dialysis. May 21 Sep 16

May 21 25 Definition of acute nephriticsyndrome
8 Hemolytic uremic syndrome
Sep 1

16
May 21 26 Renal causes ofsecondary hypertention.
9 Nephrotoxic drugs GENERAL MEDICINE
15
DECIPHER
 10 Acute glomerulonephritis. Feb 20 27 hemodialysis
Sep 16
11 Asymptomatic urinary abnormalities Feb 20 28 Management of nephrotic syndrome. Mar 1 L6
12 Causes of acute kidney injury. Feb 20 29 Indications for hemodialysis Mar 16
13 Mention the causes of chronic kidney disease Aug 19 30 Causes of proteinuria. Mar 1
14 Drug induced renal injury Aug 19 31 Clinical features of nephrotic syndrome. Sep 15
15 Lupus nephritis. Aug 19 32 Indications for hemodialysis in acute renal failure. Sep 15
16 Causes of chronic kidney injury. Feb 19 33 Bence Jones proteinuria. Sep 15
17 Indications renal biopsy Aug 18 34 List emergency complications of acute glomerular Sep 15
nephritis.
Aug 18 35 Sildenafil uses.
18 Common causes of chronic renal failure Sep1
19 36 Complications of poststreptococcal glomrulonephritis. Apr 1

20 ADPK(autosomal dominant polyscystic kidney disease) Feb 18

37 List causes of polyuria Apr15
21 Polyuria Sep 17 38 Mention four manifestations of adult polycystic kidney Apr 15
disease.
PAPERII
Essays Short notes
39 A20 years old lady presented with decreased urine Feb 20 40 Indication of dialysis Feb 20
output of less than 0.5 ml/kg/hr for the last 12 hours. 41 Causes of end stagerenalfailure Feb118
She had diarrhea and vomiting for the last 2 days. Her BP 42 Post streptococcal glomerulonephritis (PSGN) Sep 17
was 90/70 and pulse 108/ml. Answer the following:
What is your diagnosis
How will you investigate this patient
How will you manage this patient
What are the complications
DIAGNOSIS: ACUTE KIDNEY INJURY DUE TO VOLUME
LOSS
CARDIOLOGY
PAPERI
Essays
38-year-old male presented with palpitations and Oct 20 2 A 50 years old male chronic alcoholic, smoker, high Feb 20
breathlessness since 6 months. On examination, he had blood pressure and uncontrolled type 2 diabetes

irregular pulse and a middiastolic murmur at mitral area. mellitus has presented with central chest pain with
sweating for past one hour. His blood pressure is
180/100mm Hg and blood sugar 400 mg/dl. Answer the
what is the likely diagnosis following
What is your probable diagnosis
How do you investigate him
What are the complications of the condition How will you confirm the diagnosis
How do you manage him How will you treat this condition
How will you prevent the recurrence
DIAGNOSIS: MITRAL STENOSIS WITH ATRIAL DIAGNOSIS:ACUTE CORONARY SYNDROME

FIBRILLATION MYOCARDIAL INFARCTION

3 A 65-year-old female comes to the emergency room May 21 A 20 years old young patient was admitted to Aug 19
with a history of progressive shortness of breath and emergency ward with history of prolonged fever and
swelling of both feet since 20 days. acute onset breathlessness. On examination systolic
List the probable diagnosis murmur heard at apex. Answer the following:
Discuss etiology of any one of your diagnostic choices What is your diagnosis
List the clinical findings seen in the condition Discuss the etiology and clinical features.
Outline the investigations to confirm your diagnosis Add a note on investigations.
Outline the treatment Discuss thetreatment.
DIAGNOSIS: HEART FAILURE DIAGNOSIS: INFECTIVE ENDOCARDITIS
5 45 years old obese individual who is a smoker presented Aug 18 6 A 25 years old male presents with history of fever for 15 Mar 17
with acute onset chest pain and profuse sweating days. On examination patient is febrile. Pallor and
Answer the following clubbing are present. He has a pan systolic murmur at
What is the differential diagnosis 2 the apex. Answer the following:
How will you confirm the diagnosis 3
What is your probable diagnosis.
How will you treat this patient How will you confirm the diagnosis.
2
What advice will you give him to prevent recurrence of How will you treat this condition.
thiscondition How will you prevent therecurrence ofthis disease
DIAGNOSIS: ACUTE CORONARY SYNDROME DIAGNOSIS: INFECTIVEENDOCARDITIS
7 A 45 years old man develops progressive breathlessness Sep 16 8 An 18 years old male presented with exertional Feb 16
and swelling of both the feet. On examination dyspnea, PND and palpitation. On examination his pulse
respiratory rate was of 22/mt, heart rate of 96/mt. and was irregularly irregular with a pulse deficit of more
BP 100/70 mm of hg. JVP raised 14cms and both a and v than 10. Cardiac examination revealed loud first heart

DECIPHER -17- GENERAL MEDICINE

 waves were seen. On auscultation 3rd heart sound and sound, opening snap with a mid diastolic murmur.

bilateral fine crepitation were present. Liver was Answer the following:
palpable 3cms below costal margin. There is no free fluid
2 What is the complete diagnosis
in the abdomen. Answer the following:
What are the complications.
What is your probable diagnosis.
this condition Discuss the management.
What other causes can cause
How will you confirm the diagnosis.
How will you treat this condition DIAGNOSIS: VALVULAR HEART DISEASE - MITRAL
DIAGNOSIS: CONGESTIVE CARDIAC FAILURE
STENOSIS, RHEUMATIC HEART DISEASE ATRIAL
FIBRHLLATIONNOSIGNS OF INFECTIVE ENDOCARDITIS
with fever, joint pain and swelling of right knee and
chest pain. On examination there Apr 15
9 18 years old male came to outpatient department of PR interval. Answer the following:
m u r m u r in mitral area and ECG shows prolongation
is relative tachycardia, pansystolic How do you investigate this patient.
What is your diagnosis.
How do you manage this patient.
What are the complications.
DIAGNOSIS:ACUTE RHEUMATIC FEVER
Short notes
20 Differential diagnosis of peripheral edema Aug 18
neat labeled diagram of the conduction system Mar 22(2)
1 Draw a
Feb 18
ofheart Mar 22(2) 21 Clinicalfeatures of Eisenmenger'ssyndrome
2 Drugs used in management of myocardialinfarction Mar 22(1) 22 Jone's criteria of rheumaticfever.
Feb 18

3 Atrial fibrillation Feb 18

Mar 22(1) 23 Amiodarone
Sep 17
4 Prinzmetal's angina Mar 22(1) 24 Clinical features of hypertrophiccardiomyopathy
5 Indication for infective endocarditis prophylaxis Mar 22(1) 25 Causes ofaortic stenosis
Sep 17
Ortne'r syndrome Sep 17
7 Management of Raynaud's phenomenon
Nov 21 26 Cardiactroponins
27 Classification of antiarrhythmicdrugs Sep17
8 Explain continuous murmur. List two causes May 21 28 Management of supra ventricular tachycardia. Mar 17
What is complete heart block. What is the treatment of May 21
choice Mar 17
29 Unstable angina
10 Hypertensive retinopathy May 21 Sep 16
11 Clinical features of cardiactamponade
Oct 20 30 Management of atrial fibrillation Sep 16
Oct. 20 31 Stable angina
12 HACEK organisms Mar 16

13 Atrialfibrillation Aug 21 32 Complications of myocardial infarction

33 List risk factors for acute myocardial infarction

Sep15
14 Causes ofsecondary hypertension. Feb19 Sep 15
Feb19 34 Features of Fallot's tetralogy
15 Cardiacenzymes Aug 18 35 List causes for irregularly irregular pulse
Sep 15
16Clinical features ofconstrictive pericarditis Sep 15
Aug 18 36 Hepato-jugular reflux
17 Management of mitralregurgitation Aug 18 37 List ACE inhibitors
Apr 15
18 Brain natriuretic peptide
Aug 18
19 Management of permanent atrial fibrillation
PAPER II

Short notes Feb 20

38 Complications of infective endocarditis Mar 22(2) 45 Indications of beta blocker Feb 20
39 List four causes ofsecondary hypertension Mar 22(2) 46 Hypertensiveemergencies Aug 19
40 Mention four causes of cardiac arrhythmias Mar 22(2) 47 Endocrinecauses for Systemic Hypertension.
Aug 119
41 Anatomy ofcoronary circulation
Nov 21 48 Cardio-thoracicratio.
42 Classification ofantiarrhythicdrugs Nov 21 49 Cyanosis Aug19
Feb 18
43 Hypertrophiccardiomyopthy 50 Dressler'ssyndrome
Nov 21
Mar 15
44 Marfan syndrome Nov 21 51 Statins
RESPIRATORY MEDICINE
PAPER
Essays Short notes
Mar 22(2)
1
52 years old male who is a chronic smoker having cough Sep15
2 Mention common organisms causing pneumonia.
Mar 22(2)
with expectoration and breathlessness comes to
outpatient department with weakness and swelling of
3 Treatment of bronchiectasis. Mar 22(1)
legs for last one week. On examination JVP is elevated
4 Pulmonary function tests. Mar 22(1)
and right ventricular third heart sound heard and there
5 Extensively drug resistant tuberculosis
6 Clinical features and management of acute severe
Mar 22(1)
is tender hepatomegaly. Answer the following:
asthma May 21
What is your diagnosis. Clubbing
How are you going to investigate. 8
Electrocardiographic changes in acute inferior wallOct 20
Discuss the management. myocardial infarction
Oct 20
What are the complications. 9 Stokes Adams syndrome Oct 20
10 High altitude pulmonary oedema Feb 220
11 Pulmonary hypertension
DIAGNOSIS:COPD COR PULMONALE 12 Causes of sinus bradycardia Feb 20

DECIPHER GENERAL MEDICINE

19-
 13Diagnosis of obstructive sleep apnea. Feb18
14 Management of acute pulmonary edema. | Sep 17
PAPER I
ESsays
15 An elderly male patient develops painful swelling of his Mar 22(2) 16 A 50 year old man presented with fever, fatigue, Nov 21
He was anorexia and weight loss since 2 months. He has a
right lower limb after a long flight journey.onset of productive cough and hemoptysis. On examination he
with sudden
brought to the casualty has hyper pigmentation of palms and soles, a BP of
breathlessness. Answer the following
80/50 mm He and right pulmonary apical
What is the most probable diagnosis 3
features
crackles.answer the following
Discuss the risk factors and clinical 3 What is your probable diagnosis 3
How would you investigate this patient
How will you confirm your diagnosis
Discuss the treatment
What are the complications of the condition
DIAGNOSIS:PULMONARY TUBERCULOSIS WITH
DIAGNOSIS:PULMONARY EMBOLISM
ADRENAL INVOLVMENT, ADDISONS DISEASE
18 52-year-old male with history of previously treated Oct 20
17 45-year-old chronic smoker presented with cough, right May 21 tuberculosis presented with haemoptysis since 2 days.
streaky haemoptysis since 3 weeks.
sided chest pain and bronchial breathing and coarse
On examination,
On examination, he had engorged neck veins and
crepitations right
over infraclavicular area.
weakness of small muscles of right hand.
What is your probable diagnosis
What is your probable diagnosis How do you investigate the condition
How do you confirm the diagnosis
How do you treat the condition
What are the complications of the condition
How to preventfurther episodes
How do you manage him
DIAGNOSIS:REACTIVATION OF TTB
DIAGNOSIS:CARCINOMA LUNG 20 A 20 year young male travels in two wheeler in a dusty Feb 18
19 A 25 years old male presents with history of cough | Feb 19
breathlessness. He
atmosphere develops sneezing and
withproductive mucoid sputum for the last three of chest
months. The sputum is foul smelling, copious and it gives past episodes of wheezing. Auscultations
showed bilateral polyphonic wheezes. Answer the
increases on lying to the left side. On examination
patient is tachypneic and has coarse leathery following:
crepitation's in the right inter scapular and infra scapular
regions; clubbing present. Answer the following What is your diagnosis

What is your probable diagnosis. How willyouinvestigate him

3 How will you manage
What are the causes for this condition Precautions to prevent further episodes
2
How will you confirm the diagnosis.
How will you treat this condition DIAGNOSIS:BRONCHIAL ASTHMA
DIAGNOSIS:BRONCHIECTASIS three months. He had similar problem Mar 16
with productive mucoid sputum for the last
21 A 45 years old male presents with history cough
2+2+3+3
the liver dullness in the 8th
examination patient is tachyopenic, has
mild cyanosis, barrel shaped chest and
during the last winter. On ronchi and scattered crepitation's all over the lung fields. Answer the following
intercostal space. Patient has bilateral polyphonic
right What are the probable causes for this condition (2)
What is your probable diagnosis. (2)
How will you confirm the diagnosis (2) How will you treat this condition (3)
DIAGNOSIS: COPD RESPIRATORY FAILURE
Short notes Aug 19
Mar 22(2) 33 Second line antituberculous drugs.
22 Newer diagnostic methodsintuberculosis May
21 34 Chylothroax.
Mar 15
Diagnosis of miliary tuberculosis Mar 1
isonicotinic acid hydrazide (INH) May 21 35 Massive hemoptysis. Aug 1
Sep 15 36 Silicosis
Uses ofrifampicin
23 List four organisms causing community acquired Mar 22 (1)
37 Category 1 treatment schedule in RNTCP program Feb 19

pneumonia and mention twocomplications Feb 19

24 Interpretation of serum albumin plural fluid albumin Mar 22(1) 38 Signs of acute severe asthma

gradient 39 Prognosticfeatures in pneumonia Feb 18

25 What is Light's criteria for evaluation of pleural fluid, | Mar 22 (1)
enumerate two causes of exudative pleural effusion 40 Drug toxicity of drugs used in category 1 RNTCP Mar 16
26 Pulmonary function test abnormalities in interstitial lung May 21

disease |program Mar 16

27 Complications of pneumonia May 21 41 Step caretherapyin asthma Mar 16
28 Management of acute severe asthma May 21 42 Prophylaxisfor PCP pneumonia Sep 15
29 Clinicalfeatures of bronchiectasis Oct 20 43 Treatment of acute severe asthma. Mar 15
30 Management oftension pneumothorax Oct 20 44 Mention x-ray chest finding in emphysema
Mar 15
31 Management of hypersensitive pneumonitis Oct 20 45 Pulmonary hypertrophicosteoarthropathy
Aug 19
32 Broncho pulmonary segments,
ENDOCRINOLOGY
PAPER
DECIPHER 21 GENERAL MEDICINE
 Essays Short notes
1 A 16year old girl presented with increased appetite and Mar 22(1)
2 Myxedema coma Nov21
weight loss since 5 months. She has resting tremors, 3 List two clinical signs of hypocalcemia and ECG findings May 21
tachycardia and prominent eyes. Answer the following 4 Diabetes insipidus Feb 20
5 Drugs causing gynecomastia Feb 20
What is your probable diagnosis 2 6 Clinical features of Conn's syndrome Feb 118
How will you confirm the diagnosis 3 7 Clinical features of primary hypothyroidism Mar 17
How will you treat the disease
What are the complications of the disease
8 Endocrine causes for secondary hypertension. Mar 17

9 Clinical features of thyrotoxicosis Sep 16

10 Clinical features of Addison's disease Mar2 16
11 Myxedema coma management Mar 16
DIAGNOSIS: HYPERTHYROIDISM
PAPERII
Short notes
Mar 22(2) 20 latrogenic Cushing syndrome May 21
12 List clinical features and management of

hyperthyroidism Feb 20
Mar 22 (1) 21 Complication of prolonged steroid therapy
13 Thyrotoxic crisis Mar 22 (1) 22 Diagnosis of hypothyroidism Aug 18
14 latrogenic cushing syndrome Nov 21 23 Clinical features of Cushing syndrome Feb 18
15 Goiter
Nov 21 24 Treatment ofthyrotoxicosis Sep17
16 Management of hypercalcemia Sep16
17 Treatment of hypercalcemia
Oct 20 25Hypothyroidism Mar 15
18 Pitutaryapoplexy
Nov 21 26 Subclinical hypothyroidism
19 Grave's disease May 21
NUTRITION AND NUTRITIONAL DISEASES
PAPER
Short notes Feb 18,Sep16
Mar 22(2) 10 Scurvy.
1Mention drugs used in obesity Sep 17
Nov 2 11 Neurological consequences of vitamin B12 deficiency
23 List
Obesity
two indications and two complications of total May 21 12 Pellagra
Mar 17, Mar 16
Sep 15, Apr 15
parentral nutrition Sep 17
Oct 2 13 Reversible causes of weight gain
4Body mass index
S\linical features of vitamin D deficien Feb 20 14| Vitamin K
dependent clotting factors. Mar 166
Apr 15
6 Vitamin A deficiency. Aug 19 15 |Therapeutic schedule of vitamin B12
Aug 19 16 Clinical features of beri beri Apr 15
7 Body Mass Index Apr15
8 Causes of hypoproteinemia
| Feb 19
17 Name four disorders for which obesity is a risk factor. Aug 18
Aug 18 | 18 Complications of obesity
9 Fat soluble vitamins
DIABETES
PAPERI
Short notes
Essays Symptoms of hypoglycemia.
Mar 22(2)
1 A 14 year old girl came with upper abdominal pain and Nov 21
Mar 22(2)
repeated vomiting. She was recently noticed
to have 3 Foot care in diabetes
Mar 22(1)
polyurea and weight loss. Examination revealed fruity 4 Fasting hypoglycemia
Management of potassium level in diabetic Nov 21
odour in the month apart from severe dehydration.
Most probable diagnosis. ketoacidosis.
Feb 20
Evaluate for alternative possibilities 6 Management of diabetes ketoacidosis
Feb 19
Management of current complication 7 Causes of hypoglycemia. Mar 17
Treatment of underlying disease 8 Biguanides Sep 16
DIAGNOSIS:DIABETIC KETOACIDOSIS 9 Sulphonylureas Mar 16
10 Micro vascular complications of diabetes mellitus.
11 Four classes of oral hypoglycemic agents with one Apr 15

example each
PAPERII
Essays
13 A 20 years young boy presented with history of nausea, Mar 15
12 50 year old man a known diabetic, staying alone was Sep 17
brought in an unconscious state with history of irregular vomiting and pain abdomen to emergency department.
treatment, poor food intake and alcohol abuse. He also He also gives history of excessive thirst and loss of
had non healing foot ulcers. Answer the following: weight. Answer the following
What is your clinical diagnosis
How will you evaluate his clinical condition What is your diagnosis
What emergency treatment will you give to this patient What investigation you do

What are thelikely causes of foot ulcers inthis patient How do you manage
DIAGNOSIS:DIABETIC KETOACIDOSIS
DIAGNOSIS:UNCONTROLLED DIABETES MELLITUS WITH
DIABETICFOOT
DECIPHER GENERAL MEDICINE
-23
 Short notes
14 SGLT- 2 inhibitors Mar 22(2) 22 Management of hypoglycemic coma. Aug 18
15
What are the symptoms and signs of diabetic peripheral Mar 22(1) 23 Alpha glucosidase inhibitor Feb 118
neuropathy
16 Metabolic syndrome Mar 22(1), 24 Insulin preparations Sep? 17
May 21,Feb 18
17 Metabolic syndrome-definition and complications Nov2 1
25 Diagnosis of diabetic ketoacidosis Sep 17

18 Urinary abnormality in diabetic kidney disease Nov 1

26 Management of diabetic ketoacidosis. Mar 17
19 Insulin analogue Feb 20 27 Side effects of insulin therapy Sep16
20 Chroniccomplications of diabetes mellitus Feb 20 28 Insulin analogues. Sep 15
21 Drugs used in type 2 diabetes Aug18 29 Glycosylated hemoglobin Mar 15

GASTROENTEROLOGY
PAPERI
Short notes
1 Name some extra intestinal manifestations of Mar 22(2) 17 Investigations in chronic pancreatitis. Aug 1

inflammatorybowel disease.
2 Probiotics Mar 22(1) 18 Causes of chronic pancreatitis Sep 17
3 Whipple's disease Mar 22(1) 19 Antibiotic regimens for eradication of helicobacter Sep 17

pylori.
List four extra intestinal manifestations of ulcerative May 21 20 Drugs used in the management of inflammatory bowel Sep 17

colitis disease
Mar 17
Crohn's disease Oct 21 21 Complications of acute pancreatitis Mar 17
Acute pancreatitis Oct 20 22 Coeliac disease
7 Complications of gastro esophageal reflux disease Feb 20 23 Achalasia cardia Mar1 17
Feb20 24 Complications of chronic pancreatitis. Sep 16
8 Aphthous ulcer Sep 16
9 Causes of hematemesis. Aug 19
25 Tropical sprue Sep 16
10 Chronicdiarrhea. Aug 19 26 Esophageal strictures Mar 16
11 Odynophagia Aug1 19 27 Complications of peptic ulcer. Mar 16
12 Irritable bowelsyndrome. Aug 19 28 Medical causes of acute abdomen. Mar 16
13 Diagnosis of H.pylori infection. Feb 19 29 Differences between ulcerative colitis and Crohn's
disease
Sep 15
Aug 18 30 Helicobacter pylori eradication regimen
14 Consequences of helicobacter pylori infection bowel Aug 18
31 Four most common causes of upper Gastro Intestinal Apr115
15 Extra intestinal manifestations of inflammatory bleeding
disease
PAPER II
Shortnotes Sep 15
Nov 21 34 Uses of probiotics
32 Zollinger Ellison syndrome 35 Treatment of H. Pylori infection
Mar 15
33 Complications of ulcerative colitis. Sep16
HEPATOLOGY
PAPERI
Essays Feb 18
1 40 years old female non-alcoholic developed yellowish Feb 19 2 45
Awith years old man who is a chronic alcoholic presents
the history of tarry black stools and fresh blood
discoloration of sclera and urine. She developed
Answer the
vomiting since 2 days. On examination he is ill looking,
vomiting and right hypochondrial pain. palpable
following: pale and has tachycardia. He has ascites but no
Answer the
spleen. His blood pressure is 90/60 mm Hg.
What is your probable diagnosis following:
How will you confirm the diagnosis
What is your likely diagnosis
What steps should be taken immediately in the
How will you treat this condition
How will you prevent this disease management
How will you treat this condition

What are the complication of this condition

DIAGNOSIS:CHRONIC ALCOHOL LIVER DISEASE
DIAGNOSIS: VIRAL HEPATITIS
DECOMPENSATED PORTAL HYPERTENTION VARICEAL

BLEED
3 40 year old individual presented with fatigue, weight loss and upper abdominal discomfort. Clinical examination revealed Sep 17
hepatosplenomegaly and ascites. Answer the following:
What other history will you elicit to detect the possible etiology of his disease What investigations will you do to evaluate his condition 2+3
2+3
How will you managethis case What are the complications of this condition
DIAGNOSIS:LIVER DISEASE-CIRHOSIS, MALIGNANCY
Short notes
Mar 22(2) 11 Causes of portal hypertension Aug19
1 Newer drugs for hepatitis C
GENERAL MEDICINE
DECIPHER -25
 2 Congenital hyperbilirubinemias Mar 22(1) 12Complieations of sine Ha hegatis
3 Serological markers of chronic hepatitis B infection Nov21 1 Uiver funetion te Fes
4 Diagnosis of spontaneous bacterial peritonitis Nov 21 14 Naturaf history of ohronic hepatitis b nfetion Sep
5Causes of hematemesis. Aug 19 15 Mechanism of asctes in cirrhersis Aiver Mier17
6 Fatty liver Oct 20 16 Lab features of pre hepatic jaundice(haemailyi) Mar 17
7 Gall stones Oct 20 17 Laboratory diagnosis ofhepatitisBinfecrion Sep 16
8 Lab features of hepatocellularjaundice Feb20 18 Lab diagnosis of post hepatic (dholestati jaundice. 15
9 Gamma glutamyl transferase Feb20 19 Mention four complications of cirrhosis Mar 16
Aug 19
10 Fulminant hepatitis. 20 Hepatic encephalopathy Sep 15
PAPERII
Essays Short notes
21 40 year old male with history.of alcohol abuse for more Aug 18
22 Serum ascites albumin gradient Mar (2)
than 15 years presented
with pain
abdomen and hematemesis. During hospitalization he
23
Interpretation of Serum- Ascites Albumin Gradient Mar (1)
had generalized seizures and
24
(SAAG).Givetwo causes of ascites with Low SAAG
abnormal behaviour. Answer the following: Interpretation of serum albumin plural fluid albumin Mar (1)
How will you investigate this
patient
gradient
What is the possible cause of his seizure 25 International normalized ratio (INR)
26 Amoebic colitis Aug 19
What are the likely causes of hematemesis Mar 16
How do you manage this patient
DIAGNOSIS:CHRONIC ALCOHOLIC LIVER DISEASE,
DECOMPENSATED HYPERTENSION, VARICEAL BLEED,
HEPATICENCEPHALOPATHY
HEMATOLOGY
PAPER
1
Essays Short notes
28 year old male presented with history of fever and Nov 21
bony pains since 3 weeks. On examination, he had 2 Treatment of warfarin over dosage Nov 21
generalized lyphadenopathy and purpura over his trunk. 3 Megaloblastic anemia Nov 21
What is the probable diagnosis
4 Complications of blood transfusion Feb 20
how
will you confirm the
diagnosis 5 Myelodysplastic syndrome. Feb 19
Mention the
6 Factor Vi replacement in hemophilia A Fob 19
causes and treatment
of fever in a neutropenic4 7 Treatment of iron deficiency anemia Feb 19
patient
DIAGNOSIS: LEUKEMIA 8 Oral anticoagulants Mar 17

9Lowmolecular weight heparins Sep16

10 Erythropoietin_ Apr 15
11 Management hypersplenism Nov 21
12 List the vaccine recommended for splenectomised May 21
PAPER II
Essays
13 A 35 year old patient presents with history of fatigue and
lastitude for 3 months. On examination, he was pale
Mar22/2) 14 A 60 years lady presents with tingling, fatigue and Feb 19
passing dark tarry foul smelling stools. On examination,
mild icteru. Knuckle hyperpigmentation was noted. severe pallor was present and ejection systolic murmur
Answer the following at the
pulmonary area. Answer the following
What is the most probable diagnosis What is your probable diagnosis
3
List the causes for this condition What are the probable causes for this condition
3
How would you investigate this patient How will you confirm the diagnosis
Discuss the treatment How will you treat this condition
DIAGNOSIS:Vit B12 DEFICIENCY ANEMIA DIAGNOSIS:Vit B12 DEFICIENCY ANEMIA, BLOOD LOSS
15
40 years old alcoholic vegetarian comes to out- patient Mar 17 16 A 65 years old woman comes with general malaise,
Sep 16
department with history of fatigue, weakness and tiredness since six months and two months history of
exertional breathlessness. On examination patient is shortness of breath on moderate exertion. She c/o, sore
anemic with red beefy tongue and knuckle tongue, pins and needles sensation in her feet. Her
pigmentation. Answer the following blood smear shows macrocytic anemia and
What is your likely diagnosis and cause for knuckle thrombocytopenia. Answer the following
pigmentation. What are your differential diagnosis
What are the likely causes and mechanism of this What further investigations you do.
condition. Describe the peripheral and bone marrow picture of
How will you investigate this patient. megaloblastic anemia.
oHow do you manage this patient. How do youtreat.
DIAGNOSIS:Vit B12 DEFICIENCY ANEMIA DIAGNOSIS:Vit B12 DEFICIENCY ANEMIA
17
A 30 years lady presents with tingling and numbness of Mar16 18 55 years old lady comes to OPD with history of fever, Sep 15
legs and fatigue. On examination she has severe pallor. weakness, generalized lymphadenopathy and
DECIPHER 27 GENERAL MEDICINE
 On examination of CNS,
patient is found to have absent hepatosplenomegaly. Answer the following
ankle jerk and up going plantar
bilaterally. Answer the
following What are the differential diagnosis.
What is your probable diagnosis. How to investigate this patient.
What are the probable causes for this condition.
How to manage if it is tubercular lymphadenitis.
How will you confirm the diagnosis.
What are the complications of tuberculosis.
How will you treat this condition
DIAGNOSIS:Vit B 12 DEFICIENCY ANEMIA, NEUROPATHY
DIAGNOSIs:LEUKEMIA,LYMPHOMA, TUBERCULAR
19 A 24 years old woman presents with purpuric rash on her lower limbs,
LYMPHADENITIS
bleeding
from gums while brushing since two weeks. She denies
menorrhagia or hematuria. No history of preceding fever or upper respiratory tract Mar 15
infection. No history of taking NSAID or any
other medications. Answer the following
What are your differential diagnosis How do you investigate How do you treat. 2+4+4
DIAGNOSIS: BLEEDING DISORDER
Short notes
20
Mention four common causes of lymph node Mar 22(2) 31 Vaccination strategy in elective
enlargement Splenectomy. Aug 119
21 List transfusion transmitted infections Mar22(2) 32 Treatment of thalassemia Feb 19
22 Drugs causing bone marrow suppression May21
23 Diagnosis of myelodysplastic syndrome
33
Treatment of Hodgkin lymphoma Feb 119
May 21 34 Differential diagnosis of macrocytic anemia Feb 19
24 Lupus anticoagulant May 21
25
Drugs used in treatment of acute promyelocytic
35
Platelet rich plasma Mar 17
May 21 36 Hypochromic microcytic anemia Sep 116
leukemia
26 Granulocyte colony stimulating factor
(G-CSF) therapy Aug 19 37 a-Fetoprotein Sep 16
27 Genetics of thalassemia Oct 20 38 Sickle
28 Megaloblastic anemia cell crisis Mar 16
Oct 20
29 Polycythemia vera 39 Treatment of chronic myeloid leukemia Mar 16
Feb 20,Sep 17 40
Differential diagnosis of microcytic anemia Mar 16
30 International normalized ratio (INR) Aug 19
41 Radiological features of thalassemia Sep 15
RHEUMATOLOGY AND BONE
PAPER
1 A20 years young female presented with history of fever, Feb 18
poly arthralgia, facial puffiness, pedal edema and 2 Rheumatoid factor Mar 22(1)
decreased urine output. On examination she has malar 3 Treatment of gouty arthritis Mar22(1)
rash over the cheek, anasarca and B.P.
150/100 4 Diagnosis of stillf's disease Nov 21
mm Hg. 5 Management of Raynaud's phenomenon
Answer the following Nov21
What is your likely diagnosis 6 Libman sach's endocarditis. May 21
eHow will you confirm the diagnosis 7 What is Henoch Sconlein Purpura (HSP) May 21
How will you treat the disease 8 Diagnostic criteria for rheumatoid arthritis Feb 20
What are the complications of the disease 9Prophylaxis for acute rheumatic fever. Aug 19
10 Extra-articular manifestation of rheumatoid arthritis. Feb 19
DIAGNOSIS:SYSTEMIC LUPUS ERYTHEMATOSUS 11 Diagnosis of osteomalacia. Feb 1
12 Osteomalacia
Mar 17
13 Osteoporosis Sep 1
PAPER II
14 Essays
20 year old female came with history of fever and joint
May 21 15 24-year-old female came with history of
pains since 2 weeks. On examination, she had multiple joint OCT 20
pains, facial puffiness and malar rash since 8 months.
splenomegaly and tenderness over knee and sacroiliac What is your probable diagnosis
joints. She had a skin rash on nose and cheeks.
What is your probable diagnosis What is your probable diagnosis
What are the other causes of this presentation How do you confirm the diagnosis
How do you confirm the diagnosis How do you treat the condition
2
eHowdoyou treat the most probable condition What are the complications
DIAGNOSIS:SYSTEMIC LUPUS ERYTHEMATOSUS DIAGNOSIS:SYSTEMIC LUPUS ERYTHEMATOSUS
16
25-year-old female presented with fever, malar rash, photosensitivity, oral ulcersand polyarthralgia of two monthsduration.She also Aug18
gave history of two, first trimester abortions. Answer the following:
What is your likely diagnosis (2) How will you investigate this patient (3)
How will you treat this patient (3) What advice will you give regarding future pregnancy (2)
DIAGNOSIS:SYSTEMIC LUPUS ERYTHEMATOSUS
Short notes
|17 Mention criteria for diagnosis of SLE Mar 22(2) 23 Disease Modifying Drugs (DMARDs)in Rheumatoid Aug 119

Arthritis
18 Enthesitis May 21 24 Diagnostic criteria for rheumatoid arthritis. Feb 19
DECIPHER 29 GENERAL MEDICINE
 19 Gastrointestinal manifestationsof systemic sclerosis Oct 220 25
Treatment of gout Feb 19
20
Diagnosis of Behcet's syndrome Oct220 26 RA factor Mar 16
21 Management of acute gout Oct20
27 Drugs in gout Mar 15
22 Butterfly rash in face Feb 20

NEUROLOGY
PAPER
Essays
A 40 years old malepresented with twitching of right upper
imb followed by tonic clonic convulsions. On examination
Feb 20 2A 72-year-old male presented with history of tremors in both May 21
hands, slowing of movements and recurrent falls since 6
patient has tongue bite and post ictal confusion and months.
headache. Answer the following: What is your probable diagnosis in this case.
What is your diagnosis
What are the causes of falls in the elderly.
Classify seizures
Discuss pathogenesis
Where is the probable lesion
List two complications of this disease.
How will you manage this patient
DIAGNOSIS:FOCAL ONSET SEIZURE WITH SECONDARY How doyou manage this case.
DIAGNOSIS:PARKINSONISM
GENERALISATION
A 30 year old female
presented with weakness of all four Mar 22 4| A 70 years old man presents with a history of slowness Mar 17
limbs since 2 days duration. She had
prior to the weakness. She
parasthesia.of legs
had fever 2 weeks ago and
of movement and tremors of the left hand. On
examination patient has mask like facies, coarse
recovered in couple of days. On examination she has tremors of the left hand
areflexic hypotonic quadriparesis and is
Answer the following.
tachypneic. and rigidity. Answer the following:
What is your probable diagnosis
What is your probable diagnosis
What are the likely causes for this condition
How will you confirm the disease 2
Where is the lesion.
How will you treat the disease
How will you treat this condition.
What are the complications of this condition
DIAGNOSIS: GUILLIAN BARRE SYNDROME DIAGNOSIS:PARKINSONISM
A 32 years oldfemale was admitted to the causality with
history of altered sensorium fever, headache and
Mar 16 6
30 years old man comes to casualty with high fever, Sep 15
chills and rigors, vomiting and headache and altered
vomiting. On examination, neck stiffness, drowsiness
sensorium for two days. On examination the patient is
and irritability were present. No
neurological deficits
febrile, irritable and presence of signs of meningeal
Answer the following
irritation. CSF shows predominant polymorphs with
What are the differential increased protein and decreased sugar. Answer the
diagnoses.
What are the complications following:
Discuss the investigations What is your diagnosis.
What are the other investigations
you want to do.
How you are going to treat this
patient.
What are the complications.
DIAGNOSIS:MENINGITIS DIAGNOSIS: ACUTE PYOGENIC MENINGITIS
Anti-rabies vaccine Short notes
Mar 22(1) 28 Treatment of acute inflammatory demyelinatin8 Feb 18

8Managementof third degree dog bite polyneuropathy (AIDP).

May 21 29 Newer antiepileptic drugs. Feb 18
9 Discuss prophylaxis of migrane. Mar 22(2)
10 30 Benign increased intracranial tension (ICT) Feb 18
Name some anti-depressive agents and common side Mar 22(2) 31 Common migraine

11
effects.( changed with Feb 18
Name two anti-epileptic agents and two side effects of Mar 22(2) 32 How do you
each. investigate a suspected case of epilepsyY Sep 17
12
Name four anti-epileptic agents and one side effects of May 21 33
Clinical features of multiple sclerosis Sep 17
each.
13 Management of Guillian Barre Syndrome. Mar 22(2)
14 Anatomy of circle willis Immunological treatment of myasthenia gravis Sep17
Mar 22(2) 35 Myotonic dystrophy Sep 17
15 Trigeminal neuralgia Mar 22(2)
16 Antibiotics used in acute bacterial meningitis in adults 36 CSF findings in tuberculous meningitis Mar 1
Nov 21
17 What is myoclonus.List two causes 37 Treatment of myasthenia Gravis Mar 17

18 Clinical features of status epilepticus May 21 38 CSF findings in bacterial meningitis Sep 16
|Oct 20
19 CSF abnormalities in Guillian Barre Syndrome 39 Treatment of parkinsonism Sep 16
Oct 220
20 40 Differences between spasticity and rigidity Mar 16
Pathogenesis of myasthenia gravis Oct 20
41 Components of Babinski's sign Mar 16
21 Crossed hemiplegia. Aug 19 42 Mention four new antiepileptic drugs Mar 16
22 Peripheral neuropathy Aug 19
43 Mention brain stem reflexes. Mar 16
23 Migraine. Feb 1
44 Features of Horner's syndrome Sep1 15
24 Trigger factors for seizures Aug 18 45 Mention 4 causes for flapping tremor Apr15
25 Investigations for asuspected case of multiple sclerosis Aug 18 46 Clinicalfeatures of cerebellarataxia Apr15
DECIPHER 31 GENERAL MEDICINE
 26 Treatment of pyogenic meningitis Aug18 47
Clinical features of meningitis.
Aug 18 Apr 15
27 Duchenne muscular dystrophy
PAPER II
Essays
48 A 30 year old female presents with an episode of tonic- Nov 21 49 A 46 year old female
clonic convulsions. She recently delivered a preterm
presented with sudden occurrence Mar 22 (1)
of severe headache of her
life associated with vomiting
underweight baby. Patient mother noticed a rigid and giddiness.
posture, urinary incontinence and tongue bite. On
examination she is drowsy, arousable and complains of
head ache. Her blood pressure is 110/70 mm Hg. Answer List three
the following probable diagnosis
What would be the clinical
What is your probable diagnosis finding to support any one
of your listed
What are the differential diagnosis diagnosis
Outline the investigations required in this
How will you confirm the diagnosis condition
Outline the management in the
How will you treat this patient patient
DIAGNOSIS: CORTICAL VENOUS THROMBOSIs
DIAGNOSIS:INTRACRANIAL HEMORRHAGE, MIGRAINE
50 Indications for anti rabies vaccine Short notes
Mar 22(2)
51
List four causes of ring enhancing cerebral lesions seen 55 Investigations for tubercular meningitisS Sep 15
Mar 22 (1) 56
on MRI Indications of carbamazepine Mar 17
52 Clinical signs of cerebellar lesion Nov 21
53
Treatment of neurocysticercosis 57 Post exposure prophylaxis of rabies Mar 16
Oct 20
54 Clinical features and management of tetanus 58 CSF findings in viral meningitis Sep 15
Aug 19

STROKE
PAPER
50 years old man with history of
Essays
type 2 diabetes mellitus Aug 18
and primary hypertension presented with sudden onset A 70 years old male having hyperlipidemia presents Sep 16
with inability to move his left hand and
weakness right half of the body and alteration of leg for one day
duration. He felt that his left hand was weak in the
sensorium. He reported within 2 hours of onset. Answer
morning and in the evening he developed weakness of
thefollowing:
left leg. On examination vitals signs were stable. No
wasting of muscles, spasticity of the left upper and
What is your probablfe diagnosis
What investigations will you do on admission
lower limb. Power grade V on the left side. Brisk deep
tendon reflex on the left side and up going plantar on
How will you manage this patient the left side. Other systems were normal. Answer the
What are the complications 3
following:
What is your probable diagnosis.
Where is the lesion.
How will you confirm the diagnosis.
How will you treat this condition.
DIAGNOSIS: CEREBROVASCULAR DISEASE, RIGHT SIDE DIAGNOSIS: CEREBROVASCULAR DISEASELEFT SIDE
STROKE, TYPE 2 DIABETES MELLITUS, HYPERTENSION ISCHEMICTHROMOTICSTROKE, HYPERLIPIDEMIA
PAPER I
Short notes
3 Contraindicationsfor thrombolysisin acuteischemicstroke Mar 22(2)

PSYCHIATRY
PAPER
Short notes
1 Adjustment disorder Nov21 2 Treatablecauses of dementia Apr 15

PAPERI
Essays
3 A 55 years old man presents with insomnia, lack of Aug 19 4
A young male with high risk behaviour (alcohol) Feb18
interest and suicidal attempts since 4 months. There is a developed agitations and tremulousness on

strong family history of such ailment. On examination he hospitalization for a Medical illness.
is irritable, sad looking and withdrawn. Answer the
following. What is your diagnosis
What is your possible diagnosis How will you manage this patient
What are the criteria to diagnose this condition What are the complications
Describe the aetio-pathogenesis of this condition What are the hepatic complications of alcohol abuse.
How will you treat the disease
DIAGNOSIS: MAJOR DEPRESSIVE DISORDER DIAGNOSIS: ALCOHOL WITHDRAWAL SYNDROME
Shortnotes
5 State two clinical uses and two side effects of selective Mar 22 (1) 21 Clinicalfeatures of chroniccocaine abuse Aug18
DECIPHER 33 GENERAL MEDICINE
 serotonin Reuptakeinhibitors(SSRI) 22 Korsakoffpsychosis Aug 18
Mar 22 (1) 23 Eating disorders Feb 18
6 Listfour symptoms of major depression Mar22 (1), 24 Postpartum psychosis Feb 18
Adjustment disorder
Oct20
8Delirium tremens and itstreatment Nov 21
25 Criteria for alcoholicdependence Feb 18
9 Wernicke -korsakoff syndrome Nov 21 26 Dissociative disorder Feb 18

10 Clinicalfeatures of depression May 2 27 Generalized anxiety disorder Sep 17

ct 20
11 Obsessive compulsive disorder 28 Drugs used in acute mania Sep 17
Oct 20 29 Alcohol withdrawal Sep 17
12 Bipolar affective disorder Feb 20
13 Obsessive compulsive disorder 30 Chronic marijuana abuse Sep 17
Feb 20 31 Drugs used in depression Mar 17
14 Anxiety disorder Feb 220
15 Schizophrenia 32 Adjustment disorder Sep 16, Mar 15

16 Depression Feb 220 33 Antipsychotic drugs Sep 16

Feb 119
17 Treatment ofschizophrenia 34 Depression diagnostic criteria Mar 16

18 Classification of anxiety disorders Feb 19 35 Treatment of obsessivecompulsive neurosis. Mar 16

19 Somatisation disorder Aug 18 36 Difference between hysteria and malingering Sep 15

20 Mood stabilizers Aug 18 37 Minimental state scoring Sep 15

DERMATOLOGY
PAPER
Short notes
Nov 21
1 Acanthosis nigricans
PAPER I
Short notes
Mar 22(2) Feb 18
2Psoriasis 21 Management ofeczema
3 List four drugs used in the treatment of psoriasis Mar 22 (1) 22 Causes of hyperpigmentation_ Feb 18

4Acanthosis nigricans Mar22 (1) 23 Acanthosis nigricans Sep 17

sList four causes of hypopigmented patches on skin Mar 22 (1) 24 Fixed drug eruptions Sep17
Nov 21 Mar 17
6 Tinea versicolorinfection 25 Anatomy ofskin_
7 Guttate psoriasis May 21 26 Generalized pruritus. Mar 17
8 Urticaria May21 27 Drugs for scabies Mar 117
Mar 1
Oct 2 28 | Four causes of clubbin
9Nail changes in psoriasis
Mar 17
10 Clinical features of pemphigus vulgaris Oct 2 29 PUVA therapy.
30 Urticaria Sep16
11 Skin manifestation of tuberculosis Feb20 Sep 16
Feb 20 31 Treatment of Scabies
12 Management of psoriasis 32 Clinicalfeatures of CRESTsyndrome Sep?16
13 Causes of erythema multiforme. Aug19 Sep 16
14 Acne vulgaris
Aug 19 33 Psoriasis Mar 16
15 Superficial mycosis of the skin
Feb 19 34Scabies Mar 16
16 Treatment of psoriasis
Aug 118 35 Urticaria
Aug 1 36 Types of psoriasis Sep 15
17 PityriasisRosae 37 Scabies. Mar 15
18 Toxicepidermalnecrolysis Aug18
38 Urticaria Mar 15
Aug 18
19 Pyoderma gangrenosum
20 Mechanisms of drugeruption Aug 18
MATERNAL MEDICINE
PAPERII
Short notes
Essays 1 What are the antiphospholipid antibodies (APLA). Mar 22(1)
1 25 years old female patient with 28 weeks of gestation, Mar 17
primigravida is found to have random blood sugar level enumerate four clinical features of APLA syndrome
Mar 17
of 250 mg per dl. Answer the following 2 Hypothyroidismin pregnancy
Describe the diagnostic criteria for gestation al diabetes 3 Name antibiotics safein pregnancCy Mar15
melitus.
What are the features of gestational diabetes melitus.
Drugs used in gestational diabetes mellitus

AGEING AND DISEASE

PAPERI
Short notes
1 Mention causes of falls inelderly. Mar 22(1) 2 Fallsin elderly Oct 20
PAPERII
Short notes Sep 15
3 Falls in elderly Sep 16 4 Causes offall in elderly.
ONCOLOGY
PAPER
PAPER
35
GENERAL MEDICINE
DECIPHER
 Short notes Short notes
1 Oncological emergencies Feb 19
3 a-Fetoprotein Sep 16
2 Apoptosis Sep 17, Sep 15
PALIATIVE CARE
PAPERI
Short notes
Mar 17 3 Sep 16
Pain management in palliative care WHO pain ladder
2 Drugs for neuropathic pain. Mar 22 (2) 4 Complications of analgesics. Mar 17

RADIOLOGY
PAPER I
Short notes
1 Four radiological features of mitral stenosis Mar 22(1) 12 Radiological features of staphylococcus aureus Sep 17
pneumonia
Sep 17
2 Silhouette'ssign in X-ray chest
Nov 21
13 Radiological features of pulmonary tuberculosis
Sep 17
3 Radiological features of multiple myleoma Nov 21 14 Radiological features of ankylosing spondylitis
Sep 17
4 DEXA (dual emission x-rayabsorptiometry) scan May 21
15 Chest X-ray in mitral stenosis
Mar 17
5 Chest x-ray findings in cardiacfailure
Oct 20
16 Radiologicalfeatures of pituitarytumor Mar 17
6 Radiological diagnosis of pulmonary embolism Feb 20 17 Radiological features of cerebralvenous thrombosis.
Silhouette sign in X - ray chest Aug 19 18 Radiological features ofstaphylococcus aureus Mar 17

pneumonia. Sep 16
8 Radiological features of klebsiella
pneumonia Aug 18 19 Mention causes of miliary mottling,in chest x-ray PA Sep 16
Aug 18 20 Radiological features of mitralstenosisin chest x-ray
9 Radiologicalfeatures of pulmonary embolism Sep 15
10 Imaging in acute stroke Aug 18 21 Radiologicalfeatures of thalassemia Sep 15
Feb 18 22 Kerly's Blines.
11 Radiological diagnosis of pulmonary tuberculosis Mar 15
12 Radiological presentation of bronchogeniccarcinoma
Feb 18 23 Mention x-ray chest finding in emphysema
 GENERAL SURGERY

DECIPHER - 37-
GENERAL sURGERY
 TOPICSFOR THEORY EXAMINATION

PAPER-1: GIT, ORTHOPEDICS

PAPER-II: GENERAL SURERY (except GIT ),ANAESTHESIA,
RADIOTHERAPY, DENTAL

THEORY QUESTION PAPER PATTERN (60 MARKS)

PAPER- PAPER -II

Section A - Surgery (GIT) (30 marks)

Structured essay 1x 15-15
Structured essay- 1x 5-5 Essay 1x 5=5
Short essays-2x 6-12 Short essays -2x 4=8
Clinical situation 1x 3-3 Shortnotes 4x 3-12
Short notes 5x 2=10 Answer brieflyv-10x 2-20

Section B- Orthopedics (30 marks)

Essay -1x 6-6

Shortessays- 4x 3=12
Short notes 6x 2-12

DECIPHER 39 GENERAL SURGERY

DECIPAER 40- GENERAL SURGERY

BASICPRINCIPLES
Shock and blood transfusion
PAPER I
Essays(5 marks) Apr 15
4 Enumerate allthe different major and minor blood
1 Define and classify shock.discuss about the management Nov 21 groups. Enumerate various blood products. Describe
of septic shock the blood transfusion reactions and its management.
2 Define and classify shock and discuss the initial Feb 20
management &resuscitation in shock.
3 Discuss the different types of hemorrhage and Mar 17

management of hypovalemicshock
Short notes(3 marks) Answer briefly(2 marks)
5 Blood transfusion Feb 19 7 Classify hemorrhage and mention briefly on types of Feb 19
hemorrhage.
6 Complications of blood transfusion Oct 20
Wound healing and tissue repair
PAPER II
ShortEssays(5 marks) Answer briefly(2 marks) Feb 20
1 What are the stages of wound healing and mention the Oct 20 3 Phases ofwound healing
factors which delay wound healing Feb 19, Sep 17
2 Stages ofwoundand mention itscomplications Aug18 4 Factors affectiong wound healing
Surgical infection
PAPER II
Short essays(4 marks)
1 Tetanus Aug19 2 Gas gangrene Aug 18
Answer briefly(2 marks) Aug 19
3 DryBangrene Oct220 6 Systemicinflamatoryresponse syndrome(SIRS)
4 Universal precautions Feb 20 7 Tetanus Aug18
Sep 17
5 Fourniers gangrene Feb19 8 Gas gangrene
Topical infections and infestations
Shortnotes(2 marks)/Short essays(6 marks)
ShortEssays(5 marks)
GENERAL SURGERY
DECIPHER 41
1 Describe the various causes of mass in right iliac fossa. Mar 16 2
Hydatid cyst of liver Oct 20, Aug 19,
What are the investigations used for evaluation and Feb 19, Sep 16, |
confirmation of diagnosis. Describe the management of Apr 15

tuberculousstricture of lleum.
Answer briefly(2 marks)
Feb 18, Mar17 4 Staging of tubercular lymphedinitis Apr15
3 Amoebic liver abcess
Sep 15
Basic surgicsl skills and anostomoses
PAPER I1
Answer briefly(2 marks)
Sep 16 2 Contraindications of laproscopic surgery Apr 15
1 Advantages oflaproscopic surgery
Principles of pediatricsurgery
PAPERI Short notes(3 marks)
Short essays(4 marks) Sep 15
2 Types of oesophageal atresia
Briefly discuss the diagnosis and managemet of Mar16
congenital diaphragmatichernia in a child Answer briefly(2 marks) Aug 18
Mar 22 5 Imperforate anus
3 Hirschsprungsdisease Sep 17
Feb 19 6 Hypertrophic pyloric stenosis
4 Congenital pyloricstenosis
Principles of Oncology
PAPER II
Shortnotes(3 marks)
Short essays(4 marks) Feb 20
Feb 19 2 Hodgkins lymphoma
1 Causes of cancer Answer briefly(2 marks) Mar 16
3 How do you clinicallystage HodgkinslymphomaINVESTIGATION AND DIAGNOSIS
Gastrointestinal endoscopy
PAPER
Answer briefly(2 marks) Mar 22,Sep 15
Feb 19,Aug19 2 Colonoscopy
ERCP GENERAL CIIDEPv
42-
DECIHER

Tissue and molecular diagnosis

PAPER I
Answer briefiy(2 marks) Sep 16
1 FNAC
PERIOPERATIVE CARE
PAPERI
Short notes(3 marks)
Aug18
1 Perioperative workup of the surgical patient
Anasthesia and pain relief
PAPER II
Answer briefly(2 marks)
Short notes(3 marks) Feb 20
Nov 21 Intravenous anasthesia
Aug 19
1 Local anasthesia May 21 Bupivacaine
2 Pain management Feb 18
May 21 9 Regional anasthesia
3 Localanasthetic agents Aug 18
4 Lignocaine Oct 20, Feb 18
5 Spinal anasthesia Sep 15
6 Brachial block Post operative care
Nutrition and fluid therapy
PAPERII
PAPERII Answer briefly(2 marks)
Short essays(4 marks Mar17
1 Totalparenteral nutrition Mar 22 1 Wound dehisence
TRAUMA
Traumatic brain injury
PAPER II

Short essays{4 marks) Answerbriefiy(2 marks)

3 Lucid interval Oct 20
1 Extra dural hematoma Nov21
2 What is Glasgow coma scale. Discuss its components and Mar 16 4 Subdural hematoma Aug 19, Sep 16
Feb 18,Mar 17
role in the management of Head Injuries. 5 Glasgowcoma scale Sep 17
6 Trimodal pattern of death in Trauma
GENERAL SURGERY
DECIPHER 43-
 7 What islucidinterval asapplied to head injuries Sep 15
Tarso Trauma
PAPERI
Clinical situation(3 marks) Short notess(2 marks)

1A 20 years old man is admitted with evisceration of bowel Sep 15 2 Blunt abdominal trauma evaluation Oct 20
following a bull goreinjury. How will you manage this patient
Answer brieflyt2 marks) Mar 17
3 Diagnostic peritoneal levage Aug 18 4Tensionpnunmothorax
PAPER I
Short essays(4 marks) Answer briefly(2 marks)
5Flial chest May 21 7 Cardiac tamponade Sep 16
Sep 15 8 Flial chest Nov 21, Oct 20,
Types of pneumothorax and principles of their
management Aug18,Sep 17
Extremity Trauma
PAPER I
Answer brlefly(2 marks)
1 Volkmans ischemiccontracture Aug18 2 What are the types of nerve injury Mar 16
Burns
PAPER I1
Structured essay(15 marks) Essays(5 marks)
2 Discuss the types of burn and its management May 21
1 A 55 years old Sep 17
female attended casualty following
suicide attempt by pouring kerosene and igniting herself.
Evaluation showed 60% burn involving face, trunk and 3 Discuss the assessment of surface area and fluid Sep 15
extremities. Discuss the early management of this management ofthermal burns
sensible complications and definitive 4 Discuss the cause of burns and management of 60% Sep 16
patient,
burns
management
Shortessays(4 marks) Short notes(3 marks)
5Fluid management in burns Feb 20 6 Electrical burns Aug 18

Answerbriefiy(2 marks)
7 What is therule of nine asapplied to burns Mar 16
Plasticand reconstructive surgery
DECIPHER - 44 - GENERAL SURGERY

PAPERII
Answer briefly(2 marks)
Aug 19 2 Thiersch graft Apr 15
1 Split skin graft
Disaster surgery
PAPERII
Shortessays(4 marks) Answer briefly(2 marks)
Nov21,Oct 20 2 Tetanus Aug 18
1 Gas gangrene 3 Tetany Sep16
ELECTIVE ORTHOPEDICS
Upper limb
Answer briefly(2 marks)
1 Felon Mar 22 2 Howdo youtreat acute paronychia Sep 15
SKIN AND SUBCUTANEOUS
PAPERII
TISSUE
Short essays(4 marks)
ShortEssays(5 marks) Apr 15
1 Discuss theclassification of ulcers Feb 19 2 Basal cell carcinoma
Short notes(3 marks)
3 Basal cell carcinoma Oct 20,Aug 18
Answer briefly(2 marks)
4 Sebaceouscyst Mar 22, Nov 21, 8Carbuncle Aug18
Oct 20, Aug 18, 9Melanoma Aug 18
Apr 15 Mar 17
10 Types of hemangioma Mar 17
5 Keloid
Nov 21 11 Basalcell carcinoma Sep 15
6 Malignant melanoma
Nov 21 12 Types of basalcellcarcinoma
Feb 20 13 Clarks staging of malignant melanomna Apr 15
7 MOHS -micrographicsurgery
HEAD AND NECK
Cranial neurosurgery
PAPERII
Answer briefly(2 marks)
GENERAL sURGERY
DECIPHER 45
 Mar 16
1 Classify types of hydrocephalus
Pharynx,Larynx and Neck
PAPERI
Short essays(4 marks)
May 21 3 Types and complications of modified radical neck Aug 18
1 Neck dissection
dissection Sep 16
2 Carotid body tumour
Aug 19 4 Tuberculouscervical adenitis
Short notes(3 marks)
5 Branchial cyst Oct20, Aug 19, 8Branchial sinus Aug 18
Sep17, Sep 16, 9Thyroglossal cyst Sep16
Sep15 Mar 16
10 Thyroglossal fistula
Apr 15
6 Cold abcess Aug19,mar 16 11 Carotid bodytumour
Aug 18
7 Tracheostomy Answer briefly(2 marks)
May 21 18 How will you diagnoseand treatludwings angina Sep 15
12 Chemodectoma 19 How will you clinically diagnose thyroglossal cyst Sep 15
13 Classify neck dissection andmention briefly the Nov 21
complication of neck dessection Feb20,aug 19
14 Zenkers diverticulum Sep 17 20 Brachialcyst
Aug 19 21 Cystic hygroma Sep16,apr 15
15 Tracheostomy Sep 17 22 Staging of tubercular lymphadenitis Apr15
16 Thyroglossal cyst
17 Classification of dermoid cyst Mar16
Oral cavity malignancy
PAPER II
Answer briefly(2 marks)
Short essays(4marks) Feb 18
1 Premalignant conditions of oral cavity Sep 16 2 Leukoplakia
Short notes(3 marks) Aug 1

3 Dentigerous cyst Feb 20, Aug 18 5 Premalignant conditions of oral malignancy

Feb 20
4Carcinomatounge
Disorders ofsalivary glands
PAPER I1 Short notes(3 marks)
Short Essays(5 marks)

1 Classify tumors of salivary glands. Discuss etio- Sep 17 2 Pleomorphicadenoma of the parotid gland Mar 22
pathogenesis, clinical features, investigations and 3 Warthins tumour Nov 21
management of mixed parotid tumor.
Answer briefly(2 marks)
4 What is a Ranula Nov21, Feb 20, 7 Pleomorphic adenoma Mar 17
Sep 15 8 Warthins tumour Sep16
Sep 15
5Freys syndrome
Aug19 9 How do you diagnose and treat submandibular duct
6 Stafne bone cyst Aug 18 calculus.
BREAST AND ENDOCRINE
The thyroid gland
PAPERI
Structured essay(15
marks)
2 A 55 years old female has come to surgical OPD with Feb 18
A 60 years old female attends to the surgery OPD with Mar 17
complaints of swelling in the front of the neck along with complaints of swelling in front of neck since 6 months.
On examination, there is a 3 x 2 cm swelling in left side
level li lymph nodes on the left side. Answer the
following of neck and swelling moves up with deglutition and also
there is a palpable 2x 2 cm firm, lymph node in level IV
on the left side. Answer the following:
What is the most probable diagnosis in this case and
how will you investigate this patient.
Discuss the specific investigations that are helpful in
the diagnosis Discuss about management options appropriate for
options available for this this case scenario
Discuss the specific
condition
treatment
Briefly discuss on the various complications expected
Discuss the complication following surgery for this following surgery for this condition along with
patient management for each of themn
DIAGNOSIS:CARCINOMA THYROID WITH LYMPH NODE

3
METASTASiS
A 40 years old female presented totheout-patient department with swelling on anterior aspect of neck for sik years and breathless for last twoA

months. On examination found that her neck veins are dilated. Answer the following
What is your probable diagnosis. Howwillyouinvestigatethiscase How will you manage this condition
DIAGNOSIS:GOITRE WITH RETROSTERNALEXTENSION AND COMPRESSION SYMPTOMS
Shortnotes(3 marks) Essays(5 nmarks)
GENERAL SURGERY
DECIPHER -47-
 May 21,Sep 16 8 clinical features, investigations and Mar 22
4Medullary carcinoma thyroid Feb 20
Discuss the
5Papillarycarcinoma thyroid treatment oftoxic goitre
6 Thyroglossalcyst Nov 21, Sep 16 910 Discuss the pathogenesis, clinical features, investigations and
management of multi nodular goiter.
Aug 19
7 Causes ofsolitarynodulargoitre Sep 15
Short essays(4 marks)
11 Solitarythyroid nodule Oct 20 12 Neoplasms of thyroid Sep17
Answer briefly(2 marks)
Feb 19 16 Thyroglossal cyst
13 Follicular carcinoma of thyroid Sep 17
Feb 19 17 Thyroid scan
14 Graves disease Mar 16
15 Papillarycarcinoma thyroid Aug
18 18 Thyroid function tests Apr 15

The parathyroid gland

PAPER II

Short notes(3 marks)

1 Pheochromocytoma Apr 15
The Breast
PAPERI
Structured essay(15 marks)
2 A 50year old lady presents with a hard 3x3cm lump in Oct 20
1Apainless
45 yearIlump
old innulliparous women presented with
the right breast for 6months
Nov 21
the left breast since 3 months, slowly growing in size
duration4x3 cm in size ,hard in consistency and mobile and painless. Answer the following questions:
with single,central axillary lymph node hard in
consistency.Answer the following What could be the probable diagnosis
2 What clinical signs would support the diagnosis
What is the probable diagnosis. 3
What are the risk factors. What investigations would be required
10
Discuss the investigations and management of the Outline the treatment of this condition
condition
DIAGNOSIS:CARCINOMA BREAST,T2N1MO DIAGNOSIS: CARCINOMA BREAST,LEFTSIDE,T2NOMO

3 A 60 years old female attends the surgery OPD with Sep 16 4 A 50 years old woman comes with a lump in her breast
complaints of lump of 6cmX5cm in the outer quadrant of of two months duration. Answer the following:
Sep 16
right breast, Which is hard and adherent to skin Answer What are the likely causes of lump breast at this age
the following: How will you investigate this patient
Discuss the specific examination useful for diagnosis Briefly discuss the screening methods for early
Discuss the specific investigations necessary diagnosis of carcinoma breast.
Discuss the treatment option available for this Discuss Breast conservation in the management of
condition carcinoma Breast.
Short Essays(5 marks) Short notes(3 marks)
56 Discuss
Triple assessment inbreast disease Mar 22
the investigations and management of abnormal Mar 16
7 Triple assessment Aug 19
BIRADSgrading in mammogram Sep17
nipple discharge
Answer briefly(2 marks)
9 Mastalgia Mar 22 13 QART therapy Feb 18
10 Phyllodes tumour of breast Feb 20 14 Gynacomastia Mar 17
11 Antibioma Feb 19 15 Breast abcess Mar 17
12 Sentinel node Aug 19 16 Management of breast abcess Mar 16
CARDIOTHORACIC
The Thorax
PAPERII
Short essays(4 marks) Short notes(3 marks)
1 Stove in chest Feb 19 4 VATSs Sep 17
2 Thoracic outlet obstruction Feb 18 5 Tension pneumothorax
Apr15
3 Hemopneumothorax Mar 17

6 Cervical rib Answer briefly(2 marks)

May 21 8 Management of empyema thoracis Mar 16
7 Pigeon chest Feb 18
VASCULAR
venousdisorders
DECIDM
PAPERII
 Structured essay(AS marks)
1 A 50 year old male who is on treatment for diabetis
Mar 22 Feb 20
mellitus for 10 years is admitted with history of an injury 2A S0 years old male, traffic constable has come to
surgical OPD with complaints of dull aching pain in both
in the right foot.Examination showed that he is legs for past 10 years along with a small ulcer over right
febrile, the right foot and leg is oedematous leg since 1 month. On examination there is dilated and
reddish,along with an ulcer with slough on the dorsum tortuous veins over both lower limbs along with a 4x3
of foot and black patches around it. cm ulcer
over the medical malleolus on right
Answer the following:
leg
What is the clinical condition.
What is the most probable diagnosis in this case
how will you proceed to investigate this patient.
and
What are the investigation required Discuss in detail upon the various
How is the situation managed
management
options available for this patient.
How is the patient rehabilitated. Discuss about conservative management of ulcer in
thiscase, if the patient is not willing for surgery
DIAGNOSISs: DIABETIC ULCER-INFECTED WITH DIAGNOSIS:VARICOSE VEIN BILATERALLYIN LOWER
SURROUNDING CELLULITIS LIMBS,VENOUS ULCER ON RIGHT SIDE
3 A S0 years old male with complaints of dilated and tortuous veins along the medial aspect of right lower limb associated with dull aching Aug 19
pain with healing ulcer just above the medial malleolus. Answer the following:
What is the probable diagnosis What are the investigations What are the complications How willyoutreat this patient
DIAGNOSIS VARICOSE VEIN, RIGHT LOWERLIMB, VENOUSs ULCER
Short essay(4 marks) Short notes (3 marks)
4 Venous uicer Mar 22 5 Bakers cyst Apr 15
Answer briefly{2 marks)
5 Varicocele Mar 22 9 Marjolins ulcer Mar 22,Sep16
7 Deep vein thrombosis May 21 10 Saphena varix Sep16
8 Trophic ulcer Oct 20 11 Whatis trendelenburgtest for varicose veins Sep 15
Arterial disorders
PAPER II

Structured essay(15 marks) ShortEssays(5 marks)

1 A 60 years old diabetic is admitted with blackening and Mar 16 Define gangrene. Discuss etiopathogenesis, clinical features, Feb 18
ulceration of right big toe. Answer the following: investigations and management of gasgangrene.
Short essays(4 marks)/Short notes(3 marks)
DECIPHER 50 GENERA SURGER

What are the likely causes 3 Thrombo angitis obliterans Nov 21, Feb 20,
How will you investigate this patient. Aug18
Briefly discuss the management of this patient. 4 Intermittent claudication Mar 22

Answer briefly(2 marks)

5 Rest pain Feb 19 8 Duplex scan Mar 17
6 intermittant claudication Aug 18 9What are the grades of intermittent claudication of the Sep 15
7Arteriovenous fistula Feb 18 lowerlimb
Lymphaticdisorders
PAPER II
Answer briefly(2 marks)
1 Primary lymphoedema Mar 22
2 Tuberculous cervical lymphedinitis Mar 22
GENITO URINARY
Urinary symptoms andin vestigations
PAPER II
Answerbriefly(2 marks)
1 Outline the causes of Hematuria Oct20 2 Tomour markers Aug 18
Kidney and Ureters
PAPER II
Shortessays(4 marks) Shortnotes(3 marks
1 Hypernephroma Feb19 3 Renal cell carcinoma Aug 19
2
Briefly discuss the etiology and management of Sep 15 4 Ureteric colic Mar 16
hydronephrosis 5 Hydronephrosis Oct 20

Answer briefly(2 marks)

6 Polycystic kidney disease Nov21 7 Unilateral hydronephrosis Aug 1

The Prostate and seminal vesicles

PAPER II
Answer briefly(2 marks) Aug19,feb 19
1 Brachytherapy
Oct 20 2 Benign prostatic hyperplasia
Urethra and penis
DECIPHER GENERAL SURGERY
-51-
 Short essays(4 marks) Short notes(3 marks)
1 Carcinoma penis Feb 20 2 Circumcision Feb 19
Answer briefly(2 marks)
Aug 18
3 Pre malignant conditionsof carcinoma penis May 21 6 Carbuncle
Nov 21, Feb 18, 7 How do you manage paraphimosis Mar 16
4 Phimosios
Apr315
Oct 20 8 Mentionthe indications of circumcision Sep 15
5 Premalignantlesions of penis
Testis and scrotum
PAPER II
Structured essay(15 marks) Short essays(4 marks)
1 A 45 years old male patient came to the out-patient Feb 19 2 Testicular tumors Sep 17
department with history of 15x10 cm sized swelling in Short notes(3 marks)
right side ofthe scrotum. On examination swelling was 3 Complications of hydrocele surgery Aug18
confined to the scrotum, fluctuant and transilluminant. 4 Hydrocele Mar 16
Answer the following: Answer briefly(2 marks)
What is your probable diagnosis and mention the 5 Pyocele Nov 21
differential diagnosis of this condition. 6 Torsion testis
How will you investigate and workup this patient for Nov 21,May 21
surgery.
7 Infantile hydrocele May 21, Feb 20
How will you manage this condition and mention the
8 Congenital hydrocele Aug 19

complications of surgical procedure. 9 Fourniers ganrene Aug 19

10 Encysted hydrocele ofcord Mar 17
DIAGNOSIS: HYDROCELE ,RIGHT SIDE 11 Undecended testis Sep17
12 What is the difference between undescended and Mar16
retractile testis

GASTROINTESTINAL TRACT
Hernia
PAPERI
Structured Essav(5 marks) Clinical situation3 marks
GENERAL SURGERY

1 A 60-year-old presented with pain in the

man
associated with a mass. He gives a past history of left
leftgroin May 21 A 45 years oldmale, has come to casualty with history Aug 18
of sudden onset of severe umbilical pain since 6 hours.
groin mass which appears on standing and straining and On examination, he is febrile, has tachycardia and there
disappears on lying down... is a 3 x 3 cm swelling in the umbilicus that is tender and

What is the probable diagnosis

irreducible with absent cough impulse. Answer
the
following:
How will you investigate What is the most likely diagnosis in this case
Briefly mention the treatment How will you investigatethis patient
Discuss regarding the management of this case
DIAGNOSIS: LEFT INGUINAL HERNIA, REDUCIBLE DIAGNOSIS: UMBILICAL HERNIA,STRANGULATED
Short notes(2 marks)
3 Richters hernia Aug 18 |5 Desmoid tumor Apr 15
4 Umbilical hernia Sep 1l6 6 Femoral hernia May21, Oct 20
Sep15
PAPER II

Structured Essay(15 marks) Answer briefiyl2 marks)

A 56 years old person is presented with pain in right Apr 15 8 Sportman hernia Mar 22
groin and vomiting of two days duration. He had the 9 Sliding hernia Oct 20,Feb 20
history of swelling in the right groin, for the past six 10 Richters hernia
years, which was increasing in size on strain and
Aug 19
11 Spigelian hernia Mar 17
subsides on taking rest, with history of difficulty in
passing urine.
Shortnotes(3marks)
12 Interstitial hernia Sep17
Discuss the diagnosis and probable complications if
untreated.
NOTES
Discuss the management and the role of surgery.
DIAGNOSIS: RIGHT INGUINAL HERNIA WITH
OBSTRUCTION
The Peritonium ,omentum,mesentry and retroperitonealspace
PAPERI
1 A 35 year old
Clinlcal situation(3 marks)
male, a known case of acid peptic disease Mar 22 2 A 30 year old male brought to the emergency department Nov 21
is presenting with acute onset of upper abdominal with complaints of sudden onset of upper ubdominal pain.
On examination he is dehydrated has a pulse rate of
DECIPHER 53 GENERAL SURGERY
 paingaurding and rigidity of upper abdomen 110/min,his abdomen is rigid and bowel sounds are absent.
What is the most probable diagnosis
withobliteration ofliver dullness and tachycardia.Answer What are the relevant investigations
the following Discuss the management of the patient
What is the most probable diagnosis
What are the relevant investigations
How will you manage the patient
DIAGNOSIS:PERFORATION PERITONITIS DIAGNOSIS: PERFORATION PERITONITIS
Feb19 A 35 years old male who consumes alcohol was brought Feb 18
A 30 years old male brought to the casualty with a
to casualty with h/o of sudden onset of severe
history of severe upper abdominal pain of one day
duration and ingestion of NSAID for 3 weeks for low back epigastric pain since 1 day. On examination he was
and febrile, had an anxious and sick look and was having
pain. On examination there is abdominal guarding tachycardia (+) with board like rigidity of abdomen.
board like rigidity. Answer the following
Answer the following:
What is the probable diagnosis
What is the most likely diagnosis in this case.
How will you investigate
Mention briefly the treatment.
How will you proceed to investigate this patient
Describe briefly upon management ofthis case
DIAGNOSIS: PERFORATION PERITONITIS DIAGNOSIS: PERFORATION PERITONITIS
A 65 years old person is referred to you with abdominal pain of two days duration. He gives history of intake of analgesies for a long Apr 15

time. His plain x-ray abdomen shows free gas under right dome of diaphragam
What is your diagnosis How willyou investigatethecaseand Mention brieflythe treatment
DIAGNOSIS: PERFORATION PERITONITIS
Shortnotes (2 marks)
6 Chylolymphaticcyst Mar 17
7 Pseudomyxoma peritonei Mar16
PAPER II
Short essays (4 marks)
8 Abdominal tuberculosis Mar17
The Oesophagus
PAPERI
Short essays{6 marks) 4 Aclasia May 21
1Aclasia cardia Oct 20,Mar 16 5 Hiatus hernia Feb20
Short notes(2 marks) 6 Barrets oesophagus Aug 19
18
2 Acdasia cardia Mar 22 7 Mallory weisssyndrome

3 Zollinger Elisonsyndrome May 21 8 Self expanding metallicstents Sep 17

Stomach and duodenum
PAPER
Structured Essay(5 marks)
1 A 60 years old male presented with complaints of upper Aug 19 2 A 50years old man is brought to casualty with hematemesis, Sep 15
abdominal mass with severe vomiting immediately after food
intake with positive visible gastric peristalsis and presence of What are the common causes of hematemesis
succussion splash. Answer the following How do you investigate this patient.
What is the diagnosis How do you surgically manage bleeding duodenal ulcer
How will you investigate
Briefly mention the management
DIAGNOSIS: GASTRIC oUTLET OBSTRUCTION
Clinical situation(3 marks)
3 A young maleis brought to casualty with massive hematemesis,. On examination patient has pallor. His pulse rate is 120/min. BP is 80/60 Feb 20
mmHg. Answer the following:
What are the probable causes How willyouinvestigate Mention briefly the management
Short essays(6 marks)
4 H.pylori eradication Oct 20 6 Gastric outlet obstruction Sep 16
5 Post gastrectomy syndrome Feb 18
Short notes(2marks)
7 Helicobacter pylori Feb 19 9 Visiblegastricperistalsis Sep115
8 Tumouir markersin Glcancers Sep 17 10 Premalignant conditions ofcarcinoma stomach Mar 17
Paper Ii
Shortnotyes(3 marks) Answer briefly(2 marks)
Sep 16 12 Congenitalhypertrophicpyloric stenosis May 21
11 Upper gastrointestinaltractbleeding
The liver
PAPERI
Structured Essay(5 marks) Clinical situation(3 marks)
1
A 65 years old male with history of chronic alcoholism is Aug 18 youn8 male
Ahematemesis. is broughtto casualty with massive Feb 20
brought to casualty with 2 episodes of hematemesis. His pulse On examination patient has pallor. His pulse
rate is 10/min. BP is 80 mmHg systolic. Examination of rate is 120/min. BP is 80/60 mmHg. Answer the following:

abdomen revealed hepatomegaly.Answerthe following:

GENERAL SsURGERY
DECIPHER 55
 What is the most probable
diagnosis What are the probable causes
Mention relevant investigations
How will you investigate
How will you manage the patient Mention briefly the
DIAGNOSIS:LIVER CIRRHOSISPORTAL management
HYPERTENSIONOESOPHAGEAL VARICES
3
Shortnotes{2 marks/Short essays(6 marks) Short notes(2 marks)/Short essays(6 marks)
Amoebic liver abcess May 21, Feb 18, 4 Hydatid cyst of liver Oct 20, Aug 19,
Mar 17, Sep 15
Feb 19, Sep 16,
Short notes(2 marks) Apr 15
5 Sites of portosystemic anastomosis
Nov 21
The spleen
PAPERI
Clinical situation(3 marks)
1
Short notes(2 marks)
A young male is brought to casualty with H/O blunt Mar 17 2 Splenunculi
injury abdomen. 0/E PR-100/mt. BP- 80/60 mm Hg. Nov 21
There is tenderness and guarding in the left 3 OPSI(Opportunist Post Splenectomy Infection) Aug 19

hypochondrium.
4 Splenic abcess Mar 16
5
What is the likely diagnosis. Complications of splenectomy Apr 15
How will you investigate
Mention briefly the management.
DIAGNOSIS: SPLENIC INJURY

The Gall bladder and bile duct

PAPERI
1 A 40 years old female Structured Essay(5 marks)
attends the surgical casualty with H/O recurrent upper abdominal pain.Now she has severe pain in upper abdomen
with fever, chills and rigor. Mar 17
O/E patient is febrile with tachycardia and guarding over the
What is the probable diagnosis right hypochondrium. Answer the following:
What are the investigations done to diagnose the disease Discuss the 1+2+2
DIAGNOSIS: ACUTE CHOLECYSTITIS management
2Etiology, clinical featurees,and management of cholelithiasis Short essays(6 marks)
Mar 22

Short notes(2 marks)

3 Factors assosiated with gallstone formation
4 Calots triangle May 21 7Charcots triad Nov 21, Sep 16
Oct 20, Aug 19 8 Pigment stones
5 Courvoisiers law Aug 18 Sep 16
6 Self expanding 9 Choledochal cyst Sep 17, Apr 15
metallic stents Sep 1

The pancreas
PAPERI
1 Structured Essay(5 marks)
A 45years old man presented to causality with severe Apr 15 2
pain in the epigastrium with radiation A 55 years old woman is admitted with history of Feb 20
to back. He gives
the history of consumption of alcohol on previous night. progressive jaundice, loss of appetite, generalized
weakness, itching all over the body and weight loss. On
examination patient has hepatomegaly and
What is the most probable diagnosis a globular
Mention the relevant investigations swelling in the right hypochondrium. Answer the
to confirm the following:
diagnosis. What is the probable diagnosis
How will you manage the case.
What are the investigations to diagnose the disease
Discuss the management
DIAGNOSIS:ACUTE PANCREATITIS DIAGNOSIS:0BSTRUCTIVE JAUNDICE
3 A 60 years old male patient has
D/D- PANCREATIC CARCINOMA HEAD(most common)
come to surgical OPD Feb 18 A 35 years old alcoholic male
patient is admitted with Sep 17
with history of yellowish discolouration of
eyes and upperabdominal pain and vomiting. O/E patient
urine for the past one month which is intermittent. He has
also gives history of passing dark coloured urine and
tachypnea, tachycardia, hypotension, upper abdominal
clay guarding and rigidity. Answer the following:
coloured stools. On examination the patient has icterus
with no other significant abdominal
findings.
Answer the
following: What are the probable diagnosis
What are the probable differential
diagnosis in this case Mention relevant investigations
scenario
What are the
2 How will you manage
in this case
investigations
to be done for proceeding DIAGNOSIS: ACUTE PANCREATITIS

Discuss briefly upon the management of this case

Clinical situatlonf3 marks)
DECIPHER
57 GENERAL SURGERY
 and ish a d maleispresenting at cosualtywith acute upper abdominal pain radiatine to the backfoilowing a bingeofalcohol,Patient is dehydrated Aug 19
and is having tachycardia. Clinical examination reveals upper abdominal guarding with distension of abdomen. Answer the following:

What is the probable diagnosis What are the investigations Discuss the management.
DIAGNOSiS: ACUTE PANCREATITIS
6 Courvoisiers law
Shortnotenf2
marks)
Aug 18 7 Ransons criterla Oct 20,Mar 16
8
Shortessays(6 marks)
Psuedocyst of pancreas Mar 22, May 21| 10| Periampullary carcinoma Mar 16
Nov 21, Feb 20,
Aug18, Mar 17,
Sep 16
9 Pancreatic carcinoma Sep 17 11 Complications of acute pancreatitis Sep 15
PAPER I
short notes(3 marks) Answer briefly(2 marks)
12Acute pancreatitis Mar 17 13 Trucut biopsy Nov 21
14 Charcots triad Mar 17

The small intestine

PAPERI
Short essays(6 marks) Short notes(2 marks)
1 Meckels diverticulum Sep 15 2 Meckels diverticulum Mar 22, Nov21,
Feb 20, Feb 19,
Mar 16
3 Ileal perforation Mar 17
The large intestine
PAPER
Structured Essay(5 marks)
1A 60 year old male presented with recent history of Nov21 2
altered blood in stoolsang easy fatigability.He is pale and
Describe the various causes of mass in right iliac fossa. Mar 16
What are the investigations used for evaluation and
has palpable mass in the right illiac fossa. confirmation of diagnosis. Describe the management of
What is the likely diagnosis tuberculous stricture of lleum.
How will you investigate.
Briefly describe the management
DIAGNoSIS: CARCINOMA CAECUM
Short essays(6 marks) Short notes(2 marks)
3Volvulus of sigmoid colon
4
May 21 5Premalignantconditions in the colon Nov 21
Familial adenomatous polyposis (FAP) Feb 20
6 Familial adenomatous polyposis(FAP) Aug 1
7 Diverticulitis Sep 17
Intestinsl obsrtuction
PAPERI
1
Clinical situation(3 marks) Short essays(6 marks)
A ten year old boy is brought to the casualty with Mar 16
complaints of vomiting and colicky abdominal pain of
2 Large bowel obstruction Oct 20
3 Intussusception Aug19, Feb 19,
two days duration. On examination there is a sausage
Apr 15
shaped mass around the umbilicus digital rectal 4 Sigmoidvolvulus Mar 17
examination shows red current jelly
Short notes(2 marks
What is the diagnosis in this case 5
Colic pseudo obstruction Feb 20
Discuss the treatment options 6 Intussusception Aug 18
DIAGNOSIS: INTUSSUSCEPTION 7 Gall stone illeus Feb 18
8 Phyto Bezoar Feb 18
PAPERII
Short notes(3 marks)
9 Gall stone illeus Mar 17

Theveremiform appendix
PAPERI
Structured Essay(5marks)
1
A 21 year old male presents to casualty with abdominal Mar 22 2 A 20 years old woman has history of vague Oct 20
pain starting around the umbilicus and shifting to right periumbilical abdominal pain, nausea and vomiting for
iliac fossa with history of fever and vomiting for one day the past two days and the pain has now moved to right
duration clinical examination reveals fever with lower abdominal quadrant. LMP was 7 days before. No
tachychardia, gaurding, tenderness and rebound history of diarrhea or dysuria. On examination,
tenderness in right iliac fossa. Answer the following, Temperature 100.8F. Heart rate 100/min. BP 124/82
mm Hg. CVS-unremarkable. Abdomen is soft and there
What is the probable diagnosis. istenderness in the right lower quadrant. Answer the
DECIPHER 59 GENERAL sURGERY
 What are the investigations.
following:
How will you manage this patient What is the probable diagnosis
How will you investigate
Discuss the management
DIAGNOSIS: ACUTE APPENDICITIS DIAGNOSIS: ACUTE APPENDICITIS
35| Describe the various causes of mass in right iliac fossa. Marr16 A 30 years old woman is admitted with pain right liac fossa Sep 16
of 6 hours duration. Answer the following:
What are the investigations used for evaluation and Enlist the differential diagnoses
confirmation of diagnosis. How will you investigate this patient
Describe the management of tuberculous stricture of leum. Briefly mention the components of oschner sherren 1
regimen
DIAGNOSIS: ACUTE APPENDICITIS
Clinical situation(3 marks)
5A 25years old male patient is presenting in casualtywith periumblicalpainassociated withnauseasinceone day.On examination there May21
is tenderness in the right iliac fossa.
What is the probable diagnosis What are the clinical signs that will help in diagnosis Discuss the management
DIAGNOSIS: ACUTEAPPENDICITIS
Short essays(6 marks Short notes(2 marks)
6 Carcinoid in appendix Sep17 7 Oschner sherren regimen Aug 19
8 Appendicular mass Aug 19,apr 15
The rectum
PAPERI
Structured Essay(5 marks)
1
A 65 years old male attends the surgical OP with Feb 19 2 A 35 years old man presents with severe ano-rectal pain Oct 20
complaints of passing blood and mucous per rectum for
associated with defecation. He is afebrile and
the past 3 weeks. Rectal examination shows an ulcer on
examination is incomplete because of
the
the posterior wall of rectum. Answer the patient
following, discomfort and reveals a skin tag, but no
What is most probable diagnosis
erythema/mass. Answer the following:
What are the investigations to be done What is the likely diagnosis
What is the management How will you investigate
Briefly mention the management.
DIAGNOSIS: CARCINOMA RECTUM DIAGNOSiS: ACUTE FISSURE IN ANO

3 A 60 years old man with mass descending per rectum (1). Enlist the
Clinical situation(3 marks)
likely causes. Mention briefly the management (2) Sep 16
Short essays(6 marks)
4
Prolapse rectum/Rectal prolapsee Short notes(2 marks)
Feb 18, Aug 18
5 Solitary rectal ulcer
Sep17
6 Ishio rectal abcess Apr 15
The anus and anal canal
PAPERI
Clinical situation(3 marks) Short notes(2 marks)
1A 30 years old male came to OP with H/o habitual Sep 17 2 Goodsalls rule
constipation and painless bleeding P/R of 3 months 3 Fistula in ano
Mar 22, Nov 21
duration. General examination revealed pallor. Answer Feb 20, Feb 19,

thefollowing: Mar 17, Sep 16

What is the most
Pilonidal sinus Aug 18
likely diagnosis 5 Low fistula in ano Mar 16
How will you investigate
Mention briefly the treatment options. 6 Perianal abcess Sep 15
Ischiorectal abcess Apr 15
DIAGNOSIS:HEMORRHOIDS
PAPERII
8
Short essays(4 marks)
Fissure in ano
Apr 15

DECIPHER 61 GENERAL SURGERY

 ORTHOPEDIC TRAUMA INTRODUCTION
1 Grading ofligamentinjury Shortnotes(2 marks)
Sep 15 2 Types of fracture
TREATMENT OF FRACTURE GENERAL Sep15
Essay(6marks) PRINCIPLES
Short notes2 marks)
A 20 years old is brought to the
emergency department Sep 15 2 Open fracture
following involvement in motorbike accident. He has
a Mar 22
an open wound on his
right shin and his leg is deformed. 3 Principles of open fracture management Aug 18
He is unable to move his affected
leg. 244 4 Complication of plaster of paris cast application Feb 19
Outline the first aid and its management
DIAGNOSIS:OPEN FRACTURE RIGHT LEG-TIBIA, FIBULA
SPLINTS AND TRACTIONS
Short essays(3 marks) Short notes(2 mariks)
1 Discuss Skeletaltraction Aug 18 2 Skeletal traction
Mar 22,Sep 17
3 Thomas splint
Aug18
4 Skeletal fracture Aug18
COMPLICATIONS OF FRACTURES
Shortessays(3 marks)
1 Crush syndrome Nov 21
Short notes(2 marks)
2 Fat embolism 5 Clinical evaluvation of fat embolism Nov 21
Oct 20 6 Causes of non union of fracture
3 Compartment syndrome Oct 20
Oct 20, Mar 17
4
Myositis ossificans Feb 20, Feb19, 8
Diagnosis offat embolism
Sudecks osteodystrophy
Aug 13

Feb 18, Apr 15 Aug 18, Sep 17

9

Diagnosis of compartment syndrome Mar 16

10 Clinical features of acute compartment syndrome Mar 17
FRACTURES IN CHILDREN
1 Epiphyseal injuries Short essays3 marks)
Feb20 2 Injuries of the growth plate in children Feb 19
PERIPHERAL NERVE INJURIES
DECIPHF
 Short essays(3 marks)
1 Clinical testfor ulnar nerve palsy Nov 21
Short notes(2 marks)
2 Nerve repair Mar 22 7 Foot drop Mar 16
3 Ulnar paradox Mar 22 8 Nerve repair Mar 16
4 Tinels sign Aug19 9 Classification of peripheral nerve injuries Apr 15

5Discuss clinicalfeatures of Saturday nightpalsy Aug 18 10 Pointing index Apr15

6 Classification of nerve injuries Feb19, Sep 15
TREATMENT OFShort
ORTHOPEDIC
notes{2 marks)
DISORDERSs
1Bone grafts Nov21 2 Bone grafting Sep17
INJURIES AROUND SHOULDER, FRACTURE HUMERUS
Shortessays(3 marks)
1 Fracture clavicle Mar 22 3 Pathology ofrecurrent shoulder dislocation Feb19
2 Supracondylarfracture of humerusin a child May 21
INJURIES AROUND THE ELBOW
1 A nine year old girl sustained injury to her left elbow Oct 20
Essay(Gmarks)
2 A7year old boy had fallen on out stretched hand in the Feb 18
joint due to fall on oustreched hand.The child was school ground while playing in a swing. He had severe pain in
unable to use her left
revealed a deformed
upperlimb.Cliniclexamination
and swollenleft elbow
the right elbow. On examination he has swelling and
tenderness around the elbow and 3 point bony relationship
joint.Movement of the left elbow joint werw painfuland is maintained. Answer the following:
restricted.There was distal What is your clinical diagnosis
no neurovascular
deficit.Answer the following Outline investigations and treatment.
Give the probable diagnosis
4
Enumerate the complications.
Outline the management
DIAGNOSIS:sUPRACONDYLAR FRACTURE HUMERUS, DIAGNOSIS: SUPRACONDYLAR FRACTURE
LEFT SIDE HUMERUS, RIGHT SIDE
hort essays(3 marlcs
Short notes(2 marks)
3 |Clinicalfeatures of Volkmanns ischemic contracture Nov 21 8Tennis elbow Mar 22

4Fracture
5
lateralcondyle humerus in children
Enumerate complications of supracondylar fracture of
Aug 19 9 Gunstock deformity elbow joint Feb 20
Aug 18 10 Sudecks osteodystrophy Aug 18, Sep 17
humerus
6 Volkmanns ischemic contracture Sep 17
7 Olecranon fracture
Sep16
INJURIES OF THE FOREARM AND WRIST
Essay(6marks)
1
A 55 year old lady slipped and fell in the washroom on an outstretched hand. She had severe pain in her right wrist, swelling and dinner Aug 18
fork deformity. Answer the following:
What is your clinical diagnosis Outline investigations and treatment.
Enumerate the complications. 1+3+2
DIAGNOSIS: RIGHT SIDE COLLES FRACTURE
Short essays(3 marks) Short notes(2 marks)
2 Fracture scaphoid Apr 15
4 Complications of colles fracture Apr 15
3
Mechanism of injury in colles fracture and its Mar 17
displacements
HAND INJURIES
Short essays(3 marks) Short notes(2 marks
1 Greenstick fracture Sep 17
2 Mallet finger Oct 20
3 Bennetts fracture dislocation Feb 20
INJURIES AROUND THE HIP
A 65 year old lady presents withn inability to walk Essay(6marks)

Mar 22 20 A 60 year old diabetic patient sustained injury to the Sep 17

followinga fall at her home .Her left lower limb is
left hip he slipped
externally rotated and shortened .Examination reveales after and fell
in the toilet. The patient
was unable to walk after the fall. He was carried to the
(2-4)
tendernessat the left hip.Answer the
following, hospital. Clinical examination revealed externally
what are the most likely
diagnosis rotated, shortened left lower limb. Hemodynamically
Discuss the management of tbis patient
stable with no evidence of any other
How can ths
injury
be prevented patient was
serious injury. DiscusS:
Differential diagnosis
Outline the management ofthe most probable
DECIPHER
67 ORTHOPAEDICS
 diagnosis,
DIAGNOSIS:FRACTURE NECK OF FEMUR DIAGNOSIS: INTERTROCHANTERIC FRACTURE
FEMUR,FRACTURE NECK OF FEMUR
Short notes(2 marks)
3Anatomicalclasification fracture neck
offemur Feb 20 5 Classification of fracture neck of femur Aug18
Causes of non union in fracture neck of femur Aug 19
6 Deformity introchantericfracture offemur Sep 16
INJURIES AROUND THE KNEE
Short essays(3 marks) Short notes(2 marks)
1 Tests for chronic anteriorcruciate ligamentinjury May 21 4 Effusion knee joint Sep 17
2 Anteriorcruiciate ligament injuries Mar 16 5 Fracture patella Mar 16
3 Fracture patella Feb 19, Sep 15
INJURIES TO THE LEG,ANGLE AND FOOT
Essay(6marks)
1 A25 years construction worker presentstothe emergency department after having fallen from the first floor. He complains of pain in Mar 16
both heels of his feet. Answer the following:
What are the likely injuries sustained. What other area of the body must be examined. 1+1+2+2
Describe initial management of this patient. Discuss treatment ofthe most probable diagnosis
DIAGNOSIS: FRACTURE CALCANEUS
Short essays(3 marks)
2 Stress fracture Feb 20
INFECTIONS OF BONES AND JOINTS
Essay(6marks)
1One year old child is brought with inability to move right lower limb for one day.Childisirritable and lethargic,refusing tofeed. On Sep 16
examination, right lower limb is motionless and hip area is tender. Discuss the differential diagnosis and management of most probable 2+4
diagnosis
DIAGNOSIS: ACUTE SEPTIC ARTHRITIS
Short essays(3 marks) Shortnotes(2 marks)
2 Management of acute osteomyelitis Feb 18 Radiological features of chronicosteomyelitis Nov 21
3 Mention complications of chronicosteomyelitis Aug18 8 Charcots joint May21
4Brodiesabbscess Sep 17 9 Sequestrum Feb 20, Aug 19

5Management ofacute septicarthritis of knee Mar 117 10 Radiology of chronicosteomyelitis Mar 17

6Managementof acute pyogenic osteomyelitis Sep 15 11 Brodies abscess Sep 15
TUBERCULOSIS OF BONES AND JOINTS
1 Discuss the e t i o p a t h o g e n e s i s , Cl inical features and management o fE
a s
4 s0ay
y e
(a6rmol
a drmks
al)e w i t h Tuberculosis o ft h e hipjoint

May 21
Shortessays(3 marks) Shartnotes(2 marks)
2 Gibbus Sep 17 4 Enumerate stages oftuberculosis of hip joint Aug 18
Clinical features oftuberculous hip joint Sep 16
CONGENITAL TALIPES EQUINO VARUS(CTEV)
Short essays(3 marks) Short notes(2 marks)
1 Characteristics features of Dennis Brown splintand shoes May21 2 Deformities in CTEV Mar 22

3 Deformities in club foot Aug 18

CONGENITAL DISLOCATION OF HIP AND OTHER MALFORMATIONS

Short essays(3 marks) Shortnotes(2 marks)
1 Management of developmental dysplasia of hip Feb 18 3 X-ray findings in congenital hip dislocation Aug 19
2 Pathology inclubfoot Mar 17 4Screening for congenital dislocation of hip Feb 19, Sep 16
5Diagnosis of hip dysplasia in newborns Apr 15
BONE TUMOURS
Essay(6marks)
1
A 14 years old with a swelling of distal thigh of 6
boy Feb 20 2 An 18 years old girl presents with a 3 months history of Apr 15
years duration presents with a 3 months history of pain painful swelling of the distal thigh. She is ill looking and
in the swelling and a recent increase in size. There is no examination reveals a firm tender sweling localized to
history of trauma. Patient is moderately built. the distal metaphysis of the femur. Discuss:
Examination reveals a firm to hard tender swelling Possible differential diagnosis.
localized to the medial aspect of distal metaphysis of the Diagnostic workup
femur. Discuss: Treatment of the likely cause
Give the probable diagnosis Outline its management 244
DIAGNOSIS: LONG STANDING OSTEOCHONDROMA DIFFERENTIAL DIAGNOSIS :CHRONIC
WITH PROBABLE MALIGNANTCHANGE OF OSTEOMYLUTIS, OSTEOSARCOMA
DECIPHER 69 ORTHOPAEDICS
 CHONDROSARCOMA
314 yroldwhich
region malewas
complains of dull
increasing aching
in size. He constant
says it allpain overafter
started lowera fall
rightduring
thighfor 3months.
football game. He
Henoticed afusiform
was able swelling
to complete over the
the game same
after the Mar17
fall.He was afebrile during this episode. Discuss: 2+4
Differential diagnosis Outline management of the most probable diagnosis
DIAGNOSIS:0STEOSARCOMA
Short essays(3 marks)
Shortnotes(2 marks)
4 Giant cell tumour of bone Mar 22
12Clinical features of osteosarcoma distal femur Oct 20
5 Clinicoradiological features of osteochondroma Nov21 13 Classification of bone tumours Aug 19
6 Clinico radiological features of Giant cell tumour May 21 14 Exostosis Feb 18
7 Osteoclastoma Oct 20
15 Ankle sprain Mar 17
8 Describe radiological features of Giant cell tumour Aug 18
16 Radiological features of osteosarcoma Feb19
9 Solitary exostosis Sep17
17 Name 5tumour like conditions of bone
10 Giant cell tumour Mar 19
Sep16
18
Aneurysmal bone cyst Sep 16
11 Pathology and management of osteoid osteoma Sep16
19 Chondrosarcoma Sep 15
PROLAPSED INTERVERTEBRAL DISC
1 A 40-year-old manual labourer complains of sudden
Essay(6marks)
onset of low back ache with
radiating pain down his
complains of numbness on the lateral aspect of the leg as well as dorsum of the foot. right
lower limb after lifting
heavy weight. He also
Answer the
Aug 19
What is the probable diagnosis. following:
What are the clinical signs that will help diagnosis.
How will you manage this patient.
DIAGNOSIS:INTERVERTEBRAL DISC PROLAPSE L4-LS CAUSING LS NERVE ROOT COMPRESSSION
SPINAL INJURIES
1 First aid in suspected cervical spine injury Short notes(2 marks)
Feb 19,Apr 15
ARTHRITIS AND RELATED DISEASES
1 Neuropathic arthritis Short essays(3 marks)
Mar 22 Apr 15
DECIPHER

DEGENERATIVE DISsORDERS
Essay(6marks)
1 A 65-year old housewife complains of pain in both her Feb 19 2
Define osteoporosis. Discuss briefly about the Nov 21
knees for nearly two years which has been progressively management of wedge compression fracture of L1
worsening. Examination reveals bilateral genu varum vertebra ina 72 year old lady with pain.
and crepitus during knee movements.
What radiological features help confirm the presence
2
of knee osteoarthritis.
Discuss the treatment options available for this patient.
DIAGNOSIS:BILATERAL KNEE OSTEOARTHRITIS
Short essays(3 marks) Shortnotesl2 marks)
3 Non operative management of primary osteoarthrosis of Nov 21 4 Clinical and radiological features of osteoarthritis of Sep16
knee knee
AFFECTIONS OFTHE SOFT TISSUES
Shortessays(3 marks)
1 Carpel tunnel syndrome Aug 19, Feb 18 2 Lateralepicondylitis Sep 17
Shortnotes(2 marks)
3 De Quervains tenosynovitis May 21 6 Ganglion Oct 20
4 Ganglion cyst May 21 Complications ofslippedcapitalfemoralepiphysis Aug19
Feb 18
5 Manage ment offrozen shoulder Oct 20 8 Plantar fascitis
METABOLIC BONE DISEASES
Short essays(3 marks) Sep 15
1 Diagnosisofosteoporosis Mar 16 2 Rickets
Short notes(2 marks)
3 Clinical features of gout Nov 21 5 Diagnosis of osteoporosis Feb19
Mar 16
4 Osteomalacia May 21 6 Radiologicalfeature ofrickets
MISCELLANEOUS AFFECTIONS OF THE BONE
Short essays(3 marks) Short notes(2 marks)
Nov21 3 Blounts disease May 21
1Clinicoradiologicalfeatures of Perthesdisease
ORTHOPAEDICS
DECIPHER 71
2Osteogenesis imperfecta Mar16 4 Osgood schlatter disease Mar15
MISCELLANEOUS REGIONAL DISEASEs
Short essays(3 marks)
1 Torticollis Oct20 2 Transient synovitis of the hip Feb 20, Aug 19
Short notes(2 marks)
3 Genu valgum May 21, Oct 20 5Congenital musculartorticollis Apr 15
4 Marrot bakers cyst Feb 20
6 Causes of bowlegs Sep 15
AMPUTATION, PROSTHETICS AND ORTHOTICS
1
ldeal amputation stump in below knee level
Short notes(2 marks)
Nov 21

CLINICAL METHODS
1 Patellar tap Short notes(2 marks)
Feb 20
2 Tredelenburg test 3 Thomas test for hip Sep 16
Mar 17

MISCELLANEOUS
1 Lis franc fracture dislocation Short essays(3 marks)
2 Game keepers thumb Aug 19 3 Advanced trauma life support
Feb 18 4
Basic truma life support Mar 17
Sep 16
5 Rheumatoid factor Short notes(2 marks)
Feb 18 6 Clinical grading of muscle power Mar 17
 OBSTETRICS

OBSTETRICS

THEORY QUESTION PAPER PATTERN (40 MARKS)

Essay-1x10=10
Short Essays-3x4=12
Short notes-2x3=6
Answer briefly-3x2=6
One word answer-4x1=4
Draw and label-2x1=2

DECIPHER

I
 OBSTETRICS
TIVE ORGANS
~Of THE FEMALE REPRODUC
p.NA Dr1w1ndtabef
nd branches Feb 18

THE BONY PELVIS

AhSWtrbrfefty
pelvis precipitate Mar 22 2 Plane of least pelvic dimensions Feb 18
ommon and why
Otltlandt.bel
eter of pelvis
Mar22 7 Sagittal section of the pelvis Feb 19
showing antero-posterior
diameters of pelvic inlet
Nov21 8 Space of Moris Sep 15
elvis
Oct20 9 Obstetric conjugate Apr 15
njugate
of Feb 20
posterior diameters
nlet
FOETUS AND FETOPELVIC RELATIONS
a and caput succedaneum Oct20

May21

Aug 16
5 Caput succedaneum
nt Apr 16
Aug 19 6 Fetal skull showing importa
4 Term fetal head showing of obstetrics
diameters
fontanels and sutures
significance
N
EXAMINATION OF PREGNANT WOME
answers Mar17
2 Naegle formula is to calculate
one

Draw and label Aug 18

22, 32, 36 weeks of gestation
T OF PLACENTA AND FOETUS
Draw and label Mar 17
Mar 22 2 Placenta
Aug 18
ES OF NORMAL PREGNANCY
Aug 18
wwctenswers
3 Jacquemier's sign
ring pregnancy
lower abdominal Feb 19
ancy without cervical
DECIPHER

-n-
 ANTENATAL CARE

be nt'rma antenatal care

MECHANISM OF NORMAL LABOUR
ict the events of normal la

Nov 21 3 Describe the

normal labour

<d Act!VE' management of labour will help to reduce

........ .

CONDUCT OF NORMAL LABOUR

that can occur in each stage of Mar 22
J Define normal delivery. Enumerate the abnormalities
aoour
- .... - --c-- ',- c,- a-- • -.;;,• -~~~~~ ,-

._ :Z• . .... - -,,.:,,.,_-- _ _,-,,ii ce-<

.
Feb 19
• Act,ve management of third stage of labour
Sep 16

Feb 20 5 Frequent and painful contractions Sep 1s

-- lat>or monitoring is done
at 36 weeks
~- -·
Measurement of uterine Feb 18 6 Routinely used method of delivery Sep 1s
4
of placenta.
contraction is
Mar 17

ANTEPARTUM HAEMORRHAGE
- . - •• • "","e-
- ~ - t_, ': ~ !'"-.f}'.:-,_.. ,,,.~..!.

orrhea with bleeding PV with Aug 18

1 A 30 vears old GS P4 L4 with history of 8 months amen
Uterus is tense & tender, FHR
pain abdomen. On examination, BP-150/lOOmm Hg,
absent. Answer the following:
• What is the diagnosis(l)
• Mention investigations to be done(2)
• Maternal complications(3)
• Management in detai/(4)
DfAGNOSIS:ABRIJPTIO PLACENTA 17
2 A 26 years old prim1gravida woman comes with the antepartum hemorrhage at 33 Mar
weeks of gestation. Answer the following:
• What are differential diagnosis(3)
• What are mvestigatlons to be done {3)
4)
• Describe the mode of mana ement of one of thern(
PREV IA -'--------,
OIAGHOSIS:ABRUPTIO PLACENTA/PLACENTA 16
3 26 vear:s old G2Pll1 with 34 weeks of gesta tion presenting with painless bleeding Mar
A
PY.Answer the following·
• What Is the diagnosis.(l)
• What are the maternal complications(2)
• 78 . DECIPHER
 OBSTETRICS
one(3)
ernent(4)
he rnana g
scribe t

---~
Sep 16 7 Compression of head poster
Apr 15

Aug 18

er iorly Sep 15
on type II posterior placen
ta
o,awancllibel
Sep 16
EMESIS GRAVIDARUM
llort'E
Mar16
AND MISCARRIAGE
Id multiparous woman comes
O with three months of ameno
A28 yeafrs ·ous three abortions in first trim rrhea with Feb 19
historv o previ . ester. An sw er the following:
,what is the diagnosis.( 1) .
,what are the cause.s of_ first trim .
ester abort1ons(2)
\. ,Mention the
invest1gat1ons to be done{3)
•Describe the management( 4)
DIAGNOSIS:RECURRENT PRE....G.
,... .,N =A N_ c-Y ,.,. .,L O"
"". "S .,.. ..,s ~-- --- --- --- ,...
llaO Jit ._-----i
of recurrent pregnancy
and management. Feb 18
3 Define missed abortion and
its Oct 20 5 Causes and investigation
management s of Sep 17
recurrent pregnancy loss
6 Most common cause of abo
rtion Sep 17 8 Embryonic demise within 6
in first trimester of pregnancy weeks Apr 15
7 McDona of conception
ld's stitch is used in Sep 16
condition

ECTOPIC PREGNANCY

Feb20

Feb 18
BLASTIC DISEASE
2 Describe the diagnosis, Feb 20
management and follow
up of
molar pregnancy

DECIPHER
 ~ follow up of veqcular mole
MULTIPLE PREGN ANCY

Matemal and fetal complicatio ns Antenatal management

rn pregnanc_1 _,,___---T-"P~reg na nc y

interlockin g of twins

-
nochorron,c twins

Twin peak sign is characteristic US Mar 16

......
8
sacrificed to delivery of s
.
twm

Twin peak sign

Feb 20
finding tn
19
PRETERM LABOUR AND PREMA TURE RUPTURE OFAug
MEMB RANES

..,.rs
4 Labour process starting before 37 weeks of gestation

INTRAU TERINE GROW TH RESTRICTION

Aug 18

LATE INTRAU TERINE FETAL DEATH

5 k
_ _ , briefly
j Aug 181
OF AMNIO TIC FLUID VOLUM E
Oct20
plications

PROLO NGED PREGN ANCY

egnancies

DECIPHER
- 80 -
 OBSTETRICS
MALITIES OF PLACENTA AND CORD
ABNO R
Sep 17
Mar 16
PREGNANCY

s II cardiac disease. Answer the Nov21

atal management(3)
e an ten ()
u co nduct the delivery .3

ified Mar 17

regnancy Mar22

se Mar 17

Most common heart disease in Sep 17

of labour in cardiac pregnancy

DIABETES IN PREGNANCY

Nov 21
May 21
Aug 19
--
s of gestational diabetes mellitus.

4 Carbohydrate
pregnancy
metabolism
Feb 20

in Mar 16

I complications of Mar 17

Diagnosis of GDM Sep16

answers
Feb 18

RS IN PREGNANCY
of h . . . pertension at 35 weeks of gestation Feb 20
eadache and ep1gastnc pain. Answer the following:
he classificat·10
. nof hypertens1ve
• disorders
. .in pregnancy(3)
the investigations to be done(3)

Management of antepartum Aug 19

ampsia
eclampsia
psia Oct20 5 Classification and managemen t Of Feb 18

· 81 - DECIPHER
 erinatal mortality in severe preeclampsia
~~;=::,::::..;.:~~;;;.;,.; ;.,;~-:-,-r~-- ---'--------
7 Mar 22 8 Management of eclampsia

RENAL DISEASE IN PREGNANCY

ho!.~...--...-~..--__,__~,_.,,,,...._

LIVER DISEASE IN PREGNANCY

1 Management of Hbsag positive women in labour

ANEMIA IN PREGNANCY

30 years old G4 P3 L3 at 20 weeks of gestation at regular antenatal care found to

have HB:6 gm%. Answer the following:
•What is the most common cause for the anemia(l)
•list the types of anemia(3)
•Diagnosis of causes of anemia in pregnancy(2)
•Management of this patient(4)
2 28 years multigravida comes with severe pallor, weakness and easy fatiguabil ity. Sep 17
Answer the following:
•What is the differential diagnosis(3)
•What are the investigations to be done(3)
•Describe the line of management(4)
DlAGNOSlS:ANEMIA IN PREGNANCY
3 A 25 years primigravida with 34 week gestation with H/O easy fatiguability, Sep 16
giddiness, breathlessness, swelling of limbs. 0/ E severe pallor, pedal oedema, raised
JVP. Answer the following.
•What is the diagnosis (1)
•What are the maternal complications. (2)
•Investigations to be done (3)
•Describe the management(4)
DIAGNOSIS:HEART FAILURE IN PREGNANCY DU;.,;:E:...;T...:O;,..,;A,.;N,.,;,;E::;:.M~IA.:,................,......,..,___,.,"""""'"'..,,...,.,,,....._....i,.,,,.,..,..,-,

y third trimester Apr 15

Management of iron deficiency anemia in pregnancy,.....,._,,_____________...i.._M...ay_ 21

"' - • ,;; I .-, - • r ~ _ ""'} • ..,:~-..,.,: • 1
,z - •..- - ~ '-' --- - ~~ • ~ • •- •~-1...... --
6 What are the tests for anemia in pregnancy

7 Common form of anemia in pregnancy according to P.::.e!.!ri~ph~e:,,:r_=:a,:_Is::.:,m.:.:,e: :,;a: ,:_

r ~ - - - -i---~

g Peripheral blood picture in iron deficiency anemia

INFECTION IN PREGNANCY

· 82 · DECIPHER
 of UTI Feb 20 2 Congenital rubella syndrome OBSTETRICS
Aug 19

N DEFICIENCY VIRUS

labour
Sep 15
ATION IN PREGNANCY
~ lil iM i!~ ~~ ~~ ~~ =-
- -~ -_
fter a term delivery of a Rh positive new born-""T"--_ ~__J
Aug
19

Y FO WING CS

Indications of vaginal birth after Sep 17

caesarean section

May21
Feb 20
OAGULATION

Oct 20
UATIONS

Mar17
E CEPHALOPELVIC
ION
iameter For Diagnosis Of Feb 18
idpelvic Contraction

ESENTATIONS

Sep 15

Mar22
Aug 18

eech Apr 15
•awers
9 Incidence of breech presentation Feb 18
at term is -
r aft er coming Feb 20 10 Type of delivery ·in occip · ·t 0 Sep 15
, -
• _ DECIPHER
83
 ht ad T ~ Jposterior position Oesr..clf\i
OTHER FOETAL PROBLEMS LEADING TO DVSTo 1 Cs
CIA
l Shoulder dvstocia Aug 19 2 Management of
Feb 19 shoulder presentation

3 Maneuver to correct shoulder dystocia

OBSTRUCTED LABOUR

1 Obstructed labor

2 Clinical features of obstructed labour.

-0.wordansw.-s
3 Name t he depression between upper and lower halves of uterus in an obstructed
labor

THIRD STAGE COMPLICATIONS

I
1 Define and classify postpartum hemorrhage. Mention the causes of the same.
Discuss the diagnosis and management of a 6th gravida profusely bleed ing after a
normal delivery.(3+3+4)
2 Define postpartum hemorrhage and mention its causes. What are the pre-existing Feb 18
risk factors for PPH. Discuss the management of PPH after vaginal delivery. Mention
the active management of 3rd stage of labour(2+2+4+2)
- SbertEss
3 Management of atonic PPH Nov 21 5 Secondary post partum Mar 16
hemorrhage
4 Describe the types of retained Feb 20
placenta. What is the
management of placenta accreta.
Short notes
Aug 19

Nov 21 9 Sudden post partum collapse Apr 15 r

Sep 15
One wo.rd •nswers
10 Name the " uterine compression Aug 19 11 The co mpression sutures for Sep 17
suture" used to control uterine atonic PPH is called ------
atony after deliver

NORMAL PUERPERIUM

Post-partum uterus 2 Peurperium is upto _ __

pelvic organ at how m any weeks

LACTATION
----------
oECIPl-fER
- 84 -
 OBSTETRICS
~,CllogY of lactation TNo vn
AB NO RM AL PU ER PE RIU M
h

---
f puer pera l seps is
Atllwer
Sep 17

puer eral sepsis Mar 16

OPERATIVE VA GIN AL SURGERY

Shortrtote$
Feb 18

Sep 15
vaccum extraction
OTHER OPERATIVE PROCEDURE
~_,.._-_, ---~

~- .l,
. ;
,c-
.... .. b,tefl
Aug 19 2 Exter nal versi on Aug 18

Aug 19 4 Wha t is the full form of ECV Mar 17

3 Name the correct place wher e the
vacuum suction cup is appli ed for
efficient delivery of the fetal head
CAESAREAN SECTION
Oct20
1 Mention the indications for caes arean secti
on. How to selec t wom en for vaginal
en with previ ous caesarian in
delivery after caesarian secti on. How to mon itor wom
licati ons in Vaginal Birth After
labour.Management of labo ur inclu ding comp
Caesarian sections (2;,.;+.,;3;,+.:;.2+.:..:3~)~~~.,,,,.,....,.---...,,..,.....--:c,......-
--,-~_ _,.-.. ,,,,__ _~_ _ ___....._ _--i
Shc:,rtEssays Mar2 2
stetr ic hyste recto my
Shw thot es Sep 15

Answer briefly Sep 16

LSCS
One word answ ers Mar 17
aesa rean deliv ery is
Nov21
Dr•w and label

UL TR AS OU ND IN OBSTETRICS
Short Essa

oECIPHER
 2 Anencephaly 08Sl[Tf\1cs
Oq >a
f\uR 18
Mar lG
Triple test Oct 20 5 Amniocentesis
3
-----'------
4
-------+---
Triple marker test
___,.__..._
Sep 17

6 Name the most common non-lethal aneuploidy resulting in significant mental

disability in children

ANTEPARTUM FETAL SURVEILLANCE

Non-reassuring FHR ( Foetal Heart Aug 19 2 Biophysical profile Sep 16
Rate) pattern and management of
the same

s Absent end diastolic flow

---
DNlwMdlabel
Sep 17

May 21

May 21

INTRAPARTUM FETAL SURVEILLANCE

,_...
fetal distress in first and second stage of labour Oct 20

f non reassuring Nov 21 4 What are the causes of fetal Mar 17

bradycardia

......
fetal Mar 17

Mar22 6 Name the type of deceleration May 21

meconium stained liquor is not an seen with cord compression in
indicator of fetal distress labor

5
Sep 17 9 Normal fetal heart rate pattern as Apr 1
7 Normal tracing of CTG
recorded in CTG
8 Early deceleration Sep 15 10

CARE OF NEWBORN
Apr 15
itation Feb 19 3 Neonatal resuscitation
Sep 16
Sep 15
4 Ap ar !.COrP and its impo~rta~nc ~e=---------- -----::-=:------ ....L-_:......-
- 0...:.
OTHER NEONATAL PR:..=- _S
B_LE_M _ _ _ __.,

DECIPHER
-86-
 OBSTETRICS
Mar 16

PERINATAL MORTALITY

·n• in India is Mar 22 3 Death of fetus from 28 weeks to Apr 15

1 perinatal mo rt al,.,
0/. one week after delive
about........70
Aug 18
Perinatal mortality rate
2
INDUCTION OF LABOUR
hsiy
tion of labour. Enumerate the pre-induction criteria, indications and Sep 15

Sep 17

AND LACTATION
Sep 16

3 Misoprostol AprlS

4 Medication given to the mother Nov 21 6 Name the drug used to prevent May 21
for fetal lung maturity respiratory distress syndrome in
preterm labor
5 Popular male contraceptive Nov 21

MATERNAL MORTALITY
Apr 15

Sep 16
Mar16

MTP

second trimester Sep 15

Feb 19

Most common technique for Feb 20 3 NT scan Is done at week:> Aug 18

abdominal tubectomy
2
Tota~ of last t~ri"'rn--e-s~te-,- fetal Feb 19
demises' ·intra
parturn fetal
deaths and Infant deaths up to I
da s ost artum

- 87 - DECIPHER
 GYNAEC0l0'1Y

GYNAECOLOGY
THEORY QUESTION PAPER PATTERN {40 MARKS)

Essay-1x10=10
Short Essays-3x4=12
Short notes-2x3=6
Answer briefly-3x2=6
One word answer-4x1=4
Draw and label-2x1=2

DECIPHER

- 89-
 GYNAECOLOGY
ANATOMY OF FEMALE GENITAL TRACT

and phy~iolo lication Sep 16

Feb 20

Mar 22 7 Internal iliac-artery and Its Feb 20

branches
Normal vaginal epithelium Nov21 8 Draw and label the parts of the Feb 19
4
fallopian tube - Indicate the Mar 16
commonest site for ectopic
pregnancy
Pelvic ureter May21 9 Draw diagram of pubococcygeous Sep 16
s
muscle and label its parts
Perinea! body Feb 20

FEMALE REPRODUCTIVE PHYSIOLOGY

Oct 20

Sep 17

3 Represent the various hormonal May 21 5 Endometrium in menstrual cycle Aug 19

pattern in a normal menstrual
cycle
4 Ovarian menstrual cycle Oct 20 6 Mature Graafian follicle Feb 18

ABNORMAL UTERINE BLEEDING

1 A 42 years old woman presents with heavy menstrual bleeding with pallor. Answer Nov 21
the following:
•What are the differential diagnosis(2)
•Classification of abnormal uterine bleeding(3)
•Management of DUB(3)
•Complications of abdominal hysterectomy(2)
DIAGNOSIS:ABNORMAL UTERINE BLEEDING
2 45 years old Pl Ll with prolonged bleeding was diagnosed as abnormal uterine Feb 19
bleeding by her gynecologist. Answer the following:
•Define and classify abnormal uterine bleeding (AUB)(4)
•Differential diagnosis for heavy menstrual bleeding and management of same(6)
3 Define and classify AUB and mention brief pathology of AUB. Differential diagnosis Sep 16
for pubertal AUB and outline its management(1+3+3+3)
--,-.,..,--.,...;.--------~----~-,

Mar22

Sep 17

PUBERTY
· 91 - DECIPHER
 .. =:-=-: -~---- ---
Define puberty menorrhagia and its management

AMENORRHOEA

Turner's syndrome

4 Turners syndrome Feb 19 6 What is cryptomenorrhoea

AprlS
s Classification of primary Aug 18
amenorrhea with example

7 Most common cause of Nov21 10 Condition where menstrual blood

cryptomenorrhia fails to come out of the genital
tract due to obstruction in the
passage is called as .........
8 Most common cause for primary May21 11 Most common cause of Mar17
amenorrhea amenorrhea
9 Drug of choice for lactation Aug 18 12 Milk secretion in non -pregnant Marl?
suppression woman

CONGENITAL ANOMALIES OF THE GENITAL TRACT

Sep 17

Mar17

DROME
me. What are the Feb 20
ions for anovulatory

Apr 15

Mar17

Mav21
1 30 years old married for 5 years with primary infertility and menstrual cycles every
2-3 months. Answer the following:
•What is the main cause for her infertility(!)
•Mention female factors causing infertllity(4)
•Evaluation and mana ement of anovulation(S
-92-
DECIPHER
 GYNAECOLOGY
DIAGNOSIS:POLYCYSTIC OVARIAN SYNDROME

Diagnoc;tic tests for ovulatory Nov21 7 Define infertility and write about Feb 18
cauces of infertility tubal patency tests
Tubal factors for fertility and its Oct 20 8 Tests for ovulation Mar 11
3
~tenq tests .
Normal semen analysis report Feb 20 9 What are the indications for IVF Sep 15

Oiagnoc.is and management of Feb 19 10 Intra uterine insemination Apr 15

5

....,..,,,
anovulation in infertility
investigations and management Aug 18
6 Mar16
for tubal factors of infertility

Mar22 13 Classification of ovulatory Mar17

disorders
Clomiphene citrate Mar 16

Decreased sperm count in a Sep 16

15
semen sample
16 ovulation of graffian follicle Sep 16
without rupture

management of Apr 15
1 Pathogenesis of endometriosis. May21 3 Medical
Classification and description of endometriosis
pelvic endometriosis
2 Theories of endometriosis 4

2 Hormone given for flushing in Mar 17 3 Drug of choice in post- Mar 16

post-menopausal women menopausal woman with Apr 15
osteoporosis

BENIGN DISEASE OF UTERUS

1 A 60 years old woman presents with mass per vagina which comes out on straining
and also difficulty in micturition.Answer the following :
•What is the most probable diagnosis (1)
•What are the compllcatlons(2).
•Investigations to be done (3)
•Describe the management.(4)

DECIPHER
2 A 45 years old woman presents with history of menorrhagia sinc.e 2 year GYNAecol~
s a 0 n Auo11 l~~
nd
examination there is 20 weeks size uterus. Answer the following:
•What is the diagnosis (1)
•What are the complications(2).
• Investigations to be done (3)
•Describe the management.(4)
3 A 40 years old woman presents with menorrhagia and heaviness in lower abdo
for one year with USG suggestive of fundal fibroid. Answer the following: men
•What are the investigations to be done(3)
•Describe the mode of management of fundal fibroid(4)
•What are the complications of fibroids{3)
4 A 35 years old parous sterilized woman comes with profuse bleeding per vaginum
during periods for the past six months and on examination uterus is 14 weak size.
Answer the following :
• What is the most probable diagnosis. (1)
• What are the differential diagnosis (3)
• How do you evaluate (3)
• What are the different management options(3)
OIAGNOSIS:FIBROID UTERUS
S What is fibroid uterus. Discuss its etiology, clin ical features and Apr 15
management(1+3+3+ 3)

6 Clinical features, evaluation and May21 9 Principles of myomectomy Marl]

management of adenomyosis
7 Fibroid polyp Oct 20 10 Myomectomy Mar 16
8 Management of fibroid uterus in Feb 20
25 years old infertile woman

Apr 15

Pre-requisites for myomectomy Sep 16

Red degeneration of fibroid is Apr 15

common in

Feb 19
19 Types of fibroid
Aug 18
Mar17

BENIGN DISEASE OF OVARY AND FALLOPIAN TUBE

Sep 17
Brenner tumor

Mar 16

Sep 16
 l OGY
is Rokitansky May 21 7
- - - - - -GYNAECO
Meig's syndrome
- Mar 16
5 Where
un_d-:-.---:-----: -;-::-:-::- :--t----t-- - - - - - - - - - - - - - l - -
protuberance fo_
6 Fibroma of ovary is associated Feb 19
with what syndrome
.,.,_. ..bet
Histology of dermoid tumor Nov 21

BENIGN DISEASE OF VULVA,VAGINA AND CERVIX

Urethral caruncle Feb 20

1

Bartholin's cyst Feb 18

2
Mar16

INFECTION OF GENITAL TRACT

al features and management Aug 18

Feb 18

Mar22 8 Triple swab test Sep 17

4 Bacterial vaginosis
May21 9 Pyometra Sep 16
5 Candidial vulvo-vaginitis
6 Sequale of PID Feb20 10 Usual pelvic examination findings Sep 15
in pelvic inflammatory disease
7 Treatment of trichomonas Aug 19
vaginitis

11 Culture media for candidiasis Augl9 14 Causative organism of strawberry Sep 17

vaginitis is
12 Bacterial vaginosis Feb 19 15 Characteristic microscopic finding Sep 16
in bacterial vaginosis
13 Clue cells are seen in ...... Feb 18 16 Strawberry appearance on cervix Apr 15
is the characteristic of
~ , . . ,; • . . , .~.- ~·'-1•'1" ':ti- ·"' ;:~-'?1'~W"'~':'~'
- - ... • -• - ' • ..c. •• '•' ' •-.c • - ,. ,...,. d

17 Candida albicans Oct20 19 Clue cells Apr 15

AprlS
18 Trichomonas vaginalis Feb 18
Mar16
Sep 15

TUBERCULOSIS OF FEMALE GENITAL TRACT

Aug 19

Feb20

Mar22
· 95- DECIPHER
 CERVICAL CANCER
1 Discuss the stages of carcinoma cervix, its sympt oms, signs
and
diagnosis. Add a note on its treatm ent options.(3+3+2+2)
2 A 62 years old woma n comes with post-menopausal spottin
g and whitish disch
pv. Answer the followi•ng: arge
• What is the differe ntial diagnosis (3)
• What are the investigations (3)
• Management options(4)
DIAGNOSIS:CA.CERVIX

3 Cervical lntraep ithelia l Mar 22 5 Pap test

Neoplasia(CIN) management
4 Cervical cancer screening Nov 21 6 Human papilloma virus infection
May21
Feb 18

Sep 17

arcinoma cervix Feb 20

9 Most common virus implicated Mar22 12 Commonest cause of death in Sep 16 \

for cervical cancer Feb 18 carcinoma cervix
10 First metastatic lymph node in Feb 20 13 Commonest mode of spread of Sep 15 \
malignancy ca-cervix
11 Vaccine for cervical cancer Aug 19

15 Lymphatic drainage of cervix Sep 15

MALIGNANT DISEASES OF THE OVARY AND

FALLOPIAN TU~BE= - - - - - - - -
1 75 years old woman presents with abdominal distension and on
examination there is
a mass in the abdomen and shifting dullness. Answer the following:
• What are the differential diagnosis. (3)
• What are the Investigations. (3)
• What is the management. (3)
• What are the pro nostic factors (l)
DIAGNOSIS~CA.OVARV

Management of
malignancy
3 Dia nosis of mali nant ovarian Feb 19

-96- DECIPHER
 GYNAECOLOGY

9hOlttiOIIS
May 21

How to differentiate between Nov 21 8 Granulosa cell tumor Apr 15

6
benign and malignant ovarian
tumor
7 Treatment options for Oct 20
management of malignant
ovarian tumor

Genital malignancy with highest Oct 20 11 Hobnail cells are seen in which Sep 17
9
mortality ovarian carcinoma
10 Call Exner bodies' are seen in Feb 18
which ovarian tumor
GESTATIONAL TROPHOBLASTIC DISEASE
Shott-notes
Sep 15
1 Hydatidiforrn mole
-,.n
2 Drug of choice in persistent Oct 20 3 Commonest tumor marker in Feb 19
trophoblastic disease choriocarcinoma

PELVIC ORGAN PROLAPSE

Aug 18
1 A 68 years old woman presents with mass per vagina. Answer the following :
What are the differential diagnosis.(2)
Classification of prolapse(2)
Describe the method of mayo ward repair(3)
List the complications of vaginal hysterectomy(3)
DIAGNOSIS:PELVIC ORGAN PROLAPSE
A 52 years female, Para 4 living 4 with all vaginal deliveries, came with complaints of Feb
18
2
something coming out of vagina for 8 months and increased frequency of micturition
for two months. Answer the following:
What is the etiology of it(3)
Describe supports of uterus.(3)
Management of the condition(4)
DIAGNOSIS:PELVIC ORGAN PROLAPS ___________
,.....,..._.,.......,E......,.__,.....,..,.,,.......,._ ...._ ______
5lil>ltl *
3 Management of nulliparous Nov21 5 Supports of the uterus Mar17
prolapse
4 Risk factors for pelvic organ Feb 19 6 What are the obstetric factors Sep 15
prolapse . Add a note on supports leading to prolapse
of uterus and vagina

Management of nulliparous Mar 17

prolapse
10 Sling operations Apr 15
 Prccidentia May 22 14 The reference p .
.. 01nt in
cIassrfrcation of prol apse
.
Full form of POP Q classification Nov 21 15 Anterior sling surgery
Fixed reference point In the POPQ May 21 16 Latest classification
uterus

Supports of uterus D

IN NTINENCE

ment of stress u
nee (SUI)

May21 6 Plication at bladder neck during

stress urinary incontinence, in anterior colporrhaphy for stress
present day practice incontinence

URINARY TRACT INJURIES

Sep 15

Mar22
Aug 18

Sep15

Mar 17
1 Indications and complications of Nov21 6 Female sterilization
levonorgestrol lUCO Sep 16
2 Hormonal IUCO Oct20 7 Emergency contraception
Sep 16
3 Levo norgestrel (LNG) - IUCO Aug 19 8 No scalpel vasectomy
Mar16 Sep 15
4 Laparoscopic tubal ligation Feb 19 9 Male sterilization
Apr 15
5 Tubal ligation 10 Laparoscopic sterilization
Aug19
11 Non contraceptive benefits of Mar22 14 Vasectomy
OCPs oral Aug 18
May21 15 Contraindications for
12 Levo norgestrel (LNG) - IUS
contraceptives Mar16
13 Site of selection of tube during Feb 20 16 Emergency contraception
tubectomy and Its significance : •• I •: ,"-'f'SlfV'_!
, ,
, . . ,,.,.~, 1. ~rt..«.,_._ u
17 Name of injectable contraceptive Mar 22 20Failure of contraceptive method is
expressed as - - - -
-----+----+---i-

J
1 - - - + - -- - - - - , - - 21 Fallure rate of condoms
18 Name the 4 th generation Nov 21
pro estogen pill
- 98 - DECIPIIEII
 GYNAECOLOGY
nest mode of action of Oct 20
ntraception pill
Draw and label
iUCD multiload Cu-T Sep 17

GYNAECOLOGICAL SURGERY
$hortnotes
lications of mayo-wards operation Feb 20
Answer briefly
Nov 21 3 Indications of laparoscopy in Feb 18
gynecology
One worcl amwers
for insufflation in laparoscopic surgeries Feb 19

MISCELLANEOUS
One-word answers
1 Health assistant or worker at Nov 21 3 Karyotype of Klinefelter's Sep 17
village level syndrome is
z Criteria for ovarian pregnancy Aug 18 4 Types of ectopic pregnancy Mar 16
 DIATRICS

PAEDIATRICS
THEORY QUESTION PAPER PATTERN (40 MARKS)

Essay-1x10=10
Short notes-4x3-12
Answer briefly-5x2-10
One word answer-4x1=4
Draw and label-2x2=4

DECIPHER

- 101-
 NORMAL GROWTH
GROW AND
ITS
Microcephaly
Short notes
Answer briefly
DISORDERSPAEDIATRICS
Weight gain in 1st year oflife Oct
Growth assessment and Aug 18 204Failure to thrive
5 Nov 21
development ofone year old child Ponderal index Feb 18
Draw and label
Rates of growth of different Nov 21 Mar 17
tissuesand organsin children 7 Define
Define mi
microcephaly

2.DEVELOPMENT
Short notes
Aug 18
1Breath holding spells Oct 20 2
3 Temper tantrums Answer briefly Behavioural
problems in children
4 Fine motor Mar 22 6 Feb 18
development in
thrre year old child
a
Mar 22 7 Dyslexia
Thumb sucking
Breath holding spells Feb 20
May 21 8 Mar 16
Pica
Aug 19
FLUID AND Sep 15
ELECTROLYTE DISTURBANCES
1 ECG changes in
hypokalemia Answer briefly
2 Toxicity of digitalis One word answers
is increased by Sep 17
which electrolyte disturbance
NUTRITION Mar 22
Two year old male child with Essays
Circumference of 10 cm
weight 5 kg,
height 75cm and Mid Upper arm
-

probable presenting with bilateral

diagnosis. What complications pedal edema. What is
Aug 19
manage the child you expect in this child.
How
your will
you
DIAGNOSIS:SEVERE ACUTE MALNUTRITION
2 Kwashiorkor
Short notes
4 Feb 19 3 Biochemical changes in rickets Mar15
What are the age Answer briefly
criteria for independent Feb 19 6 Grading of marasmus Sep 16
malnutrition diagnosis of
5Grading of Kwashiorkor
2 Sep 17
Radiological features of Draw and label
nutritional rickets Aug19
Age of starting complemer One word answers
feeding in infants nplementary May 219Four cardinal signs of Kwashiorkor Mar16

MICRONUTRIENTS IN HEALTH AND DISEASE

DECIPHER
103
 Short notes

1 Radiologicalfindings in rickets Mar 16

Answer briefly
2 WHO classification of vitamin A Nov 215 Hemorrhagic disease of newborn Aug19
deficiency
WIFS-Expand and write a short Nov21 6 Zinc deficiencyin children Mar 15
note
4 Clinical and radiological findings in May 21
nutritional rickets
One word answers
8 Cause of hemorrhagic disease of Nov 21 10 Antioxidantvitamins
Sep 16
newborn
9 One X-ray finding in scurvy Feb18 11 Dose of vitamin Kin newborn Sep 15
NEWBORN INFANTS
Short notes
1
Kangaroo mother care May 21 6 Mention six benign findings seen Sep 17
Mar 17
in a newborn baby
2 Neonatal jaundice appearing May 21 7
on
Advantages of breast feeding Sep 17
day one of life
3 Complications of bottle feeding Feb19 8
Cephalhematoma Mar 17
4
Immunological benefits of breast Feb 19 9 APGAR scroe Mar 15

5
feeding.
Hypoglycemia in newborn Feb 19

10
Answer briefly
Proper positioning during breastNov 21 16 X-ray findings in newborn
feeding
a
with Sep 17
11 Phototherapy respiratony distress syndrome
12
Feb 20 17 Cleft palate Mar 17
Breast feeding Advantages to Aug 19 18 Four causes for preterm birth Sep 16
mother and society
13 Prevention of sepsis in newborn
Feb 19 19 BFHI Baby friendly hospital Mar 16
nursery
14 Complications of preterm baby initiative)
15 Hyaline membrane
Aug 18 20
Warm chain Sep 15

clinical features and

disease- Feb 18 21 Difference between caput Mar 15
management succedaneum and
cephalhematoma
22 Prolactin reflex Draw and label
One word answers Nov 21
23 Age at which Moro reflex Mar 22 27
disappears Define hypoglycemia in newborn Feb 18
24 Number of arteries and veins in
Feb 20 28 What is the lactose content in
theumbilical cord Sep 0
25 Differentiation of physiological breast milk
Aug 18 29
Indications
jaundice and pathological for endo-tracheal Mar
endo-tracheal Mar a16
jaundice intubation in a newborn
26 Time of surgical correction of cleft Feb 18
palate 30 Four causes of respiratory Mar 15
distress in newly born baby
-104
DECIPHER
 IMMUNISATION AND IMMUNODEFICIENCYPAEDIATRICS
Short notes
1Pentavalent vaccine

Answer briefly
Mar 22
Nov 21 5
2 R o t a virusvaccine

May 21 6
Pneumococcal
Rota vaccine Aug 19
3 MMRvaccine
in National Feb 20
virus vaccine
vaccines
Varicella vaccine Mar 16
Polio
mmunization Schedule Mar 15
Draw and label
8Vaccine vial monitor

Oct
One word answersS 20
ced
9Currently used oal polio vaccine Mar 22 12 Minimum age for HPV
vaccine in Feb 20
and the types of viruses it contain girls
indication for intravenous Nov 21| 13 Vaccination schedule in
immunoglobulinin children B encephalitis
Japanese Feb 18
1 Name two vaccines which prevent May 21
cancer

INFECTIONS AND INFESTATIONS

Essays
Seven years old child was brought with fever and seizure
0/E deeply comatose, pale Sep 15
and significant hepato-splenomegaly. Answer the following:
What are the possibilities(2) What clinical signs will you
look for in this case(2)
How will you investigate(3) How will you manage (3)
DIAGNOSIS:CEREBRAL MALARIA/ TB MENINGITIS
Short notes
2 Hepatitis A infection |Feb 20 5 Complications of measles Sep 16
Measles management and Feb 20 6 Management of HIV in children Sep 15
Complications
4Hospital associated infections Aug 19 7
Dengue hemorrhagic shock Sep 15
Life cycle of plasmodium Draw andlabel
vivax Aug 18 9 Pinworm egg Sep 15
10 One word answers
Lne organism which causes Aug 19 15 Name of enanthem
11erythema
Drup infectiosum
seen inSep
measles
O
cerebralChoice
malariain the treatment of Feb 1916 Drug, dosage and duration
orva
treatment for a six month old
baby with sputum positive
12
Gold pulmonary tuberculosis
standard test for diag
3 dengue fever.
agnosis ofFeb 19 17 Lab diagnosis of leptospirosis Sep 15

What is the rate

of HiV eor transmission Feb 1918 Four common causes offever with ep 4
through sexual route
4Late omplication of rash
measles
DISESASES OF GASTROINTESTINAL SYSTEM AND LIVER
Aug18 19 Treatment choice in scrubtyphus Mar15

Short notes
DECIPHER
-105
 PAEDIATRICS
Enumerate the causes of Feb 18
2
and management Nov 21 splenomegaly in children
1 Clinical features
diarrhoea with
of acute watery
some dehydration Answer briefly
6
Gastro esophageal reflux disease Feb 18
3 Low osmolarity ORS (ORAL Mar 22
Feb 19
REHYDRATIONSOLUTION) 7 Four infections causing hepato- Mar 17
4 Assessment of dehydration in a May 21
splenomegaly
childwith watery diarrhoea Oct 20 8 Oralrehydration therapy Mar 15
5 Burping Draw and label
Mar 16 10 Entero-hepatic circulation Sep 15
9 Porto systemicanastomosis One word answers

zinc Nov 21 14 | In which condition, puddle sign is Oct 20

11 Dosage and duration of demonstrated
supplementation in a one-year-
oldchild with diarrhea radiological finding in Aug 18
12 Sodium content of low osmolar May 21 15 | One
intussusception
ORS
13 Quantity of oral rehydration Oct 20
solution (ORS) used in plan-B
therapy
HEMATOLOGICAL DISORDERS

Answer briefly
1 Iron chelation in thalassemia May 21 3 Causes of microcytic hypochromic Sep 17
anemia
List the Lab investigations in iron Feb 20 4 Endocrine complications of Sep 16
deficiency anaemia thalassemia
Draw and label
Aug 19
5 Peripheral smear in iron deficiency anemia
Mar 15
OTOLARYNGOLOGY
Answer briefly
1Management ofotitis media
Mar 22 3 Screening for hearing impairment AUg 1
in newborn
2 Laryngomalacia Feb20 4 Common causes for acute otitis Feb 19
media
DISORDERS OF RESPIRATORY SYSTEM
Essays y2
1 A seven child, known to have bronchial asthma has been brought with
years old
history of breathlessness of two hours duration. On examination, he is having
tachypnoea, tachycardia and audible wheeze.
How will you assess the severity of acute exacerbation(2)
What are the differential diagnosis you will consider(2)
How will you manage acute exacerbation(3)
What advice you will giveto prevent further exacerbation(3)
Short notes
Oct 20
2 Acute folliculartonsillitis Mar 22 5 Croup
DECIPHER
106
 Nov 216 PAEDIATRICS
Management of H1N1 pneumonia
S t a p h y l o c o C c a l p n e u m o n i a

ina six months old baby Mar 16

May 21
Answer briefly
A c u t eb r o n c h i o l i t i s

nia according to Feb 19 10 Atypical pneumonia in children

Classify p n e u m o n i a Mar 16
i n f e c t i o n (ARI)
respiratory

acute
c o n t r o lp r o O g r a m m e

in bronchial
Feb18 11 Pneumothorax
lation therapy Sep15
Asthma
recurrent lower Sep 16
causes
for
Four
respiratorytractinfection
Draw and label
Mar 22 13 Tracheobronchial tree
12 Surface
marking of thelungs Feb19
One word answers
of choice for mycoplasma Oct 20 14 Drug of choice for prophylaxis of Sep 15
14 Drug Sep 17
pneumonia pneumocystis jiroveci
Name two drugs for treating Feb 20 15
Name four dangerous signs in Mar 15
pneumococcalpneumonia pneumonia
16 Drug used for prophylaxis against Mar 17
pneumocystis- carinii pneumonia
DISORDERS OF CARDIOVASCULAR SYSTEM
Essays
1 Discuss the aetiopathogenesis, clinical features, lab investigations and management Aug 18
of acute rheumaticfever
A six months old baby was diagnosed to have Fallot's tetralogy. Answer the Mar 17
following:
Discuss the hemodynamics(2) Clinical features(4) Management(4)
3
Six weeks old baby presented with feeding difficulty in the form of suck-rest
cycle. Sep 16
O/E baby had moderate cardiomegaly and grade Ill systolic murmur in the left fourth
space. Answer the following:
What is the primary cardiac
abnormality(1)
What associated complication that lead to the
Discuss the hemodynamics
presenting complaints(1)
of the primary cardiac abnormality(4)
Management of the present complication(4)
DIAGNOSIS:VENTRICULAR SEPTAL DEFECT
Short notes
Cyanotic spell in fallots tetralogy Mar 22 9 Hemodynamics in patent ductus Sep 17
Components and hemodynamics arteriosus
Nov 21 10 Clinical features and
oftetralogy of fallot investigation Sep 155
Nada'scriteria Oct 20
ininfective endocarditis
ongestive cardiac failure in an
11 Complications offallot's tetralogy Mar 15
infant causes Aug 19 12
Rheumatic fever prophylaxis Mar 15
and clinical
features
Clinical features and
of cyanotic spell management Aug 18

Diagnostic criteria of infective Answer brietly

endocarditis Mar15
107 DECIPHER
 Draw and label AEDIATRICS
11 Murmur of Patent Ductus May 21 14 PDA murmur Feb 18
Arteriosus (PDA)
12 Foetal circulation Oct 20 15 Types of ventricular septal defect Sep 17
Sep 16
13 Hemodynamics of ventricular Feb 20
septaldefect
One word answers
16 Name the congenital heart Sep 17 17 Drug of choice for rheumatic Sep 16
disease in which lower limb pulses carditis with congestive
cardiac
areweak failure
DISORDERS OF KIDNEY AND URINARY TRACT
Essays
A six years old child has been brought with history of facial puffiness and high Mar 22
coloured urine for last 12 hours. He is hypertensive,has pedal edema but no ascites
or pleural effusion.
What is the most probable diagnosis(1)
What is the most important differential diagnosis(1)
What are the points in history to differentiate the two(3)
What are the essential investigations to be done and the abnormalities
expected(2)
How will you manage this condition (3)
DIAGNOSIS:NEPHRITIC SYNDROME
A five years old male child
presented with edema around eyes which progressed to Nov 21
generalized edema in few days. He had normal urine output. Urine examination
showedheavy proteinuria, but no haematuria.
What is your most probable diagnosis(1)
Write about the pathogenesis of this condition(3)
List down the essential investigations and expected
finding(3)
How will you manage the child with in the hospital (3)
DIAGNOSIS:NEPHROTIC SYNDROME
3 A 3 years old male child is
diagnosed to have minimal change nephrotic Feb 19
syndrome.Discuss pathogeneses, clinical features and management of the
same(2+4+4)
A three years old boy complaints of oliguria and edema since three days. Answer the Sep17
following
How will clinically evaluate the patient(3) How will you investigate(3)
How will you manage if final diagnosis is acute-glomerulonephritis(4)
5 Four years old childe presented with puffiness of face, swelling all over the body and iar o
decreased urine output. What is the most probable
diagnosis. How will you clinically
evaluate and manage this child(2+4+4)
DIAGNOSsis:NEPHROTIC SYNDROME
Short notes
6 Clinical features and urinary Oct 20 7 Drugs nephrotic Sep 17
causing
findings in acute syndrome
glomerulonephritis
Answer briefly
8 Hypernatremic dehydration Mar 22 9 Steroid nephrotic Aug 18
dependent
syndrome
Draw and label
-108- DECIPHER
1 0 N e p h r o n

One word answers Mar 22

1 1 C o m m o n l y
used potassium sparing diuretic
May 21
ENDOCRINE AND METABOLIC DISORDERS
Short notes
1Congenital hypothyroidism Feb 20 2
Undescended testes
Answer briefly Feb 20

Sep15
3 C r y p t o r c h i d i s m

One word answers

Electrolyte abnormalityobservedi congenital adrenal hyperplasia
Aug 19
CENTRAL NERVOUS SYSTEM
Essays
ars old unimmunized boy admitted with history of low grade fever for last Oct 20
three weeks, recurrent seizures and altered sensorium for last two days. On

examination, neck stiffness is elicited.

What is the most probable diagnosis(1)
What are the differential diagnosis(2)
Write down relevant points in history and clinical examination to arrive at a
diagnosis(3)
List down the investigation to be done and the expected finding(2)
How willyou manage this child(2)
DIAGNOSIS:MENINGITIS
2 Atwo years old male child has been brought with history of fever since eight hours Feb 20
and one generalized seizure 30 mts before coming. On examination, seizure has
subsided, child is drowsy but arousable.
List four differential diagnosis you consider(2)
How will you come to a clinical diagnosis.(4)
How will you investigate this child. How investigations help to confirm the
diagnosis.(4)
DIAGNOSIS:FEBRILE SEIZURES
3Discuss the aetiopathogenesis, clinical features, laboratory investigations and Feb 18
management of pyogenic meningitis(2+3+2+3)
Short notes
4
Neonatal seizures Mar 22 7 Definition and management of Aug 18
status epilepticus
S Sep 16
Simple febrile seizure May 21 8 MRI findings in tuberous sclerosis
Mar 17
Laboratory diagnosis Preventable of intellectual Mar16
of pyogenic Aug18 causes

meningitis disability(mental retardation)

10 CSF Answer briefly Sep 15
picture of tubercular Mar 17 12 Cerebral edema
meningitis
1Management of febrile seizures Mar 16
13 Draw and label Mar 17
Comp
mponents of stretch reflex May 21 17 Circle ofWillis Mar 15
(Tendon reflex) Mar 17
4Ventricular system of brain Feb 19 18 Posteriorcolumn of
spinal cord
DECIPHER
-109-
 PAEDIATRICS
Feb 18 19 CSF pathway Mar 16
15 Internal capsule
16 Course ofsixth cranial nerve Sep 17
One word answers

20 Drug of choice for herpes simplex encephalitis Aug 19

NEUROMUSCULAR DISORDERS
Essays
1 What is acute flaccid paralysis. Discuss the differential diagnosis of a case of acute Mar15

flaccid paralysisand its surveillance(2+6+2)

Short notes

2 Acute flaccid paralysis and surveillance of poliomyelitis Feb 18

One word answers
Nov21 5 When was last case of wild Mar 16
Commonest type of muscular
dystrophy in children and its poliomyelitis reported in India Mar 15

mode of inheritance
Pattern of inheritance of Sep 17
Duchenne muscular dystrophy

RHEUMATOLOGICAL DISORDERS
Shortnotes
Kawasaki disease Aug 19
Feb 18
Answer briefly
2 Classify JIA (Juvenile ldiopathic Sep 17 3 Four clinical findings in henoch Sep 16
arthritis) schonlein purpura
GENETIC DISORDERS
Short notes
1 Antenatal diagnosis of down Mar17 2 Ocular findings in Down's Sep 16
syndrome syndrome
Answer briefly
3 Antenatal diagnosis of down Nov 21 4 Geneticcounselling Feb 18
syndrome
One word answers
5 Chromosomal abnormality in Feb 20 7 Pattern of inheritance of Marfan's Mar 17
turnersyndrome syndrome
Name one X linked recessive Aug 19 8
disorder
Pattern of inheritance of Hunter's Sep16
disease
INBORN ERRORS OF METABoLISM
Answer briefly
1 Four causes of hypercholesterolemia in child Oct 20
One word answers
2 Pattern of inheritance in glucose Oct 20 3 Odor of urine in phenyl ketonuria Mar 17
6 phosphate dehydrogenase
deficiency
EYE DISORDERS
110 DECIPHER
 retinitis pigmentosa
retinitis
AEDATRICS
causesof
Four Draw and label Mar 17
2 Extraocularmuscles Feb 20 3
Visual pathway
Aug18
SKIN DISORDERS Sep 16

Answer briefly
1Mongolianspot
Oct 20
POISONINGS, INJURIES AND ACCIDENTS
Short notes
Kerosene poisoning Aug19 3 Management of near
child drowning Sep 15
Clinical manifestations of snake Mar 16
envenomation

One word answers

Mention the antidote, its oral dosage & duration in paracetamol
Feb 19
poisoning
PEDIATRIC CRITICAL CARE

Answer briefly
1 Heimlich maneuver Oct 20

COMMON MEDICAL PROCEDURES

1
Answer briefly
Steps of hand washing Aug 18

RATIONAL DRUG THERAPY

One wordanswers
1 Name the long acting
penicillin Mar 22

INTEGRATED MANAGEMENT OF NEONATAL AND

CHILDHOOD ILLNESS
1 IMNCI Shortnotes
Aug 18
Sep 16

DECIPHER
-111