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Dicm 333:Medicine Paper I Question Paper

Dicm 333:Medicine Paper I

Course:Clinical Medicine

Institution: Kenya Methodist University question papers

Exam Year:2013

KENYA METHODIST UNIVERSITY

END OF 1''ST ''TRIMESTER 2013 (FINAL QUALIFYING) EXAMINATIONS
SCHOOL : MEDICINE & HEALTH SCIENCES
DEPARTMENT : CLINICAL MEDICINE
UNIT CODE : DICM 333
UNIT TITLE : MEDICINE PAPER I
TIME : 3 HOURS

Instructions:

Read the instructions carefully
Write your University Number (Not Name)
Number all the questions correctly
Attempt all the questions Parts A and B separately
Do not use a pencil.

PART A

Question One

Outline the classifications of jaundice into three and for each give two examples that may cause it.
Describe the clinical features of viral hepatitis

Question Two

Describe Pulmonary Tuberculosis under the following headings:

Actiology
Clinical features
Management

Question Three

A young man presents to you with a one day history of hotness of the body general malaise and rigors. On examination, you find he has splenomegally and finger clubbing urinalysis revealed microscopic haematuria.

What is the likely diagnosis
List other three signs that you may find on examination
Two weeks later the patient develops a bilateral pitting oedema, orthopnoea and tender lepatomagally.
What is the diagnosis now?
Outline the management of this condition

Question Four

A patient presents to you with a history of having vomited blood.

List five common causes
Discuss the management of haematemesis

Question Five

A patient comes to you in outpatient clinic with a history of passing loose stool mixed with blood and mucous.

List the differential diagnosis
Which investigations will you do.
How do you manage/treat one of your differential diagnosis

PART B

Question One

Discuss chronic renal failure in terms of

Presentation
Metabolic complications
Investigation
Management

Question Two

A patient presents to you with signs and symptoms suggestive of cryptococcal meningitis.

Outline the investigation of this condition
Its complications
Management

Question Three

Discuss acute leukhaemia under the following headings

Clinical features
Differential diagnosis
Investigations
Management

Question Four

A fifty year old man presents to you with symptoms and signs suggestive of cirrhosis of the liver.

Enumerate the common actiological factors.
Clinical features
Investigation

Question Five

A patient comes to you with a history of having visited a relative in Kisumu recently and now is complaining of headache, feverish and general malaise.

What are the differential diagnosis of this case
What investigations can you carry out to confirm the disease
How do you manage this case

Dicm 333:Medicine Paper I Question Paper

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