MCPS (MEDICINE): JANUARY, 2012: PAPER I

1. A 16 year old boy presented with nasal & gum bleeding with swelling of right knee joint and echymosis.
How will you approach to manage the patient?
2. Write Short answers on:
a) How will you diagnose a case of adult stills disease?
b) Give an outline of dietary management in CKD patient.
c) How will you manage a case of a panic attack?
d) How will you manage a case of MDR-TB?
e) Drug treatment of osteoporosis.
3. A 25 year old man presented with high fever for 1 week with unconsciousness. How will you approach
for diagnosis and management?
4. Write Short notes on:
a) Monoclonal antibody.
b) Urticaria.
c) Hypocalcaemia.
d) Polypharmacy in elderly.
e) Sub-clinical hypothyroidism.

MCPS (MEDICINE): JANUARY, 2012: PAPER II

1. A 18 year old girl presented with fever, loss of appetite, weight loss for last 3 months. Physical
examination revealed ill defined mass in right lower abdomen. How will you evaluate and manage the
case?
2. Write Short answers on:
a) What is microalbuminuria? What is its significance?
b) How will you monitor disease activity of a diagnosed SLE patient?
c) Role of beta blocker in the treatment of chronic heart failure?
d) How will you establish the etiological diagnosis of a case of tingling sensation in right hand?
e) How will you manage a case of BDZ poisoning?
3. A 35 year old lady presented with recurrent UTI. How will you approach to manage the case?
4. Write Short notes on:
a) Breaking bad news in clinical practice.
b) Interpretation of serum iron profile.
c) Ebastine.
d) Labile HTN.
e) Chikungunya virus infection.

MCPS (MEDICINE): JULY, 2002: PAPER I

1. A 25 years old male patient presented with low backache, morning stiffness and oligoarthritis. How will
you investigate & manage the patient.
2. Write Short answers on:
a) How would you investigate a 35 years old lady with solitary thyroid nodule?
b) How will you manage a case of Hypercholesterolaemia?
c) How would you evaluate a 66 years old lady with tremor of the hands?
d) How will you evaluate a young female complaining of gas in the abdomen?
e) How would you distinguish between haemorrhagic & ischaemic stroke?

MCPS (MEDICINE): JULY, 2002: PAPER II

1. How would you evaluate and manage a patient of 30 years with recurrent jaundice?
2. Write Short answers on:
a) Describe a typical attack of angina pectoris.
b) How will you manage Diabetic foot ulcer?
c) Enumerate nail changes in systemic diseases.
d) How would you follow up a cirrhotic patient admitted in your ward?
e) How would you evaluate a 25 years old lady with oral ulcer?

MCPS (MEDICINE): JULY, 2001: PAPER II

1. A 45 year old man is brought to you in unconscious state. How would you mange the patient.
2. Write Short notes on:
a) Treatment of MDR-TB.
b) PNH.
c) Heat stroke.
d) Sleep apnea syndrome.
e) Methanol poisoning.
3. How would you approach to a 25 year old male presenting with recurrent Jaundice?
4. Write Short answers on:
a) What electrolyte abnormalities may occur in a patient with acute diarrhea? How would you correct
them?
b) How would you distinguish between syncope and seizure?
c) What information you may obtain from examination of apex beat?
d) What advice will you give to a patient of acute exacerbation of bronchial asthma on discharge?
e) What are the cardinal features of OCD?

MCPS (MEDICINE): JANUARY, 2001: PAPER II

1. How do you investigate & mange a patient of 35 years presenting with ptosis, diplopia, & difficulty in
chewing & swallowing. Examination of CNS reveals weakness of all linmbs.
2. Write Short notes on:
a) Dyslipidaemia as risk factor for IHD.
b) Dementia.
c) ESRD.
d) Nephrocalcinosis.
e) Antioxidants.
3. A 45 year old male presents with a short history of severe chest pain. Describe how you will manage
the case.
4. Write Short answers on:
a) Describe the role of HLA typing in the diagnosis & management of disease.
b) Describe the usefulness of Fundoscopic examination in medical practice.
c) A 65 year old patient was admitted in hospital with recurrent vomiting followed by unconsciousness.
What electrolytes abnormalities occur and how will you correct abnormalities.
d) Describe the management of gestational DM.
e) Role of ARB in HTN.

FCPS (MEDICINE): JULY, 2014: PAPER I

1. A 38 year old woman presented with recurrent upper abdominal pain. She had lathergy, recurrent
vomiting and polyuria. Her blood glucose is normal and urine examination showed hematuria.
a) Critically analyse the symptoms and signs in terms of diagnosis.
b) How would you investigate her?
2. Write Short answers on:
a) A 60 year old man developed anuria after getting first dose of chemotherapy for stage III NHL. How
would you manage her?
b) Enumerate the factors to be considered while prescribing in the elderly.
c) Mention the syndromic approach in the diagnosis of poisoning patients
d) Enumerate the clinical conditions where serum magnesium estimation is indicated?
e) Mention the significance of casts in routine urine microscopy.
3. A 50 year old man presented in the emergency department with history of severe central chest pain for
4 hours.
a) Write down the points that you will consider during initial assessment.
b) Make a checklist of clinical information that would help to arrive at clinical diagnosis.
c) Mention the first-line investigations.
d) Mention the special investigations along with the criteria governing their selection.
4. Write Short answers on:
a) A 40 year old man presented in the emergency with history of fresh per rectal bleeding for 8 hours.
What clinical information will help in reaching the diagnosis?
b) How will you manage a patient with hypertensive encephalopathy?
c) Enumerate the various options for the treatment of HCC with their indications and limitations.
d) Enumerate the psychiatric manifestations in endocrine disorders.
e) A 40 year old married woman presents with severe abdominal pain with shock. How will you
clinically evaluate for differentials. Mention the urgent investigations with reasoning.

FCPS (MEDICINE): JULY, 2014: PAPER II

1.

A 25 year old married woman presented with headache for 6 weeks and blurring of vision for 2 weeks.
a) Mention the differential diagnoses with clinical reasoning.
b) Mention the rational investigation with interpretations.
2. Write Short answers on:
a) Describe the Block and Replace regimen in the management of thyrotoxicosis.
b) How would you manage a dying patient?
c) Enumerate the factors influencing the management of bronchial carcinoma.
d) How will you investigate a 35 year old woman presenting with chronic urticaria not responding to
conventional treatment?
e) How will you differentiate GBS and ATM?
3. A 30 year old woman presents with multiple joint pain for 1 year. Recently she has developed dry
cough. Examination reveals right sided moderate pleural effusion.
a) Make a checklist of clinical information that might help in the diagnosis.
b) Mention laboratory tests that you will consider first-line with their interpretation.
c) Mention special investigations with criteria governing their selection.
4. Write Short answers on:
a) Mention the investigations with clinical reasoning for a 19 year old male student presenting with
fever for 2 weeks.
b) How will you differentiate viral encephalitis from cerebral malaria?
c) A 25 year old man presents with a discharging sinus on left side of neck at 4 months of category-I
Anti-TB drugs. How will you manage the patient?
d) How sputum examination helps in monitoring response to therapy in patients with PTB?
e) Mention important cell targeted therapies recommended in medical practice.