Kathmandu University
BIRAT MEDICAL COLLEGE
Budhiganga-02, Tankisinuwari, Morang
Level: Final MBBS (Batch: 2021)
Semester: 8th
Time: 2 hrs. 30 mins.
Date: March 11, 2026
Examination: End-Semester
Subject: Medicine & Allied Subject (Paper-I)
Marks: 50
#INSTRUCTION TO THE CANDIDATE
Answer each section in a separate answer book.
Write brief, relevant and legible answers.
Illustrate your answer with well labeled diagrams where required.
All questions are compulsory.
#SECTION 'B'
Short Answer Questions [30 marks]
#Medicine
Enumerate the causes of hyperparathyroidism. How would you manage a case of primary hyperparathyroidism? [1+3=4]
How would you approach a case of hyponatremia? [4]
Differentiate between Ulcerative colitis and Crohn’s disease. [4]
What are the clinical features and complications of Guillain Barre Syndrome? [4]
#Dermatology
Classify pyogenic skin infections. [3]
Name two infections caused by Corynebacterium. [2]
Define: [6]
a. Folliculitis
b. Furuncle
c. CarbuncleWrite the difference between cellulitis and Erysipelas. [3]
#SECTION 'C'
Problem Based Questions / Modified Essay Questions [2Q × 10 = 20 marks]
#Problem I
Ms. JK, 18 years unconscious female was brought to emergency. As per relatives, she had shaking movements, frothing from mouth, up rolling of eye and non-responsive for continuous 2 minutes. They informed no similar episodes in past.
a. Differentiate between seizure and pseudo-seizure. [2]
b. How would you approach such patient if you were posted in emergency? [4]
c. Mention 3 neurological causes and 3 non-neurological causes of loss of consciousness. [3]
d. What is the drug of choice for seizure during pregnancy? [1]
#Problem II
A 55 years old male, who is a chronic alcohol consumer presented to ER with blood mixed vomiting for 3 episodes for 1 day.
a. List the common causes of upper gastrointestinal bleed. [3]
b. What are the initial assessment of upper GI bleed? [3]
c. How do you manage this case? [4]