Tuesday, September 27, 2011

KMC SYSTEM COMPLETION TEST ON GIT

                                                                 KMC
                                                      MBBS    SECOND YEAR

                                                                                                  TIME-1 HOUR
                                                                                                  MARKS-30


                                                            PHARMACOLOGY 



1.) ENUMERATE THE DRUGS USED IN PEPTIC ULCER. DESCRIBE THE MECHANISM OF       ACTION OF RANITIDINE . MENTION IT'S USES.(4+3+2=9)

2.)GIVE PHARMACOLOGICAL BASIS OF USE OF :   (3.5+3.5=7)

  A.)METOCLOPRAMIDE IN VOMITING
  B.)LOPERAMIDE IN DIARRHOEA

3.)WRITE MECHANISM OF ACTION AND USES OF  (3.5+3.5=7)
  A.) ALBENDAZOLE
  B.) ISPAGHULA 

4.)WRITE THE FOLLOWING (3.5+3.5=7)
   A.)USES AND ADVERSE EFFECT OF METRONIDAZOLE
   B.)TREATMENT OF PEPTIC ULCER DUE TO H. PYLORI INFECTION


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                                                                               KMC
                                                                 MBBS SECOND YEAR 
                                   
                                                                         PHYSIOLOGY 
                                                                                                                       26TH SEPTEMBER 2011
                                                                                                                       FM:25
                                                                                                                        TIME :1 HOUR



1.)WRITE DOWN THE FUNCTION OF BILE. HOW BILE FLOW FROM GALLL BLADDER IS     REGULATED ?(3+3=6)

2.)LIST THE DIFFERENT TYPES OF GASTROINTESTINAL(GI) MOVEMENTS.EXPLAIN           PERISTALSIS?(1+3=4)

3.) WRITE SHORT NOTES ON(5*3=15)
    
     A. SALIVARY SECRETION
     B. VOMITING REFLEX
     C. CHOLESYSTOKININ(CCK)
     D. PEPTIC ULCER
     E.  INTESTINAL SECRETION
 _____________________________________________________________________________________

                                                                                                                  sept25 2011
                   DEPARTMENT OF BIOCHEMISTRY
                    CHAPTER COMPLETION TEST                            MM 30(15+15)
                                                                                                         TIME :1 HR

                         GASTROINTESTINAL AND HEPATOBILLIARY 

PLEASE WRITE CPMPLETE SENTENCES IN ANSWERBOOK. EACH BLANK IN 0.5 MARKS.

1.)THE TRANSPORT OF ___________, ___________ AND ___________ AMINO ACIDS OCCURS THROUGH NA+  DEPENDENT TRANSPORT WHILE_______________ AND_____________ AMINO ACIDS ARE TRANSPORTED THROUGH NA+ DEPENDENT MECHANISM.  

2.)GLUT 5 IS MAINLY REQUIRED FOR ABSORPTION OF____________ FROM GIT WHILE GLUT 2 FOR THE TRANSPORT OF ALL MONOSACCHARIDES FROM _____________ TO ___________ .

3.)OUABAIN SPECIALLY INHIBITS______________ PUMP REQUIRED FOR GLUCOSE ABSORPTION WHILE IT CANNOT INHIBIT ____________ PUMP INVOLVED IN HCL SECRETION. 

4.)PANCREATIC LIPASE IS INHIBITED BY ____________ AND ACTIVATED BY ___________.

5.)THE MAJOR END PRODUCTS OF PROTEIN DIGESTION IN LUMEN OF GIT ARE ___________ AND _____________.

6.)____________ AND _____________ ARE EXO PEPTIDASE WHILE ____________ AND __________ ARE ENDOPEPTIDASES.

7.)SHORT AND MEDIUM CHAIN FATTY ACIDS(<12C'S) ARE ABSORBED INTO___________ SYSTEM DIRECTLY WHILE LONG CHAIN FATTY ACIDS ENTER THE ___________ SYSTEM.

8.)MALABSORPTION IS CLASSSIFIED INTO THREE TYPES: _____________,______________ AND ___________ TYPE OF MALABSORTION.

9.) _____________ IS A HORMONE SECRETED BY ADIPOCYTE WHICH SERVES AS SATIETY SIGNAL AND IS CODED BY THE ___________ GENE. THE HORMONE ADIPOPECTIN HAS TWO FUNCTIONS , __________ AND ____________ .

10.)A PH OF 1-2 IS REQIRED FOR THE CONVERSION OF INACTIVE ENZYME ______________ TO ACTIVE FORM ______________.



11.)OUTLINE THE STEPS OF GLUCONEOGENESIS.(4)

12.)SHOW DIAGRAMATICALLY RECIPROCAL REGULATION OF GLYCOGEN                     METABOLISM.(4)

13.)WHICH CLINICAL MEASURE WILL CLINICALLY DIFFERENTIATE BETWEEN HEPATOCELLULAR AND OBSTRUCTIVE JAUNDICE ? (3)

14.) WHAT CHANGES DOES BILURUBIN UNDERGO IN LIVER ?(2)

15.) WHAT IS AMMONIA INTOXICATION ?(2) 

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                                        KATHMANDUMEDICAL COLLEGE
                                                       DUWAKOT                                                    
27 SEPT 2011                                                                                                         TIME: 1 HOUR

                                   DEPARTMENT OF PATHOLOGY
                                    CHAPTER COMPLETION TEST
                                           GI AND HEPATOBILIARY
                                               IInd YEAR MBBS                                                         FM = 25
   

1.) DISCUSS ETIOPATHOGENESIS OF PEPTIC ULCER AND ENUMERATE IT'S                            COMPLICATIONS ?                                                                           (5+1=6)

2.)ENUMERATE THE RISK  FACTORS FOR GASTRIC CARCINOMA.      (4)

3.)TABULATE THE DIFFRENCE BETWEEN ULCERATIVE COLITIS AND CROHN'S      DISEASE .                                                                                                               (5) 

4.)DEFINE CIRRHOSIS OF LIVER. MENTION THE ETIOLOGIC CLASSIFICATION OF CIRRHOSIS.                                                                                                           (5)

5.) LIST  THE TYPE OF GALLSTONES AND ENUMERATE THE RISK FACROS OF ANY  TWO TYPES OF GALLSTONES.                                                                         (5)

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                                               KATHAMNDU MEDICAL COLLEGE    
                                                  MBBS II   MICROBIOLOGY                           29 SEPT 2011
                                                                                                                                 TIME: 1 HOUR
FM=30




WRITE SHORT NOTES ON:(6*5=30)

1.) LABRATORY DIAGNOSIS OF ENTERIC FEVER.

2.)LIFE CYCLE OF HOOKWORM.

3.)PATHOGENESIS OF V. CHOLERA.

4.)STRUCTURE OF HEPATITIS B VIRUS.

5.)CASONI'S TEST

6.)LABRATORY DIAGNOSIS OF INTESTINAL PARASITIC INFECTION.

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      TIME  : 1 HOUR                       KMC
                                                   BASIC SCIENCE                                                                       FM:25
                                         DEPARTMENT OF ANATOMY                          26TH SEPT 011





ALL QUESTIONS ARE COMPULSORY

1. WRITE BRIEFLY;                                                              (1+1+3=5)

A.)CONSTITUENT PART IN DEVELOPMENT OF UPPER LIP

B.)DEERRIVATIVE OF VENTRAL MESOGASTRIUM

C.)DEVELOPMENT OF PANCREAS


2. WRITE  SHORT NOTES ON :(2+2=4)
   
A.)BOUNDRIES OF INGUINAL CANNAL
   
B.)STRUCTURES PASSING THROUGH PAROTID GLAND 



3. MENTION THE MUSCLES OF PHARYNX WITH THEIR NERVE SUPPLY.             (1+1=2)

4. WRITE THE EXTENT AND ARTERIAL SUPPLY OF ESOPHEGUS.                            (1+1=2)

5. WRITE THE BOUNDRIES AND CLINICAL IMPORTANCE OF HEPATORENAL POUCH         OF MORRISON.

6. SHOW THE ANTERIOR AND POSTERIOR RELATION OF RECTUS SEATHS AT                        FOLLLOWING LEVEL;                                              (2+2=4)  

         A.)IN BETWEEN COSTAL MARGIN AND ARCUATE LINE.
         
         B.)BELOW THE ARCUATE LINE.

7.  WRITE BRIEFLY                                                        (2.5+2.5=5)

       A. BASIC MICROSCOPIC STRUCTURES OF GI TRACR.
       B. HISTOLOGICAL DIFFERENCES BETWEEN LARGE AND SMALL INTESTINE


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                                                 SPECIAL THANKS 
                      TO MY FRIEND KSHITIZ  BHUJEL FOR HIS HELP.
 __________________________________________________________________________________ 


 

 
 

Wednesday, September 14, 2011

BIOCHEMISTRY MBBS II CHAPTER COMPLETION TEST 1 2011

_______________________________________________________________________________________                                         
                                            DEPARTMENT OF BIOCHEMISTRY
                                    KATHMANDU MEDICAL COLLEGE, DUWAKOT
         CHAPTER COMPLETION TEST MBBS II YEAR  (GSTROINTESTINAL SYSTEM)
         MM 25                                                                                                              SEP 14 2011


1. DISCUSS THE ROLE OF LIVER IN ENERGY METABOLISM ?(3.5)
2. WHAT IS OBESITY ? HOW IS BODY FAT DETERMMINED ?(1+1.5=2.5)
3.DIFFERENTIATE BETWEEN KWASHIORKOR AND MARASMUS.(2) 
4.WRITE ABOUT GASTRIC DIGESTION OF PROTEINS. NAME ANY FOUR CARRIER              SYSTEM FOR ABSORPTION OF  AMINO ACIDS ?(2+2=4)
5.SHOW DIAGRAMATIC REPRESENTATION  OF GLUCOSE ABSORPTION .DISCUSS THE TYPE OF LACTOSE INTOLERENCE.(2+1.5=3.5)
6.EXPLAIN DIFFERENT CONDITION FOR MALABSORPTION OF LIPIDS.(2) 
7.DISCUSS THE ROLE OF LIPASE IN DIGESTION OF TRIGLYCERIDE AND MENTION THE ROLE OF BILE SALTS IN IT'S ABSORPTION.(3+1.5=4.5) 
8. NAME ANY FOUR TYPES OF DIETARY FIBRES AND WRITE THEIR SIGNIFICANCES.(1+2=3)
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solutions would be posted later.