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
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                                                                                                                  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.
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