This document contains sample questions from various medical exams in different specialties, including internal medicine, surgery, obstetrics/gynecology, and pediatrics. The questions cover topics such as community acquired pneumonia, heart failure, myocardial infarction, tuberculosis, diabetes, peptic ulcer disease, anemia, schizophrenia, liver disease, eclampsia, jaundice in pregnancy, fibroids, contraception, thyroid cancer, pancreatitis, testicular cancer, bone tumors, growth and development in children, malnutrition, neonatal sepsis, renal failure, and more.

1. Collected by: SPRimal for xenoMED, Nepal. (www.xenomed.com)
Nepal Medical College, Attarkhel, Jorpati
Medicine & Allied I
Marks: 70
Time: 3 hours
1. Discuss the common C/F of community acquired pneumonia. Outline the management
of a case presenting with this illness. Enumerate the complications of pneumonia.
[5+5+2=12]
2.
a. Discuss the clinical features and management of acute left heart failure.
[3+3=6]
b. Discuss the ECG features of acute myocardial infarction [5]
3. Write brief on: [3x4=12]
a. MDR‐TB
b. Dermatological manifestations of AIDS.
c. Allergic Aspergillosis
4. Outline the aetiological classification of Diabetes Mellitus. Enumerate the diagnostic
criteria and the complication of this disease. [5+3+4=12]
5.
a. Discuss the clinical features and management of SALE. [3+3=6]
b. Define Nephrotic syndrome. What are the causes of this syndrome? Describe its
clinical features. [1+2+2=5]
6. S/N [3x4=12]
a. Hyponatremia
b. Acute mountain sickness
c. Organo phosphorus poisoning

2. Collected by: SPRimal for xenoMED, Nepal. (www.xenomed.com)
Nepal Medical College, Attarkhel, Jorpati
Medicine & Allied II
Marks: 70
Time: 3 hours
1. Describe the C/F of tubercular meningitis. How would you confirm the diagnosis? Give
the treatment in brief. [4+2+6=12]
2. What are the C/F of falciparum malaria? How would you investigate? How would you
treat a resitant case of malaria? [ 2+1+3=6]
3. How would you investigate H.pylori infection? Give the out line of treatment of peptic
ulcer disease. [6+6=12]
4. What are the common causes of Anaemia in Nepal? Describe the blood pictures in
different disease. How would you treat a case of Megaloblastic Anaemia? [6+4+6=16]
5. S/N 6x4=24
a. Treatment of Schizophrenia
b. Mx of overdose of paracetamol
c. Anti leishmanial drugs
d. Fatty liver

3. Collected by: SPRimal for xenoMED, Nepal. (www.xenomed.com)
Nepal Medical College, Attarkhel, Jorpati
Obstetrics & Gynaecology
Marks: 70
Time: 3 hours
1. Define Eclampsia. How would you manage a case of 20 yrs primigravida at 37 weeks
pregnancy with Eclampsia? [2+8=10]
2. S/N [5x2=10]
a. Asymptomatic bacteriuria in pregnancy
b. Cephalic disproportion
3. How will you classify jaundice in pregnancy? Write down the management of
intrahepatic cholestosis of pregnancy at 36 weeks pregnancy. [4+6=10]
4. S/N [5x2]
a. Hellp syndrome
b. Gestational diabetes
5. Describe different types of fibroid of uterus and clinical features produced by
fibroids.[2+5=7]
6. S/N [ 4x2=8]
a. Investigations of female partner in fertility
b. Complication of ovarian cyst
7. Enumerate the clinical features is Trichomoniasis infection and outline the treatment
[3+4=7]
8. S/N [4+4=8]
a. FIGO classification of carcinoma of cervix.
b. Copper‐T contraceptive device

4. Collected by: SPRimal for xenoMED, Nepal. (www.xenomed.com)
Nepal Medical College, Attarkhel, Jorpati
Surgery & Allied I
Marks: 70
Time: 3 hours
1. An obese lady of 40 yrs had exploratory laparotomy for acute bowel obstruction. On the
5th
post operative day, she developed swelling of the Rt. leg with pain. On examination,
she was found to have Pyrexia, creps over the chest and also swelling of the Rt.leg.
[3+5+6=14]
a. What is the most likely diagnosis?
b. What Ix would you perform to diagnosis?
c. Treatment of such a case.
2.
a. Thyroid nodule, Ix and treatment of papillary carcinoma of thyroid (5)
b. Fibroadenoma of breast and treatment (5)
3. S/N [3x4=12]
a. Glasgow coma scale and Head Injury
b. Carbuncle
c. Pilonidal sinus
4. Write the C/F ,Ix and treatment of chronic Duodenal ulcer [4+3+5=12]
5. A young lady is admitted with gall stone pancreatitis. Discuss its Mx. [13]
6. S/N [3x4=12]
a. Fistula in Ano
b. Intussuption in children
c. Skin graft

5. Collected by: SPRimal for xenoMED, Nepal. (www.xenomed.com)
Nepal Medical College, Attarkhel, Jorpati
Surgery & Allied II
Marks: 70
Time: 3 hours
1. Classify testicular tumor. Describe Ix and treatment of seminoma. [3+4+6=13]
2. S/N [3x4=12]
a. Epidural anesthesia
b. Ultrasound Ix in general surgery
c. Dentigerous cyst
3. S/N [3x4=12]
a. Dry and wet gangrene
b. Role of Antibiotics in surgery
c. Bowel preparation in large Bowel surgery
4. Define colle’s Fracture. Describe clinical features, diagnosis and Mx of Colle’s fracture.
treatment of Giant Cell Tumor [2+2+2+4=10]
5. Classify bone Tumors. Describe C/F, diagnosis and treatment of Giant Cell Tumor.
[4+2+2+2=10]
6. S/T [5x3=15]
a. Myositis ossificans
b. Osteoarthritis of knee joint
c. Cubitus valgus deformity
d. Nonunion of fracture

6. Collected by: SPRimal for xenoMED, Nepal. (www.xenomed.com)
Nepal Medical College, Attarkhel, Jorpati
Paediatrics
Marks: 70
Time: 3 hours
1. Describe factors affecting growth and development. How do you assess somatic growth
in a child? 4+2=6
2. Discuss the Management of several protein energy malnutrition. 4
3. S/N 3x2=6
a. Bruxim
b. EPI program in Nepal
c. Clinical features of down syndrome
4. What are the C/f of hypothermia in a newborn? Write down in short about kangaroo
mother care. 2+1=3
5. Discuss sings and symptoms of neonatal sepsis and its management. 2+2=4
6. S/N 3x3=9
a. Surgical emergency in a newborn
b. Exchange transfusion
c. Causes of neonatal seizures
7. What are the cases of acute renal failure in children? Describe the management of acute
renal failure. 2+4=6
8. What is the primary complex of tuberculosis? Describe the fate of primary
complex.1+5=6
9. S/N 4x3=12
a. Diagnostic criteria of juvenile rheumatoid arthritis
b. Causes of short stature
c. C/F of hemophilia
10. A 2 yrs old child weighing 23 kg is admitted with complain of vomiting and loose stool
for a day he is lethargic, has very sunken eyes and skin pinch goes back very slowly. How
do you manage this child? 5
11. S/N 3x3=9
a. Mx of acute severe asthma
b. Mx of Status Epillipticus
c. Mx of paracetamol poisoning