Bangabandhu Sheikh Mujib Medical University
Month and year of Exam. January 2024 Residency Program
Course MD
Discipline :Medicine & Allied
(Cardiology, EM, Gastroenterology, Hepatology. Time….3 Hours
Haematology, Internal Medicine, Nephrology, Neurology, Pass marks. Total marks-100
Pulmonology, Medical Oncology and Rheumatology) Pass marks-60
Phase A
Paper I One
Subject Medicine & Allied
Instructions All questions carry equal marks.
Answer all questions,
Use separate answer script for each group.
Group-A
Q.1. Write in short about "Sepsis six"
Q.2. Write characteristics of mitochondrial inheritance with example.
Q.3. On examination of a 30-year-old woman prominent V wave of Jugular venous pulsation was
found.
a) Formulate a list of causes of this abnormal finding.
b) Mention differentiating points between "a" wave and "y" wave of JVP,
Q.4. A 25-year-old man presented with positive HBsAg report.
a) Make a list of investigations to search the disease activity for this condition.
b) Mention the criteria to start antiviral medicine for him.
Q.5. A 60-year-old man presented with recurrent episodes of syncope.
a) Mention different causes of syncope.
b) Plan investigations for diagnosis with probable findings.
Q.6. A 30-year-old woman presented with headache.
a) Mention differentiating points between primary and secondary headache syndrome.
b) Make a checklist to counsel her if she is diagnosed as a case of migraine.
Q.7. A 30-year-old man was found to have moderate pericardial effusion.
a) Mention investigations to diagnose the cause of pericardial effusion with reasoning
b) Justify the use of steroid in the management of pericardial effusion.
Q.8. A 65-year-old man presented with a history of forgetfulness for last 12(twelve) months. Make a list
of investigations for him with reasoning of their selection.
Q.9. Write the risk factors for development of deep venous thrombosis and its management.
Q.10. A 30-year-old man presented with chronic vomiting, postural dizziness and weight loss for 6(six)
months. How would you evaluate him?
Group-B
Q.1. A 70-year-old man presented with pain and swelling of his left knee for 8 (eight) months. How
would you evaluate him?
Q.2. Mention the importance of fundoscopic examination in the evaluate of diabetes complication.
Q.3. A 55-year-old businessman presented with poor effort tolerance. His reports were -Hb% -5.5 mg/dl
and MCV-116 L. Make a checklist of clinical information to evaluate him.
Q.4. A 20-year-old man, a known case of epilepsy, presented with recurrent convulsion and loss of
consciousness for 20 minutes. How would you manage the patient?
Q.5. Make a check list to stratify the risk in a 55-year-old man with stable angina.
Q.6. A 32-year-old woman with 34 week pregnancy presented with jaundice. How would you evaluate
her?
Q.7. A 30-year-old non-diabetic man was referred to you for repeated episodes of UTI requiring
parenteral antibiotic. How would you investigate him to rule out immunodeficiency?
Q.8. A 42-year-old man presented with complaints of abdominal pain and passage of blood mixed stool
for 9 (nine) months. Write a clinical checklist to evaluate him with expected findings.
Q.9. A 45-year-old farmer is admitted with bilateral ptosis and shallow respiration following snake bite.
Write a management and follow up plan for this patient.
Q.10. How would you manage a case of pulmonary tuberculosis in a 40-year-old HIV positive man with
lymphocyte count less than 200/ml?
Bangabandhu Sheikh Mujib Medical University
Month and year of Exam. January 2024 Residency Program
Course MD
Discipline :Medicine & Allied
(Cardiology, EM, Gastroenterology, Hepatology. Time….3 Hours
Haematology, Internal Medicine, Nephrology, Neurology, Pass marks. Total marks-100
Pulmonology, Medical Oncology and Rheumatology) Pass marks-60
Phase A
Paper II Two
Subject Medicine & Allied
Instructions All questions carry equal marks.
Answer all questions,
Use separate answer script for each group.
Group-A
Q.1. How would you evaluate an elderly woman presenting with urinary incontinence?
Q.2. A 60-year-old man presented with sterile pyuria. What are the causes and how would you
investigate him?
Q.3. A 20-year-old man presented with recurrent episodes of generalized weakness. How would you
evaluate him clinically?
Q.4. A 35-year-old woman presented with recurrent urticaria. Make a clinical checklist to reach the
diagnosis.
Q.5. A 20-year-old woman presented features suggestive of Raynaud's Phenomenon. Make a plan of
investigations with reasoning to reach the underlying cause,
Q.6. A 20-year-old woman presented with irregular menstruation and hirsutism. How would you
evaluate and investigate her?
Q.7. Write in brief about medically unexplained symptoms.
Q.8. Make a checklist of the clinical information for a patient with adrenal incidentaloma.
Q.9. A 25-year-old man presented with urethral discharge for 7(seven) days. How would you investigate
and treat him?3+2
Q.10. A 60 year-old-diabetic man presented with ulcer on left foot. Make a check list of clinical
information and investigations to evaluate the cause of this ulcer.
Group-B
Q.1. A 40-year-old man presented with ischemic stroke. He has atrial fibrillation, moderate mitral
stenosis of rheumatic origin and Diabetic mellitus.
[Link] CHA2DS2VASC and HASBLED score for him.
b. Mention the best anticoagulant for him.
[Link] to monitor anticoagulant drug therapy?
Q.2. A 50-year-old man, a known case of diabetes, hypertension and ischemic heart disease came with
fever with a blood test showing Dengue NS-1 positive. Mention the danger signs and criteria for
hospitalization for him.
Q.3. a) Define postural hypotension.
b) How would you to evaluate a 60-year-old man presented with postural hypotension?
Q.4. How can you differentiate Cushing's syndrome from pseudocushing?
Q.5. How would you differentiate acute leukaemia from leukaemoid reaction?
Q.6. Construct a pedigree of an autosomal recessive disease. Mention 4(four) autosomal recessive
disorders.
Q.7. Discuss the medical consequences and management of extreme hot environment.
Q.8. How would you evaluate and manage a patient with symptomatic bradycardia?
Q.9. Describe different methods of Oxygen supplementation in treating hypoxic patient in medical ward.
Q.10. Briefly discuss the core complements of "Medical Ethics".
Bangabandhu Sheikh Mujib Medical University
Month and year of Exam. July 2023 Residency Program
Course MD
Discipline :Medicine & Allied
(Cardiology, EM, Gastroenterology, Hepatology. Time….3 Hours
Haematology, Internal Medicine, Nephrology, Neurology, Pass marks. Total marks-100
Pulmonology, Medical Oncology and Rheumatology) Pass marks-60
Phase A
Paper I one
Subject Medicine & Allied
Instructions All questions carry equal marks.
Answer all questions,
Use separate answer script for each group.
Group-A
Q.1. A 25-year-old woman presented with recurrent episodes of convulsion. Make a check list of clinical
information to reach a diagnosis.
Q.2. A 30-year-old woman presented with hypertension and weight gain. How would you best
investigate her to reach a diagnosis?
Q.3. A 50-year-old man presented with ascites without any other obvious clinical sign. Make a plan of
investigations for him with reasoning of their selection.
Q.4. A 25-year-old pregnant woman presented with jaundice. How would you evaluate her?
Q.5. A 75-year-old man presented with forgetfulness for last 6 months. Write a clinical checklist for her
with expected findings to reach the cause of his presentation.
Q.6. Write the risk factors for development of heat stroke. Briefly discuss its management.
Q.7. A 25-year-old woman presented with fatigue and multiple purpuric spots on her whole body. How
would you evaluate and investigate her?
Q.8. What are the warning signs of primary immune deficiency?
Q.9. A 45-year-old woman presented with massive hematemesis. Write the principles of management
for this patient.
Q.10. A 30-year-old woman presented with recurrent episodes of palpitation associated with dizziness.
How would you evaluate her clinically?
Group-B
Q.1. A 25-year-old obese otherwise asymptomatic gentleman presented with a blood report showing
serum ALT 125 U/L. Make a plan of investigations for him with criteria governing their selection
considering the scenario.
Q.2. A 22-year-old depressive woman was brought to emergency department in a drowsy state with a
history of taking 250 mg of Amitriptyline 5 hours ago. How would you manage her? Q3. Write in
brief on Russell viper envenomation
Q.4. Mention the importance of fundoscopic examination in the evaluation of a febrile patient.
A 58-year-old woman presented with multiple bullous lesions over her body. How would you
evaluate her?
Q.5 A 28-year old man presented with proximal muscle weakness with difficulty in swallowing for 6
months. Make a clinical checklist to reach the probable diagnosis.
Q.7. A 60-year-old man, diabetic and smoker, presented with an ulcer on his left foot. Make a list of
clinical information and investigations to evaluate the cause of this ulcer.
Q.8. A 30-year-old man presented with chronic diarrhea and weight loss for 4 months. Make a plan of
investigations with expected findings hinting the underlying diagnosis.
Q.9. A 59-year-old man was admitted with pneumonia but he was not responding in spite of receiving IV
antibiotics for 7 days. How would you evaluate and investigate him?
Q.10. A 70-year-old man presented with generalized pallor, weakness and low back pain for 3 months.
Make a plan of investigations with expected findings related to the scenario.
Bangabandhu Sheikh Mujib Medical University
Month and year of Exam. July 2023 Residency Program
Course MD
Discipline :Medicine & Allied
(Cardiology, EM, Gastroenterology, Hepatology. Time….3 Hours
Haematology, Internal Medicine, Nephrology, Neurology, Pass marks. Total marks-100
Pulmonology, Medical Oncology and Rheumatology) Pass marks-60
Phase A
Paper II Two
Subject Medicine & Allied
Instructions All questions carry equal marks.
Answer all questions,
Use separate answer script for each group.
Group-A
Q.1. A 65-year-old man presented with recurrent hematuria. How would you investigate him?
Q.2. A 52-year-old diabetic woman presented with bilateral leg swelling. How would you approach to
reach a diagnosis?
Q.3. Write the importance of examination of hand in clinical medicine.
Q.4. How would you differentiate Cushing's syndrome from pseudo-Cushing's syndrome? Give the
Q.5. Outline of management of a 40-year-old HIV positive man diagnosed with pulmonary tuberculosis.
Q.6. A 25-year-old man presented with urethral discharge for 7days. How would you evaluate him to
reach a diagnosis?
Q.7. A 20-year-old woman presented with irregular menstruation and hirsutism. How would you
evaluate her?
Q.8. A 30-year-old man presented with generalized muscle weakness and his blood pressure was found
210/130 mmHg. How would you evaluate him?
Q.9. A 55-year-old diabetic man was brought to emergency department with loss of consciousness. His
RBS was 35mmol/L and serum Na+ was 158 mmol/L. How would you evaluate and manage him?
Q.10. How would you evaluate a 40-year-old man presented with painful swelling of his right knee joint?
Group-B
Q.1. Mention the basic principles of Next Generation Sequencing (NGS). What are the roles of NGS
technologies in the management of infectious disease?
Q.2. Write the steps of management of a patient presenting with a pulseless ventricular tachycardia.
Q.3. A 55-year-old man, smoker, presented with cough and progressive shortness of breath for 6
months. Make a list of clinical information with expected findings to reach the diagnosis.
Q.4. A 25-year-old woman presented with right sided hemiplegia with irregular pulse. Mention
important clinical points with findings in evaluating this patient.
Q.5. Write in brief on antiphospholipid syndrome.
Q.6. Mention the importance of autonomy in clinical practice.
0.7. Write about the role SGLT2 inhibitors in heart failure.
Q.8. A 50-year-old woman presented with generalized weakness and muscle cramp. Her blood report
showed serum calcium 6.5 mg/d (corrected). How would you evaluate and investigate her?
Q.9. How would you differentiate panic disorder form phobic disorder?
Q.10. Write in brief about Eastern Cooperative Oncology Group (ECOG) performance state scale.
Bangabandhu Sheikh Mujib Medical University
Month and year of Exam. January 2023 Residency Program
Course MD
Discipline :Medicine & Allied
(Cardiology, EM, Gastroenterology, Hepatology. Time….3 Hours
Haematology, Internal Medicine, Nephrology, Neurology, Pass marks. Total marks-100
Pulmonology, Medical Oncology and Rheumatology) Pass marks-60
Phase A
Paper I one
Subject Medicine & Allied
Instructions All questions carry equal marks.
Answer all questions,
Use separate answer script for each group.
Group-A
Q.1. A 40-year-old man presented with gynecomastia. Write the list of clinical information leading to its
etiology.
Q.2. A 25-year-old man is hospitalized with fever, headache and retro-orbital pain for 5 days. General
examination revealed- pulse 120/minute, BP 75/50 mmHg and generalized eryrhematous rash.
Mention the steps of management for him.
Q.3. Write the difference between type-I and type-II lepra reactions. How would you treat lepra
reaction?
Q.4. A 25-year-old man presented with recurrent hypokalemia. How would you investigate to reach a
diagnosis?
Q.5. Mention the importance of jugular venous pressure in clinical medicine/
Q.6. A 35-year-old man with a history of chronic alcoholism presented with delirium. How would you
evaluate him?
Q.7. A 45-year-old man presented with recurrent hemoptysis for 3 years. How would you approach to
reach a diagnosis?
Q.8. A 55-year-old man presented with weakness of both lower limbs for last 2 weeks. Write a list of
clinical information to reach a diagnosis.
Q.9. A 40-year-old man presented with palpitation and recurrent episodes of syncope. Write the plan of
investigations with expected findings to reach the diagnosis.
Q.10. Write the presentation and management of heat stroke.
Group-B
Q.1. Discuss in brief about epigenetics.
Q.2. A 70-year-old man presented with forgetfulness for last 8 months. Write a clinical checklist to
evaluate him and enumerate the plan of investigations for him.
Q.3. A 30-year-old woman presented with gum bleeding and purpuric spots over her shins. Mention the
list of clinical information hinting the diagnosis.
Q.4. Write in brief about antibiotic stewardship.
Q.5. A 55-year-old man presented with right sided hemorrhagic pleural effusion. How would you assess
clinically and investigate him?
Q.6. A 60-year-old admitted patient suddenly became nonresponsive. His pulse and blood pressure were
non-recordable. Write the algorithm of adult advanced life support.
Q.7. Write in brief about refeeding syndrome..
Q.8. A 25-year-old woman presented with fever, palpitation and painful neck swelling. How would you
investigate and manage her?
Q.9. A 45-year-old asymptomatic obese man presented with blood report showing raised ALT How
would you evaluate him?
Q.10. A 29-year-old woman presented with multiple painful swollen joints and recurrent genital and oral
ulcers for 7 months. How would you evaluate and investigate her?
Bangabandhu Sheikh Mujib Medical University
Month and year of Exam. January 2023 Residency Program
Course MD
Discipline :Medicine & Allied
(Cardiology, EM, Gastroenterology, Hepatology. Time….3 Hours
Haematology, Internal Medicine, Nephrology, Neurology, Pass marks. Total marks-100
Pulmonology, Medical Oncology and Rheumatology) Pass marks-60
Phase A
Paper II Two
Subject Medicine & Allied
Instructions All questions carry equal marks.
Answer all questions,
Use separate answer script for each group.
Group-A
Q.1. A 30-year-old woman presented with abdominal pain and distension for 3 days with a history of
recurrent fetal loss. Mention the list of clinical information hinting the diagnosis.
Q.2. A 19-year-old girl with short stature came to the OPD. How would you evaluate her?
Q.3. A 25-year-old man presented with generalized lymphadenopathy with generalized itching and
weight loss. Plan investigations for him with reasoning the selection.
Q.4. A 60-year-old man presented with unintentional weight loss. Make a clinical checklist to establish
the cause of this presentation.
Q.5. A 64-year-old man presented with unilateral severe headache and jaw claudication for last 3
months. Write a plan of investigations and management for him.
Q.6. A 40-year-old man presented with weight gain, tiredness and bilateral leg swelling. How would you
evaluate him clinically?
Q.7. A 25-year-old woman presented with pallor for last 3 months. On examination she had anemia,
jaundice and splenomegaly. Plan investigations hinting the underlying diagnosis.
Q.8. A 35-year-old diabetic woman who is on insun, presented with altered mental state for 2 hours.
Write the clinical checklist to find out the cause of this presentation.
Q.9. Discuss in brief about pemphigus vulguris.
Q.10. Write the role of procalcitonin in clinical practice.
Group-B
Q.1. A 50-year-old obese man presented with day time somnolence. How would you investigate him?
Q.2. A 45-year-old man presented with recurrent bloody diarrhea with redness of eye for 4 months.
Write a plan of investigations for him with reasoning of their selection.
Q.3. Enumerate the causes of sterile pyuria. Write a list of clinical information to reach the cause of
sterile pyuria.
Q.4. A 38-year-old woman presented with double vision and generalized weakness for last 4 months.
Mention the list of investigations with expected findings to establish the cause.
Q.5. Discuss about the 20-minute-whole blood coagulation (WBCT) test and its role in snake bite
poisoning.
Q.6. A 65-year-old woman presented with low back pain for 6 months. Write the possible causes and
mention the red flag signs of low back pain.
Q.7. A 20-year-old college student presented win recurrent jaundice who is otherwise asymptomatic.
How would you investigate him?
Q.8. A 60-year-old man, a case of multiple myeloma presented with acute confusional state and his
serum calcium was found 13.5 gm/dl. Write the management plan for him.
Q.9. What are the types of anxiety disorder? How would you differentiate between panic and phobic
disorder?
Q.10. Discuss briefly about confidentiality. In which conditions you can breach the confidentiality of a
patient?
Bangabandhu Sheikh Mujib Medical University
Month and year of Exam. July 2022 Residency Program
Course MD
Discipline :Medicine & Allied
(Cardiology, EM, Gastroenterology, Hepatology. Time….3 Hours
Haematology, Internal Medicine, Nephrology, Neurology, Pass marks. Total marks-100
Pulmonology, Medical Oncology and Rheumatology) Pass marks-60
Phase A
Paper I One
Subject Medicine & Allied
Instructions All questions carry equal marks.
Answer all questions,
Use separate answer script for each group.
Group-A
Q.1. A 55-year-old obese woman presented with USG report showing fatty liver. Plan investigations
for her with expected findings.
Q.2. How would you differentiate between syncope and seizure?
Q.3. A 30-year-old man presented with painful inguinal swelling with dysuria. On examination his right
epididymis was tender. How would you treat him?
Q.4. A 45-year-old woman presented with absent left radial pulse. Write a clinical checklist to evaluate
her.
Q.5. How would you manage a 75-year-old diabetic woman presented with atrial fibrillation?
Q.6. Mention the components of the geriatric giants.
Q.7. Write in brief on global warming.
Q.8. A 50-year-old man presented with recurrent hyponatraemia. Plan investigations for him with
criteria governing their selection.
Q.9. Write in brief about toxic shock syndrome.
Q.10. How would you clinically evaluate and manage a case of suspected cardiac tamponade?
Group-B
Q.1. How would you evaluate and manage orofacial dyskinesia?
Q.2. Give an outline about end of life care.
Q.3. A 30-year-old farmer presented with double vision and weakness of neck muscles six hours after
snake bite. Write a management plan for him.
Q.4. A 32-year-old man presented with recurrent bloody diarrhea for last 2 months. Write a plan of
investigations with expected findings to reach the underlying diagnosis.
Q.5. How would you evaluate a 25-year-old man presented with hypertension with persistent
hypokalemia?
Q.6. Write the importance of fundus examination in evaluating a febrile patient.
Q.7. What are the differences between erythema nodosum and erythema induratum?
Q.8. A 38-year-old man presented with headache, dizziness and congested eye. He had history of
ischemic stroke 6 months back. Enlist the investigations for him with criteria governing their
selection.
Q.9. Mention the treatment recommendation for antiphospholipid antibody syndrome.
Q.10. A 45-year-old post splenectomised man presented with fever for seven days. How would you
investigate and manage him?
Bangabandhu Sheikh Mujib Medical University
Month and year of Exam. July 2022 Residency Program
Course MD
Discipline :Medicine & Allied
(Cardiology, EM, Gastroenterology, Hepatology. Time….3 Hours
Haematology, Internal Medicine, Nephrology, Neurology, Pass marks. Total marks-100
Pulmonology, Medical Oncology and Rheumatology) Pass marks-60
Phase A
Paper II Two
Subject Medicine & Allied
Instructions All questions carry equal marks.
Answer all questions,
Use separate answer script for each group.
Group-A
Q.1. A 23-year-old man presented with fever, weight loss and multiple joint pain for 8 months. Write a
clinical checklist to evaluate him to reach the underlying diagnosis.
Q.2. A 50-year old businessman presented with a blood report showing serum uric acid level 9.5 mg/dl.
How would you investigate and manage him?
Q.3. A 55-year-old man, a known case of COPD, presented with left sided chest pain with deterioration
of his respiratory distress for last few hours. Write a clinical checklist to find out the underlying
cause and how would you investigate him?
Q.4. How would you evaluate a 55-year-old man with gynaecomastia?
Q.5. Write in brief about metabolic bone disease.
Q.6. Write the cardiovascular complications of Marfan's syndrome. How would you plan to manage
those complications?
Q.7. Write the features of Zinc deficiency.
Q.8. A 29-year-old pregnant woman came with a blood report showing platelet count 78000/mm3 at
her second trimester. How would you evaluate and manage her?
Q.9. Write in brief about allergic bronchopulmonary aspergillosis.
Q.10. Write the pros and cons of different renal replacement therapy.
Group-B
Q.1. Enumerate the importance of nail examination in clinical practice.
Q.2. A 55-year-man patient presented with generalized bodyache. His investigations showed Hb 7.6
gm/dl, ESR 125 mm in 1 hour. Make a list of investigations for him with findings hinting to the
underlying diagnosis.
Q.3. Writ the differences between psychosis and neurosis.
Q.4. How would you evaluate and manage pain and tingling sensation in fingers in a patient with
hypothyroidism?
Q.5. A 28-year-old obese man presented with heart burn specially after meal. How would you advise
him to minimize his symptoms?
Q.6. A 26-year-old man presented with intensely itchy skin rash specially over elbows and dorsum of his
hands for 5 months. How would you investigate and treat him?
Q.7. Mention the criteria of withdrawal from mechanical ventilation for a patient admitted in ICU.
Q.8. A 75-year-old woman has presented with urinary incontinence. How would you evaluate and
mange her?
Q.9. How would you differentiate acute leukaemia from leukaemoid reaction?
Q.10. A 60-year-old man presented with forgetfulness for last 8 months. Plan for investigations with
expected findings to reach the underlying cause.
Bangabandhu Sheikh Mujib Medical University
Month and year of Exam. January 2022 Residency Program
Course MD
Discipline :Medicine & Allied
(Cardiology, EM, Gastroenterology, Hepatology. Time….3 Hours
Haematology, Internal Medicine, Nephrology, Neurology, Pass marks. Total marks-100
Pulmonology, Medical Oncology and Rheumatology) Pass marks-60
Phase A
Paper I One
Subject Medicine & Allied
Instructions All questions carry equal marks.
Answer all questions,
Use separate answer script for each group.
Q.1. What is evidence based medicine? Mention its role in clinical practice?
Q.2. A 23-year-old woman was rescued with impaired consciousness from river after motor boat
accident. How would you manage her?
Q.3. Mention the characteristics of X-linked inheritance? Name 5 (five) such conditions.
Q.4. A 30-year-old man collapsed and became hypotensive after receiving penicillin injection. How
would you evaluate and manage him?
Q.5. Describe different methods of oxygen supplementation in treating a hypoxic patient in medical
ward.
Q.6. How would you differentiate between Type I and Type II Lepra reaction?
Q.7. A 50-year-old man presented with multiple bullous lesion for last 4 (four) weeks. How would you
evaluate him?
Q.8. How would you differentiate Cushing's syndrome from pseudo Cushing's syndrome?
Q.9. 19-year-old woman presented with severe respiratory distress with normal chest on clinical
examination. How would you evaluate her?
Q.10. What is polypharmacy? Mention some general recommendation in geriatric prescribing.
Group-B
Q.1. Enumerate the importance of sputum examination in clinical practice.
Q.2. Blood pressure of a 23-year-old woman was found 180/115 mm Hg on routine checkup. Enumerate
a clinical checklist to evaluate her.
Q.3. A 30-year-old man presented with a urine report showing 3+ proteinuria. How would you
investigate him?
Q.4. What is 20 minutes whole blood clotting test? Describe its importance in evaluation of snake bite
envenomation.
Q.5. A 23-year-old woman presented with repeated episodes of palpitation. Write a plan of
investigations to reach the underlying diagnosis.
Q.6. How would you assess and investigate a 60-year-old man presented with bilateral pleural
effusion?
Q.7. A 33-year-old woman presented with severe abdominal pain for 2 (two) days. Her serum calcium
was 13.5 mg/dl. How would you investigate and manage her?
Q.8. A 19-year-old woman presented with overdose of paracetamol. How would you evaluate and
manage her?
Q.9. A 30-year-old man presented with recurrent episode of weakness of all four limbs after heavy meal.
How would you evaluate him?
Q.10. What is bulimia nervosa? How would you diagnose and manage this condition?
Bangabandhu Sheikh Mujib Medical University
Month and year of Exam. January 2022 Residency Program
Course MD
Discipline :Medicine & Allied
(Cardiology, EM, Gastroenterology, Hepatology. Time….3 Hours
Haematology, Internal Medicine, Nephrology, Neurology, Pass marks. Total marks-100
Pulmonology, Medical Oncology and Rheumatology) Pass marks-60
Phase A
Paper II Two
Subject Medicine & Allied
Instructions All questions carry equal marks.
Answer all questions,
Use separate answer script for each group.
Group-A
Q.1. How would you evaluate and manage central venous catheter infection?
Q.2. A 60-year-old man presented with cough and progressive shortness of breath for 1 month following
severe COVID-19 infection. How would you evaluate him clinically?
Q.3. Discuss briefly on medically unexplained symptoms.
Q.4. A 28-year-old man presented with a report showing plenty of RBC in urine and normal USG of KUB
region. Make a list of investigations with criteria governing their selection.
Q.5. Give a short account on refeeding syndrome.
Q.6. How would you evaluate a 35-year-old man presented with erectile dysfunction?
Q.7. Write in brief about stem cell therapy.
Q.8. A 32-year-old woman presented with an MRI report showing empty sella. How would you evaluate
her?
Q.9. Give an account on immune reactivation syndrome.
Q.10. A 55-year-old obese man presented with daytime somnolence. How would you evaluate him?
Group-B
Q.1. A 45-year-old woman presented with severe acute asthma not responding to conventional medical
management. How would you assess her for non invasive ventilation?
Q.2. A 30-year-old man presented with recurrent haemoptysis with a history of pulmonary tuberculosis
10 years ago. How would you investigate him with expected findings?
Q.3. How would you evaluate a 75-year-old woman presented with acute confusional state?
Q.4. A 28-year-old man presented with recurrent passage of red urine at early morning for last 3 months
with a history of deep venous thrombosis of his right lower limb. How would you evaluate him?
Q.5. A 60-year-old diabetic man presented with recurrent early morning hypoglycemia. How would you
investigate and manage him?
Q.6. How would evaluate a 30-year-old woman presented with recurrent bullous lesion?"
Q.7. What are the differences between biologics and biosimilars? What are the preconditions before
starting a biologic?
Q.8. What are different types of shock? How would you manage a patient with suspected anaphylactic
shock?
Q.9. A 65-year-old man presented with transient loss of vision of right eye. Write a clinical checklist to
evaluate him with expected findings.
Q.10. How would you differentiate between Marfan's syndrome and homocystinuria?
