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Tuesday, February 2, 2016

2013 - 2015 Question Papers PAPER I EMERGENCY MEDICINE EM AND EMS II Dr. MGR University

Dr. MGR University AUGUST 2013 Question Paper
Subject : PAPER I – EMERGENCY MEDICINE (EM) AND EMS - II

[LD 0212] Sub. Code: 1021
B.Sc. ACCIDENT AND EMERGENCY CARE TECHNOLOGY
THIRD YEAR
PAPER I – EMERGENCY MEDICINE (EM) AND EMS - II
Q.P. Code: 801021
Time : Three Hours Maximum : 100 marks
Answer ALL questions
I. Elaborate on: (3 x 10 = 30)
 1. a) Define the term Poison.
 b) Outline the clinical features and the general supportive management of
 Organo Phosphorus Compound Poisoning.
 c) What parameters you monitor in such patients and mention the indication of
 Ventilatory Therapy in this Poisoning.
 2. a) What is Acute Myocardial Infarction?
 b) Discuss the clinical features and ECG changes in Myocardial Infarction.
 c) Mention the important steps in immediate management.
 3. a) What is Acute Renal Failure?
 b) What are the common causes of Renal Failure presenting in Emergency Room?
 c) What are the clinical features & the indications for Dialysis in Acute Renal Failure?
II. Write notes on: (8 x 5 = 40)
 1. Define Anaphylaxis, Immediate treatment for Anaphylactic reaction?
 2. Elaborate Bronchial Hygiene Therapy.
 3. Treatment for Esophageal Varies.
 4. Prophylaxis for DVT.
 5. Digoxin action, clinical sign of Digoxin Toxicity and treatment for Digoxin Toxicity.
 6. Complication of Viper Bite.
 7. Define Triage and How to Triage the Disaster Victim?
 8. Define Asphyxia Neonatorum and causes and treatment of Asphyxia Neonatorum.
III. Short Answers on: (10 x 3 = 30)
 1. Treatment for Hypernatremia.
 2. Different modes of Mechanical Ventilator.
 3. Causes of Respiratory Acidosis.
 4. Describe Tonic-Clonic Seizure.
 5. Side effects of Atropine.
 6. Mode of transmission for Hepatitis-B.
 7. Notify anyone Poisonous plants and their adverse effects.
 8. Causes of Post Partum Hemorrhage.
 9. Define Meconium Aspiration Syndrome (MAS).
10. Prophylaxis for Hospital-Acquired Pneumonia (HAP).
*******

Dr. MGR University FEBRUARY 2014 Question Paper
Subject : PAPER I – EMERGENCY MEDICINE (EM) AND EMS - II

[LE 0212] Sub. Code: 1021
B.Sc. ACCIDENT AND EMERGENCY CARE TECHNOLOGY
THIRD YEAR
PAPER I – EMERGENCY MEDICINE (EM) AND EMS - II
Q.P. Code: 801021
Time : Three Hours Maximum : 100 marks
Answer ALL questions
I. Elaborate on: (3 x 10 = 30)
 1. a) Define Shock.
 b) What are the types of Shock?
 c) Describe the methods of management of Haemorrhagic Shock.
 2. a) What is COPD?
 b) Describe the clinical features of acute exacerbation of COPD.
 c) What are the investigations you will carry out?
 d) Mention the immediate management.
 3. a) Define Heart Failure?
 b) Enumerate the clinical features, investigations and immediate management of Heart
 Failure.
II. Write notes on: (8 x 5 = 40)
 1. Describe internal and external cooling methods for Hyperthermia patients?
 2. Treatment guidelines for ST Segment Elevation MI and Non ST segment Elevation MI.
 3. List down four Antidotes and their uses.
 4. List down Anti Retro Viral Drugs.
 5. How to approach the Aggressive Patient in Emergency Department?
 6. Enumerate Disaster Management Cycle.
 7. Define Anion Gap and Causes of Anion Gap Acidosis.
 8. Explain Different types of Seizure.
III. Short Answers on: (10 x 3 = 30)
 1. ECG changes in Hyperkalemia.
 2. Diagnostic criteria for Acute Pancreatitis.
 3. Clinical Signs and Symptoms of Small Intestine Obstruction.
 4. Common causes of Hematuria.
 5. Pathological changes in Diabetic Ketoacidosis.
 6. Why Inj. Adrenaline (Epinephrine) is administered during the Cardiac Resuscitation?
 7. Common causes of Thrombocytopenia.
 8. Treatment of Herpes Zoster.
 9. Components of Polyvalent Anti Snake Venom.
10. Define Pre-eclampsia.
*******

Dr. MGR University AUGUST 2014 Question Paper
Subject : PAPER I – EMERGENCY MEDICINE (EM) AND EMS - II

[LF 0212] Sub. Code: 1021
B.Sc. ACCIDENT AND EMERGENCY CARE TECHNOLOGY
THIRD YEAR
PAPER I – EMERGENCY MEDICINE (EM) AND EMS - II
Q.P. Code: 801021
Time : Three Hours Maximum : 100 marks
Answer ALL questions
I. Elaborate on: (3 x 10 = 30)
 1. Describe the etiology, clinical features, diagnosis and management of
 pericardial effusion.
 2. Classify poisoning. Discuss the four ways in which a poison may enters the body.
 Describe the signs, symptoms and treatment of acute organophosphates poisoning.
 3. Describe the etiology, diagnosis and management of postpartum hemorrhage.
II. Write notes on: (8 x 5 = 40)
 1. Discuss about the management of acute pulmonary edema.
 2. Draw the diagram of laryngeal mask airway and label it parts.
 3. Discuss the clinical features and treatment of Heat stroke.
 4. Define flail chest. Write about the pathophysiology, clinical features and management.
 5. Discuss the acute management of traumatic amputation of lower limb.
 6. Classify blast injury and mention the radiological features of blast lung.
 7. Factors predisposing to the development of pre-eclampsia and
 explain the magnesium sulphate regimen.
 8. Mention the clinical features and treatment for acute Pancreatitis.
III. Short Answers on: (10 x 3 = 30)
 1. Criteria for acute respiratory distress syndrome (ARDS).
 2. Describe the clinical features and management of Beta blocker Overdose.
 3. Discuss the management of the delirium tremens.
 4. Describe the usage of Naloxone Hydrochloride in icu and their side effects.
 5. How will you recognize a patient with ongoing bleeding in causality?
 6. Write six antifungal drugs
 7. Antidote for a) Benzodiazipine overdose. b) Acetaminophen overdose. c) Cyanide.
 8. Enumerate the features of upper airway obstruction
 9. Mention the medical therapy for the treatment of status epilepticus.
10. Define inotropes and mention the three drugs used to improve the cardiac output.
*******

Dr. MGR University FEBRUARY 2015 Question Paper
Subject : PAPER I – EMERGENCY MEDICINE (EM) AND EMS - II

[LG 0215] Sub. Code: 1021
B.Sc. ACCIDENT AND EMERGENCY CARE TECHNOLOGY
THIRD YEAR
PAPER I – EMERGENCY MEDICINE (EM) AND EMS - II
Q.P. Code: 801021
Time : Three Hours Maximum : 100 marks
Answer ALL questions
I. Elaborate on: (3 x 10 = 30)
 1. Define shock. Classify different types of shock. Write briefly about
 the etiopathogenesis, clinical features, and management of anaphylactic shock.
 2. Define causative organism, mode of transmission, signs and symptoms, prophylaxis,
 investigation and treatment of enteric fever.
 3. What are the risk factors for the myocardial infarction? Enumerate the complications,
 investigation and management of acute myocardial infarction.
II. Write notes on: (8 x 5 = 40)
 1. Write in detail in regarding methyl alcohol poisoning and its management.
 2. Discuss the management of acute febrile seizures in children.
 3. Discuss the medical therapy for reducing raised intracranial pressure.
 4. Write briefly about the Stevens - Jhonson syndrome?
 5. What are the complications of oxygen therapy?
 6. Describe the various causes of Haematuria.
 7. Mention five differences between crystalloids and colloids solution.
 8. Discuss the clinical features and treatment of acetaminophen overdose.
III. Short Answers on: (10 x 3 = 30)
 1. Mention the nerve agents used in the chemical warfare. Describe the pathogenesis
 of its action.
 2. Discuss the various modes of pain management of the patient who had fracture
 in upper limb.
 3. Define synchronized cardioversion. Mention the indications.
 4. Write about the clinical features and management of frost bite
 5. Discuss the risk factors for developing amniotic fluid embolism.
 6. Define the term poison. Write the four ways in which a poison enter the body.
 7. Describe the clinical features and management of scorpion stings.
 8. Write any six indication for the invasive ventilator supports and
 mention the modes of ventilator.
 9. What are the causes for upper GI bleeding?
10. Discuss the ECG manifestation of Hyperkalemia.
*******

Dr. MGR University AUGUST 2015 Question Paper
Subject : PAPER I – EMERGENCY MEDICINE (EM) AND EMS - II

[LH 0815] Sub. Code: 1021
B.Sc. ACCIDENT AND EMERGENCY CARE TECHNOLOGY
THIRD YEAR
PAPER I – EMERGENCY MEDICINE (EM) AND EMS - II
Q.P. Code: 801021
Time : Three Hours Maximum : 100 marks
Answer ALL questions
I. Elaborate on: (3 x 10 = 30)
 1. Anaphylaxis.
 a) Definition.
 b) Describe the Clinical features, Pathophysiology, Investigations.
 c) Describe the immediate management of Anaphylactic Shock.
 2. a) Define the Term poison.
 b) Write in detail about Organo Phosphorous Compound Poisoning.
 3. a) Define Myocardial Infarction.
 b) Discuss the clinical features & Cardiac Biomarkers in Acute Myocardial Infarction.
 c) Discuss the immediate Management of Myocardial Infarction in Emergency Room.
II. Write notes on: (8 x 5 = 40)
 1. Write in detail about Assaults.
 2. Treatment for Esophageal Varices.
 3. Mention the complications of Snake Bike.
 4. a) Glasgow come scale. b) Revised Trauma Score.
 5. Write in detail about Oxygen Therapy.
 6. Write in detail about 12 lead ECG.
 7. Discuss the Clinical Features and Management of Bacterial Food Poisoning.
 8. Atropine action, Clinical sign of atropine toxicity and treatment for Atropine Toxicity.
III. Short Answers on: (10 x 3 = 30)
 1. Treatment for Hyperkalemia.
 2. Different modes of Mechanical Ventilator.
 3. What are the causes for lower GI bleeding?
 4. Mention the Haemodynamic Criteria for Cardiogenic Shock.
 5. Mention the causes for Left Ventricular Failure.
 6. Write some details about Urinary Tract infection.
 7. Syncope: a) Definition. b) What is the immediate management?
 8. Define Seizure
 9. What is Kernig sign?
10. What is the circle of willis?
******* 

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