MCP 4002
NATIONAL UNIVERSITY OF SCIENCE AND TECHNOLOGY
FACULTY OF MEDICINE
DIVISION OF CLINICAL PRACTICE AND PATIENT CARE
BACHELOR OF MEDICINE AND BACHELOR OF SURGERY DEGREE
PART IV FINAL EXAMINATION
MCP 4002 : MEDICINE PAPER II
DATE : 29 JUNE 2009
TIME : 3 HOURS
Instructions to Candidates
Answer all questions
Section A
Short Answer (SAQs)
1. A 40 year old male presents with jaundice for one week. On examination the patient is
pyrexial, jaundiced and mild hepatosplenomegaly.
a) List possible causes of the jaundice (4)
b) List investigations you would order (3)
c) List the possible treatment for the likely diagnosis on this patient. (3)
2. A 30 year old female is on ARV treatment for 4 weeks and now presents with dry cough,
night sweats, breathlessness for one week. Initial pre-treatment CXR was normal.
a) What is the differential diagnosis? (2)
b) What is the underlying patho-physiology? (2)
c) What investigations are relevant? (3)
d) What is the emergency treatment required? (3)
3. A 22 year old female presents with loss of appetite, excessive sweating and heat
intolerance for one year. On examination she has a painless goitre.
a) What is the diagnosis? (2)
b) What investigations would you do? (4)
c) What treatment options are available? (4)
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NATIONAL UNIVERSITY OF SCIENCE AND TECHNOLOGY
FACULTY OF MEDICINE
DIVISION OF CLINICAL PRACTICE AND PATIENT CARE
BACHELOR OF MEDICINE AND BACHELOR OF SURGERY DEGREE
PART IV FINAL EXAMINATION
MCP 4002 : MEDICINE PAPER II
DATE : 29 JUNE 2009
TIME : 3 HOURS
Instructions to Candidates
Answer all questions
Section A
Short Answer (SAQs)
1. A 40 year old male presents with jaundice for one week. On examination the patient is
pyrexial, jaundiced and mild hepatosplenomegaly.
a) List possible causes of the jaundice (4)
b) List investigations you would order (3)
c) List the possible treatment for the likely diagnosis on this patient. (3)
2. A 30 year old female is on ARV treatment for 4 weeks and now presents with dry cough,
night sweats, breathlessness for one week. Initial pre-treatment CXR was normal.
a) What is the differential diagnosis? (2)
b) What is the underlying patho-physiology? (2)
c) What investigations are relevant? (3)
d) What is the emergency treatment required? (3)
3. A 22 year old female presents with loss of appetite, excessive sweating and heat
intolerance for one year. On examination she has a painless goitre.
a) What is the diagnosis? (2)
b) What investigations would you do? (4)
c) What treatment options are available? (4)
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