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This is my exam paper as medicine resident kindly make a answer sheet for this exam paper

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R2 General Medicine Answer Sheet

Word Document · DOCX

Here's what the answer sheet covers (1,478 lines, fully formatted with colored headings, tables, and bullet points):
Q.1 – UTI Evaluation & Management (20 marks)
  • Definition, classification (lower/upper/complicated/CAUTI)
  • Causative organisms, risk factors
  • Full history, examination, and investigations (including urine culture, imaging)
  • Antibiotic table (cystitis → pyelonephritis → urosepsis, with doses & durations)
  • Urosepsis/septic shock management (sepsis bundle)
  • Prevention of recurrent UTI
Q.2 – Acute Abdominal Pain in 16-yr Girl with DM Family History (20 marks)
  • Comprehensive etiology (gynaecological, GI, metabolic, urological)
  • DKA as priority diagnosis highlighted (with diagnostic criteria table)
  • Full evaluation: history, examination, investigations (including beta-hCG, ABG, blood ketones)
  • DKA management protocol (fluids, insulin, potassium)
Q.3 – Hypertension: Definition, Classification, Evaluation & Management (20 marks)
  • ACC/AHA 2017 classification table (Normal → Hypertensive Emergency)
  • Secondary causes table with investigation clues
  • Risk factors, history, examination, full investigation table
  • Lifestyle modification table with expected BP reductions
  • Drug table (ACEi/ARBs/CCBs/diuretics/beta-blockers) with indications
  • Step-up algorithm, BP targets by patient group, hypertensive emergency management
Q.4 – Short Notes (6 marks each)
  1. SVT Management – vagal manoeuvres, adenosine, cardioversion algorithm, catheter ablation
  2. Hyaline Membrane Disease – surfactant deficiency, RDS, antenatal steroids, CPAP, surfactant replacement therapy (LISA/MIST)
  3. Hypercalcaemia – CHIMPANZEES mnemonic, "Bones/Stones/Groans/Thrones/Psychic moans," management table (saline → bisphosphonates → denosumab → dialysis)
  4. Anaemia (Hb 7 g/dL) with SOB – evaluation, blood transfusion thresholds, IDA/megaloblastic/haemolytic management
  5. Giddiness/Vertigo – peripheral vs. central table, BPPV, Menière's, stroke, HINTS exam, full investigation table
Q.5 – ABG Components & Respiratory Diseases (10 marks)
  • All ABG parameters with normal ranges
  • Step-by-step ABG interpretation guide
  • Comprehensive table: ABG patterns in asthma, COPD, PE, pneumonia, ARDS, tension pneumothorax, pulmonary oedema, hyperventilation
  • Compensation rules (Winter's formula, etc.)
  • P/F ratio criteria for ARDS

A/W ACUTE DISSEMINATED ENCEPHALOMYELITIS (NEUROMYELITIS OPTICA SPECTRUM DISORDER LIKELY) + SECONDARY SEPTICEMIA + GRADE 1 BED SORE

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R2 General Medicine Answer Sheet

PDF Document · PDF

The PDF includes:
  • Clean typography with colour-coded headings (dark blue for questions, teal for sub-headings, green for sub-sections)
  • Formatted tables with alternating row colours for all drug charts, investigation lists, and classification tables
  • Bullet-pointed answers for easy reading
  • All 5 questions fully answered across multiple pages with logical sections
  • Opens directly in any browser, phone, or PDF reader without needing Microsoft Word
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