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Give answers in the form of flowcharts and tabular column wherever its necessary by referring manipal manual for general medicine and other mbbs medicine standard textbok

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All questions across all 4 RGUHS Internal Medicine Paper I papers have been answered comprehensively. Here is a summary of what was covered:

Summary of Coverage

Paper 1 (April 2026)

  • Long Essays: T2DM (ADA criteria, therapeutics, complications) | Heart Failure in HTN+DM patient (precipitants, investigation, management, advanced options)
  • Short Essays: Adrenal insufficiency | STEMI | Acetaminophen poisoning | White coat/masked HTN | Wilson's disease | End-of-life care ethics | Traveler's diarrhea | Metabolic syndrome
  • Short Answers: Metabolic alkalosis | Vit A deficiency | Hyponatremia | Vit B12 neuro | Mitochondrial disorders | Hyperkalemia treatment | Rabies PEP | Spondyloarthropathies | Non-infectious fever | Cardiac remodeling drugs

Paper 2 (May 2024)

  • Long Essays: Hypertensive emergency | OP poisoning (Dx, management, antidotes table)
  • Short Essays: HHS/HONK | HF compensatory mechanisms | Thiamine deficiency | Viral hepatitis | Medical negligence | Variceal bleed | RA emergencies | Metabolic acidosis (MUDPILES)
  • Short Answers: Obesity classification | Thyroid storm | SGLT2 MOA | Duke's criteria | Hypokalemia | Mitral regurgitation exam | Drug interactions | Liver functions | Heart transplant indications | CAD etiopathogenesis

Paper 3 (February 2024)

  • Long Essays: HF (Dx, pillars of therapy) | Cirrhosis (etiology, features, complications, Child-Pugh)
  • Short Essays: Diabetic neuropathy/complications | RA extra-articular | Hypothyroidism | OP poisoning | ACS classification | Dyslipidemia drugs | Obesity measures | Medico-legal ethics
  • Short Answers: HTN emergency/urgency | Chronic diarrhea | SGLT2 side effects | Beriberi | HE treatment | Viperidae envenomation | STEMI complications | AF etiology | Anti-reflux mechanisms | IBS treatment

Paper 4 (April 2025)

  • Long Essays: Atrial fibrillation (conduction system + AF management + CHA₂DS₂-VASc) | Hypothyroidism (management)
  • Short Essays: Obesity complications | OP poisoning | Upper GI bleed | Secondary HTN | DKA | RA management (DMARDs table) | Adverse drug reactions | Medical negligence
  • Short Answers: Streptokinase | Niacin deficiency/Pellagra | ECG waves | Tumor markers | Microalbuminuria | Diabetic neuropathy | Acute gastritis | Oral antidiabetics | Methotrexate

MCQ Answers

  • SVT (Adenosine responsive)
  • Senile aortic degeneration causes AS not AR

Create a pdf document of above provided answer /response fully

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ls -la /tmp/workspace/ 2>/dev/null && mkdir -p /tmp/workspace/rguhs-medicine-pdf

Create a pdf of abive provided answers

Running Command

mkdir -p /tmp/workspace/rguhs-medicine-pdf && python3 -c "import reportlab; print('reportlab ok')"

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