Revise MBBS

Paper I — 2024 June (Supplementary) (2019 Scheme) — Q5

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Paper I
2024 June (Supplementary) (2019 Scheme) · 100 marks · 180 min

Question

(

  • (a) Discuss the management of cardiogenic shock. ( 4 mark(s)
  • (b) Discuss the treatment of status asthmaticus. 4 mark(s)
Q58 marksShort Essays

Answer

a) Management of cardiogenic shock

  • Identify and treat the underlying cause (revascularization for MI-related shock — primary PCI where possible).
  • Oxygen — corrects hypoxia.
  • Inotropic support: Dobutamine (beta-1 agonist, increases contractility with less peripheral vasoconstriction) or Dopamine (dose-dependent — D1 renal vasodilation at low dose, beta-1 inotropy at moderate dose, alpha-1 vasoconstriction at high dose).
  • Vasopressors (Norepinephrine) if hypotension is severe/refractory, to maintain organ perfusion pressure.
  • Cautious fluid management — fluids may worsen pulmonary congestion if the shock is due to pump failure rather than volume depletion; careful assessment of volume status is essential.
  • Mechanical circulatory support (intra-aortic balloon pump, ECMO) in refractory cases.

b) Treatment of status asthmaticus

  1. Oxygen — high-flow, titrated to maintain saturation.
  2. Nebulized SABA (Salbutamol), repeated/continuous, combined with nebulized Ipratropium — greater bronchodilation than either alone.
  3. Systemic corticosteroids, given early (IV Hydrocortisone/oral Prednisolone) — interrupts the attack despite delayed onset.
  4. IV Magnesium sulfate — add-on for severe attacks not responding adequately.
  5. IV Aminophylline — further-line addition in refractory cases.
  6. Mechanical ventilation — for impending/actual respiratory failure.
  1. 1Respiratory System

Other Years Asked

  1. 1Enumerate four drug groups used in treatment of Bronchial asthma with its rationale for use. Enumerate two drug groups used to treat cough. (6+2)2022 February (2019 Scheme)Short Essay · 10 marks
  2. 2Mention four groups of antiasthmatic drugs giving two examples each. How will you treat a case of acute severe exacerbation of bronchial asthma. (4+2)2024 December (Supplementary) (2019 Scheme)Short Essay · 6 marks
  3. 3Pharmacological management of Bronchial Asthma.2023 July (Supplementary) (2019 Scheme)Short Answer · 4 marks
  4. 4Treatment of Status Asthmaticus2020 February (Supplementary) (2010 Scheme)Short Note · 3 marks
  5. 5Bronchodilators2014 March (2010 Scheme)Short Note · 3 marks
  6. 6Salbutamol2023 March (Supplementary) (2010 Scheme)Short Note · 3 marks
  7. 7Ipratropium bromide2017 February (2010 Scheme)Short Note · 3 marks
  8. 8Acute severe asthma.2016 October (Supplementary) (2010 Scheme)Short Answer · 1 mark
  9. 9Mucolytics2013 April (2010 Scheme)Short Answer · 1 mark
  10. 10Mucolytics2018 July (Supplementary) (2010 Scheme)Short Answer · 1 mark
  11. 11Salbutamol2022 May (Supplementary) (2010 Scheme)Short Answer · 1 mark
  12. 12Assertion (A): Codeine is the preferred antitussive in asthmatics and patients with diminished respiratory reserve. Reason (R): Codeine is an opium alkaloid and suppresses cough center.2024 December (Supplementary) (2019 Scheme)MCQ · 1 mark
  13. 13Inhalational steroids2015 September (Supplementary) (2010 Scheme)Short Answer · 1 mark
  14. 14Mention two uses and two adverse effects of fluconazole2013 September (Supplementary) (2010 Scheme)Short Answer · 1 mark
  15. 15Mucolytics2014 March (2010 Scheme)Short Answer · 1 mark
  16. 16Leukotriene antagonists2017 February (2010 Scheme)Short Answer · 1 mark
  17. 17Bronchodilator2024 August (Supplementary) (2010 Scheme)Short Answer · 0.3 marks
  18. 18 Sodium cromoglycate in the treatment of acute attack of Bronchial asthma2024 March (Supplementary) (2010 Scheme)Short Answer · 0.3 marks
  19. 19Mucolytics2020 February (Supplementary) (2010 Scheme)Short Answer · 0.3 marks
  20. 20 Salmeterol in acute attack of bronchial asthma Name the following (Two examples for each): (5x1=5)2021 May (Supplementary) (2010 Scheme)Short Answer · 0.3 marks
  21. 21Mucolytic agents2021 May (Supplementary) (2010 Scheme)Short Answer · 0.3 marks
  22. 22Ambroxol for suppressing dry cough2023 March (Supplementary) (2010 Scheme)Short Answer · 0.3 marks
  23. 23Leukotriene antagonist2019 February (2010 Scheme)Short Answer · 0.3 marks
  24. 24Antitussives2021 February (Supplementary) (2010 Scheme)Short Answer · 0.3 marks
  25. 25Mucolytics2024 March (Supplementary) (2010 Scheme)Short Answer · 0.3 marks
  26. 26Mucolytics2023 July (Supplementary) (2010 Scheme)Short Answer · 0.3 marks
  27. 27Mucolytics2022 May (Supplementary) (2010 Scheme)Short Answer · 0.3 marks
  28. 28 Salbutamol in acute bronchial asthma2019 July (Supplementary) (2010 Scheme)Short Answer · 0.3 marks
  29. 29Fluticasone in bronchial asthma.2025 August (Supplementary) (2010 Scheme)Short Answer · 0.3 marks
  30. 30Anticholinergic bronchodilators2021 December (Supplementary) (2010 Scheme)Short Answer · 0.3 marks
  31. 31Xanthine oxidase inhibitors2023 January (Supplementary) (2019 Scheme)Short Answer · 0.2 marks
  32. 32Drugs used in productive cough2023 January (Supplementary) (2019 Scheme)Short Answer · 0.2 marks
  33. 33Inhaled steroids in Bronchial Asthma2024 March (Supplementary) (2019 Scheme)Short Answer · 0.2 marks
  34. 34Mucolytics.2024 June (Supplementary) (2019 Scheme)Short Answer · 0.2 marks
  35. 35 Bromhexine in dry cough.2023 July (Supplementary) (2019 Scheme)Short Answer · 0.2 marks

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