Clinical Rheumatology & Clinical Immunology DM Question Bank : web.tnmgrmu.ac.in

Name of the University : The Tamilnadu Dr. M.G.R. Medical University
Degree : D.M
Branch : Branch IX – Rheumatology
Subject Code/Name : 1352/Clinical Rheumatology And Clinical Immunology
Paper : II
Document Type : Question Bank
Website : web.tnmgrmu.ac.in

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TN MGRMU Clinical Rheumatology Question Paper

August 2008 :
Sub. Code: 1352
D.M. DEGREE EXAMINATION

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(Higher Specialities)
(Revised Regulations)
Branch IX – Rheumatology
Paper II– CLINICAL RHEUMATOLOGY AND CLINICAL IMMUNOLOGY
Q.P. Code: 161352
Time: Three hours
Maximum: 100 Marks
ANSWER ALL QUESTIONS :
Draw suitable diagrams wherever necessary. :
I. Essays: 2 x 20 = 40 Marks
1. Discuss pulmonary-renal syndromes.
2. Discuss mechanisms and clinical features of kidney involvement in rheumatic diseases. Describe the present day management of lupus nephritis.
II. Write short notes on: 10 x 6 = 60 Marks
1. Pulmonary Hypertension in systemic sclerosis.
2. Hemophilia joint disease.
3. Catastrophic antiphospholipid antibody syndrome.
4. Complex Regional pain syndromes.
5. Undifferentiated arthritis.
6. Outcome measures in rheumatoid arthritis.
7. Eye in Spondarthritides.
8. Hypermobility Syndrome.
9. Refractory Gout.
10. DISH (Diffuse idiopathic skeletal hyperostosis).

August 2009

I. Essays: 2 x 20 = 40
1. Discuss in detail about the pathogenesis, clinical features, diagnosis and current management strategies of Behcet’s syndrome.
2. Discuss in detail about the musculo skeletal manifestations, radiological changes, diagnosis and treatment of hypoparathyroidism.
II. Write short notes on: 10 x 6 = 60
1. Multicentric reticulo histiocytosis.
2. Chikungunya arthritis.
3. Treatment of pigmented villonodular synovitis.
4. Reflex sympathetic dystrophy syndrome.
5. Disease activity score 28 (DAS – 28).
6. Management of psendogout.
7. Palindromic rheumatism.
8. Plasmapheresis in rheumatology.
9. Macrophage activation syndrome.
10. Western blot test in HIV infection.

Sub. Code: 1352
I. Essays: 2 x 20 = 40 Marks
1. Discuss in detail about the pathogenesis, clinical features,classification, diagnosis and management of Takayasu Arteritis.
2. Describe the musculoskeletal manifestations, diagnosis and management of Human Immunodeficiency Virus (HIV) infection.
II. Write short notes on: 10 X 6 = 60 Marks
1. Causes and manifestations of viral arthritis in south India.
2. SF – 36 (Short form 36)
3. Management of systemic sclerosis.
4. Health Assessment Questionaire (HAQ) Indian version.
5. Diagnosis of Dermatomyositis.
6. Ocular manifestations of Ankylosing spondylitis.
7. Clinical variants of psoriatic arthritis.
8. Spondylo epiphyseal dysplasia’s.
9. Anti Neutrophil Cytoplasmic Antibodies (ANCAs).
10.Ochronosis.

August 2011

I. Elaborate on :
1. Discuss the epidemiology, etiology, pathogenesis, clinical features, diagnostic tests and treatment of Hughes syndrome.
2. Describe the pathogenesis, clinical features, diagnosis and management of osteoarthritis.
II. Write notes on :
1. Occupation related rheumatic diseases.
2. Management of Fibromyalgia.
3. Intrinsic factors causing shoulder pain.
4. en coup de bande.
5. Clinical utility of antinuclear antibodies.
6. Neuropathic osteoarthropathy.
7. ß2 microglobulin amyloidosis.
8. Basic mechanisms of glucocorticoids.
9. Allergic arthritis.
10. Relapsing polychondritis.

August 2012

I. Elaborate on : Pages Time Marks
1. Discuss the cause, pathogenesis, clinical features, laboratory investigations and the management of inflammatory myopathies.
2. Discuss the pathogenesis of Systemic Lupus Erythematosus in detail.

II. Write notes on :
1. What is carcinomatous polyarthritis? Discuss the clinical features.
2. What are the clinical features of Hemophilic Arthropathy?
3. What are the rheumatological problems in A β2M amyloidosis?
4. What are the musculoskeletal symptoms in Lyme Disease?
5. What are the nonpharmacologic interventions for the management of osteoarthritis?
6. What is secondary gout? Discuss the various causes in brief.
7. What are the vasculitides caused by viral infection? Discuss them in brief.
8. What are the genetic risk factors in vasculitis?
9. What are the mimics of myositis?
10. What is en coupe de sabre and en coup de bande?

August 2013

I. Elaborate on :
1. Classification criteria of Mixed Connective Tissue Disease (MCTD). Mention the Differences with Lupus. Write briefly management plans including treatment for specific organ damage.
2. Pathology, outcome and management of class V Lupus Nephritis.

II. Write notes on :
1. Rheumatoid Arthritis in HIV infected individual.
2. Variants of Psoriatic Arthritis.
3. Causes, presentation, stages and management of Osteonecrosis.
4. Post Streptococcal reactive Arthritis.
5. Neuro Sarcoidosis.
6. Musculoskeletal Mycobacteriosis.
7. Pregnancy outcome of Systemic Sclerosis.
8. Anti Synthetase Syndrome.
9. Isolated CD4 Lymphocytopenia.
10. Malignancies in Rheumatoid Arthritis.

August 2014

I. Elaborate on :
1. Discuss in detail about the aetiopathogenesis, clinical manifestations, Investigations and treatment of Psoriatic Arthritis.
2. Discuss in detail about Rheumatoid Lung Disease.

II. Write notes on :
1. Hemochromatosis.
2. Scleroderma mimics.
3. Shoulder pain.
4. Synovial Chondromatosis.
5. Parathyroid and Rheumatic diseases.
6. Macrophage Activation Syndrome.
7. Infective Myositis.
8. Management of Behcet’s Disease.
9. Glucocorticoid Induced Osteoporosis.
10. Role of Innate immune, gamma delta T cells and natural killer cells in Spondyloarthropathy.