MD Family Medicine solved question papers

Sample questions from MD Family Medicine papers

Five questions exactly as they appeared on the paper. 463 more, plus written answers, with a subscription.

1. 2025 · November · Paper I · 20 marks

   A 28-year-old male Teacher has come to the Family Physician for recurrent cough and wheezing for the past 3 years. His height is 170 cm, and his weight is 95 kilos. He is obese and dyspnoeic at rest. His pulse rate is 100 / minute and regular. Blood pressure is 130 / 80 mm Hg. JVP is not elevated and no peripheral oedema. The respiratory rate is 30 per minute. Auscultation of the chest reveals normal heart sounds and bilateral expiratory polyphonic wheeze. a) Mention the differential diagnosis you consider for this patient. b) Describe the Pathophysiology of Asthma. c) Mention any FOUR drugs used in Acute Severe Asthma and briefly describe their mechanism of action. d) How will you explain the technique of using Metered Dose Inhaler to this patient.

2. 2025 · January · Paper I · 20.0 marks

   Mr. Vijay aged 60 years presents with progressively worsening shortness of breath for the past 2 years and bilateral pedal edema. He is also taking treatment for Diabetes and hypertension for 10 years. His physical examination and echocardiogram confirmed your diagnosis of heart failure with a reduced ejection fraction of 42%. a) Describe the pathophysiology of heart failure b) Enumerate about 5 non-pharmacological interventions in heart failure and how they improve the pathophysiology c) Enumerate 5 drugs used in heart failure, briefly write about their mechanism of action in heart failure

3. 2025 · January · Paper I · 10.0 marks

   Explain the advantages and disadvantages of metered dosed inhalers, dry powder inhalers, and oral medications in treatment of Asthma.

4. 2025 · November · Paper I · 10 marks

   A 30-year-old married woman has come to the family doctor with complaints of aches and pain all over her body and tiredness for the past two months. She has been married for ten years, mother of two children and sterilised. Her height is 150 cm, her weight is 72 kilos. a) List the “Seven Masquerades” you need to consider in this patient. b) How will you diagnose each Masquerade.

5. 2025 · January · Paper I · 10.0 marks

   Mrs. Geetha, 26-year-old primigravida, at 16 weeks of pregnancy presents regarding her weight gain and change in her heart rate which she monitors with her smartwatch. Your clinical work up is normal for her gestational age. Explain all the physiologic and endocrine changes of a normal pregnancy.