Final MBBS Part-II, Preliminary EXAMINATION Subject: - Medicine Paper 1 Instruction bach of the following multiple appropriate answer 2. All questions are compulsory hoice questions contains four sltemati ‘answers. Choose the single best or most mice Section:-A Max. Marks: 20 I mark each 1. Following are the clinical features A. Collapsing pulse . C. Pulsatile liver B, Largesystolic wave in JVP D, Pan systolic murmer of Tricuspid regurgitation E 2. Pulsus paradoxus may be present in following conditi CEP Cee ing conditions EXCEPT: C. Restrictive cardiomyopa B. Left ventricular failure D. Severe asin 3.4th heart sound corres; ponds with which phase of cardiac cycle - A. First Rapid filling ® © Diastass C. Diastasis B. Second rapid filling D. Systole 4. Most commonly used form of penicillin for prophylaxis in Rheumatic fever A. Procaine ~ C. Benzathine B. Benzyl D. Phenoxy methyl 5. Bad prognosis in AML is seen in which ¢ A. Monosomy B. Deletion of X or Y chromosome -ytogenetic abnormality- C. T(8:21) D. Nucleophosmin mutation 6. Howel jolly bodies may be seen after- A. Hepatectomy C. Pancreatectomy -B. Splenectomy D. Cholecystectomy 7.A patient gives chronic history of diarrhea and blood in stools presents with multiple fistulae in the perineum and stricture in small intestine. The diagnosis is- A. Crohn’s disease -C. Uleerative colitis B. Radiation enteritis D. Ischemic bowel disease 8, Total capacity of the stomach is markedly reduced in- “A, Cauliflower growth of stomach C. Pylorie stenosis B. Hourglass stomach D. Linitisplastica 9. After a successful Total Hip Replacement, a'59 year old patient developed severe chest pain. Echocardiography revealed reduced wall motion of right ventricle with slow flow across the tricuspid valve. Which of the following is most likely diagnosis? A. Pulmonary Embolism C. Dilated Cardiomyopathy B. Aortic Dissection ~D. Right Ventricular Infarction 10.A 24 year boy presented with fever with rash over the body. The rash was rose spots , systemic examination did not revealed any abnormality. Which of the following diseases produced the above clinical findings? Which of the following bacterial diseases should be suspected? +A. Typhoid fever C. Cholera . B. Diphtheria D. Pneumonia / / Awith fever. dyspnea and non productive cough. Patien spnosis is? | infilterates. Most likely diagnosis is C. Toxoplasmosis -D. Pneumocystis carinii 11. A30 year old HIV positive patient cyanosed. His chest xray B/L symmetrical A, Tuberculosis B. Cryptococcus 12. Drugs of choice for cholera- A. Tetracycline B, Penicillin -C. Clindamycin D. Trimethoprimsulfomethoxazole 13. Most common causes of PUO is | A, Autoimmune disorders C. Malign: B. Infections. D. Famiial 14.Best diagnostic modality for rotavirus diarrhoea- A. Isolation virus from stool culture C. Detection of antigen in stool B. Detection of antigen in serum: D. Detection of antibody in serum 15. Treatment of Hodgkin’s diseases- A. CHOP ¥C. ABVD B. MOPP - D. BEACOPP: 16.A peripheral smear with increased neutrophils, basophils, eosinophils and platelets is highly suggestive of A. AML C.CML B. ALL *D. Myelodyspalstic syndrome 17. Most common cause of hyperthyroidism- A, Thyroid hyperplasia c Thyroid carcinoma B. Thyroid adenoma D. Graves disease 18.A 28 yr old lady has put on weight and has oligomenorthe: iy ‘on weight and has oligomenorthea for Smonths .BP is 160) Which of following is most appropriate investigation? " A. Serum electrolytes C. Plasma testosterone and USG pelvis B, Plasma cortisol D.13 T4 TSH : 19.Mos common wisomy among the following is -B2I 20.DNA analysis can be done from all EXCEPT ‘A. Monocyte — -B. Lymphocyte -C. Fibroblast D. Amnion cellFinal MBBS Part, Preli ary EXAMINATION Subject:~ Medicine Paper 1 Instructions: 1. Number to the rij ght indie Max. Marks: 80 2 Daw net digas il ais ule attempt i ipting the answer kindly follow the order of questions in question-paper Section B ny 10 Out of 11) :- Brief Answer Question (Solve a (10x2M=20M) with, dyspnea NY! Nene had hypotension and di ith, dyspnea NYHA grade 3...His JVP was 1 raised and he ‘cart sounds on auscultation...There was past hist : ; n..There was past history of » berculosis .What isthe diagnosis and wine two other clinical features of sam ) Enlist three components of : 4) Mention three causes of exu: ©) Enlist three investigations for dysentry 8) Enumerate six causes of Splenomegaly 8) A 14 year girl presented in casualty with history of dog bite in muscle exposed. Mention vaccination schedule for the girl h) A 19-year-old man has a painful sore on his penis. He tells you that 4 days prior to admission, he had unprotected sexual intercourse with a new partner. Yesterday. he began developing painful sores over the distal aspect of his penis He also com plains of dysuria, but denies fevers, chills, meatal discharge or any previously similar episodes Three months ago he had an HIV test which was negative. He has bila iguinal adenopathywhich is firm and tender to palpation. There is no discharge elicited from the ‘meatus. Dispersed on the penile shaft are multiple small tender vesicles on an erythematous base. Write 3 drugs for the treatment. i) Enlist three clinical features of tetanus. j)_ Enlist three viruses causing hemorrhagic fever. k)_ Enlist six Peripheral signs of aortic regurgitation Que.2. Short Answer Question (Solve any 5 Out of 6):- (SX06M=30M) a) Discuss chronic hepatitis C virus infection under following headings. ajinvestigations * b)treatment ; b) Describe investigation and treatment of chronic myeloid leukemia &) Write diagnostic criteria of Infective Endocarditis. d) Write clinical feature and treatment of Dengue infection © Write in brief about approach to a patient with thrombocytopenia ®) Discuss Clinical features and treatment of sickle cell anemia. weet eo a we oetreetrte.Section C Que.3. Long Answer Question-LI (Solve any 1 Out of 2): (IXISM=15M) 4,60 year old man complains of retrstemal chest pain after walking for half kilometer. He feels relieved after resting for some time. This has been happening since last one month, What is the likely diagnosis? Write investigation to diagnose? Write principle of management? OR b. A445 year old female presents with fatigue. Examination revealed pallor, glossitis and hyperpigmentation of knuckles. PS revealed Macrocytosis and few hypersegmentedneutrophils. Hb=7 gm %MCV = 114, Discuss the etiology, causes, clinical features, investigations and treatment of this case ? Que.4. Long Answer Question-L2 (Solve any 1 Out of 2) :- (1X15M=15M) a. A 60 year old man presented in casualty with unconsciousness. He was a diagnosed case of diabetes mellitus type 2, on oral hypoglycemic agents. His investigation revealed blood sugar of 40 mg%. Write the diagnosis, clinical features and management of the above case. OR b. A.56 yr old chronic alcoholic male presented with distension of abdomen of 6 months Guration. Examination revealed icterus, ascites and splenomegaly. Discuss the approach to this case.a < Final MBBS Part-il, Preli cae ary EXAMINAT Subject: - Medicine Paper I '0n Instruction L.Each of the followin multiple choice appropriate answer Me choice questi Ons contains four 2. All. questions are compulsory ee ; Section:- wicg A Max. Marks: 20 Hyperkalemia is defined by potassium concentration more th coe ee ration more than A 7a C. 3 meq/t D. 2 meq/l 2. Flag sign is present in A. Marasmus C. Ser B. Kwashiorkor D. Ricker 3. Menadione is a form of a Nae C. Vi-D . Vite D. VitK 4. A 14 year old patient presents with in skin crease. Likely deficiency is. A. Cobalt is and pigmentation C. Magnesium B. Zine D. Selenium 5. Which of the following is a feature of Parkinsonism A. Dysarthria C. Hypotonia B. Incoordination .D. Bradykinesia 6. Ethosuccimide is drug of choice in - A. Absence seizure C. Psychomotor epilepsy B. Myoclonic seizure D. Grand mal epilepsy 7. Cisplatin Therapy causes polyneuropathy of which type A. Sensory CC. Sensorymotor. .B. Motor. D. Autonomic. 8. Which of the following sign is NOT diagnotic of Progressive muscular Atrophy A. Exaggerated Reflexes -C. Fasciculations B. Wasting of muscles D. Weakness of Limb muscles 9. Redflag sign in headache is - A. Headache with neurodeficit &. Nasal congestion B. Fortification spectra D. Aggravated by specific diet 10. A.45 year old male presents with lower motor neuron facial nerve paralysis of left side examination revealed a vesicle on the left ear. The pathology lies in- -A. Geniculate ganglion C. Otic ganglion B. Carotid ganglion D. None of above6‘ ; 11. Following type of pulmonary TB is most likely to be associated with AFB sputum positivity +A. Primary complex C. Cavitary B. Fibronodular D. Pleural effusion 12. Following anti TB drug is associated with major visual side effets A. INH /C. Pyrarinamide B. Rifampicin D. Ethambutol 13. Miliary TB on CT sean has: A. Peribronchial distribution of lesions CC. Small granulomas with satellite = B. Lesions randomly distributed lesions measuring 1-2 mm D. Small nodules with caseation 14. Which of the following tests are banned by the government of India? A. Sputum smear microscopy C. Interferon-gamma release assay B. Polymerase chain reaction (PCR) (IGRA) D. Serological (antibody) TB tests 15. The ideal clinical specimen for pulmonary TB diagnosis is: A. Blood C. Urine B. Sputum D. Tissue 16. 9year old male child presents with signs of dysriboflavinosis. Which among the following is not its sign? A. Scaly erythrema C. Scaling on nasolabial fold B. Patchy alopecia “D. Hyperkeratotic papules 17. Hypersomnia is not caused by Very large partial thickness . -D. Allof the above. defects 20. A patient with spine, chest and abdominal injury in road traffic accident developed hypotension and bradycardia, Most likely reason is ‘A. Hypovolemic shock C. Hypovolemic + septicemic shock «B, Hypovolemic + neurogenic PX Neurogenie shock shock