Download SSUHS MBBS Final Year 2023 September Medicine Question Paper

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A Firstranker's choice

2023 (September)

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MEDICINE

Full Marks: 100

Time: 3 hours

The figures in the margin indicate full marks for the questions

Answer all questions

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1. Define hyperbilirubinaemia. Write some causes of congenital hyperbilirubinaemia. Describe the pathophysiology and biochemical basis of hyperbilirubinaemia. 2+3+5+5=15
2. Define community acquired pneumonia. Describe its pathogenesis, clinical features, complications and management. 3+4+4+2+2=15
3. A 65 years aged male smoker presented to medicine OPD with loose stools with intermittent blood with stool for 2-months. On examination, he has pedal oedema. Laboratory investigation shows HB-10.5 gm%. 3+4+3=10
   1. What are the important points-in history taking for this patient?
   2. How do you plan to evaluate this patient?
   3. What are the important differential diagnosis in this case?

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4. Write short notes on: 5x8=40
   1. Megaloblastic anaemia.
   2. Complete blood count.
   3. Management of infective endocarditis.
   4. Diagnosis of acute rheumatic fever.

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   5. Febrile response.
   6. Spontaneous bacterial peritonitis.
   7. Genetic basis of common cancers.
   8. Portal hypertension.

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5. Answer briefly: 2x5=10
   1. Name some common viral causes of fever in India.
   2. Mention two complications of cirrhosis of liver.
   3. Mention two differences between ulcerative colitis and Crohn’s disease based on clinical features.
   4. What are the components of COPD? Define chronic bronchitis.
   5. Reed Sternberg cell.

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6. Role of a physician in communicating with the attendants regarding discussion of critical illness of the patient (showing empathy). 5
7. Choose the correct option: 1x5=5
   1. The matrix of blood is known as
      1. plasma
      2. serum
      3. RBC

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      4. WBC and platelets
   2. During blood coagulation, thromboplastin is released by
      1. RBC
      2. leucocytes
      3. blood plasma

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      4. clumped platelets and damaged tissue
   3. Which of the following is not associated with microcytic anaemia?
      1. Iron deficiency anaemia
      2. Aplastic anaemia
      3. Sideroblastic anaemia

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      4. Thalassemia
   4. The marker of infectivity in Hepatitis B is
      1. HBsAg
      2. HBeAg
      3. Anti-HBs

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      4. Anti-HBc
   5. Risk factors for malignancies are all except
      1. smoking
      2. alcohol
      3. antioxidant use

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      4. genetic