2406000102020602
EXAMINATION JANUARY 2024
BACHELOR OF MEDICINE AND BACHELOR OF SURGERY
(SECOND YEAR)
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PATHOLOGY ( PAPER - II ) ( NEW ) (OMR)[Time: As Per Schedule]
[Max. Marks: 80]
Instructions:
Seat No:
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1. Fill up strictly the following details on your answer booka. Name of the Examination : BACHELOR OF MEDICINE AND
BACHELOR OF SURGERY (SECOND YEAR)
b. Name of the Subject : PATHOLOGY ( PAPER - II ) ( NEW )
(OMR)
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c. Subject Code No : 24060001020206022. Sketch neat and labeled diagram wherever necessary.
3. Figures to the right indicate ful marks of the question.
4. Al questions are compulsory.
Student's Signature
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5. Each question carries one mark6. Write correct Answer (A/B/C/D in adjacent box).
SECTION-I
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Q.1 Multiple choice questions (*no negative markings)20
1. Essential Diagnostic feature in Iron deficiency anaemia is
A. Decreased S. Ferritin.
B. Decreased S. iron.
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C. Increased S. Ferritin.D. Decreased TIBC.
2. Type of Anaemia Caused by ileocecal Tuberculosis
A. Megaloblastic Anemia
B. Normocytic Normochromic
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C. SideroblasticD. Iron Deficiency Anemia.
3. Patient had hypertension of 30 years, His heart will show
A. Left Ventricular Hypertrophy B. Dilated Cardiomyopathy
C. Right ventricular hypertrophy D. Restrictive Cardiomyopathy
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4. Popcorn cells will be seen in which type of Hodkin's diseaseA. Lymphocytic dominant
B. Nodular sclerosis
C. Lymphocytic depleted
D. Mixed type.
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5. Flea bitten Kidney is seen in all except:
A. Infective Endocarditis
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B. Diabetic NephropathyC. Malignant Hypertension
D. Hemolytic Uremic Syndrome.
6. Antracosis is due to inhalation of
A. Coal dust
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B. Silica dustC. Asbestos dust
D. Beryllium dust.
7. Auer rods are derived from:
A RNA
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B. DNAC. Primary granules.
D. Secondary granules.
8. Most thrombogenic constituent of atheroma is.
A. Fibrous cap
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B. Lipid coreC. Foam cells
D. Fibrous degradation product.
9. Most common congenital abnormality of heart is:
A. VSD
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B. MyxomaC. ASD
D. Tetralogy of Fallot
10. Viral pneumonia are characterised by following Except:
A. Interstitial Inflammation
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B. Alveolar exudatesC. Multinucleate giant cells in bronchial wall
D. Necrotising bronchiolitis.
11. All of the following have strong association with oral squamous cell
carcinoma Except
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A. Tobacco smokingB. Chronic alcoholism
C. HPV 16 and 18
D. Sub mucosal fibrosis
12. Common causes of hematemesis of oesophageal origin are as follows
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exceptA. Oesophageal varices
B. Mallory-weiss syndrome
C. Reflux oesophagitis
D. Oesophageal rupture
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13. Most common site of Hydatid cyst isA. Liver
B. Spleen
C. Kidney.
D. Brain.
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14. Autoimmune hemolyttic anemia is most likely to be associated with
A. AML
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B. ALLC. CML
D. CLL
15. Presence of which rule out the diagnosis of Aplastic Anemia.
A. Hepatomegaly.
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B. Splenomegaly.C. Lymphadenopathy
D. Cardiomegaly.
16. In Good pasture disease, the antigen is
A. DNA
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B. Collagen IV of Basement membrane.C. Bacterial Products
D. Cationic proteins.
17. Prostatic hyperplasia affects most often :
A. Peripheral prostate
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B. Capsule of prostateC. Periurethral prostate
D. Entire Prostate.
18. Which type of breast carcinoma is characterized by "Indian file pattern
of tumor cells.
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A. Infiltrating Duct carcinoma B. Medullary carcinomaC. Tubular carcinoma
D. Invasive lobular carcinoma.
19. Common causes of myxoedema are as under except
A. Follicular Adenoma
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B. Ablation of thyroid by surgeryC. Thyroid cancer
D. Autoimmune Thyroiditis.
20. Cell of origin of Ewings sarcoma is ;
A. Endothelial cells
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B. Primitive neuroectodermal cellsC. Osteoblast
D. Marrow cell.
SECTION ?II
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Q.2 (LONG ASSAY QUESTION -CASE Based)
13
8 year female residing at tribal area, presented with complain of abdominal
pain, pain in finger, weakness and fatigue on exertion. On examination tongue
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show pallorHEMOGLOBIN: 7.5 gm/dl
MCV: 80fl
RBC COUNT: 3.4 Million/cmm
MCH: 27.5 pg
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WBC count: 8700/cumm
MCHC: 32.5 g/dl
Reticulocyte Count: 8.9 %
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Peripheral smear:Anisocytosis ++, Poikilocytosis+, Fragmented and
Boat shape RBC +
What is your Diagnosis based on above findings?
Enumerate differential diagnosis and describe various lab investigation
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used for screening & to confirm the diagnosisDescribe its etiopathogenesis.
Q.3 Long assay question. (Any Three). (9 marks each)....
27
1. Define and enumerate etiology of liver cirrhosis and laboratory test
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findings with morphology of alcoholic cirrhosis.2. Types of Pnemonia, Morphology of Lobar Pnemonia and lab
investigation for diagnosis.
3. Laboratory Investigation, pathogenesis and complication of Diabetes.
4. Classify Testicular Tumor & write about Germ cell Tumor of Testis.
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SECTION -III
Q.4 SHORT NOTE. (ANY EIGHT) (5 MARKS EACH).....
40
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1. DIC (disseminated intravascular coagulation).
2. Lab investigation and complications of Acute Myocardial Infarction.
3. Etiopathogenesis and Morphology of pyogenic osteomyelitis.
4. Enumerate Plasma cell disorder. Write laboratory diagnosis of Multiple
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myeloma.5. Enumerate Benign breast Tumor & describe invasive ductal carcinoma
of Breast.
6. Morphology of various types of Emphysema.
7. Define and give difference between Nephrotic and nephritic syndrome.
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8. Reticulocyte count9. Thyroid Function Tests.
10. Malignant Melanoma.
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