Download VNSGU MBBS RAN 2106000102010102 Pathology Paper II March2023 Question Paper

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RAN-2106000102010102

S.Y. M.B.B.S. Examination March - 2023

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Pathology: Paper II (Set - 3)

(CBME New Course)

Time: 3 Hours ] [Total Marks: 100

? : / Instructions

(?) ? ? ? ? ? ? ? ?.

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Fill up strictly the details of signs on your answer book

Name of the Examination:

S.Y. M.B.B.S.

Name of the Subject:

Pathology: Paper II (Set - 3) (CBME New Course)

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Subject Code No.: 2106000102010102

(2) Each question carries one mark.

(3) Encircle the correct answer.

Time: 20 Minutes ] [ Total Marks: 20

Section - I

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1. Multiple choice questions (*no negative markings) 20
   1. Barrett's oesophagus can result from:
      1. H. pylori infection
      2. H. simplex infection
      3. Gastroesophageal reflux
      4. Varices

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   2. Incubation period of hepatitis B is:
      1. 6 weeks to 6 months
      2. 6 days to 6 weeks
      3. 6 months to 6 years
      4. More than 6 years

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   3. Endodermal sinus tumor is characterised by:
      1. Schiller-Duval body
      2. Psammoma body
      3. Call - Exner body
      4. Homer-wright rosette

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   4. Extravascular haemolysis causes:
      1. Hemoglobinemia
      2. Hemosiderinuria
      3. Jaundice
      4. Hemoglobinuria

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   5. Antoni A and Antoni B regions are seen in:
      1. Meningioma
      2. Glioblastoma
      3. Medulloblastoma
      4. Schwannoma

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   6. Best test for assessment of iron status is:
      1. Transferrin
      2. Ferritin
      3. Serum iron
      4. Hemoglobin

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   7. Skip lesions are seen in:
      1. Ulcerative colitis
      2. Crohn's disease
      3. Carcinoid syndrome
      4. Whipple's disease

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   8. Call-Exner bodies are seen in:
      1. Dysgerminoma
      2. Granulosa cell tumor
      3. Teratoma
      4. Theca cell tumor

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   9. All the following are invasive carcinoma breast except:
      1. Comedocarcinoma
      2. Colloid carcinoma
      3. Lobular carcinoma
      4. Medullary carcinoma

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   10. Which one of these thyroid cancers cannot be diagnosed by FNAC:
       1. Papillary carcinoma
       2. Medullary carcinoma
       3. Follicular carcinoma
       4. Anaplastic carcinoma

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   11. Ewing's sarcoma arises from:
       1. G cell
       2. Totipotent cells
       3. Neuroectodermal cells
       4. Neurons

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   12. A 40-year-old hypertensive male admitted to hospital with sudden onset of headache and altered sensorium. On examination his blood pressure was observed to be 220/110 mm hg and the patient died 4 hours later. What is pathological finding in kidneys?
       1. Small kidney with granular surface
       2. Small kidney with petechial haemorrhage
       3. Large kidney with waxy appearance
       4. Large kidney with granular surface

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   13. Diagnostic feature in rheumatic heart disease is:
       1. Aschoff nodule
       2. Mc Callum's patch
       3. Bread and butter pericarditis
       4. Shaggy vegetation

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   14. Ferruginous bodies are seen in:
       1. Silicosis
       2. Byssinosis
       3. Asbestosis
       4. Bagassosis

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   15. 'Popcorn cells' are seen in which type of Hodgkin's disease:
       1. Lymphocytic dominant
       2. Lymphocytic depleted
       3. Nodular sclerosis
       4. Mixed type

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   16. Cells seen in myocardial infarction at 48 hours are:
       1. Polymorphs
       2. Fibroblast
       3. Lymphocyte
       4. Macrophage

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   17. Marker for small cell cancer of lung is:
       1. Cytokeratin
       2. Chromogranin
       3. Desmin
       4. Vimentin

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   18. Most common cause of nephrotic syndrome in adult:
       1. Membranous glomerulonephritis
       2. Minimal change disease
       3. Acute glomerulonephritis
       4. Focal segmental glomerulonephritis

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   19. Ascending aorta involvement is the commonest site of which aneurysm?
       1. Syphilitic
       2. Atherosclerotic
       3. Mycotic
       4. None of the above

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   20. AML with gum infiltration, hepatosplenomegaly is most likely to be
       1. MI
       2. M2
       3. M3
       4. M4

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Section- II (40 Marks)

Q-2 Case based long essay questions [13*1=13]

A 70-year-old male presented with changes in bowel habit, bleeding per rectum, loss of weight, fatigue, and weakness of six-month duration. Endoscopy was suggestive of large polypoidal lesion in descending colon and biopsy done.

Biopsy of lesion showed marked pleomorphism of glandular epithelial cells with many atypical miosis and necrosis

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After endoscopic biopsy of colon, left sided hemicolectomy was done

1. What is your probable diagnosis? 2 Marks
2. Describe etiopathogenesis of it. 5 Marks
3. Describe the gross and microscopic features of the 6 Marks resected colon.

Q-3. Long essay questions. (Attempt any three) [9*3=27]

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1. Describe etiology and morphology of Myocardial Infarction. 3+6
2. Classify glomerular disease. Describe etiopathogenesis, 3+3+3 morphological features Post streptococcal glomerulonephritis.
3. Define and classify Jaundice. Describe laboratory diagnosis 1+3+5 of Jaundice.
4. Define Pneumoconiosis. Classify Pneumoconiosis and describe 1+3+5 Coal-worker's pneumoconiosis.

Section- III (40 Marks)

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Q-4. Short notes (Attempt Any 8) [8*5=40]

1. Peripheral smear finding of Chronic Myeloid leukaemia.
2. Describe etiopathogenesis and morphological features of Bronchiectasis.
3. Gross and microscopic features of Chronic pyelonephritis.
4. Sickle cell anaemia.

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5. Benign prostatic hyperplasia.
6. Enumerate and explain the causes of Splenomegaly
7. Basal cell carcinoma.
8. Describe aetiopathogenesis and morphological features of Infective endocarditis.
9. Hydatidiform Mole

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10. Immune thrombocytopenic purpura

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