MBBS Second Professional Examination January-2025
Subject- Pathology
Paper- II (new scheme)
Time: 3:00 Hours
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Maximum Marks :100Instructions:
a) Al questions are compulsory
b) Draw diagrams wherever necessary
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c) Answers of Questions and Sub-questions must be written strictly according to serial order of question paper.d) MCQ has to be answered in theory answer book
e) Please write MCQ answer neatly and in serial order with black or blue pen in brackets; for example: - 1. (a) 2. (c)
f)
MCQ has to be answered only once, any kind of repetition or cutting or erasing or whitener wil be considered as malpractice, such answers wil not be
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counted in marks and action wil be taken according to UFM rules of university.g) Subjective answer should be answered in up to 30 words per marks. For example, if a question having 2 marks should answered in up to 60 marks.
Q1. Total MCQs: 10
10 x 1 = 10
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1. Which virus is not transmitted parenteral y?(a) Hepatitis B
(b) Hepatitis C
(c) Hepatitis G
(d) Hepatitis E
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2. In which condition are Aschoff bodies seen?(a) Rheumatoid arthritis
(b) Tuberculosis
(c) Rheumatic heart
(d) Sarcoidosis
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disease3. The most common primary site for the origin of Paget's disease is:
(a) Nipple
(b) Anal canal
(c) Liver
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(d) Penis4. Which of the fol owing is the most common cause of myocardial infarction?
(a) Hypertension
(b) Coronary artery
(c) Aortic stenosis
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(d) Pulmonary embolismthrombosis
5. In which of the fol owing conditions are Reed-Sternberg cells seen?
(a) Non-Hodgkin
(b) Hodgkin lymphoma
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(c) Chronic lymphocytic(d) Multiple myeloma
lymphoma
leukemia
6. Hypothyroidism is associated with al of the fol owing except:
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(a) Cretinism(b) Autism
(c) Cold intolerance
(d) Weight gain
7. Not a germ cel tumor:
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(a) Seminoma(b) Yolk sac tumor
(c) PNET
(d) Dysgerminoma
8. Tamm-Horsfal protein is produced by:
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(a) Distal tubules(b) Ureter
(c) Loop of Henle
(d) Col ecting duct
9. Multiple sclerosis is an autoimmune disease that affects the:
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(a) Brain(b) Spinal cord
(c) Peripheral nerves
(d) Muscles
10. Most common cause of Nephrotic syndrome in children is:
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(a) RPGN(b) PSGN
(c) Minimal change disease (d) Focal GN
Q2. Long Answer Questions
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2 x 20 = 40a. A 52-year-old woman presents with a palpable lump in her right breast. On examination, the lump is hard,
irregular, and fixed to the underlying tissue. There are palpable axil ary lymph nodes. A mammogram shows a
mass with micro calcifications. A biopsy is performed.
I.
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Based on the clinical presentation and imaging findings, what is the most likely histological diagnosis? (05Mark)
II.
What are the key prognostic factors for breast carcinoma? (05 Mark)
III.
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Describe the significance of immune histochemical staining in the diagnosis and prognosis of breastcarcinoma. (05 Mark)
IV.
What are the histological features of Paget's disease of the breast? (05 Mark)
b. A middle-aged known smoker presented with persistent cough with expectoration and evening raise in
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temperature in the past two weeks. Chest x ray identified consolidation in the lower portion of the upper lobeof right lung. Hilar lymphadenopathy was noted. Sputum examination detected acid fast bacil i.
I.
What is the most probable diagnosis? (5marks)
II.
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Discuss the pathogenesis. (5marks)III.
Describe the gross and microscopic findings (5 marks)
IV.
Mention two complications (5marks)
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Q3. Brief Answer Questions6 x 05 = 30
a. What are the common causes of anemia, and how are they classified based on their morphology and
etiology?
b. Discuss the diagnostic pathologic criteria of rheumatic heart disease
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c. Enumerate the CSF findings in tuberculous meningitisd. Describe in detail about melanoma?
e. How does hypertension lead to left ventricular hypertrophy?
f. Enlist the Classification of ovarian tumors
Q4. Short Answer Questions
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10 x 2 = 20a. Describe various types of giant cel s?
b. Paraneoplastic Syndrome
c. Enlist histopathological features of Papil ary of Carcinoma thyroid
d. Explain the characteristic renal histopathological finding in diabetic nephropathy and its clinical significance.
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e. Mention four causes of Congenital Hyperbilirubinemiaf. Write the gene involved in retinoblastoma?
g. Enumerate HPV associated malignancies
h. Write al the parameters of complete blood count report (CBC)?
i. Write the battery of test for viral hepatitis?
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j. Wilms Tumor