DR NTR UNIVERSITY OF HEALTH SCIENCES ::
VIJAYAWADA-8
M.B.B.S. DEGREE EXAMINATION - JANUARY, 2013
SECOND M.B.B.S. EXAMINATION
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PATHOLOGY(SYSTEMIC PATHOLOGY)
PAPER-II
Time: 2 Hours
Max. Marks: 40
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Note: Answer all questions. Give diagrammaticrepresentation wherever possible.
1) A 60 year old male having fever and weight loss
presented with painless hematuria, flank pain and
palpable mass in the left renal angle. CT Scan confirmed a
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specific organ mass lesion, regional lymphnodes and renalvein involvement. Chest radiograph showed pulmonary
"cannonball" secondaries and his PCV is of 60%.
a) What is the provisional diagnosis?
b) Discuss the etiopathogenesis of the lesion.
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c) Describe its morphology.d) Mention various paraneoplastic syndromes produced by
this lesion. 1+3+4+2 = 10
WRITE SHORT NOTES ON:
5 x 4 = 20
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2) Etiopathogenesis of Emphysema.3) Pathology of Graves disease.
4) Describe location and macroscopic appearance of
vegetations in Bacterial Endocarditis (BE). Mention extra
cardiac complications of BE.
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5) Morphology of common and classic osteosarcoma.6) Etiologic and Morphologic classification of Cirrhosis
of Liver.
WRITE BRIEFLY ON:
5 x 2 = 10
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7) Cause and histology of Barrett esophagus.8) Name one benign tumor and three Premalignant
(carcinoma in situ) lesions of penis.
9) Diagrammatically illustrate the two microscopic
patterns of fibroadenoma breast.
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10) Name 4 surface epithelial tumors of ovary.11) Mention the site, size, appearance and common
complication of Berry Aneurysm.
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