DR NTR UNIVERSITY OF HEALTH SCIENCES ::
VIJAYAWADA-8
M.B.B.S. DEGREE EXAMINATION - JANUARY, 2014
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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Answer all questions1) A male aged 60 years who is a chronic smoker
presented with history of slowly increasing severe
exertional dyspnoea and weight loss. He is barrel-chested
and dyspneic with prolonged expiration, sits forward in a
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hunched-over position and breaths through pursed lipsa) What is the probable diagnosis?
b) Mention the major types (classification) with
appropriate diagrams
c) Discuss the pathogenesis of the lesion
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d) Mention two causes of death in most of these patients(1+4+4+1=10)
WRITE SHORT NOTES ON:
5 x 4 = 20
2) Skeletal Ewing's sarcoma - common sites, X-ray
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appearance and microscopic picture.3) Endometriosis ? Definition, chief locations and
histogenesis
4) Cardiac lesions in Acute Rheumatic fever (Acute
RHD)
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5) Name the types of Renal lesions in DiabeticNephropathy and describe the histology of glomerular
lesions
6) Morphology of Astrocytomas
WRITE BRIEFLY ON:
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5 x 2 = 107) Paget's disease of Nipple ? Gross and microscopic
picture
8) Name three (3) pre-malignant (carcinoma-in-situ)
lesions of Penis mention the common infective agent
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associated with these lesions9) Morphology of Amoebic colitis
10) Microscopic picture of thyroid in Graves disease
11) Four major etiologic factors associated with
Hepatocellular Carcinoma
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