DR NTR UNIVERSITY OF HEALTH SCIENCES ::
VIJAYAWADA-8
M.B.B.S. DEGREE EXAMINATION - JANUARY, 2012
SECOND M.B.B.S. EXAMINATION
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PATHOLOGY(GENERAL PATHOLOGY & HAEMATOLOGY)
PAPER-I
Time: 2 Hours
Max. Marks: 40
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Note: Answer all questions. Give diagrammaticrepresentation wherever possible.
1) A 4 years old male child presented with fatigue, fever,
epistaxis,
bleeding gums, bone pain and CNS manifestations from
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meningealinvolvement. Physical examination revealed petechiae and
ecchymoses of skin and mucous membranes, generalized
lymphadenopathy and testicular enlargement. The
leukocyte and
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differential counts were abnormal. 1+4+3+3=10a) What is the provisional diagnosis?
b) Discuss various main laboratory investigations to make
a
final diagnosis.
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c) Describe peripheral blood and bone marrow picture.d) Discuss molecular pathogenesis of the disease.
WRITE SHORT NOTES ON:
5 x 4 = 20
5 x 4 = 20
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2) Role of Selectins and Integrins involved in theinflammatory
response.
3) von Willebrand disease.
4) Systemic Thrombo embolism.
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5) Physical and chemical nature of Amyloid6) Important growth factors modulating tumor growth and
biology.
WRITE BRIEFLY ON:
5 x 2 = 10
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7) Barr bodies.8) Autophagy.
9) Skeletal changes in Rickets.
10) Late manifestations of congenital Syphilis.
11) Frozen section.
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