Download BFUHS MBBS 2nd Year MBN202 Pathology B Nov 2022 mcq Question Paper

Total No. = 03 pages
Q.P. Code: MBN202
M.B.B.S. 2nd Prof.
(New Scheme w.e.f. 2019 admission onwards)

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BF/2022/02
Pathology ? B

M.M. : 100
Time : 3 Hours(First 30 Min. for MCQs)

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Note: 1.
Use OMR Sheet to answer Multiple Choice Questions(MCQs).
2.
Attempt all questions. Illustrate your answers with suitable diagrams
3.

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NO SUPPLEMENTARY SHEET SHALL BE ALLOWED/PROVIDED
4.
The student must write Q.P. Code in the space provided on OMR Sheet and the Title page of
the Answer Book.
Q.1

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MCQs (Attempt on OMR sheet)
[1x20]
1. A 55 yr old male presented with complaints of chest pain, palpitation and vomiting. The laboratory
investigations revealed increase in CPK-MB and LDH. Which is the most probable diagnosis?
a. Angina Pectoris

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b.
Congestive cardiac failure
c. Myocardial infarction
d.
Unstable Angina

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2. A 6yr old boy developed pain in knee joint and fever after sore throat for a week. On examination there
were subcutaneous nodules and ECG showed prolonged PR interval. What is the likely diagnosis?
a. Infective endocarditis
b.
Rheumatic carditis

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c. Myocardial infarction
d.
Septic arthritis
3. A 32 year old smoker suffers from dyspnea, cough with sputum since 4 months. HRCT reveals dilated
bronchi which were abutting the pleura. The probable diagnosis is;

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a. Lobar Pneumonia
b.
Tuberculosis
c. Bronchiectasis
d.

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Bronchopneumonia
4. A worker in mining industry has cough with sputum and honey comb appearance of lung on X ray chest.
There is presence of ferruginous bodies on biopsy. What disease is he suffering from?
a. Sillicosis
b.

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Berylliosis
c. Coal worker Pnumoconiosis
d.
Asbestosis
5. A 60yr male came with history of alcoholism and cirrhosis liver. Which enzyme is useful in alcoholic liver

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disease?
a. AST (Aspartate transaminase)
b.
ALT (Alanine transaminase)
c. CPK (Creatine phosphokinase)

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d.
GGT (Gamma glutamyl transferase)
6. A neonate has high bilirubin level of unconjugated type with brain involvement. He is diagnosed as
Criggler Najjar syndrome. Which enzyme deficiency is he having?
a. Glucoronyl transferase

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b.
Alpha-1 antitrypsin
c. Alanine aminotransferase
d.
Gamma glutamyl transeferase

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7. A 40yr male came with jaundice since one month. The liver biopsy showed fatty change, Mallory hyaline,
spotty necrosis. The patient is suffering from;
a. Hepatitis C
b.
Hepatitis A

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c. Alcoholic hepatitis
d.
Hepatitis B
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8.
An 11yr old male has brown macules on lip and oral mucosa. Colonoscopy shows multiple polyps in
lumen. What is he suffering from?
a.
Cowden syndrome

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b.
Familial adenomatous polyposis
c.
Peutz-jeghers syndrome
d.

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Turcot syndrome
9.
A 15 year old boy suffers from proteinuria, hematuria and smoky urine.His blood pressure is
150/100mmHg.Gross specimen of kidney shows flea bitten appearance. He suffered from;
a.

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Membranous Nephropathy
b.
Post streptococcal glomerulonephritis
c.
IgA Nephropathy

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d.
Focal segmental glomerulosclerosis
10. A 62 year old female presents with triad of hematuria, lumbar mass and costovertebral pain. The
probable diagnosis is;
a.

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Renal cell carcinoma
b.
Chronic glomerulonephritis
c.
Renal stone

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d.
Urinary tract infection
11.
A nine yr child came with ascitis, pedal oedema, proteinuria and Oval fat bodies in Urine. Which renal
disease is he suffering from?

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a.
Rapidly progressive Glomerulonephritis
b.
Nephrotic Syndrome
c.

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Nephritic syndrome
d.
Chronic glomerulonephritis
12.
A 50year male came with enlarged testis left side. Testicular biopsy showed polyhedral vacuolated

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cells with prominent nucleoli. Lymphocytes were seen in the lobular septa. On immunohistochemistry
cells were positive for CD117. The likely diagnosis is;
a.
Teratoma
b.

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Yolk sac tumor
c.
Embryonal carcinoma
d.
Seminoma

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13.
A 2 yr old boy came with enlarged testis right side. Biopsy showed reticular network of cuboidal cells
with Schiller Duval bodies. The likely diagnosis is;
a.
Teratoma

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b.
Yolk sac tumor
c.
Embryonal carcinoma
d.

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Seminoma
14.
Koilocytic atypia is seen in biopsy from patient of carcinoma cervix . Which virus causes this atypia?
a.
HPV6

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b.
HPV 16
c.
HPV11
d.

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HPV33
15.
A 20yr old female came with freely mobile lump in right breast. FNAC showed proliferation of ductal
component. What is the likely diagnosis?
a.

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Phyllodes tumor
b.
Fibroadenoma
c.
Fibrocystic disease

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d.
Carcinoma breast
16.
A 24 yr old male developed fever with pain right leg. X ray tibia showed a lytic focus surrounded by a
sclerotic zone. The probable diagnosis is;

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a.
Tubercular osteomyelitis
b.
Broodies abscess
c.

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Syphilis
d.
Osteoid osteoma
17.
A 55yr female presents with tingling sensation of fingers with swelling of face. Urine examination

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shows proteinuria and glucosuria. Which disease is patient suffering from?
a.
Amyloidosis
b.
Diabetic nephropathy

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c.
Diabetes mellitus
d.
Hypertension
18.

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Biopsy from thyroid nodule shows colloid, papillary fragments and cells with orphan annie nucleus.
What is the likely diagnosis?
a.
Follicular carcinoma
b.

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Medullary carcinoma
c.
Undifferentiated carcinoma
d.
Papillary carcinoma

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19. CSF report of a 25yr old patient is sugar 40mg%, protein 180mg% and chlorides 500mg/dl. On
cytology
lymphocytes are increased. The diagnosis is;

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a.
Pyogenic meningitis
b.
Viral meningitis
c.

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Tubercular meningitis
d.
Viral encephalitis
20. A 28yr male presented with hypopigmentation, hypoaesthesia and loss of hair on both hands. Skin
biopsy showed numerous foam cells. Special stain for demonstration of probable organism is;

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a.
PAS stain
b.
Lepra stain
c.

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Giemsa stain
d.
H&E stain
Q.2. A 12 year old boy presented with facial puffiness and decreased urine production for two days. Urine
microscopy showed numberous red cells. He had a history of sore throat 2 week back.

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[4+4+4]
a.
Describe the etiopathogensis of this kidney disease
b.
Describe the kidney biopsy changes seen

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c.
Describe the typical clinical features and prognosis of this disease
Q.3. Write short notes on:-
[5x4]
a.

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Compare and contrast type-I and type-II diabetes mellitus
b.
Compare and contrast CSF findings in pyogenic and viral meningitis
c.
Describe the prognostic factors in carcinoma breast

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d.
Clinico-pathological features of constrictive pericarditis
Q.4. Explain why?
[3x5]
a.

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Exposure to dust for long time leads to breathlessness
b.
Strictures occur in small intestine in tuberculosis
c.
Gall stones occur in association with obesity

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d.
Majority of HCV infected individuals progress to chronic liver disease
e.
HPV vaccines are useful in prevention of carcinoma cervix
Q.5. Write short answer (applied aspect):-

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[6x3]
a.
Describe the clinical findings, diagnosis and follow-up of hydatid form mole.
b.
Write briefly on complications of bronchiectasis

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c.
Write briefly on laboratory diagnosis of chronic pyelonephritis
Q.6. Write short answer:-
[5x3]
a.

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Describe gross and microscopic features of amoebic colitis
b.
Describe briefly papillary thyroid carcinoma and enumerate its variants
c.
Discuss the role of physician in health care system

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