Download MPMSU MBBS Final Year July 2021 General Medicine Paper II Question Paper

Time: 3 Hours Maximum Marks : 60

Instructions:

1. All questions are compulsory.
2. Draw diagrams wherever necessary.
3. Answers of Questions and Sub-questions must be written strictly according to the serial order of question paper.

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4. MCQs have to be answered in theory answer book.
5. Please write MCQ answers neatly in serial order with brackets, e.g. 1.(a) 2.(b).
6. MCQs answered only once; cutting, erasing or whitener is malpractice.

Q.1 Total MCQs : 20 20 × ½ = 10

1. Investigation of choice for dysphagia for solids:
   1. Barium swallow

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   2. Endoscopy
   3. X-ray chest
   4. CT scan
2. Which is not a feature of pheochromocytoma:
   1. Headache

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   2. Sweating attacks
   3. Weight gain
   4. Palpitation
3. Which of following is not a feature of tumor lysis syndrome:
   1. Hyperuricemia

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   2. Hyperkalemia
   3. Hypokalemia
   4. Hypocalcemia
4. HbA1C level denotes:
   1. Postprandial blood sugar

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   2. Fasting blood sugar
   3. Long term control of blood sugar
   4. Chronic pancreatitis
5. All are seen in DKA except:
   1. Tachycardia

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   2. Dehydration
   3. Bradycardia
   4. Acidosis
6. Which of the following is a major criterion of infective endocarditis:
   1. Fever

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   2. Septic pulmonary infarct
   3. New valvular regurgitation on echocardiography
   4. Janeway lesions
7. Which of the following is not a drug for leprosy:
   1. Rifampin

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   2. Isoniazid
   3. Ofloxacin
   4. Moxifloxacin
8. Which insulin is given in DKA:
   1. Actrapid

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   2. Mixtard
   3. Degludec
   4. Glargine
9. Which drug is useful in heart failure:
   1. Dapagliflozin

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   2. Teneligliptin
   3. Vildagliptin
   4. Linagliptin
10. Which is not a feature of hypocalcemia:
    1. Laryngospasm

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    2. Paresthesia
    3. Carpopedal spasm
    4. Myocardial infarction
11. Which of the following is not a feature of hypokalemia:
    1. Prominent U wave

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    2. ST depression
    3. Short QT interval
    4. Prolonged PR interval
12. Which of the following is not a cause of hypokalemia:
    1. Starvation

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    2. GI loss
    3. Insulin therapy
    4. Renal failure
13. Type I MEN involve all of the following except:
    1. Pancreas

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    2. Adrenal
    3. Pituitary
    4. Thyroid
14. Which of following is a treatment of hyperkalemia:
    1. ACEI

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    2. Insulin
    3. B blocker
    4. Thyroid
15. Cause of metabolic alkalosis:
    1. Milk alkali syndrome

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    2. Diuretics
    3. Vomiting
    4. All of above
16. Cause of direct hyperbilirubinemia:
    1. Dubin Johnson syndrome

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    2. Crigler Najjar syndrome
    3. Gilbert's syndrome
    4. All of above
17. Which of the following is not a feature of metabolic syndrome:
    1. Cushing disease

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    2. Diabetes mellitus
    3. Hypertension
    4. Dyslipidemia
18. Which of following is a cause of alopecia:
    1. Lupus erythematosus

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    2. Hypothyroidism
    3. Hyperthyroidism
    4. All
19. Which is a cause of generalized lymphadenopathy:
    1. Rheumatoid arthritis

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    2. Hyperthyroidism
    3. Sjogren's syndrome
    4. All
20. Which of following is associated with increased risk of thrombosis:
    1. OCPs

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    2. APL
    3. Dyslipidemia
    4. All

Q.2 Long Answer Questions 4 × 5 = 20

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1. Describe the clinical features and complications of COVID-19 disease.
2. Describe the causes and complications of chronic kidney disease.
3. Describe the clinical features and management of hypothyroidism.
4. Write in brief clinical features and management of hypoglycemia.

Q.3 Short Answer Questions 4 × 3 = 12

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1. Cytokine storm.
2. Dapagliflozin.
3. Clinical features of Cushing syndrome.
4. Nephrotic syndrome.

Q.4 Very Short Answer Questions 9 × 2 = 18

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1. Four drugs for treatment of leprosy.
2. Four second line drugs for treatment of tuberculosis.
3. Four drugs for treatment of psoriasis.
4. Four complications of Plasmodium falciparum malaria.
5. Treatment of schizophrenia.

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6. Four functions of skin.
7. Four causes of superior vena cava syndrome.
8. Four complications of enteric fever.
9. Treatment of chloroquine resistant malaria.

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