Download MPMSU MBBS Final Year JULY 2021 July 2021 General Medicine Paper I 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 × 2 = 10

1. Clinical diagnosis of AF is based on:
   1. Loss of a wave in JVP

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   2. Varying intensity of S1
   3. Irregularly irregular pulse
   4. All of the above
2. When mitral valve area is 1 cm², pressure required to maintain normal cardiac output is:
   1. 15 mmHg

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   2. 25 mmHg
   3. 30 mmHg
   4. 35 mmHg
3. The most specific enzyme for Myocardial Infarction is:
   1. CPK MB

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   2. AST
   3. Troponin I
   4. LDH
4. Ipsilateral 3rd Nerve Palsy with contralateral hemiplegia is called:
   1. Benedict's syndrome

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   2. Weber's syndrome
   3. Claude's syndrome
   4. Anton's syndrome
5. Most commonly biopsy nerve is:
   1. Radial nerve

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   2. Sural nerve
   3. Greater auricular nerve
   4. Lateral cutaneous nerve of thigh
6. Transient ischemic attack of retina is called:
   1. Amaurosis fugax

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   2. Ocular migraine
   3. Ischemic optic neuropathy
   4. All of the above
7. In Bell's palsy, maximum weakness occurs within:
   1. 24 hours

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   2. 48 hours
   3. 72 hours
   4. 7 days
8. The drug of choice for treatment of Trigeminal Neuralgia is:
   1. Baclofen

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   2. Phenytoin
   3. Carbamazepine
   4. Ibuprofen
9. In extramedullary syndrome, all are clinical features except:
   1. Radicular pain

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   2. Spastic weakness in legs
   3. Sacral sparing
   4. Bladder incontinence
10. Watermelon stomach refers to:
    1. Antral vascular ectasia

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    2. Dieulafoy's lesion
    3. Prolapse gastropathy
    4. None of the above
11. False statement about hepatorenal syndrome is:
    1. Urine sodium is low

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    2. Pre-renal AKI
    3. Urine examination is abnormal
    4. Renal biopsy is normal
12. Scleral icterus visible when serum bilirubin is:
    1. 1 mg/dl

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    2. 2.5 mg/dl
    3. 5 mg/dl
    4. 10 mg/dl
13. ANA are present in what percentage of cases of SLE:
    1. 50%

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    2. 70%
    3. 80%
    4. 95%
14. The earliest manifestation of ankylosing spondylitis is:
    1. Anterior Uveitis

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    2. Enthesitis
    3. Sacroiliitis
    4. Aortic insufficiency
15. The modified Schober's test is measure of:
    1. Lumbar spine flexion

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    2. Chest expansion
    3. Neck pain and stiffness
    4. All of the above
16. Hypersegmented neutrophils are characteristic of:
    1. Iron deficiency anemia

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    2. Vitamin B12 and folate deficiency
    3. Post haemolysis
    4. Hypersplenism
17. The earliest ECG manifestation of hyperkalemia is:
    1. PR prolongation

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    2. Tented T waves
    3. Wide slurred QRS
    4. Diminution of P wave
18. Features of severe Mitral Stenosis include all except
    1. Soft S1

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    2. Long mid diastolic murmur
    3. Short A2-02 interval
    4. Opening snap
19. Dullness on percussion occurs in all except:
    1. Pneumothorax

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    2. Consolidation
    3. Pleural effusion
    4. Collapsed lung
20. Tender hepatomegaly is not seen in:
    1. Viral hepatitis

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    2. Typhoid fever
    3. Heart failure
    4. Liver abscess

Q.2 Long Answer Questions 4 × 5 = 20

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1. Describe clinical features and management of non-ST elevation myocardial infarction.
2. Discuss COVID-19 pneumonia and its management.
3. Describe nonalcoholic fatty liver disease.
4. Describe types of diabetic neuropathy.

Q.3 Short Answer Questions 4 × 3 = 12

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1. Treatment of megaloblastic anemia.
2. Management of heart failure.
3. Treatment of trigeminal neuralgia.
4. Treatment of venomous snake bite.

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

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1. Name fibrinolytic agents used in ST elevation myocardial infarction.
2. Complications of acute pancreatitis.
3. Lifestyle modification to manage hypertension.
4. Causes of secondary hypertension.
5. Causes of atrial fibrillation.

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6. Hypertrophic osteoarthropathy (grade IV clubbing).
7. Describe Parkinson's gait.
8. Treatment of hepatic encephalopathy.
9. Hematological parameters of anemia of chronic inflammation.

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