Download MPMSU MBBS Final Year May 2022 Subject 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.
7. Subjective answers should be answered in up to 30 words per mark.

Q.1 Total MCQs : 20 20 × ½ = 10

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1. Heart rate is determined by:
   1. Purkinje fiber
   2. Papillary muscle
   3. AV node
   4. SA node

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2. All veins carry deoxygenated blood except:
   1. Pulmonary vein
   2. Hepatic vein
   3. Portal vein
   4. Renal vein

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3. Accumulation of uric acid crystal in joints resulting in painful swelling causes:
   1. Fluorosis
   2. Gout
   3. Osteoarthritis
   4. Rheumatoid Arthritis

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4. Lack of relaxation between successive stimuli in sustained muscle contraction is known as:
   1. Tetany
   2. Tonus
   3. Spasm
   4. Fatigue

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5. ECG finding in Hyperkalemia is:
   1. PR prolongation
   2. ST segment depression
   3. Tall tented T waves
   4. QRS widening

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6. Most common cause of acute pancreatitis:
   1. Trauma
   2. Hyperlipidemia
   3. Viral infection
   4. Alcoholism

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7. FEV1/FVC ratio is decreased in all except:
   1. Bronchiectasis
   2. Emphysema
   3. Chronic bronchitis
   4. Interstitial lung disease

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8. The most specific antibody for Rheumatoid arthritis is:
   1. ANA
   2. Anti-dsDNA antibody
   3. Anticyclic citrullinated peptide
   4. Rheumatoid factor

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9. Systemic Miliary Tuberculosis spreads via?
   1. Artery
   2. Vein
   3. Bronchus
   4. Lymphatic

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10. Which of the following is a cause of central cyanosis?
    1. Shock
    2. Cold exposure
    3. Raynaud's phenomenon
    4. Right to left shunts

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11. Pulsus paradoxus seen in all except:
    1. Emphysema
    2. Pulmonary embolism
    3. Hypovolemic shock
    4. Hypertrophic cardiomyopathy

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12. Which is the drug of choice for acute attack of migraine:
    1. Propranolol
    2. Fluoxetine
    3. Sumatriptan
    4. Carbamazepine

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13. Which of the following cause exaggerated jaw jerk:
    1. Pseudobulbar palsy
    2. Multiple sclerosis
    3. Muscular dystrophy
    4. Syringomyelia

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14. Beevor's sign is seen in:
    1. Abdominal muscle
    2. Facial muscle
    3. Lower limb
    4. Palm

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15. SACD is caused due to deficiency of:
    1. Vit B12
    2. Thiamine
    3. Vit C
    4. Vit D

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16. Broca's aphasia is:
    1. Motor aphasia
    2. Sensory aphasia
    3. Global aphasia
    4. Conduction aphasia

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17. Orthostatic hypotension is defined by:
    1. Fall in systolic BP >20 and diastolic BP >10 mmHg
    2. Fall in systolic BP >10 and diastolic BP >20 mmHg
    3. Rise in systolic BP >20 and diastolic BP >10 mmHg
    4. Rise in systolic BP >10 and diastolic BP >20 mmHg

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18. Which of following is not a cause of ST segment elevation:
    1. Acute MI
    2. Acute pericarditis
    3. Hypokalemia
    4. Hypothermia

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19. Which of the following is not a peripheral sign of aortic regurgitation:
    1. Waterhammer pulse
    2. Traube's sign
    3. Quincke's sign
    4. Duroziez's sign

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20. Treatment of Pellagra consists of:
    1. Nicotinic acid
    2. Thiamin
    3. Iron supplement
    4. Riboflavin

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Q.2 Long Answer Questions 4 × 5 = 20

1. Write in brief about the clinical features and management of acute bacterial meningitis.
2. Describe the etiology and clinical features of cirrhosis.
3. Discuss the etiology, clinical features and treatment of community acquired pneumonia.
4. Describe the clinical features and management of ulcerative colitis.

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Q.3 Short Answer Questions 4 × 3 = 12

1. Autoantibodies in Systemic Lupus Erythematosus.
2. Treatment of Celphos poisoning.
3. Management of acute anaphylactic reaction.
4. Describe clinical features and complications of mitral stenosis.

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

1. Four most common causes of massive splenomegaly.
2. Four differences between UMN and LMN lesions.
3. Name four investigations for thalassemia.
4. Four clinical features of raised intracranial tension.

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5. Name any four complications of acute pancreatitis.
6. Write four causes of palpitation.
7. Write four causes of ascites.
8. Write four causes of bilateral pleural effusion.
9. Write four causes of pansystolic murmur at apex

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