Download MPMSU MBBS Final Year November 2021 November 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 × ½ = 10

1. Kwashiorkor occurs due to:
   1. Deficiency of proteins and calories

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   2. Deficiency of proteins
   3. Deficiency of calcium
   4. Deficiency of fats
2. During acute MI following changes occur in ECG:
   1. Flattened T wave

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   2. Depressed ST segment
   3. Elevated ST segment
   4. Increased PR interval
3. Parkinson's disease is due to deficiency of:
   1. GABA

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   2. Dopamine
   3. Glycine
   4. Aspartate
4. MELD score is calculated on the basis of:
   1. Prothrombin time

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   2. Serum creatinine
   3. Serum bilirubin
   4. All of the above
5. ECG finding in Hyperkalemia is:
   1. PR Prolongation

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   2. ST segment depression
   3. Tall tented T waves
   4. qRS widening
6. All are features of pyramidal tract lesion, Except:
   1. Involuntary movement

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   2. Positive Babinski's sign
   3. Spasticity
   4. Increased deep tendon reflexes
7. In Budd Chiari syndrome the site of venous thrombosis is:
   1. Infrahepatic inferior vena cava

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   2. Infrarenal inferior vena cava
   3. Portal veins
   4. Hepatic veins
8. Seen in DIC are all except:
   1. Hyperfibrinogenemia

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   2. Increased fibrin degradation products
   3. Prolonged PT
   4. Increased APTT
9. Most common valve involved in Carcinoid syndrome is:
   1. Mitral valve

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   2. Tricuspid valve
   3. Aortic valve
   4. Pulmonary valve
10. Characteristic feature of upper motor neuron lesion includes:
    1. Fasciculations

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    2. Hyporeflexia
    3. Clonus
    4. Muscle wasting
11. Which artery is involved in lateral medullary syndrome?
    1. Anterior superior cerebellar artery

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    2. Anterior inferior cerebellar artery
    3. Posterior superior cerebellar artery
    4. Posterior inferior cerebellar artery
12. Kussmaul's sign is present in all EXCEPT:
    1. Massive pulmonary embolism

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    2. Restrictive cardiomyopathy
    3. Hypertrophic cardiomyopathy
    4. Right ventricular infarction
13. Presence of U waves represent:
    1. Ventricular depolarisation

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    2. IHD
    3. Ventricular repolarisation
    4. Atrial depolarization
14. Treatment of Pellagra consists of:
    1. Nicotinic acid

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    2. Thiamin
    3. Iron supplement
    4. Riboflavin
15. Murphy's sign is present in:
    1. Hepatitis

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    2. Cholecystitis
    3. Pancreatitis
    4. None
16. ANCA associated vasculitis:
    1. SLE

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    2. Rheumatoid arthritis
    3. Churg-Strauss syndrome
    4. Henoch-Schonlein purpura
17. Wide and fixed split S2 is present in:
    1. Systemic hypertension

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    2. ASD
    3. Mitral stenosis
    4. Ventricular septal defect
18. Primaquine may cause hemolysis in:
    1. G6PD deficiency

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    2. NADP deficiency
    3. Methemoglobinemia
    4. Antitrypsin deficiency
19. Fasciculations are seen in:
    1. Anterior horn cell disease

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    2. Polymyositis
    3. Duchenne muscular dystrophy
    4. CVA
20. The most common intracranial site of hypertensive hemorrhage:
    1. Frontal lobe

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    2. Temporal lobe
    3. Basal ganglia
    4. Cerebellum

Q.2 Long Answer Questions 4 × 5 = 20

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1. Write in brief about the diagnosis and treatment of acute coronary syndrome.
2. Discuss etiology, pathophysiology, clinical features, investigations and principles of management of Chronic myeloid leukemia.
3. Describe pathology, diagnosis & management of pleural effusion.
4. Define seizure. Discuss the various types of seizure disorder.

Q.3 Short Answer Questions 4 × 3 = 12

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1. Clinical features and differential diagnosis of GBS.
2. Multiple myeloma.
3. Organo-Phosphorous poisoning.
4. Diagnosis and management of COPD.

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

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1. Signs of Mitral stenosis.
2. Raynaud's phenomenon.
3. Name any four anti-epileptic drugs.
4. Four features of Systemic sclerosis.
5. COVID-19 Lab markers.

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6. 4 complications of infective endocarditis.
7. 4 causes of spastic paraplegia.
8. Write 4 causes of clubbing.
9. Treatment of status epilepticus.

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