Download MPMSU MBBS Final Year November 2021 November 2021 Subject 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. Tinea versicolor is caused by:
   1. Candida albicans

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   2. Trichophyton
   3. Streptococci
   4. Malassezia furfur
2. All of the following are indications of renal replacement therapy except:
   1. Metabolic acidosis (pH < 7.25)

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   2. Hypercalcemia
   3. Hyperkalemia (K+ > 6 mmol/L)
   4. Fluid overload
3. The most predominant type of serum immunoglobulin in patients with plasma cell disorder is:
   1. IgG

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   2. IgA
   3. IgD
   4. Light chains
4. The Gene X-pert test used for MTB detection has the additional advantage of detection of which of the following?
   1. INH resistance

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   2. Rifampicin resistance
   3. Multi drug resistance
   4. Ethambutol resistance
5. Which of the following is a genetic risk factor for DM?
   1. Homocysteine

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   2. IRS-1
   3. Apolipoprotein E-4
   4. G-Protein Sub-unit 3
6. On MRI pituitary bright spot is due to:
   1. Anterior pituitary

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   2. Posterior pituitary
   3. Pituitary stalk
   4. None
7. Yellow color of urine is due to the presence of:
   1. Urea

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   2. Uric acid
   3. Urochrome
   4. Bilirubin
8. Amaurosis fugax is best related to:
   1. TIA of retina

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   2. Migraine
   3. CVA
   4. Conversion reaction
9. Sertoli cells are found in:
   1. Ovaries and secrete progesterone

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   2. Adrenal cortex and secrete adrenaline
   3. Seminiferous tubules and provide nutrition to germ cells
   4. Pancreas and secrete CCKPZ
10. Which of the following drug is not associated with development of edema:
    1. NSAIDs

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    2. Metformin
    3. Estrogen
    4. Methyldopa
11. Which of the following is not a metabolic cause of hyperpigmentation:
    1. Hemochromatosis

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    2. Vit B12 deficiency
    3. Folic acid deficiency
    4. Iron deficiency
12. Incubation period of rabies:
    1. 20-90 days

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    2. 5-10 days
    3. 1-4 days
    4. 10-15 days
13. Splenic abscess is associated with which infection:
    1. Streptococcus

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    2. Salmonella
    3. Aspergillus
    4. Candida
14. Which of the following is not indicated in acute Covid disease:
    1. Pirfenidone

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    2. Steroids
    3. Paracetamol
    4. Remdesivir
15. All of the following are seen in Rickets except:
    1. Bow legs

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    2. Pot belly
    3. Gunstock deformity
    4. Cranio tabes
16. Karyotyping is done for:
    1. Chromosomal recessive disorders

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    2. Autosomal recessive disorders
    3. Autosomal dominant disorders
    4. Linkage disorders
17. The following are psychotic disorders except:
    1. Schizophrenia

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    2. Mania
    3. Psychotic depression
    4. Hysteria
18. The following are correct about Anorexia Nervosa except:
    1. Amenorrhea is a feature

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    2. Obesity is a feature
    3. Thin appearance
    4. May be complicated by hypokalemia
19. Delusion is not seen in:
    1. Depression

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    2. Anxiety
    3. Schizophrenia
    4. Mania
20. Hypercoagulation in Nephrotic syndrome is caused by:
    1. Loss of antithrombin III

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    2. Decreased fibrinogen
    3. Increased protein C
    4. Decreased metabolism of vitamin K

Q.2 Long Answer Questions 4 × 5 = 20

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1. Classification of Diabetes Mellitus & Management with mention of newer OHAs.
2. Describe clinical feature and complications of dengue fever.
3. Discuss the clinical features, diagnosis, complications and management of Covid 19 disease.
4. Describe the causes and complications of chronic kidney disease.

Q.3 Short Answer Questions 4 × 3 = 12

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1. Jaundice - Types, Management and Complications.
2. Clinical manifestation of hypopituitarism.
3. Stem cell therapy.
4. Clinical characteristics of different types of Pemphigus.

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

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1. DOTS guidelines.
2. SIADH.
3. Clinical feature of iron deficiency anemia.
4. Four causes of superior vena cava syndrome.
5. 4 causes of hematuria.

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6. 4 causes of hoarseness of voice.
7. List four drugs in treating anaphylaxis.
8. Four drugs to treat schizophrenia.
9. Four complications of Plasmodium falciparum malaria.

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