Download MPMSU MBBS Final Year Sep 2023 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: up to 30 words per mark.

Q.1 Total MCQs : 20 20 × ½ = 10

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1. ECG findings in hyperkalemia are:
   1. PR prolongation
   2. ST segment depression
   3. Tall tented T waves
   4. QRS widening

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2. Most common site of hypertensive bleed:
   1. Pons
   2. Putamen
   3. Frontal lobe
   4. Thalamus

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

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4. All are features of hemolytic anemia except:
   1. Thrombocytopenia
   2. Hemosiderinuria
   3. Decreased haptoglobin
   4. Raised indirect bilirubin

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5. Intravascular hemolysis is not seen in:
   1. Snake bite
   2. Mismatch transfusion
   3. Thalassemia
   4. PNH

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6. Which is NOT a sign of cerebellar dysfunction?
   1. Dysmetria
   2. Scanning speech
   3. Hypertonia
   4. Rebound phenomenon

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7. Parkinsonism is characterized by all except:
   1. Rigidity
   2. Akinesia
   3. Tremors
   4. Dysdiadochokinesia

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

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9. Drug of choice for PSVT is:
   1. Quinidine
   2. Adenosine
   3. Amiodarone
   4. Lignocaine

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10. Thrombocytopenia is seen in all except:
    1. HSP
    2. ITP
    3. SLE
    4. TTP

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11. Pulsus paradoxus is seen in all except:
    1. COPD
    2. Cardiac tamponade
    3. Constrictive pericarditis
    4. Dilated cardiomyopathy

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12. Oral longer MDR TB regimen comprises all except:
    1. Linezolid
    2. Clofazimine
    3. Bedaquiline
    4. INH

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13. Low SAAG (<1.1 g/dL) in ascites may be due to:
    1. IVC obstruction
    2. Abdominal TB
    3. Budd-Chiari syndrome
    4. Liver metastasis

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14. Which is not a feature of Kartagener syndrome:
    1. Sinusitis
    2. Pancreatic insufficiency
    3. Situs inversus
    4. Bronchiectasis

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15. Beck's triad for cardiac tamponade includes all except:
    1. Hypotension
    2. Tachycardia
    3. Raised JVP
    4. Muffled heart sounds

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16. GCS max and min scores are:
    1. 18 and 3
    2. 15 and 3
    3. 15 and 0
    4. 18 and 0

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17. CREST syndrome has all except:
    1. Calcinosis
    2. Raynaud's phenomenon
    3. Esophageal dysmotility
    4. Sclerodactyly

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18. All seen in inflammatory polyarthritis except:
    1. New bone formation
    2. Morning stiffness
    3. Erythema
    4. Raised ESR

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19. Amino acid associated with atherosclerosis:
    1. Lysine
    2. Homocysteine
    3. Cysteine
    4. Alanine

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20. Pansystolic murmur is present in all except:
    1. VSD
    2. MR
    3. TR
    4. PR

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Q.2 Long Answer Questions 4 × 5 = 20

1. Describe treatment of acute Myocardial infarction.
2. Discuss in detail clinical features of tubercular meningitis.
3. Diagnosis and management of acute bronchial Asthma.
4. Describe etiology, clinical features and complications of liver cirrhosis.

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Q.3 Short Answer Questions 4 × 3 = 12

1. Management of OP poisoning.
2. Pulmonary function test.
3. Complications of sickle cell disease.
4. Autoimmune antibodies.

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

1. Causes of thrombocytopenia.
2. Clinical features of CML.
3. Causes of chronic diarrhea.
4. Diagnosis of pulmonary tuberculosis.

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5. Complications of acute pancreatitis.
6. Covid-19 lab markers.
7. Treatment of status epilepticus.
8. Four indications of bone marrow transplantation.
9. Treatment of migraine.

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